Know More About Infertility & Its Treatment!

Hello,

I am Dr. Vaishali Sharma, practicing as an Infertility Specialist and Laparoscopic Surgeon. Today our topic is infertility and its treatment. As we all know, infertility is a condition when a couple faces some problem in conceiving naturally even after staying together for one year. During the treatment for infertility, we provide strict privacy to the couple and we understand that considering the current social scenario it is very important for the couple to have complete privacy and complete understanding of the concept, and the treatment is kept completely private for the couple. Coming to the various options of treatments that are available for infertility, we have many laparoscopic procedures also and we have IVU and IVF treatments and other ART treatments. Sometimes the only laparoscopy is enough for treating any tubule blockage and sometimes when there is major tubule blockage, we have to refer to the patient to IVF. so, everything varies from couple to couple, it depends on what is the particular problem in that couple at that point of time and we need to treat that particular problem so that we can get a positive pregnancy result in another one or two months.

Approximately 10% of the couple face a problem of infertility when there is no cause actually found, it is called unexplained infertility. And in such cases, we have seen that the majority of them they conceive naturally if they try naturally for another one year or in such case we can go for IUI or ovulation induction using injections. Or really we may have to go for IVF in case their age is more than 35 or so. Recently there is a sharp increase in the number of cases having low AMH. AMH is basically used to major the ovarian resolve which gives us an idea about the quantity and quality of the eggs. And every day I feel I am seeing almost 4 to 5 cases having low AMH and most of them they been referred for doing the IVF and the majority of them have been referred for doing IVF with donor eggs. I would like to recommend that AMH is an important factor but there are other important major factors also which tell us about ovarian quality and the quantity like FSH, other hormones like LH and ultrasound picture and the number of inter follicles in the ultrasound. So we can not just to all the patients with low AMH to the donors cycles, it is always better to assess that patient personally and then we decide ki they can go for IVF with their own cycle,with their own egg and in case that is not an option then the option of donor cycle comes. The success rate of the treatment depends upon what is the major reason behind infertility, and in cases when egg quality is good, when sperm quality is good, we are able to get a good quality of embryo at the end of the day, then the success rate of such an IVF cycle can reach up to 80% almost 8 out of 10 of such couples, they conceive in one cycle or another one cycle.

So the success rate varies a lot with what is the basic behind infertility. Considering the current social scenario regarding infertility, we give complete privacy to couples who visit to us for the treatment, we completely respect their choices, and we know that it is very important for the couple to feel comfortable. And we follow all the guidelines which are related to infertility management regarding that. Sometimes only laparoscopic surgery is required which can treat the tubule blockage, sometimes we may have to take the patient for IVF, so each couple has his own specific problem, we need to tackle that problem at that point in time. So, accurate diagnosis for that particular couple and the targeted treatment of that problem, will definitely give us the quick result and positive pregnancy test within a very short period of time. I really want to thank our patients for the trust and faith that they have in us, and I am really humbled to receive 2 national awards last week only from Economic times, both in the field of IVF and laparoscopic surgery.

Thanks a lot.