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DISCLAIMER: This quiz is indicative only and is not a replacement of medical opinion. It is merely an assessment of how certain risk factors could potentially impact your infertility. For a precise diagnosis, get in touch with a medical expert.

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IUI is a simple method of treatment. It works well in some cases, but may not be the right solution for many types of infertility situations. In best of cases, the success rates are typically 15% per cycle of treatment and about 50% for couples who attempt over 2-3 cycles. It is still practised as it is relatively easier to perform, cheap and is an acceptable form of treatment for some cases of infertility. IVF, on the other hand, is a more advanced form of treatment applied in most types of infertility situations when simpler treatments have failed. It has a higher scope of success per cycle of treatment, about 35-40% in a young couple. However, as it is more expensive, needs monitoring and follow-up. It is advised as a back-up option to most couples wanting to have a child.
Currently there are no tax benefits associated with adoption in India.
Yes, single parents can adopt a child in India. The parent has to be minimum 25 yrs older than the child. A single male can adopt only a male child, while a single female can adopt a child of any gender. Very recently, CARA (the nodal agency regulating adoptions in India) has also announced seniority preference for financially capable single women over the age of 40 yrs.
You will need to get an AMH (Anti mullerian hormone) level test done which shows the ovarian reserve to know the ovarian/ egg status post chemotherapy. If the levels are good, then the chances of pregnancy are good. Please consult a fertility specialist for the assessment and AMH levels.
Yes, IVF with PGS (preimplantation genetic screening) / PGD (preimplantation genetic diagnosis) technique can help to detect the chromosomal/ genetic abnormality.
In your case, we need to evaluate your husband further – hormonal and genetic evaluation, Ultrasound of Scrotum are required. There are certain good medications and hormonal injections, which can increase the success rate. In ICSI we have certain selection techniques like MACS (Magnetic Activated Cell Sorting) which can help to select a good sperm, to increase success rate. Latest procedure like ICSI with PGS in case of male factor infertility will also increase the success rate. Basic lifestyle modification like 8 hours of work, 7-8 hours of sound sleep, healthy diet rich in fruit, nuts & vegetables, especially cold water fermentation of genitalia for husband would help.
Ideal way to proceed with your history is to get a basic evaluation done for both partners. This evaluation includes your general health/hormone analysis/infection/tubal evaluation. For husband, semen analysis/infection/diabetes screening. If this evaluation is normal, then you can continue Natural Cycle for another 3-6 months also. Regular menstrual cycles don’t mean everything is normal. There could be some pathology too. Also, follow a healthy lifestyle like 8 hrs of work, 7 to 8 hrs sound sleep, healthy diet rich in fruits & vegetables. Coffee up to 2 cups per day can be consumed, travel is alright until the roads are good and its kept to the level of less stress.
That depends on how low his counts are and on your age and other fertility tests. If his sperm count or motility is very low, some form of assisted reproductive technology may help. Please see a fertility specialist to assess the severity of the semen test results and also to check your ovarian reserve, tubal patency and other tests.
There are numerous causes for recurrent miscarriages. More than 60% of early miscarriages are caused by chromosomal abnormality. Women with poorly controlled Diabetes, Obesity, Polycystic Ovarian Syndrome (PCOS) and Luteal Phase Deficiency have a higher risk of miscarriage. Abnormal blood clotting in the small placental blood vessels may result in pregnancy loss. It is important to try to identify a cause so that we can guide treatment accordingly. Your wife will need to undergo a few tests before attempting a pregnancy. If no obvious cause is found, empiric treatment in the form of progesterone support or heparin can be considered. What is your wife's age, have any tests been done already and were the previous pregnancies seen on sonography?
My wife's age is 32. No we have not done any tests so no idea about the test results. Please advice, |
Please consult a fertility specialist for an assessment.
Hi Priya! Secondary infection ( when you conceive the first child normally but during second child face some difficulties) is a a common problem. Absolutely nothing worry! Your age is still on your side. Get yourself checked for basic issues that might delay conception like thyroid, AMH, pelvic infections, Vitamin deficiency and other hormone tests. You will surely get pregnant soon. Maintain a healthy lifestyle. Meet an infertility specialist who will initially put you under some medication mostly enhancing ovulation process. I am sure you will get some positive result out of it. Otherwise you can go for IUI. All the best!
IVF is the treatment of choice now, as there is no treatment in-between IUI and IVF. Earlier IVF, the better chances of achieving pregnancy. 34 years, 1.6 AMH and 5 IUIs failed, I will not suggest you to waste more time. IVF is costly but the ideal treatment for you now.
AMH is a marker of the ovarian reserve, and there is no medication to improve it. It is irreversible. With an age of 34 years, I would expect this AMH. So it’s appropriate for your age. The cost of an IVF cycle depends on type and dose of the injection that is required. Total cost should be from 1.10lacs to 1.60lacs.
You will need an evaluation for yourself as well as for your wife. Kindly get a semen analysis as well an ultrasound of the pelvis for your wife. We recommend you to get a semen analysis at a proper lab preferably an IVF centre where specialised, trained embryologist / andrologist does the analysis in detail.
Estradiol tablets are usually given in a frozen embryo transfer cycle to improve endometrial thickness, progesterone is started after the thickness is satisfactory, in order to prepare the uterus for an incoming embryo and the lonopin is given to improve blood flow. If your endometrial thickness is not increasing with estradiol tablets, hysteroscopy is advisable to check if the cavity is normal or if there are any adhesions. For some women, the lining does not respond to estradiol tablets, but in a natural cycle it does. If you have frozen embryos, you can discuss with your fertility specialist regarding hysteroscopy and evaluation of lining in a natural cycle.
Estradiol tablets are usually given in a frozen embryo transfer cycle to improve endometrial thickness, progesterone is started after the thickness is satisfactory, in order to prepare the uterus for an incoming embryo and the lonopin is given to improve blood flow. If your endometrial thickness is not increasing with estradiol tablets, hysteroscopy is advisable to check if the cavity is normal or if there are any adhesions. For some women, the lining does not respond to estradiol tablets, but in a natural cycle it does. If you have frozen embryos, you can discuss with your fertility specialist regarding hysteroscopy and evaluation of lining in a natural cycle.
Hi Suruchi, I don't see any problem in your case. Your age is on your side. So nothing to worry. 3 months is too less a time to conclude about anything. Try for a few more month naturally. You can meet a gynae doctor who will run some basic tests and give you ovulation enhancing medicines like vitamins and most importantly, folic acid tablets which are very important to take before hand. Maintain a healthy lifestyle. Manage stress. Go out on a vacation. You can also take evening primrose tablet, a natural tab to balance your internal system. Do you get your periods on time? Go for test and rule out any possibility of PCOD, thyroid or hormone issues. All the best!
Fertility period is from 10th day of the periods to 20th day. It is advised to have sex alteast on alternate days during this period. However, remember you should be happy and willing to bring a baby into your life. Sex under stress of having sex - like a to do task - will not help. Don't consider it as a task. All the best!
Dear, you need not worry about this. Correct evaluation and treatments will get you out of this issue. If you have gained weight, try weight reduction along with medications. Hormonal evaluation and medications to control if elevated are necessary initially. Later you can get regular menstruation and conceive. Uterus also to be checked by USG (ultrasonography) and endometrial assessment to be done.
Hi Priya, PCOD is a problem that can managed with good diet and lifestyle. I am happy to know that at this very young age you are taking the right step and are conscious about yourself. I really appreciate it. Usually, unchecked PCOD at this age leads to fertility issues at a later age. Yes, there is a specific diet plan that you should follow to manage your period cycle. I However, it needs detailed understanding of your food habits, weight, lifestyle, food preferences etc. Only then I can connect you to a PCOD nutritionist to provide a detailed day wise diet chart.
Semen parameters are the result of testicular function. There are various reasons for low sperm count, motility and/or morphology such as lifestyle, stress, diabetes, thyroid dysfunction, low pituitary function, post trauma, post infection, etc. but the main function affected is testicular sperm production. The use of medication can improve in only certain scenarios like early stages. But with the help of ART (Assisted Reproductive Technology) you can father a child even with azoospermia report. So, better get an evaluation of your partner too and proceed with treatments. If count is more than 10 million with 40 to 50% motility, can do intrauterine insemination (IUI) or if lesser than that, ICSI is better option. Freezing a semen sample for safety is better.
Hi Sunil, infertility is a tough journey. You should stay strong. It is just a matter of time. Have the doctors suggested IUI or IVF to you. What is the age of your wife? How about her hormone levels FSH, TSH, Prolactin and especially AMH .
Priya, please connect with me at this email: info@infertilitydost.com Please provide details like your blood group, reports of PCOD, your weight, height etc. I will connect you to our PCOD specialist nutritionist for a conversation on phone after which we will plan your diet. All the best!
Age is on your side and other reports also seem ok. However, your sperm count is on the lower side. I think IVF-ICSI will work for you. You should consult with infertility specialist, prepare yourself well leaving behind stress and maintaining a healthy lifestyle and then go for IVF-ICSI. If you need more help and guidance feel free to reach out to me through www.infertilitydost.com take care :)
We need to repeat the anticardiolipin test again if three months have passed from the first tests. The AMH test indicates low ovarian reserve, however we need to confirm that with an antral follicle count done by TVS route on in the early follicular phase. I need information regarding sperm quality as well. Depending on the findings, we need to plan treatment but essentially since there has been a pregnancy before, we are hopeful of a good outcome.
We feel that AMH, while it is good test to assess ovarian reserve, is not very reliable due to lab variations. So it is better to go for TVS to assess the ovarian reserve. The assessment of ovarian reserve is vital for planning a treatment in your case.
CARA doe snot encourage "choosing-a-child" tendency. So you will not get to see a number of children, to choose from. This is a legacy of old styled adoptions, as also glorified in films and fiction. However, to mitigate risks arising out of technical, professional or medical emergencies, CARA offers you multiple referrals. So basically, you get 3 profiles of children, one at a time, 90 days apart. You can see a profile and reserve the same. If you do not accept the profile reserved, you are sent to bottom of wait list. If you accept the child you reserved, you can take home the child under Foster Care. If you do not even reserve, you have 2 more profiles remaining to be seen, each after a gap of 90 days. The parents can change their choice from boy to a girl, to a sibling in the middle of the process. But the same is not advised, as it affects referral process for all, and this privilege should be utilized only where required.
There may be learning or developmental challenges in children who may have been adopted or born in the family. But it will be wrong to generalize that all children who were adopted will have a challenge.
An parent in India has to pay a total of Rs. 46,000 towards adoption. This includes all charges and expense, including the legal fee. A foreign parent will have to shell out much more as they have to pay the Foreign Adoption Agencies in their host country, whose fee may typical run into several thousand dollars.
An parent in India has to pay a total of Rs. 46,000 towards adoption. This includes all charges and expense, including the legal fee. A foreign parent will have to shell out much more as they have to pay the Foreign Adoption Agencies in their host country, whose fee may typical run into several thousand dollars.
You can visit website of CARA - Central Adoption resource Authority for rules, guidliens etc - www.cara.nic.in and you can visit the website of Families of Joy Foundation (www.familiesofjoy.org) for a 360 deg view on adoption, guidelines, books on adoption, adoption videos, references of families in adoption, children availability etc. You can even book a counselling session online.
If this was just one episode of increased length in the periods, then nothing has to be done. It may be due to stress. If there is a recurrence, you may need to get investigated.
PCOD is a condition in which there are chances when ovulation does not happen. She could get an ovulation study (follicular monitoring) to monitor her ovulation. She may visit a Gynaecologist / Infertility Specialist for the same.
We do not have opinions for Ayurvedic medicines. In management of low sperm counts, the cause of this should be evaluated and medications are given only for certain conditions, as sometimes impending testicular failure is aggravated by wrong medications. But after any treatment, do a semen analysis after 3 months, and do the fertility treatment for your wife also side by side so that we can ensure healthy baby before the counts fall down further if not increasing. Semen report to be done in standardised lab and methods before getting treated: If counts are above 15 million with 50% motility, can do natural cycle. If count is 8 to 15 million with 40% motility, can do intrauterine insemination (IUI). If lower than that, the better option is ICSI. This will be the ideal management for you.
I think it is time that you see an infertility specialist. Drinking in moderation is not a problem. Did you get all your hormone tests done and especially AMH. There is something that your gynae is missing. It is just a matter of time and things will come around. But, don't delay and go to an infertility specialist. All the best!
Please get your AMH level done and also your husband’s semen analysis at a reputed lab, preferably at an IVF centre. If sample looks satisfactory for IUI, it is better if you confirm that your tubes are patent before going ahead. The cost will differ from centre to centre, but usually varies from Rs 10,000 to Rs 25,000. Please visit a Fertility Specialist to know if IUI is a suitable option for you and for pre-IUI evaluation.
Chocolate cysts need removal when >5cm in size and growing rapidly. What is the status of your tubes? Any investigation done for them? What’s your age?
If the sperm count and motility is not very low, and your tubes are patent, you can try IUI. It is best you visit a Fertility Specialist for counselling regarding procedure, costs and success rates.
Yes, conception after ectopic pregnancy is very much possible. However, your husband's age is on the higher side. We must know: 1. Are all the tests of your husband normal? 2. Where there any specific findings for ectopic pregnancy? 3. What about your hormone tests? I would suggest you should seek an infertility specialist and go for medical interventions and not waste time trying for normal pregnancy.
There is inadequate evidence regarding methotrexate and male fertility. Please get a semen analysis done. You can discuss with your skin specialist regarding switching to another drug for psoriasis, and with a fertility specialist regarding semen freezing.
As the sperm motility is vital for natural fertilisation, we suggest tests to rule out diabetes and thyroid disorders, semen culture to check for genital infections and treat accordingly. Meanwhile, as we are aware that with age the ovarian reserve gets depleted for women, we should look at maximising our chances of conception by going ahead with an IVF cycle where fertilisation is ensured via injection (ICSI).
Good question. Sperm development is poorly understood even now. So, for most cases, we are as yet unable to find out reasons for poor sperm parameters. But yes, in some situations, medical disorders including certain medications can affect sperm quality and count. They need specialist attention.
As the age increases, ovarian reserve decreases. AMH is nothing but the reflection of your ovarian reserve. A low AMH, like in your case, reflects that the oocyte (egg) number remaining in your ovaries is low, thereby making it difficult for you to conceive using your own eggs. The ideal line of management in your case would be to proceed with a Donor egg IVF.
Polycystic ovaries and polycystic ovarian syndrome (PCOS) are two different entities. In polycystic ovarian syndrome, sometimes there is no ovulation (no egg ruptures) even though you may have a lot of follicles (eggs) in your ovaries. You need to consult an infertility specialist and get yourself evaluated extensively, because ovaries are not the only reason you may not be conceiving. Also along with you, your husband needs to be tested as well (semen analysis).
Please provide with your brief medical background for me to assess and guide you towards the right treatment.
If you have not already evaluated yourself as couple, it's time for you to visit an infertility specialist and get both of you evaluated to rule out any cause of infertility.
Ideally while performing an H Mole surgery you should have a documented pre-operative Bhcg and a post-operative Bhcg report. Your Bhcg should be monitored till it is 2 miu/mL or below. After you have maintained a Bhcg below 2 mIU/ml for a period of one year that's when you can safely plan another pregnancy.
Hi Swetha, take some time to think about your emotional state of mind. If you feel relaxed and joyous, knowing that your conception happens smooth and well, this strong belief will give you a lot of internal strength. If you feel anxious and worry thinking about your conception, then you need to work on letting go of your negative emotions. One simple exercise I would suggest to you is to visualize your life an year from now. A time when your baby is born and you are feeding your baby, giving your baby a nice warm bath, feeling complete as a family, etc. Write this in detail elaborating all the joyous happy moments. Reading your hand written visualisation everyday will give you a strong boost emotionally. To your surprise, your body will beautifully respond. Wish you a successful conception and a very happy journey in motherhood :)
The diagnosis of PCOS should be made correct. There is no specific treatment for it. If you are looking for pregnancy, and PCOS is correctly diagnosed, then your wife might need ovulation induction.
Many factors could lead to you not being able to conceive. Infertility could be because of various factors (tubal, ovarian, uterine, or sperm count). To evaluate the exact reason you are not being able to conceive, it is best that you consult an infertility specialist at the earliest, as age is not in our favour. At the age of 35 we would even be looking at a decreased ovarian reserve.
Yes, any college going girls skips meals and then end up having junk food. I am very happy to see that you are conscious of your healthy self and that is how it should be. Fruits are the best and natural supplements. Keep an apple or any fruit you liek in your bag and eat it anytime. Nuts are again best when we skip a meal and need to energize ourselves quickly. Keep almonds, walnuts etc and munch on on them. You can even munch them while in class, quietly :) It is best to avoid taking any medicine supplements at this young age. Though you can take organic protein shakes if that is you want.
Yes, Metformin is usually prescribed to control PCOD. PCOD can be managed with lifestyle changes. You should connect with a good Ayurveda doctor or fertility nutritionist to control PCOD. Try natural means. What is her age and weight?
If your ovarian reserve is less and you have premature ovarian failure, you can try to conceive using donor eggs.
Yes, in cases when both the tubes are either damaged or blocked, you can try having a baby with IVF/ICSI (test tube baby) treatment. However before proceeding with the treatment you and your husband will have to be evaluated thoroughly.
There are various methods to understand ovulation like you can use urinary LH kit to know the day of ovulation. The best and the most accurate would be to get a follicular monitoring study done to track the growth of the follicle and the day when the follicle ruptures to release an egg. This would be an ideal day to plan relations and have a successful pregnancy in 2 percent of the cycles.
If you have a low sperm count you can always try for a baby through Intracytoplasmic Sperm Injection (ICSI). To proceed with this treatment you and your wife will first be required to be thoroughly evaluated by an Infertility specialist.
You have gone through so much at this young age. I am sure there is something that is missing and has not been identified. There has to be a reason. Look keenly for that reason. However, there are some cases where medical science also can't do much beyond a point. Adoption is another way you may think about. Many couples have found happiness of complete family through adoption. Think about it with an open mind.
This condition is called obstructive Azoospermia. This has very good prognosis. Many patients with this condition have conceived and delivered. With ICSI treatment modality you will have good results. Your wife’s age is also very important, as ovarian reserve comes down after 37 years. So get the necessary treatments early.
PCOD is Polycystic Ovarian Disorder which causes hormonal imbalance in the body. There is high incidence of infertility noted with PCOD, but does not mean that you cannot conceive. Sometimes you just need a little help from the doctor in the form of medicines or injections to cause ovulation. You may start by getting an ovulation study (follicular monitoring) to track the progress of the follicles and to find the day of ovulation. In case if no follicle is growing, it is best to consult an infertility specialist who can guide you. You will also need a few blood tests specific to PCOD.
Dryness of vagina can interfere with coital process and can cause pain and itching for both partners. Dryness of vagina can be a effect of hormonal disturbance. Though it is not a major cause of infertility. Just noting the time period when it is dry respective to menstrual cycle and consulting a doctor will be good. Take care.
He needs an evaluation, preferably by an Andrologist. Diabetes, high blood pressure, side effects of certain medicines, hormonal disturbances can cause Erectile Dysfunction. There are some medicines that can help, but it is best to see a doctor for further advise.
If there is a clinically significant varicocele, surgery may help. The diagnosis of varicocele should not be based on USG report alone. It is important to do other fertility tests as well to rule out another cause for the infertility like AMH and tubal patency test for your wife.
My wife report is normal. I have low sperm problem. I doing treatment from last 3 Years. But improvement. Sperm moratality is slow. Low sperm. Low quality. I donot have smoking, alcohol problem. But what have vericoele. Pls help me. I need my own child. From last 5 year we try for child. Pls help me what i do. |
There are two options in post ligation patients: go for reversal of the ligation operation. Possible but has poor chances of success. Or go ahead with IVF where the chances are better. However, in your case, age of 45 is a barrier. We need to check your AMH to decide the reproductive potential, and if ok then suggest IVF or else may need to consider egg donation and IVF.
AMH is not very good. However, if you plan the IVF properly and go for pre-ivf preparation then you will have better chances. For women with bad AMH levels, egg donor IVF is usually suggested. But, I would suggest that first you try with your own egg by giving it your best shot then we see how it goes.
Pituitary tumors need to be investigated before commenting. However, most such tumors are harmless and subside with medications. They do not cause any loss of fertility.
Masturbation is a normal practice. Has no impact on fertility.
Hi Vaishnavi, if Clomid and Letrozol are not working, you need to visit an infertility specialist. May be they can shift you to using injectable gonadotropin. However, before proceeding with any kind of treatment, you and your husband both will be tested extensively as a unit.
If you are trying for more than one year and have still not conceived, you need to visit an infertility specialist to investigate what could be the probable cause you are not conceiving.
If your age is less than 30 years, then get diagnostic laparoscopy with hysteroscopy done; if above 30 years, get AMH blood test done to decide the next line of treatment.
After the mid 30s, the ovarian reserve starts declining. At 39, the chances of natural pregnancy are low. Please see a Fertility Specialist to evaluate your ovarian reserve. Depending on your ovarian reserve, and the results of other fertility tests, the specialist can advise and counsel regarding the ART procedure most suitable for you. As a diabetic, it is important that your blood sugars remain under control. The Fertility Specialist can work in close coordination with the physician.
More than 60% of early miscarriages are caused by chromosomal abnormality. Some of the other causes for miscarriage are Polycystic Ovarian Syndrome (PCOS), Luteal Phase Deficiency, diabetes etc. Abnormal blood clotting in the small placental blood vessels may result in pregnancy loss. If this was your first miscarriage, it is quite likely that it won't happen again in a subsequent pregnancy. However, it is better to see an Obstetrician along with the details of your previous pregnancy, so you can be advised if any tests are required. You need to take a break for 2-3 months before trying again. Taking progesterone support in the next pregnancy may help.
Success rates with IUI are around 15-20%. Since IUI has not worked in 3 cycles, you should consider planning IVF. It is best you meet a Fertility Specialist with the details of your previous pregnancies, and discuss regarding Karyotyping for you and your husband and also regarding Preimplantation Genetic Screening (PGS).
ICSI works well for cases of low sperm count. Or you can go for IVF with donor sperms. You must meet a specialist and discuss about your case in detail.
Endometriosis is a condition in which the eggs, tubal and uterine endometrium all are affected. It would be best to proceed with an IUI or IVF cycle to get pregnant. You may plan 2 cycles of IUI and if doesn't work proceed to an IVF cycle. But the above will totally depend on the investigations. You may consider to get an AMH level done to know the ovarian reserve. We presently do not have a center in Bhubaneshwar. You may Google an IVF center in your locality or you may visit the website www.novaivifertility.com to find the nearest Nova IVI Fertility clinic to your city.
1. Sperm is fertile till about 40-45 years in men. 2. Semen analysis is a simple test that is conducted in almost any pathology. 3. Yes, sperm freezing is very much possible and many youngsters are opting for it. 4. Sperms can be stored for 15-20 years. 5. Please connect with us through InfertilityDost platform and we will guide you towards the best available options.
Yes, you must consult a gynae and get to the root of the problem. Spotting is common and mot harmful in most cases. women who have endometriosis or PCOD tend to have such symptom. It is best to get physically examined.
Nipple discharge refers to any fluid that comes out of the breast either spontaneously or by squeezing the nipples. The most common cause of nipple discharge could be high prolactin levels, so it is advisable to get the serum prolactin levels done. Sometimes, the gland inside the breast could be infected and lead to discharge. Please get yourself examined by a gynaecologist for the same.
The volume of uterus is approximately 0.5 ml, and the quantity of normal semen is approx 2 ml. Hence, the extra volume comes out of the vagina. This does not mean that there is something wrong and you cannot conceive. You may visit an Infertility Specialist for initial evaluation, but we recommend you to try at least for 6 months to a year before visiting a specialist.
Yes, the chances of conceiving through ICSI are good. One failed cycle does not mean you will not be able to conceive. We need proper details like the quality of eggs/ grades of embryos transferred as well as the semen details and AMH levels. The failure could be due to various reasons. It would be advisable to discuss the reason behind the failure with your IVF Specialist.
Any infertility specialist would require to study your entire history before advising on the best way forward. You need to visit a well-equipped IVF center and need to discuss the way forward. Few of the options available if you already have not resorted to them are PGS, donor egg IVF, MACS and Endometrial Receptivity Array (ERA). However, one can only advise after going through your history thoroughly.
Hello. Thank you for your query. Yes, you can use your own eggs provided they are good quality and good in number. THis we will get to know by running a few tests, namely blood tests like AMH and FSH on 2nd day of your periods. Also a pelvic sonography on 3rd /4th day of your periods for ovarian reserve. As fas as surrogacy is concerned, it is a phased payment at our clinic, Gynaecworld, Mumbai, but it may differ from clinic to clinic. Our charges with surrogacy are roughly around 10-12 lakhs, and 2 lakhs more if you use a donor also. your tests for fitness for ovarian stimulation and egg extraction and anaesthesia will be determined by health tests. We always advise weight loss before embarking on IVF. Should you wish to visit our clinic, the address is as follows: Gynaecworld, Kwality house, 1st Floor, Kemps Corner, Mumbai-26. 022-23802584
Polycystic ovaries may not be the only problem. Before you can consider regularising your periods, you need to get the rest of your hormonal profile evaluated as well, like your thyroid levels. Once you have been evaluated completely and all conditions have been ruled out, your gynaecologist can consider starting you on some pills to regularise your periods.
Hi. thank you Grace for your question. If you are using your own eggs, then it comes to roughly 10-12 lakhs, and if you use a donor, the cost will be 2-2.5 lakhs more
If a detailed evaluation has been done and no other cause for you not conceiving has been identified, you can consider IUI as an option to complete your family. However, there is a limited number of attempts that you can consider IUI for.
Consult your infertility specialist.
The success rates with IUI are around 15-20%. If 3 IUI cycles are negative, it is advisable to get done a sperm DNA fragmentation test and to go in for evaluation and counselling for IVF/ICSI.
If you've been trying for more than 6-8 months without success, it is advisable to initiate evaluation for both you and your husband. If all test results are normal, the fertility consultant will guide you regarding the best days for trying naturally. If an abnormality is found in any of the test results, treatment can be planned accordingly. The basic tests to be done are blood tests for thyroid levels, prolactin and AMH for yourself, and also a sonography. And a semen analysis for your husband.
Regular periods, normal weight and good general health have no connection with the ovarian reserve. With age, the ovarian reserve starts declining, more rapidly after the mid-30s. One test to check your reserve is the Serum AMH level. Please do not delay a visit to a Fertility Specialist for an evaluation of your egg reserve and other Fertility Tests including your husband’s semen analysis.
We feel sorry for you, don’t be upset. There are advanced IVF treatments that can help, and patients have conceived even with 3rd cycle of treatment. Better injections, dosages, ERA, PGS, Growth Hormone, Assisted Hatching, Embryoscope, MACS, etc. can help to conceive with your own oocytes and sperms. Anyway if opted for the donor oocyte, sperm programme we can discuss about it.
There are a few tests which are specially done for miscarriage. We should check whether those tests (APLA, TSH, GTT, etc.) are done. Since your wife has delivered once, definitely there will be solution. Hysteroscopy to look for septum, karyotyping, cerclage at 12 weeks itself can help.
Yes, very much you have a chance to conceive. However, there are a few other parameters that we need to assess before guiding you towards the right treatment option. Your and husband's age? How long have you been married? Any previous medical history? Please connect with us and write in detail. You can definitely conceive. You just need the right path to treatment.
Firstly, you don;t have much to worry then. Both of you are young and very new in marriage. Do connect with me for detailed discussion. You have very good chances. All is you need is the right direction. And, we will be happy to help you.
If you have been trying to conceive for the past 6 months or more without success, you and your partner have to visit a fertility specialist for some tests. Medication or IUI or IVF may be advised depending on the test reports.
Even if one of the fallopian tubes is functional, IVF is not necessary. However, the tubal function cannot be assessed fully, only their patency can be commented upon. Also the age is very important. Increasing age indicates lesser eggs of good quality, so time is a very important marker of success.
Absolutely not. Facial hair is usually a sign of hormone imbalance. So get that checked by a gynae. You must take care of your lifestyle. Lifestyle disorder causes such problems. Eat healthy and exercise.
Connect with us through our website InfertilityDost. Don't worry, we work online and all over India :)
It is advisable that your husband has his Karyotype done, to check if he is a carrier as well. Women with a balanced translocation will often finally have a successful conception, but having repeated miscarriages takes a severe toll. Since you have already had 3 miscarriages, I would advise a consultation with a genetic counsellor and Fertility Consultant for advice regarding IVF and Pre Implantation Genetic Diagnosis (PGD). PGD helps in identifying a genetically normal embryo, which can be used for transfer.
Both are hormonal issues, can be managed with medications. If PCOD is severe, we can use gonadotropin injections, which can grow better eggs, and conception chances are good and fast too.
Please visit a Gynaecologist. She might test for your physical health conditions and suggest few vitamin supplements or folic acid tablets to help you conceive naturally. You also need conscious practice of being relaxed when you want to conceive naturally. Many couples in this current generation are very anxious towards pregnancy. Understand that your body is ready to support you. Thank your body for being ready for the child. Stay relaxed. Do some conscious breathing exercises (simple deep abdominal breathing) when you thank your body. Doing this exercise 5 to 6 times a day has a miraculous result on your body and mind. Your conception will happen beautifully. Wishing you a joyous motherhood!
You have to be physically and emotionally prepared for any IVF cycle. You and your partner must be on the same page, and work through the emotions before moving forward with the donor IVF cycle procedure. If you experience stress and concern regarding the procedure, do talk to a counsellor before going ahead. At the end of the day, you would like to have a healthy baby, and donor eggs usually have better success rates, since the eggs come from healthy mothers.
Thank you Dr Azadeh. |
The miscarriage in early gestation in PCOS is mostly due to genetic abnormalities in the oocyte or sperm. Laparoscopic ovarian drilling is not contraindicated, but is not absolutely needed. Karyotyping of aborted foetus will be better, but now it cannot be done. You can do Karyotyping of both of you. For your husband, DNA fragmentation Index of SEMEN will help to little extent. For you, 75GM GTT is pending. Looking for uterine abnormalities by 3D USG is also needed to rule out septate uterus. Ruling out major problems before planning any procedure is ideal. All the best.
Hi, you are young and so nothing much to worry. You will overcome it soon with the right guidance. PCOD can be managed with lifestyle changes. Put some time in improving PCOD naturally. Ayurveda has some solutions to offer in this. You can connect with us for understanding and exploring this option more.
You need to consult an Andrologist and a Sex Counsellor if you want to address the issue that you are unable to ejaculate. However, if you are interested in proceeding with conceiving, you can visit an infertility specialist and explore the options.
You need to track your ovulation day and plan relations depending on the ovulation day. There are ovulation kits available in the market or you can track the follicular growth by Ultrasonography.
I would also advise you to proceed with an IVF cycle sooner than later. Any woman is born with a limited number of eggs. If your AMH is already low, you are probably at the end of your ovarian reserve. It’s always advisable to hasten the process with an IVF cycle and achieve pregnancy rather than continuing with IUI.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Yes. You must go to doctor. In your case natural pregnancy is possible but guidance from doctor is important. What is your and your wife's age? Did you get some tests done, especially hormone tests for the wife? Please connect with me through www.infertilitydost.com to discuss about this problem in detail. We can help you with natural conception and pregnancy.
Natural pregnancy is possible for you but under the guidance of doctor. Conenct with me through www.infertilitydost.com to discuss your problem in detail.
Natural pregnancy is possible for you but under the guidance of doctor. Conenct with me through www.infertilitydost.com to discuss your problem in detail.
Natural pregnancy is possible for you but under the guidance of doctor. Connect with me through www.infertilitydost.com to discuss your problem in detail.
All the best for your success in this cycle. Mild cramps during ovulation can happen. Unless we see the USG by ourselves, we cannot comment on the timing of IUI as it varies with each patient each cycle. There is 20% success rate with IUI up to 4th cycle. We never motivate patients to undergo more than 4-6 IUI cycles. Without doubt if this cycles turns negative, you have to proceed to ICSI that will be the best choice, so do not hesitate. ICSI is a safe procedure with good success rate due to advanced techniques.
Thanks for the reply doctor. My doctor says since I have jus turned 30, I can go for 2more medicated iui cycles. After these many failed iui's I am really worried that my body is not responding to anything. Since you have suggested for ICSI, how much does it costs per ICSI cycle ? What are the success rates per cycle? |
Motility alone might not be the reason for ICSI failure. If you have done only IVF, then you can try ICSI. There are certain tests like DFI to test the quality of the sperms. It is advisable to do the test in your situation with one IVF failure. Based on the reports, you can decide on natural or ICSI. Considering your age of 33, you should try ICSI with MACS (for selecting sperms) to have healthy baby. Considering natural cycle may not be so successful. Taking antioxidants available in the market, cold fermentation of scrotum, healthy lifestyle avoiding smoking and alcohol, taking plenty of fruits, vegetables and nuts will definitely improve the sperm motility to a certain extent. You can try this in the waiting time. All the best!
From 10th to 20th day of your first day of period is the optimum time for conception. You should have sex atleast every alternate day during this period.
It means verifying the details given at the time of registration through documents uploaded by you with the status on ground. It validates your status S single, married, living with family etc, as also the support system required to raise a child.
As I mentioned, with IUI, success rates are 15-20%. After 3-4 IUI cycles, if there is no pregnancy, it is better to consider IVF. You will need to meet a Fertility Specialist with the details of your previous miscarriages. You will find that different doctors have different approaches to a problem. You should go ahead with the IVF centre and doctor who you feel most comfortable with, who explain the steps and process to you in detail and involve you in the planning of your treatment. A thorough evaluation prior to the IVF cycle in order to optimize and maximize your chances is important.
Please do visit a Fertility Specialist without any delay for evaluation of your egg reserve and for advice regarding the treatment option that would be most suitable for you. Having normal thyroid hormone levels is important not only for getting pregnant, but also during pregnancy, for normal development of your baby. If your FSH is very high, it indicates a reduced egg reserve, but a blood AMH test will give a better picture. A Fertility Specialist will see all your reports including your husband semen analysis and your sonography and will then be able to advise regarding the chances of a natural pregnancy.
For ICSI, for scans, consultations, injections for egg growth for 10-11 days, for anaesthesia, ovum pick up, stay in hospital and embryo transfer in the same cycle, if all turns out well, it is 1.8-2 lakhs. The success rate is good, considering the young age it is on an average 45-55%. But need not worry, with frozen embryos even if a few patients of this profile if not pregnant in the first time, can undergo frozen embryo transfer with another cycle of ICSI. There is a good chance of success.
The chance of pregnancy with IUI is around 15-20%. It may not work in the first attempt, but it is important not to lose hope. Please see a Fertility Specialist with all your reports for counselling.
The chance of pregnancy with IUI is around 15-20%. It may not work in the first attempt, but it is important not to lose hope. Please see a Fertility Specialist with all your reports for counselling.
You are young. So, nothing to worry. try for natural ways to conceive.
Did you do the pregnancy test. A lot of times, spotting happens in early stage of conception. Please connect with me to discuss and understand your case in detail. Thanks
Was the genetic problem diagnosed? If you were given a definitive diagnosis then you need to see a genetic counsellor, post that you need to visit a clinic that can offer you Pre Genetic Diagnosis of your embryos. The line of management for you will be to first get a diagnosis of what was the condition that your doctors suspected, there may be some investigations that you and your husband will need to undergo. After which you can proceed with Pre Genetic Diagnosis to rule out the particular gene disorder in your embryos and transfer in your uterus only those embryos which do not carry the genetic disorder.
You need to visit an infertility specialist to get yourself and your partner thoroughly evaluated. Usually after 3 well performed and well stimulated IUIs, I would advise it’s time for you to move on to an IVF (test tube baby) treatment. However, a more refined advice can only be given to you once you visit and infertility specialist.
The AMH levels are definitely irreversible. It has to be an erroneous reporting from either one of the labs that you have used to do your test. It also depends what assay your lab was using while doing the test. However, the correlation of your day 2 antral follicular count with your AMH levels is most diagnostic.
Not being able to ovulate is a common problem. Most cases are due to PCOS which is mostly treatable with medications. Less commonly it is due to low ovarian reserve, which needs egg donation and rarely due to lack of hormones which again can be treated by a fertility expert.
To boost sperms we need a proper sperm count as to what to help, count, motility or morphology.Dr Jasmine Kaur
Trying 4 months is mostly short period. You need to get LH surge kits or do bbt method to check ovulation.Dr Jasmine Kaur
Actually you need to specify the problem as most of the times IVF-ICSI would solve the problem.Dr Jasmine Kaur
If you had regular intercourse for 1 year but still did not get a positive result, it's time to meet an Infertility Specialist and to get some tests done to rule out any obvious cause of Infertility.Dr Moumita Naha
No problem in any investigations but still not being able to conceive even after 3 IUI means your subfertility is Unexplained. We advise going for IVF after 3 failed IUI, it is the best treatment for Unexplained Infertility.Dr Moumita Naha
A healthy balanced diet helps in optimizing our BMI, so it definitely helps in fertility treatment. Organic food is definitely good from health point of view, but whether it improves fertility is not conclusively proven.Dr Pallavi Prasad
At the age of 30 years the success rate is approximately 10-15 percent considering all the parameters ( semen parameters , ovarian reserve , tubal patency ) is normal. It also depends if it is a stimulated or non stimulated cycle.Dr Kalyani Shrimali
A diagnosis of unexplained infertility means that the problem is not apparent. If you can shed some more light on the IVF cycles in detail i.e. how many eggs collected, how many MII, how many fertilized, how many transferred, sperms quality, etc., we will be able to guide better. There are so many advanced technologies available like PGS, ERA, Embryoscope and MACS that help in repeated IVF failures – so according to the problem discerned, you can avail them.Dr Pallavi Prasad
I will not be in favor of ayurvedic medicines, but it largely depends on what is your semen report. Extreme cases might not benefit, but mild factor can. Please consider your wife's age before considering treatment for yourself. Her age is more important for fertility than your semen report. Dr Azadeh Patel
Age is more important than weight reduction for you. Intrinsic egg quality usually detoriates with age, for Indian women 32/33 years is boderline to consider IVF if you have already tried all other treatments including IUI. IUI/ IVF will be the treatment of choice. Dr Azadeh Patel
If all your reports and your husband reports are normal, still you are failing to conceive - we call it as Unexplained Infertility. You need to seek the help of a fertility specialist we might treat you with superovulation + IUI to begin with.Dr Pallavi Prasad
You had 4 miscarriages in the first trimester - so you need to be investigated for Recurrent Pregnancy Loss - the most common causes for which are: *Genetic abnormalities *Uterine anomalies *APLA syndrome *Endocrine abnormalities like uncontrolled Diabetes Mellitus or Thyroid disorders Based on the test results, we can treat you to help you continue pregnancy uneventfully.Dr Pallavi Prasad
Treatment options for men with low sperm count are limited, the best idea is to consult an expert. You can follow some tips : • Lead a healthy lifestyle • Don't wear tight pants & jeans. • Avoid hot baths & saunas • Avoid keeping cell phone in trousers • Try to reduce weight • Reduce stress levels • Stop smoking. • Drink alcohol moderately/Occasionally • Ejaculate less frequently • Improve your Diet & Exercise • Try good antioxidant supplements • Get tested & treated for STIs • Determine if you have a varicocele • Try hormone treatments & medications only after consulting an expertDr Moumita Naha
You need to get a cervical length measurement to rule out cervical incompetence. You can get laparoscopically cervical stitch before getting pregnant. Please also let us know if it was a single pregnancy or twins. If nothing works, surrogacy could be an option.Dr Kalyani Shrimali
There is hardly any medicine to cure azoospermia....please consult an infertility specialist to find out the cause and he/she can treat you accordingly.Dr Moumita Naha
Sperm being motile can swim up from vagina to uterus....only other components of semen like glandular secretions come out...this is normal and hardly a cause of infertility, but still I would suggest you visit an expert.Dr Moumita Naha
The most important question is when during your menstrual cycle you had FSH done. High FSH is significant if done within first few days of cycle (eg day 2/3) and indicates low ovarian reserve...please consult an expert with your report.Dr Moumita Naha
A woman of age 33 can conceive naturally too and doesn't require IVF or donor egg always. She requires treatment if there's a problem preventing natural conception and choice of treatment is based accordingly. After 30 yrs it's advisable to have an early consultation and counselling for fertility issues.Dr Krithika Devi
For how long have you been trying? If you are having regular intercourse for one year and yet to get result, please consult an expert now.Dr Moumita Naha
This means that PCOD is resistant and some other ovulating agent needs to be tried.Dr Jasmine Kaur
Sorry...We need to reassess the ovarian status with hormones like AMH and then plan. If AMH is good, Tubal testing and IUI. If not then IVF is a better option.Dr Jasmine Kaur
All investigations - Semen analysis, Follicular study and Tubal testing - if documented normal, you should try IUI.Dr Jasmine Kaur
Sperm vitality is picked up on semen analysis. It differentiates between dead and live sperm.Dr Jasmine Kaur
You need to consult a fertility specialist to know the cause for infertility and get treated accordingly.Dr Pallavi Prasad
What is the age of your wife? We need to know the nature of cyst (USG report) to give you proper advice. Dr Moumita Naha
Controlled Diabetes is not a deterrent for IVF but at 42 years, you need to get your ovarian reserve evaluated to understand your success rate with IVF. Dr Pallavi Prasad
There is DHEA available and can help but there is no surety. More help with Embryo pooling can be derived.Dr Jasmine Kaur
If she had previous 3 abortions, we need to do some tests to find out any treatable cause of recurrent abortion. Visit an expert as early as possible. Again, TORCH is very very rare cause of first trimester abortion....dont worry about TORCH...If all reports are normal sometimes TLC (tender loving care) is the only answer...best of luck.Dr Moumita Naha
The best way to conceive at your age group is by IVF. Our major concern would be the quality of eggs and sperm as age has got some deleterious effect on both egg and sperm. We can create embryo and do PGS (a method to find out chromosomally normal embryo) before transfer to give you a healthy baby, which is the ultimate goal.Dr Moumita Naha
Yes. This is a normal value. But getting pregnant depends on so many other factors too like your tubal status, partner's sperm count, the condition of uterus, etc. FSH value is just one angle looking at the ovarian reserve. Kindly get evaluated for other factors also.Dr Krithika Devi
Low AMH of female partner means poor ovarian reserve...there is no medicine till date to create new eggs...you can conceive normally (depends upon how low the AMH is) but the question is how long you should wait? It's better to go for IVF now before its too low and the only treatment option left is ovum donation. Dr Moumita Naha
In PCOD, if you are not getting a Dominant Follicle despite using Gonadotropin Injections, it is better to go for IVF.Dr Pallavi Prasad
It is a missed miscarriage and termination of pregnancy is advised by medical/D&E. We have to evaluate for the probable causes further to that.Dr Krithika Devi
Menstrual cycle will remain normal as before after removing one ovary but ovulation will occur each time from remaining ovary only.Dr Pallavi Prasad
After two C-section surgeries, there is an increased risk of scar dehiscence when you want to try for a normal delivery. If you don't want to take the risk, better to go for an elective C-section.Dr Krithika Devi
Smoking definitely has an adverse impact on sperm concentration as well as ovarian reserve.Dr Pallavi Prasad
You need to get your ovarian reserve evaluated. Endometriosis is a progressive disease, so you need to consult a fertility specialist and plan your conception, the earlier the better.Dr Pallavi Prasad
Sperm count of 10 million is low but we need to see other parameters of sperm quality also to plan your treatment. You definitely can have a baby. Consult a fertility specialist to understand your options for treatment.Dr Pallavi Prasad
Age has got some detrimental effect on both male and female fertility. You can do one semen analysis to know the quality of your sperms.Dr Moumita Naha
In view of the presence of endometriosis & tubal factor, would recommend an earlier treatment before AMH levels reduce. IVF will give better pregnancy rates for you.Dr Krithika Devi
IUI success rate per cycle is only 15-20%, we suggest IVF after 3 failed IUI.Dr Moumita Naha
Consult an infertility specialist. PCOS is very common problem and most patients conceive with minimum help.Dr Moumita Naha
Days 10-18 of menstruation usually in a regular cycle...egg gets ruptured 14 days before menstruation and this interval is fixed...time your intercourse accordingly.Dr Moumita Naha
We need to investigate both partners to find out the cause. Please consult an infertility specialist.Dr Moumita Naha
Considering your AMH of 0.4, I would recommend going for treatment options like IUI/IVF early than try and wait for nature to work. Fertility is a race against time, especially with this AMH level!Dr Krithika Devi
Chance is high as day 12-15 is within the fertile period.Dr Moumita Naha
You can take the test day after a missed period.. if negative but no menstruation happens, repeat test after 7 days.Dr Moumita Naha
Medicines alone may not give desired success rates. Better to combine it with treatment s like IUI/ICSI depending on the sperm count.Dr Krithika Devi
Age of your wife? Any investigations done uptil now? Dr Azadeh Patel
Once testicular damage has happened, it cannot be reversed. You need to get your semen analysis done and take treatment accordingly before further deterioration happens.Dr Pallavi Prasad
There are various causes for infertility like - male factor, tubal factor, ovarian factor. Consult a fertility specialist to understand the cause in your case and treat it accordingly.Dr Pallavi Prasad
At the age of 40, it is difficult to have a spontaneous ongoing pregnancy. The most probable reason for your abortions would be your age. My advice would be IVF with Egg donation for you.Dr Azadeh Patel
Yes, child is possible with Egg donation in IVF. You can use your sperms but not her eggs. This is the only way.Dr Azadeh Patel
Depends upon other reports like AMH, semen analysis to assess the chance of spontaneous conception....IVF is a good option.Dr Moumita Naha
There is hardly any cure. We need to investigate to find out the possible cause...treatment depends upon the cause.Dr Moumita Naha
Consult a fertility specialist Dr Pallavi Prasad
Consult a fertility specialist Dr Pallavi Prasad
There are many causes of azoospermia...some are treatable some are not...pls consult an infertility expert for proper investigation and treatment.Dr Moumita Naha
Most probably your tubes are not functioning properly. Swollen damaged tubes, beaded kinked tubes, pelvic adhesion can lead to recurrent ectopic. You can do a diagnostic laparoscopy to check your tubal status...one missed abortion is not that big issue, so don't worry about that.Dr Moumita Naha
Most probably your tubes are not functioning properly. Swollen damaged tubes, beaded kinked tubes, pelvic adhesion can lead to recurrent ectopic. You can do a diagnostic laparoscopy to check your tubal status...one missed abortion is not that big issue, so don't worry about that.Dr Moumita Naha
There are many causes of azoospermia...some are treatable some are not...pls consult an infertility expert for proper investigation and treatment.Dr Moumita Naha
Consult a fertility specialist Dr Pallavi Prasad
Consult a fertility specialist Dr Pallavi Prasad
There is hardly any cure. We need to investigate to find out the possible cause...treatment depends upon the cause.Dr Moumita Naha
Depends upon other reports like AMH, semen analysis to assess the chance of spontaneous conception....IVF is a good option.Dr Moumita Naha
Yes, child is possible with Egg donation in IVF. You can use your sperms but not her eggs. This is the only way.Dr Azadeh Patel
At the age of 40, it is difficult to have a spontaneous ongoing pregnancy. The most probable reason for your abortions would be your age. My advice would be IVF with Egg donation for you.Dr Azadeh Patel
There are various causes for infertility like - male factor, tubal factor, ovarian factor. Consult a fertility specialist to understand the cause in your case and treat it accordingly.Dr Pallavi Prasad
Once testicular damage has happened, it cannot be reversed. You need to get your semen analysis done and take treatment accordingly before further deterioration happens.Dr Pallavi Prasad
Age of your wife? Any investigations done uptil now? Dr Azadeh Patel
Medicines alone may not give desired success rates. Better to combine it with treatment s like IUI/ICSI depending on the sperm count.Dr Krithika Devi
You can take the test day after a missed period.. if negative but no menstruation happens, repeat test after 7 days.Dr Moumita Naha
Chance is high as day 12-15 is within the fertile period.Dr Moumita Naha
Considering your AMH of 0.4, I would recommend going for treatment options like IUI/IVF early than try and wait for nature to work. Fertility is a race against time, especially with this AMH level!Dr Krithika Devi
We need to investigate both partners to find out the cause. Please consult an infertility specialist.Dr Moumita Naha
Days 10-18 of menstruation usually in a regular cycle...egg gets ruptured 14 days before menstruation and this interval is fixed...time your intercourse accordingly.Dr Moumita Naha
Consult an infertility specialist. PCOS is very common problem and most patients conceive with minimum help.Dr Moumita Naha
IUI success rate per cycle is only 15-20%, we suggest IVF after 3 failed IUI.Dr Moumita Naha
In view of the presence of endometriosis & tubal factor, would recommend an earlier treatment before AMH levels reduce. IVF will give better pregnancy rates for you.Dr Krithika Devi
Age has got some detrimental effect on both male and female fertility. You can do one semen analysis to know the quality of your sperms.Dr Moumita Naha
Sperm count of 10 million is low but we need to see other parameters of sperm quality also to plan your treatment. You definitely can have a baby. Consult a fertility specialist to understand your options for treatment.Dr Pallavi Prasad
You need to get your ovarian reserve evaluated. Endometriosis is a progressive disease, so you need to consult a fertility specialist and plan your conception, the earlier the better.Dr Pallavi Prasad
Smoking definitely has an adverse impact on sperm concentration as well as ovarian reserve.Dr Pallavi Prasad
After two C-section surgeries, there is an increased risk of scar dehiscence when you want to try for a normal delivery. If you don't want to take the risk, better to go for an elective C-section.Dr Krithika Devi
Menstrual cycle will remain normal as before after removing one ovary but ovulation will occur each time from remaining ovary only.Dr Pallavi Prasad
It is a missed miscarriage and termination of pregnancy is advised by medical/D&E. We have to evaluate for the probable causes further to that.Dr Krithika Devi
In PCOD, if you are not getting a Dominant Follicle despite using Gonadotropin Injections, it is better to go for IVF.Dr Pallavi Prasad
Low AMH of female partner means poor ovarian reserve...there is no medicine till date to create new eggs...you can conceive normally (depends upon how low the AMH is) but the question is how long you should wait? It's better to go for IVF now before its too low and the only treatment option left is ovum donation. Dr Moumita Naha
Yes. This is a normal value. But getting pregnant depends on so many other factors too like your tubal status, partner's sperm count, the condition of uterus, etc. FSH value is just one angle looking at the ovarian reserve. Kindly get evaluated for other factors also.Dr Krithika Devi
The best way to conceive at your age group is by IVF. Our major concern would be the quality of eggs and sperm as age has got some deleterious effect on both egg and sperm. We can create embryo and do PGS (a method to find out chromosomally normal embryo) before transfer to give you a healthy baby, which is the ultimate goal.Dr Moumita Naha
If she had previous 3 abortions, we need to do some tests to find out any treatable cause of recurrent abortion. Visit an expert as early as possible. Again, TORCH is very very rare cause of first trimester abortion....dont worry about TORCH...If all reports are normal sometimes TLC (tender loving care) is the only answer...best of luck.Dr Moumita Naha
There is DHEA available and can help but there is no surety. More help with Embryo pooling can be derived.Dr Jasmine Kaur
Controlled Diabetes is not a deterrent for IVF but at 42 years, you need to get your ovarian reserve evaluated to understand your success rate with IVF. Dr Pallavi Prasad
What is the age of your wife? We need to know the nature of cyst (USG report) to give you proper advice. Dr Moumita Naha
You need to consult a fertility specialist to know the cause for infertility and get treated accordingly.Dr Pallavi Prasad
Sperm vitality is picked up on semen analysis. It differentiates between dead and live sperm.Dr Jasmine Kaur
All investigations - Semen analysis, Follicular study and Tubal testing - if documented normal, you should try IUI.Dr Jasmine Kaur
This means that PCOD is resistant and some other ovulating agent needs to be tried.Dr Jasmine Kaur
Sorry...We need to reassess the ovarian status with hormones like AMH and then plan. If AMH is good, Tubal testing and IUI. If not then IVF is a better option.Dr Jasmine Kaur
For how long have you been trying? If you are having regular intercourse for one year and yet to get result, please consult an expert now.Dr Moumita Naha
A woman of age 33 can conceive naturally too and doesn't require IVF or donor egg always. She requires treatment if there's a problem preventing natural conception and choice of treatment is based accordingly. After 30 yrs it's advisable to have an early consultation and counselling for fertility issues.Dr Krithika Devi
The most important question is when during your menstrual cycle you had FSH done. High FSH is significant if done within first few days of cycle (eg day 2/3) and indicates low ovarian reserve...please consult an expert with your report.Dr Moumita Naha
Sperm being motile can swim up from vagina to uterus....only other components of semen like glandular secretions come out...this is normal and hardly a cause of infertility, but still I would suggest you visit an expert.Dr Moumita Naha
There is hardly any medicine to cure azoospermia....please consult an infertility specialist to find out the cause and he/she can treat you accordingly.Dr Moumita Naha
You need to get a cervical length measurement to rule out cervical incompetence. You can get laparoscopically cervical stitch before getting pregnant. Please also let us know if it was a single pregnancy or twins. If nothing works, surrogacy could be an option.Dr Kalyani Shrimali
Treatment options for men with low sperm count are limited, the best idea is to consult an expert. You can follow some tips : • Lead a healthy lifestyle • Don't wear tight pants & jeans. • Avoid hot baths & saunas • Avoid keeping cell phone in trousers • Try to reduce weight • Reduce stress levels • Stop smoking. • Drink alcohol moderately/Occasionally • Ejaculate less frequently • Improve your Diet & Exercise • Try good antioxidant supplements • Get tested & treated for STIs • Determine if you have a varicocele • Try hormone treatments & medications only after consulting an expertDr Moumita Naha
You had 4 miscarriages in the first trimester - so you need to be investigated for Recurrent Pregnancy Loss - the most common causes for which are: *Genetic abnormalities *Uterine anomalies *APLA syndrome *Endocrine abnormalities like uncontrolled Diabetes Mellitus or Thyroid disorders Based on the test results, we can treat you to help you continue pregnancy uneventfully.Dr Pallavi Prasad
If all your reports and your husband reports are normal, still you are failing to conceive - we call it as Unexplained Infertility. You need to seek the help of a fertility specialist we might treat you with superovulation + IUI to begin with.Dr Pallavi Prasad
Age is more important than weight reduction for you. Intrinsic egg quality usually detoriates with age, for Indian women 32/33 years is boderline to consider IVF if you have already tried all other treatments including IUI. IUI/ IVF will be the treatment of choice. Dr Azadeh Patel
I will not be in favor of ayurvedic medicines, but it largely depends on what is your semen report. Extreme cases might not benefit, but mild factor can. Please consider your wife's age before considering treatment for yourself. Her age is more important for fertility than your semen report. Dr Azadeh Patel
A diagnosis of unexplained infertility means that the problem is not apparent. If you can shed some more light on the IVF cycles in detail i.e. how many eggs collected, how many MII, how many fertilized, how many transferred, sperms quality, etc., we will be able to guide better. There are so many advanced technologies available like PGS, ERA, Embryoscope and MACS that help in repeated IVF failures – so according to the problem discerned, you can avail them.Dr Pallavi Prasad
At the age of 30 years the success rate is approximately 10-15 percent considering all the parameters ( semen parameters , ovarian reserve , tubal patency ) is normal. It also depends if it is a stimulated or non stimulated cycle.Dr Kalyani Shrimali
A healthy balanced diet helps in optimizing our BMI, so it definitely helps in fertility treatment. Organic food is definitely good from health point of view, but whether it improves fertility is not conclusively proven.Dr Pallavi Prasad
No problem in any investigations but still not being able to conceive even after 3 IUI means your subfertility is Unexplained. We advise going for IVF after 3 failed IUI, it is the best treatment for Unexplained Infertility.Dr Moumita Naha
If you had regular intercourse for 1 year but still did not get a positive result, it's time to meet an Infertility Specialist and to get some tests done to rule out any obvious cause of Infertility.Dr Moumita Naha
Actually you need to specify the problem as most of the times IVF-ICSI would solve the problem.Dr Jasmine Kaur
Trying 4 months is mostly short period. You need to get LH surge kits or do bbt method to check ovulation.Dr Jasmine Kaur
To boost sperms we need a proper sperm count as to what to help, count, motility or morphology.Dr Jasmine Kaur
Not being able to ovulate is a common problem. Most cases are due to PCOS which is mostly treatable with medications. Less commonly it is due to low ovarian reserve, which needs egg donation and rarely due to lack of hormones which again can be treated by a fertility expert.
The AMH levels are definitely irreversible. It has to be an erroneous reporting from either one of the labs that you have used to do your test. It also depends what assay your lab was using while doing the test. However, the correlation of your day 2 antral follicular count with your AMH levels is most diagnostic.
You need to visit an infertility specialist to get yourself and your partner thoroughly evaluated. Usually after 3 well performed and well stimulated IUIs, I would advise it’s time for you to move on to an IVF (test tube baby) treatment. However, a more refined advice can only be given to you once you visit and infertility specialist.
Was the genetic problem diagnosed? If you were given a definitive diagnosis then you need to see a genetic counsellor, post that you need to visit a clinic that can offer you Pre Genetic Diagnosis of your embryos. The line of management for you will be to first get a diagnosis of what was the condition that your doctors suspected, there may be some investigations that you and your husband will need to undergo. After which you can proceed with Pre Genetic Diagnosis to rule out the particular gene disorder in your embryos and transfer in your uterus only those embryos which do not carry the genetic disorder.
Did you do the pregnancy test. A lot of times, spotting happens in early stage of conception. Please connect with me to discuss and understand your case in detail. Thanks
You are young. So, nothing to worry. try for natural ways to conceive.
The chance of pregnancy with IUI is around 15-20%. It may not work in the first attempt, but it is important not to lose hope. Please see a Fertility Specialist with all your reports for counselling.
The chance of pregnancy with IUI is around 15-20%. It may not work in the first attempt, but it is important not to lose hope. Please see a Fertility Specialist with all your reports for counselling.
For ICSI, for scans, consultations, injections for egg growth for 10-11 days, for anaesthesia, ovum pick up, stay in hospital and embryo transfer in the same cycle, if all turns out well, it is 1.8-2 lakhs. The success rate is good, considering the young age it is on an average 45-55%. But need not worry, with frozen embryos even if a few patients of this profile if not pregnant in the first time, can undergo frozen embryo transfer with another cycle of ICSI. There is a good chance of success.
Please do visit a Fertility Specialist without any delay for evaluation of your egg reserve and for advice regarding the treatment option that would be most suitable for you. Having normal thyroid hormone levels is important not only for getting pregnant, but also during pregnancy, for normal development of your baby. If your FSH is very high, it indicates a reduced egg reserve, but a blood AMH test will give a better picture. A Fertility Specialist will see all your reports including your husband semen analysis and your sonography and will then be able to advise regarding the chances of a natural pregnancy.
As I mentioned, with IUI, success rates are 15-20%. After 3-4 IUI cycles, if there is no pregnancy, it is better to consider IVF. You will need to meet a Fertility Specialist with the details of your previous miscarriages. You will find that different doctors have different approaches to a problem. You should go ahead with the IVF centre and doctor who you feel most comfortable with, who explain the steps and process to you in detail and involve you in the planning of your treatment. A thorough evaluation prior to the IVF cycle in order to optimize and maximize your chances is important.
It means verifying the details given at the time of registration through documents uploaded by you with the status on ground. It validates your status S single, married, living with family etc, as also the support system required to raise a child.
From 10th to 20th day of your first day of period is the optimum time for conception. You should have sex atleast every alternate day during this period.
Motility alone might not be the reason for ICSI failure. If you have done only IVF, then you can try ICSI. There are certain tests like DFI to test the quality of the sperms. It is advisable to do the test in your situation with one IVF failure. Based on the reports, you can decide on natural or ICSI. Considering your age of 33, you should try ICSI with MACS (for selecting sperms) to have healthy baby. Considering natural cycle may not be so successful. Taking antioxidants available in the market, cold fermentation of scrotum, healthy lifestyle avoiding smoking and alcohol, taking plenty of fruits, vegetables and nuts will definitely improve the sperm motility to a certain extent. You can try this in the waiting time. All the best!
All the best for your success in this cycle. Mild cramps during ovulation can happen. Unless we see the USG by ourselves, we cannot comment on the timing of IUI as it varies with each patient each cycle. There is 20% success rate with IUI up to 4th cycle. We never motivate patients to undergo more than 4-6 IUI cycles. Without doubt if this cycles turns negative, you have to proceed to ICSI that will be the best choice, so do not hesitate. ICSI is a safe procedure with good success rate due to advanced techniques.
Thanks for the reply doctor. My doctor says since I have jus turned 30, I can go for 2more medicated iui cycles. After these many failed iui's I am really worried that my body is not responding to anything. Since you have suggested for ICSI, how much does it costs per ICSI cycle ? What are the success rates per cycle? |
Natural pregnancy is possible for you but under the guidance of doctor. Conenct with me through www.infertilitydost.com to discuss your problem in detail.
Natural pregnancy is possible for you but under the guidance of doctor. Connect with me through www.infertilitydost.com to discuss your problem in detail.
Natural pregnancy is possible for you but under the guidance of doctor. Conenct with me through www.infertilitydost.com to discuss your problem in detail.
Yes. You must go to doctor. In your case natural pregnancy is possible but guidance from doctor is important. What is your and your wife's age? Did you get some tests done, especially hormone tests for the wife? Please connect with me through www.infertilitydost.com to discuss about this problem in detail. We can help you with natural conception and pregnancy.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
Please visit an Infertility Specialist for a proper evaluation including a few blood tests and ultrasonography and a semen analysis for your husband.
I would also advise you to proceed with an IVF cycle sooner than later. Any woman is born with a limited number of eggs. If your AMH is already low, you are probably at the end of your ovarian reserve. It’s always advisable to hasten the process with an IVF cycle and achieve pregnancy rather than continuing with IUI.
You need to track your ovulation day and plan relations depending on the ovulation day. There are ovulation kits available in the market or you can track the follicular growth by Ultrasonography.
You need to consult an Andrologist and a Sex Counsellor if you want to address the issue that you are unable to ejaculate. However, if you are interested in proceeding with conceiving, you can visit an infertility specialist and explore the options.
Hi, you are young and so nothing much to worry. You will overcome it soon with the right guidance. PCOD can be managed with lifestyle changes. Put some time in improving PCOD naturally. Ayurveda has some solutions to offer in this. You can connect with us for understanding and exploring this option more.
The miscarriage in early gestation in PCOS is mostly due to genetic abnormalities in the oocyte or sperm. Laparoscopic ovarian drilling is not contraindicated, but is not absolutely needed. Karyotyping of aborted foetus will be better, but now it cannot be done. You can do Karyotyping of both of you. For your husband, DNA fragmentation Index of SEMEN will help to little extent. For you, 75GM GTT is pending. Looking for uterine abnormalities by 3D USG is also needed to rule out septate uterus. Ruling out major problems before planning any procedure is ideal. All the best.
You have to be physically and emotionally prepared for any IVF cycle. You and your partner must be on the same page, and work through the emotions before moving forward with the donor IVF cycle procedure. If you experience stress and concern regarding the procedure, do talk to a counsellor before going ahead. At the end of the day, you would like to have a healthy baby, and donor eggs usually have better success rates, since the eggs come from healthy mothers.
Thank you Dr Azadeh. |
Please visit a Gynaecologist. She might test for your physical health conditions and suggest few vitamin supplements or folic acid tablets to help you conceive naturally. You also need conscious practice of being relaxed when you want to conceive naturally. Many couples in this current generation are very anxious towards pregnancy. Understand that your body is ready to support you. Thank your body for being ready for the child. Stay relaxed. Do some conscious breathing exercises (simple deep abdominal breathing) when you thank your body. Doing this exercise 5 to 6 times a day has a miraculous result on your body and mind. Your conception will happen beautifully. Wishing you a joyous motherhood!
Both are hormonal issues, can be managed with medications. If PCOD is severe, we can use gonadotropin injections, which can grow better eggs, and conception chances are good and fast too.
It is advisable that your husband has his Karyotype done, to check if he is a carrier as well. Women with a balanced translocation will often finally have a successful conception, but having repeated miscarriages takes a severe toll. Since you have already had 3 miscarriages, I would advise a consultation with a genetic counsellor and Fertility Consultant for advice regarding IVF and Pre Implantation Genetic Diagnosis (PGD). PGD helps in identifying a genetically normal embryo, which can be used for transfer.
Connect with us through our website InfertilityDost. Don't worry, we work online and all over India :)
Absolutely not. Facial hair is usually a sign of hormone imbalance. So get that checked by a gynae. You must take care of your lifestyle. Lifestyle disorder causes such problems. Eat healthy and exercise.
Even if one of the fallopian tubes is functional, IVF is not necessary. However, the tubal function cannot be assessed fully, only their patency can be commented upon. Also the age is very important. Increasing age indicates lesser eggs of good quality, so time is a very important marker of success.
If you have been trying to conceive for the past 6 months or more without success, you and your partner have to visit a fertility specialist for some tests. Medication or IUI or IVF may be advised depending on the test reports.
Firstly, you don;t have much to worry then. Both of you are young and very new in marriage. Do connect with me for detailed discussion. You have very good chances. All is you need is the right direction. And, we will be happy to help you.
Yes, very much you have a chance to conceive. However, there are a few other parameters that we need to assess before guiding you towards the right treatment option. Your and husband's age? How long have you been married? Any previous medical history? Please connect with us and write in detail. You can definitely conceive. You just need the right path to treatment.
There are a few tests which are specially done for miscarriage. We should check whether those tests (APLA, TSH, GTT, etc.) are done. Since your wife has delivered once, definitely there will be solution. Hysteroscopy to look for septum, karyotyping, cerclage at 12 weeks itself can help.
We feel sorry for you, don’t be upset. There are advanced IVF treatments that can help, and patients have conceived even with 3rd cycle of treatment. Better injections, dosages, ERA, PGS, Growth Hormone, Assisted Hatching, Embryoscope, MACS, etc. can help to conceive with your own oocytes and sperms. Anyway if opted for the donor oocyte, sperm programme we can discuss about it.
Regular periods, normal weight and good general health have no connection with the ovarian reserve. With age, the ovarian reserve starts declining, more rapidly after the mid-30s. One test to check your reserve is the Serum AMH level. Please do not delay a visit to a Fertility Specialist for an evaluation of your egg reserve and other Fertility Tests including your husband’s semen analysis.
If you've been trying for more than 6-8 months without success, it is advisable to initiate evaluation for both you and your husband. If all test results are normal, the fertility consultant will guide you regarding the best days for trying naturally. If an abnormality is found in any of the test results, treatment can be planned accordingly. The basic tests to be done are blood tests for thyroid levels, prolactin and AMH for yourself, and also a sonography. And a semen analysis for your husband.
The success rates with IUI are around 15-20%. If 3 IUI cycles are negative, it is advisable to get done a sperm DNA fragmentation test and to go in for evaluation and counselling for IVF/ICSI.
Consult your infertility specialist.
If a detailed evaluation has been done and no other cause for you not conceiving has been identified, you can consider IUI as an option to complete your family. However, there is a limited number of attempts that you can consider IUI for.
Hi. thank you Grace for your question. If you are using your own eggs, then it comes to roughly 10-12 lakhs, and if you use a donor, the cost will be 2-2.5 lakhs more
Polycystic ovaries may not be the only problem. Before you can consider regularising your periods, you need to get the rest of your hormonal profile evaluated as well, like your thyroid levels. Once you have been evaluated completely and all conditions have been ruled out, your gynaecologist can consider starting you on some pills to regularise your periods.
Hello. Thank you for your query. Yes, you can use your own eggs provided they are good quality and good in number. THis we will get to know by running a few tests, namely blood tests like AMH and FSH on 2nd day of your periods. Also a pelvic sonography on 3rd /4th day of your periods for ovarian reserve. As fas as surrogacy is concerned, it is a phased payment at our clinic, Gynaecworld, Mumbai, but it may differ from clinic to clinic. Our charges with surrogacy are roughly around 10-12 lakhs, and 2 lakhs more if you use a donor also. your tests for fitness for ovarian stimulation and egg extraction and anaesthesia will be determined by health tests. We always advise weight loss before embarking on IVF. Should you wish to visit our clinic, the address is as follows: Gynaecworld, Kwality house, 1st Floor, Kemps Corner, Mumbai-26. 022-23802584
Any infertility specialist would require to study your entire history before advising on the best way forward. You need to visit a well-equipped IVF center and need to discuss the way forward. Few of the options available if you already have not resorted to them are PGS, donor egg IVF, MACS and Endometrial Receptivity Array (ERA). However, one can only advise after going through your history thoroughly.
Yes, the chances of conceiving through ICSI are good. One failed cycle does not mean you will not be able to conceive. We need proper details like the quality of eggs/ grades of embryos transferred as well as the semen details and AMH levels. The failure could be due to various reasons. It would be advisable to discuss the reason behind the failure with your IVF Specialist.
The volume of uterus is approximately 0.5 ml, and the quantity of normal semen is approx 2 ml. Hence, the extra volume comes out of the vagina. This does not mean that there is something wrong and you cannot conceive. You may visit an Infertility Specialist for initial evaluation, but we recommend you to try at least for 6 months to a year before visiting a specialist.
Nipple discharge refers to any fluid that comes out of the breast either spontaneously or by squeezing the nipples. The most common cause of nipple discharge could be high prolactin levels, so it is advisable to get the serum prolactin levels done. Sometimes, the gland inside the breast could be infected and lead to discharge. Please get yourself examined by a gynaecologist for the same.
Yes, you must consult a gynae and get to the root of the problem. Spotting is common and mot harmful in most cases. women who have endometriosis or PCOD tend to have such symptom. It is best to get physically examined.
1. Sperm is fertile till about 40-45 years in men. 2. Semen analysis is a simple test that is conducted in almost any pathology. 3. Yes, sperm freezing is very much possible and many youngsters are opting for it. 4. Sperms can be stored for 15-20 years. 5. Please connect with us through InfertilityDost platform and we will guide you towards the best available options.
Endometriosis is a condition in which the eggs, tubal and uterine endometrium all are affected. It would be best to proceed with an IUI or IVF cycle to get pregnant. You may plan 2 cycles of IUI and if doesn't work proceed to an IVF cycle. But the above will totally depend on the investigations. You may consider to get an AMH level done to know the ovarian reserve. We presently do not have a center in Bhubaneshwar. You may Google an IVF center in your locality or you may visit the website www.novaivifertility.com to find the nearest Nova IVI Fertility clinic to your city.
ICSI works well for cases of low sperm count. Or you can go for IVF with donor sperms. You must meet a specialist and discuss about your case in detail.
Success rates with IUI are around 15-20%. Since IUI has not worked in 3 cycles, you should consider planning IVF. It is best you meet a Fertility Specialist with the details of your previous pregnancies, and discuss regarding Karyotyping for you and your husband and also regarding Preimplantation Genetic Screening (PGS).
More than 60% of early miscarriages are caused by chromosomal abnormality. Some of the other causes for miscarriage are Polycystic Ovarian Syndrome (PCOS), Luteal Phase Deficiency, diabetes etc. Abnormal blood clotting in the small placental blood vessels may result in pregnancy loss. If this was your first miscarriage, it is quite likely that it won't happen again in a subsequent pregnancy. However, it is better to see an Obstetrician along with the details of your previous pregnancy, so you can be advised if any tests are required. You need to take a break for 2-3 months before trying again. Taking progesterone support in the next pregnancy may help.
After the mid 30s, the ovarian reserve starts declining. At 39, the chances of natural pregnancy are low. Please see a Fertility Specialist to evaluate your ovarian reserve. Depending on your ovarian reserve, and the results of other fertility tests, the specialist can advise and counsel regarding the ART procedure most suitable for you. As a diabetic, it is important that your blood sugars remain under control. The Fertility Specialist can work in close coordination with the physician.
If your age is less than 30 years, then get diagnostic laparoscopy with hysteroscopy done; if above 30 years, get AMH blood test done to decide the next line of treatment.
If you are trying for more than one year and have still not conceived, you need to visit an infertility specialist to investigate what could be the probable cause you are not conceiving.
Hi Vaishnavi, if Clomid and Letrozol are not working, you need to visit an infertility specialist. May be they can shift you to using injectable gonadotropin. However, before proceeding with any kind of treatment, you and your husband both will be tested extensively as a unit.
Masturbation is a normal practice. Has no impact on fertility.
Pituitary tumors need to be investigated before commenting. However, most such tumors are harmless and subside with medications. They do not cause any loss of fertility.
AMH is not very good. However, if you plan the IVF properly and go for pre-ivf preparation then you will have better chances. For women with bad AMH levels, egg donor IVF is usually suggested. But, I would suggest that first you try with your own egg by giving it your best shot then we see how it goes.
There are two options in post ligation patients: go for reversal of the ligation operation. Possible but has poor chances of success. Or go ahead with IVF where the chances are better. However, in your case, age of 45 is a barrier. We need to check your AMH to decide the reproductive potential, and if ok then suggest IVF or else may need to consider egg donation and IVF.
If there is a clinically significant varicocele, surgery may help. The diagnosis of varicocele should not be based on USG report alone. It is important to do other fertility tests as well to rule out another cause for the infertility like AMH and tubal patency test for your wife.
My wife report is normal. I have low sperm problem. I doing treatment from last 3 Years. But improvement. Sperm moratality is slow. Low sperm. Low quality. I donot have smoking, alcohol problem. But what have vericoele. Pls help me. I need my own child. From last 5 year we try for child. Pls help me what i do. |
He needs an evaluation, preferably by an Andrologist. Diabetes, high blood pressure, side effects of certain medicines, hormonal disturbances can cause Erectile Dysfunction. There are some medicines that can help, but it is best to see a doctor for further advise.
Dryness of vagina can interfere with coital process and can cause pain and itching for both partners. Dryness of vagina can be a effect of hormonal disturbance. Though it is not a major cause of infertility. Just noting the time period when it is dry respective to menstrual cycle and consulting a doctor will be good. Take care.
PCOD is Polycystic Ovarian Disorder which causes hormonal imbalance in the body. There is high incidence of infertility noted with PCOD, but does not mean that you cannot conceive. Sometimes you just need a little help from the doctor in the form of medicines or injections to cause ovulation. You may start by getting an ovulation study (follicular monitoring) to track the progress of the follicles and to find the day of ovulation. In case if no follicle is growing, it is best to consult an infertility specialist who can guide you. You will also need a few blood tests specific to PCOD.
This condition is called obstructive Azoospermia. This has very good prognosis. Many patients with this condition have conceived and delivered. With ICSI treatment modality you will have good results. Your wife’s age is also very important, as ovarian reserve comes down after 37 years. So get the necessary treatments early.
You have gone through so much at this young age. I am sure there is something that is missing and has not been identified. There has to be a reason. Look keenly for that reason. However, there are some cases where medical science also can't do much beyond a point. Adoption is another way you may think about. Many couples have found happiness of complete family through adoption. Think about it with an open mind.
If you have a low sperm count you can always try for a baby through Intracytoplasmic Sperm Injection (ICSI). To proceed with this treatment you and your wife will first be required to be thoroughly evaluated by an Infertility specialist.
There are various methods to understand ovulation like you can use urinary LH kit to know the day of ovulation. The best and the most accurate would be to get a follicular monitoring study done to track the growth of the follicle and the day when the follicle ruptures to release an egg. This would be an ideal day to plan relations and have a successful pregnancy in 2 percent of the cycles.
Yes, in cases when both the tubes are either damaged or blocked, you can try having a baby with IVF/ICSI (test tube baby) treatment. However before proceeding with the treatment you and your husband will have to be evaluated thoroughly.
If your ovarian reserve is less and you have premature ovarian failure, you can try to conceive using donor eggs.
Yes, Metformin is usually prescribed to control PCOD. PCOD can be managed with lifestyle changes. You should connect with a good Ayurveda doctor or fertility nutritionist to control PCOD. Try natural means. What is her age and weight?
Yes, any college going girls skips meals and then end up having junk food. I am very happy to see that you are conscious of your healthy self and that is how it should be. Fruits are the best and natural supplements. Keep an apple or any fruit you liek in your bag and eat it anytime. Nuts are again best when we skip a meal and need to energize ourselves quickly. Keep almonds, walnuts etc and munch on on them. You can even munch them while in class, quietly :) It is best to avoid taking any medicine supplements at this young age. Though you can take organic protein shakes if that is you want.
Many factors could lead to you not being able to conceive. Infertility could be because of various factors (tubal, ovarian, uterine, or sperm count). To evaluate the exact reason you are not being able to conceive, it is best that you consult an infertility specialist at the earliest, as age is not in our favour. At the age of 35 we would even be looking at a decreased ovarian reserve.
The diagnosis of PCOS should be made correct. There is no specific treatment for it. If you are looking for pregnancy, and PCOS is correctly diagnosed, then your wife might need ovulation induction.
Hi Swetha, take some time to think about your emotional state of mind. If you feel relaxed and joyous, knowing that your conception happens smooth and well, this strong belief will give you a lot of internal strength. If you feel anxious and worry thinking about your conception, then you need to work on letting go of your negative emotions. One simple exercise I would suggest to you is to visualize your life an year from now. A time when your baby is born and you are feeding your baby, giving your baby a nice warm bath, feeling complete as a family, etc. Write this in detail elaborating all the joyous happy moments. Reading your hand written visualisation everyday will give you a strong boost emotionally. To your surprise, your body will beautifully respond. Wish you a successful conception and a very happy journey in motherhood :)
Ideally while performing an H Mole surgery you should have a documented pre-operative Bhcg and a post-operative Bhcg report. Your Bhcg should be monitored till it is 2 miu/mL or below. After you have maintained a Bhcg below 2 mIU/ml for a period of one year that's when you can safely plan another pregnancy.
If you have not already evaluated yourself as couple, it's time for you to visit an infertility specialist and get both of you evaluated to rule out any cause of infertility.
Please provide with your brief medical background for me to assess and guide you towards the right treatment.
Polycystic ovaries and polycystic ovarian syndrome (PCOS) are two different entities. In polycystic ovarian syndrome, sometimes there is no ovulation (no egg ruptures) even though you may have a lot of follicles (eggs) in your ovaries. You need to consult an infertility specialist and get yourself evaluated extensively, because ovaries are not the only reason you may not be conceiving. Also along with you, your husband needs to be tested as well (semen analysis).
As the age increases, ovarian reserve decreases. AMH is nothing but the reflection of your ovarian reserve. A low AMH, like in your case, reflects that the oocyte (egg) number remaining in your ovaries is low, thereby making it difficult for you to conceive using your own eggs. The ideal line of management in your case would be to proceed with a Donor egg IVF.
Good question. Sperm development is poorly understood even now. So, for most cases, we are as yet unable to find out reasons for poor sperm parameters. But yes, in some situations, medical disorders including certain medications can affect sperm quality and count. They need specialist attention.
As the sperm motility is vital for natural fertilisation, we suggest tests to rule out diabetes and thyroid disorders, semen culture to check for genital infections and treat accordingly. Meanwhile, as we are aware that with age the ovarian reserve gets depleted for women, we should look at maximising our chances of conception by going ahead with an IVF cycle where fertilisation is ensured via injection (ICSI).
There is inadequate evidence regarding methotrexate and male fertility. Please get a semen analysis done. You can discuss with your skin specialist regarding switching to another drug for psoriasis, and with a fertility specialist regarding semen freezing.
Yes, conception after ectopic pregnancy is very much possible. However, your husband's age is on the higher side. We must know: 1. Are all the tests of your husband normal? 2. Where there any specific findings for ectopic pregnancy? 3. What about your hormone tests? I would suggest you should seek an infertility specialist and go for medical interventions and not waste time trying for normal pregnancy.
If the sperm count and motility is not very low, and your tubes are patent, you can try IUI. It is best you visit a Fertility Specialist for counselling regarding procedure, costs and success rates.
Chocolate cysts need removal when >5cm in size and growing rapidly. What is the status of your tubes? Any investigation done for them? What’s your age?
Please get your AMH level done and also your husband’s semen analysis at a reputed lab, preferably at an IVF centre. If sample looks satisfactory for IUI, it is better if you confirm that your tubes are patent before going ahead. The cost will differ from centre to centre, but usually varies from Rs 10,000 to Rs 25,000. Please visit a Fertility Specialist to know if IUI is a suitable option for you and for pre-IUI evaluation.
I think it is time that you see an infertility specialist. Drinking in moderation is not a problem. Did you get all your hormone tests done and especially AMH. There is something that your gynae is missing. It is just a matter of time and things will come around. But, don't delay and go to an infertility specialist. All the best!
We do not have opinions for Ayurvedic medicines. In management of low sperm counts, the cause of this should be evaluated and medications are given only for certain conditions, as sometimes impending testicular failure is aggravated by wrong medications. But after any treatment, do a semen analysis after 3 months, and do the fertility treatment for your wife also side by side so that we can ensure healthy baby before the counts fall down further if not increasing. Semen report to be done in standardised lab and methods before getting treated: If counts are above 15 million with 50% motility, can do natural cycle. If count is 8 to 15 million with 40% motility, can do intrauterine insemination (IUI). If lower than that, the better option is ICSI. This will be the ideal management for you.
PCOD is a condition in which there are chances when ovulation does not happen. She could get an ovulation study (follicular monitoring) to monitor her ovulation. She may visit a Gynaecologist / Infertility Specialist for the same.
If this was just one episode of increased length in the periods, then nothing has to be done. It may be due to stress. If there is a recurrence, you may need to get investigated.
You can visit website of CARA - Central Adoption resource Authority for rules, guidliens etc - www.cara.nic.in and you can visit the website of Families of Joy Foundation (www.familiesofjoy.org) for a 360 deg view on adoption, guidelines, books on adoption, adoption videos, references of families in adoption, children availability etc. You can even book a counselling session online.
An parent in India has to pay a total of Rs. 46,000 towards adoption. This includes all charges and expense, including the legal fee. A foreign parent will have to shell out much more as they have to pay the Foreign Adoption Agencies in their host country, whose fee may typical run into several thousand dollars.
An parent in India has to pay a total of Rs. 46,000 towards adoption. This includes all charges and expense, including the legal fee. A foreign parent will have to shell out much more as they have to pay the Foreign Adoption Agencies in their host country, whose fee may typical run into several thousand dollars.
There may be learning or developmental challenges in children who may have been adopted or born in the family. But it will be wrong to generalize that all children who were adopted will have a challenge.
CARA doe snot encourage "choosing-a-child" tendency. So you will not get to see a number of children, to choose from. This is a legacy of old styled adoptions, as also glorified in films and fiction. However, to mitigate risks arising out of technical, professional or medical emergencies, CARA offers you multiple referrals. So basically, you get 3 profiles of children, one at a time, 90 days apart. You can see a profile and reserve the same. If you do not accept the profile reserved, you are sent to bottom of wait list. If you accept the child you reserved, you can take home the child under Foster Care. If you do not even reserve, you have 2 more profiles remaining to be seen, each after a gap of 90 days. The parents can change their choice from boy to a girl, to a sibling in the middle of the process. But the same is not advised, as it affects referral process for all, and this privilege should be utilized only where required.
We feel that AMH, while it is good test to assess ovarian reserve, is not very reliable due to lab variations. So it is better to go for TVS to assess the ovarian reserve. The assessment of ovarian reserve is vital for planning a treatment in your case.
We need to repeat the anticardiolipin test again if three months have passed from the first tests. The AMH test indicates low ovarian reserve, however we need to confirm that with an antral follicle count done by TVS route on in the early follicular phase. I need information regarding sperm quality as well. Depending on the findings, we need to plan treatment but essentially since there has been a pregnancy before, we are hopeful of a good outcome.
Age is on your side and other reports also seem ok. However, your sperm count is on the lower side. I think IVF-ICSI will work for you. You should consult with infertility specialist, prepare yourself well leaving behind stress and maintaining a healthy lifestyle and then go for IVF-ICSI. If you need more help and guidance feel free to reach out to me through www.infertilitydost.com take care :)
Priya, please connect with me at this email: info@infertilitydost.com Please provide details like your blood group, reports of PCOD, your weight, height etc. I will connect you to our PCOD specialist nutritionist for a conversation on phone after which we will plan your diet. All the best!
Hi Sunil, infertility is a tough journey. You should stay strong. It is just a matter of time. Have the doctors suggested IUI or IVF to you. What is the age of your wife? How about her hormone levels FSH, TSH, Prolactin and especially AMH .
Semen parameters are the result of testicular function. There are various reasons for low sperm count, motility and/or morphology such as lifestyle, stress, diabetes, thyroid dysfunction, low pituitary function, post trauma, post infection, etc. but the main function affected is testicular sperm production. The use of medication can improve in only certain scenarios like early stages. But with the help of ART (Assisted Reproductive Technology) you can father a child even with azoospermia report. So, better get an evaluation of your partner too and proceed with treatments. If count is more than 10 million with 40 to 50% motility, can do intrauterine insemination (IUI) or if lesser than that, ICSI is better option. Freezing a semen sample for safety is better.
Hi Priya, PCOD is a problem that can managed with good diet and lifestyle. I am happy to know that at this very young age you are taking the right step and are conscious about yourself. I really appreciate it. Usually, unchecked PCOD at this age leads to fertility issues at a later age. Yes, there is a specific diet plan that you should follow to manage your period cycle. I However, it needs detailed understanding of your food habits, weight, lifestyle, food preferences etc. Only then I can connect you to a PCOD nutritionist to provide a detailed day wise diet chart.
Dear, you need not worry about this. Correct evaluation and treatments will get you out of this issue. If you have gained weight, try weight reduction along with medications. Hormonal evaluation and medications to control if elevated are necessary initially. Later you can get regular menstruation and conceive. Uterus also to be checked by USG (ultrasonography) and endometrial assessment to be done.
Fertility period is from 10th day of the periods to 20th day. It is advised to have sex alteast on alternate days during this period. However, remember you should be happy and willing to bring a baby into your life. Sex under stress of having sex - like a to do task - will not help. Don't consider it as a task. All the best!
Hi Suruchi, I don't see any problem in your case. Your age is on your side. So nothing to worry. 3 months is too less a time to conclude about anything. Try for a few more month naturally. You can meet a gynae doctor who will run some basic tests and give you ovulation enhancing medicines like vitamins and most importantly, folic acid tablets which are very important to take before hand. Maintain a healthy lifestyle. Manage stress. Go out on a vacation. You can also take evening primrose tablet, a natural tab to balance your internal system. Do you get your periods on time? Go for test and rule out any possibility of PCOD, thyroid or hormone issues. All the best!
Estradiol tablets are usually given in a frozen embryo transfer cycle to improve endometrial thickness, progesterone is started after the thickness is satisfactory, in order to prepare the uterus for an incoming embryo and the lonopin is given to improve blood flow. If your endometrial thickness is not increasing with estradiol tablets, hysteroscopy is advisable to check if the cavity is normal or if there are any adhesions. For some women, the lining does not respond to estradiol tablets, but in a natural cycle it does. If you have frozen embryos, you can discuss with your fertility specialist regarding hysteroscopy and evaluation of lining in a natural cycle.
Estradiol tablets are usually given in a frozen embryo transfer cycle to improve endometrial thickness, progesterone is started after the thickness is satisfactory, in order to prepare the uterus for an incoming embryo and the lonopin is given to improve blood flow. If your endometrial thickness is not increasing with estradiol tablets, hysteroscopy is advisable to check if the cavity is normal or if there are any adhesions. For some women, the lining does not respond to estradiol tablets, but in a natural cycle it does. If you have frozen embryos, you can discuss with your fertility specialist regarding hysteroscopy and evaluation of lining in a natural cycle.
You will need an evaluation for yourself as well as for your wife. Kindly get a semen analysis as well an ultrasound of the pelvis for your wife. We recommend you to get a semen analysis at a proper lab preferably an IVF centre where specialised, trained embryologist / andrologist does the analysis in detail.
AMH is a marker of the ovarian reserve, and there is no medication to improve it. It is irreversible. With an age of 34 years, I would expect this AMH. So it’s appropriate for your age. The cost of an IVF cycle depends on type and dose of the injection that is required. Total cost should be from 1.10lacs to 1.60lacs.
IVF is the treatment of choice now, as there is no treatment in-between IUI and IVF. Earlier IVF, the better chances of achieving pregnancy. 34 years, 1.6 AMH and 5 IUIs failed, I will not suggest you to waste more time. IVF is costly but the ideal treatment for you now.
Hi Priya! Secondary infection ( when you conceive the first child normally but during second child face some difficulties) is a a common problem. Absolutely nothing worry! Your age is still on your side. Get yourself checked for basic issues that might delay conception like thyroid, AMH, pelvic infections, Vitamin deficiency and other hormone tests. You will surely get pregnant soon. Maintain a healthy lifestyle. Meet an infertility specialist who will initially put you under some medication mostly enhancing ovulation process. I am sure you will get some positive result out of it. Otherwise you can go for IUI. All the best!
There are numerous causes for recurrent miscarriages. More than 60% of early miscarriages are caused by chromosomal abnormality. Women with poorly controlled Diabetes, Obesity, Polycystic Ovarian Syndrome (PCOS) and Luteal Phase Deficiency have a higher risk of miscarriage. Abnormal blood clotting in the small placental blood vessels may result in pregnancy loss. It is important to try to identify a cause so that we can guide treatment accordingly. Your wife will need to undergo a few tests before attempting a pregnancy. If no obvious cause is found, empiric treatment in the form of progesterone support or heparin can be considered. What is your wife's age, have any tests been done already and were the previous pregnancies seen on sonography?
My wife's age is 32. No we have not done any tests so no idea about the test results. Please advice, |
Please consult a fertility specialist for an assessment.
That depends on how low his counts are and on your age and other fertility tests. If his sperm count or motility is very low, some form of assisted reproductive technology may help. Please see a fertility specialist to assess the severity of the semen test results and also to check your ovarian reserve, tubal patency and other tests.
Ideal way to proceed with your history is to get a basic evaluation done for both partners. This evaluation includes your general health/hormone analysis/infection/tubal evaluation. For husband, semen analysis/infection/diabetes screening. If this evaluation is normal, then you can continue Natural Cycle for another 3-6 months also. Regular menstrual cycles don’t mean everything is normal. There could be some pathology too. Also, follow a healthy lifestyle like 8 hrs of work, 7 to 8 hrs sound sleep, healthy diet rich in fruits & vegetables. Coffee up to 2 cups per day can be consumed, travel is alright until the roads are good and its kept to the level of less stress.
In your case, we need to evaluate your husband further – hormonal and genetic evaluation, Ultrasound of Scrotum are required. There are certain good medications and hormonal injections, which can increase the success rate. In ICSI we have certain selection techniques like MACS (Magnetic Activated Cell Sorting) which can help to select a good sperm, to increase success rate. Latest procedure like ICSI with PGS in case of male factor infertility will also increase the success rate. Basic lifestyle modification like 8 hours of work, 7-8 hours of sound sleep, healthy diet rich in fruit, nuts & vegetables, especially cold water fermentation of genitalia for husband would help.
Yes, IVF with PGS (preimplantation genetic screening) / PGD (preimplantation genetic diagnosis) technique can help to detect the chromosomal/ genetic abnormality.
You will need to get an AMH (Anti mullerian hormone) level test done which shows the ovarian reserve to know the ovarian/ egg status post chemotherapy. If the levels are good, then the chances of pregnancy are good. Please consult a fertility specialist for the assessment and AMH levels.
Yes, single parents can adopt a child in India. The parent has to be minimum 25 yrs older than the child. A single male can adopt only a male child, while a single female can adopt a child of any gender. Very recently, CARA (the nodal agency regulating adoptions in India) has also announced seniority preference for financially capable single women over the age of 40 yrs.
Currently there are no tax benefits associated with adoption in India.
IUI is a simple method of treatment. It works well in some cases, but may not be the right solution for many types of infertility situations. In best of cases, the success rates are typically 15% per cycle of treatment and about 50% for couples who attempt over 2-3 cycles. It is still practised as it is relatively easier to perform, cheap and is an acceptable form of treatment for some cases of infertility. IVF, on the other hand, is a more advanced form of treatment applied in most types of infertility situations when simpler treatments have failed. It has a higher scope of success per cycle of treatment, about 35-40% in a young couple. However, as it is more expensive, needs monitoring and follow-up. It is advised as a back-up option to most couples wanting to have a child.

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FAQs

Infertility is the inability to conceive a child naturally. Infertility can be due to problems in both men and women. Certain medical conditions such as Poly-Cystic Ovarian Syndrome (PCOS), endometriosis, premature ovarian failure, premature menopause, varicocele, and pelvic infections, scrotal and testicular injuries, etc. cause unexpected onset of infertility. Apart from those, the upsurge in lifestyle risk factors is also found to be one of the key drivers for the high occurrence of infertility among men and women.

The major lifestyle factors that have contributed to infertility include increased use of tobacco, high alcohol consumption, rising levels of obesity and stress, couples opting to plan a child at a later age, etc. While clinical solutions can help overcome the medical factors, there is a dire need to create awareness on the lifestyle risk factors, especially amongst the youngsters, to avoid suffering from infertility later in life.

  • Damage to fallopian tubes: Damaged or blocked fallopian tubes keep sperms from getting to the egg or block the passage of the fertilised egg into the uterus.
  • Polycystic ovary syndrome (PCOS): PCOS causes a hormone imbalance, which affects ovulation. PCOS is associated with insulin resistance and obesity. Abnormal hair growth on the face or body, increase in body weight and excessive acne are some of the symptoms of PCOS.
  • Endometriosis occurs when the tissue that normally grows in the uterus implants and grows in other locations. This extra tissue growth — and the surgical removal of it — can cause scarring, which may block fallopian tubes and keep an egg and sperm from uniting.
  • Premature ovarian failure: Ovulation or the process of egg maturing stops in women under the age of 40. Eggs are no longer produced, oestrogen production is lowered leading to infertility.
  • Poor quality oocytes: X chromosome abnormalities, autosomal causes, autoimmune disorders can affect the quality of the eggs in women. In cases of women at the end of their reproductive age, the egg quality decreases even if she may be menstruating. In premenopausal women, there is often both quantitative as well as qualitative decline in oocytes, which hampers the fertility.
  • Cancer treatment such as radiotherapy and chemotherapy can cause the ovarian reserve to deplete in women. Additionally, ovarian cancer can directly result in infertility.
  • About 40% of male infertility is because of either Azoospermia (absence of viable sperms in the semen) or Asthenozoospermia (reduced sperm motility)
  • Sometimes men are able to produce sperms in sufficient quantity but the quality is poor. This causes difficulty in conception. This is called as oligospermia.
  • Male infertility can be caused by acute infections such as smallpox, mumps, other viral infections, and chronic infections like TB, leprosy, prostatitis, etc.
  • Varicocele: An enlargement of the veins that wraps around the testicles and affects sperm development. It occurs in about 15 to 20 percent of infertile men.
  • Other medical causes such as cryptorchidism (undescended testes), aplasia (congenital obstructions), vasectomy, post-infective ejaculatory disturbances and sexual dysfunctions are also common.
  • Trans vaginal ultrasonography to evaluate uterus and ovaries
  • HSG [ Hysterosalpingography ] or SSG [ sonosalpingography ] are tests in which a dye is injected in to the uterus to look for pathology in the uterus and patency of the tubes
  • Laparoscopy is a minor surgery that uses a thin, lighted tube put through a cut (incision) in the belly to analyse the abdominal organs or the female pelvic organs. Laparoscopy is used to find problems such as ovarian cysts, adhesions, fibroids and infections. Tissue samples can be taken for biopsy through the tube (laparoscope). Fallopian tubes patency can be checked.
  • Diagnostic hysteroscopy is a procedure where a hysteroscope, a thin, lighted tube is inserted into the vagina to examine the cervix, the inside of the uterus and the fallopian tubes. This is often used to diagnose the causes of abnormal bleeding and other uterine problems.
  • Anti-Mullerian Hormone (AMH) test is a simple blood test that helps detect the number of eggs left in a woman’s ovarian reserve
  • Semen analysis is the most important test for assessing male fertility. The count, motility (activity) and morphology (structure) of the sperm in the semen gives valuable information on whether a man has impaired fertility.
  • Sperm DNA Fragmentation is a specialised sperm function test that assesses the quality of the genetic material in the sperm. In some men, the sperm count and motility may seem adequate but the quality of the sperm may be deficient. This can be assessed by evaluating the sperm DNA. This test is prescribed in cases where there has been a failure of previous IVF cycles, recurrent abortions, unexplained infertility, or semen parameters of uncertain quality.

Being overweight or underweight can reduce the chances of conceiving. Overweight or obese women often have problems with ovulation. Obesity not only impairs ovulation but also has detrimental effects on the endometrial development and implantation. The hormonal imbalance that comes with obesity often leads to insulin resistance. That is a major risk factor on the road to diabetes.

PCOS is a common disorder that is caused by hormonal imbalance in the body, thereby disrupting the ovulation process and eventually leading to infertility when not diagnosed and treated at the right time. It is crucial for women with PCOS to keep their weight in check. Moreover, obesity also makes it more challenging to become pregnant, no matter whether one is using natural means or assisted reproductive techniques such as in-vitro fertilisation (IVF).

Although much of the focus on obesity and infertility is on women, it affects men too. The range of impact include reduced sperm count, lowered levels of testosterone, physical constraints, reduced libido, erectile dysfunction,  hypertension and uncontrolled diabetes which deteriorates the quality of semen.

In today’s modern, fast paced society, it is easy for people to become stressed. For years, scientists have been researching the causes leading to stress and its impact on human health. With the world becoming more technologically advanced each day, most of us spend a big chunk of our time with our cell phones, laptops or tablets, which are glued to our ears or our eyes. Apart from the other health hazards technology has to our eyes, spine and limbs, it also affects us mentally leading to stress, and stress in turn not a good sign for men and women planning to start a family.

In women specifically, it's important to differentiate between constant and sudden stress. If the stress level is high but fairly consistent, the body will likely acclimate to it and can still ovulate each cycle. It's sudden stress – such as an accident or a death in the family – that can throw the cycle off and interfere with ovulation, and therefore can cause women to be unable to conceive naturally. This, however, varies from woman to woman. Some women find that even a trip out of town can delay ovulation. Others have found that a severely traumatic incident did not impact their cycle at all.

During pregnancy, a woman is often in various emotional states because of the hormones. A woman trying to carry a pregnancy to term during stressful times can also place the foetus at risk. Stress, as it does in many areas of our lives, interferes with the reproductive process and is a cause for infertility and miscarriages. Generally, a stressed person is not a very healthy person. People living with high stress levels are typically overly tired and filled with nervous tension, which may cause them to choose poor dietary and lifestyle habits.

In men, studies link high levels of stress hormones as one of the reasons for the decrease in the production and quality of sperms. According to reports, male infertility occurs in about 30-40% of infertile couples. Psychological stress is seen to boost the levels of stress hormones while lowering the production of male hormone, testosterone, which may subsequently cause a loss of libido in men and affect their reproductive health.

Often the ill effects of childlessness are far more severe for women than they are for men. Childless women are subjected to the additional risks of social discrimination in many forms (restrictions on their participation in social celebrations), allowing husband to remarry. These things happen irrespective of whether the childlessness is due to her being infertile or because the husband is infertile. The fact however is, impaired fertility of male partner is causative in approximately 50% of all the couples unable to conceive spontaneously.Infertility research has been neglected both as a health problem and as a subject for social science research, as in the past few decades greater amount of emphasis is placed on controlling unwanted fertility. As a result, very little work has been carried out in the past on this important subject. Thus, there is a need to explore, this rarely explored phenomenon.

Infertility research has been neglected both as a health problem and as a subject for social science research, as in the past few decades greater amount of emphasis is placed on controlling unwanted fertility. As a result, very little work has been carried out in the past on this important subject. Thus, there is a need to explore, this rarely explored phenomenon.

In some of the regions, infertility is found to be widespread and its prevalence reaching such proportions that it can well be considered as a public health issue, affecting the life of the whole society.  In its extreme, infertility compounded by pregnancy wastage, infant and child mortality may lead to depopulation, which poses serious threat to the social and economic development of the region.

Many fertility specialists in India also suspect that infertility is largely psychosomatic among the educated and employed upper and middle classes. Experts also feel that lifestyle changes of the 21stcentury have adversely affected fertility, resulting in low sperm count, infections, chronic disease, and erectile dysfunction in the male and damaged fallopian tubes, low egg production and fibroids in the female. The problem is prevalent among professionals in the fast mode, such as busy professionals in the software and IT sector. Working at the computer for 8-12 hours at a stretch, lack of attention/time for nutrition and a disturbed sleep cycle have all become perfect ingredients for infertility.

Infertility is as much a social problem as it is a health issue. With increasing awareness, infertility treatment is becoming more acceptable across all communities in India. In recent years, India has become a preferred destination for infertility treatment with the number of international patients increasing exponentially. This can be attributed to the low costs, standardised fertility services, highly specialised doctors and a high success rate found here. In spite of the huge growth in IVF cycles in the last 5 years, India has amongst the least number of IVF treatment cycles as compared to developed countries. IVF treatment represents both a big opportunity as well as a huge challenge in India. The challenges include access to the latest technology, research, training, infrastructure, equipment, drugs, internationally accepted protocols and non-standard pricing.

What is IUI (Intrauterine Insemination)?

This is a basic treatment in Assisted Reproductive Technology (ART) usually carried out along with ovarian stimulation. Ovarian Stimulation involves oral or injectable medications that are given to the female partner to stimulate the ovaries to produce more follicles. To ensure safety, the follicular growth and the hormone levels are carefully monitored using vaginal ultrasounds and blood tests. This is done for women who have problems in egg production.In IUI, a processed fraction of semen, containing only motile sperms is injected directly in to the uterus using a special catheter, at around the time of ovulation. IUI is the first line of ART treatment when simpler treatments fail.

Who is it for?

It is recommended for couples with mild to moderate decrease in sperm count, motility and unexplained infertility. Younger women have a higher chance of achieving a pregnancy via this method.

What is IVF (In-vitro Fertilisation)?

IVF is a treatment where the woman’s eggs are removed, fertilised with the man’s sperm in a laboratory and the resulting embryo put back in to the uterus. The woman is given hormonal injections to stimulate the ovary with appropriate monitoring to produce a higher number of eggs (average 8 to 12). These are removed using transvaginal sonography under general anaesthesia which requires 3-4 hours of hospitalisation. The husband’s semen is collected and processed to separate normal motile sperms. If the man is not available or unable to produce semen, a previously cryopreserved (frozen) sample is used. The eggs and sperm are then allowed to fertilise and develop in the laboratory incubators for three to five days. The best two embryos are then put back into the uterus.

Who is it for?

  • Cases of severe male infertility
  • Women with damage to, or without, Fallopian Tubes
  • Women with resistant Polycystic Ovarian Syndrome
  • Women with endometriosis when other routine treatments have failed
  • Couples with unexplained infertility where treatments such as Artificial Insemination (IUI), have failed
  • Women with advanced age
  • Fertility preservation for social or medical reasons

What is Intra-Cytoplasmic Sperm Injection (ICSI)?

ICSI is a process where a single sperm is injected directly into the egg under high magnification using a micromanipulator machine. The main objective of ICSI is to improve the chances of fertilisation. The earlier part of treatment involving ovarian stimulation and egg retrieval are the same as in IVF. It is recommended in cases of severe male infertility, previous fertilisation failures with IVF and situations in which there are a limited number of oocytes available. But now most of the IVF centres do ICSI for all patients owing to its better fertilization rate.

What is egg/sperm donation?

Egg/sperm donation is often a successful treatment for infertility in women and men who can no longer produce healthy gametes. Egg/sperm donation is an anonymous process, and confidentiality is maintained on the records of both the donors and the recipients. It offers couples privacy and secrecy, so that they need not worry about societal acceptance of their child. The donor gametes often come from donors who are married and have healthy children, and hence the success rates are generally higher when compared to other IVF cycles. IUI or IVF can be done with sperm donation, but egg donation treatment is only possible with IVF.

How to prepare for an IVF cycle?

Proper planning for an IVF cycle will increase the chances of a successful pregnancy. The outcome will be positive and the risk of side effects due to drugs and medication will be reduced drastically. A happy mind and a relaxed body are what all successful IVF treatments need. The importance of the couple being prepared from emotional stability to health and finances is very vital to attain a successful pregnancy through IVF. Some guidelines to follow before an IVF treatment are given below:

  • Proper intake of vitamins and minerals, trace elements and antioxidants
  • Both the partners need to be checked for any medical problems which can reduce the chances of success like thyroid and diabetes. If diagnosed with any problem, it is advised to have it treated before starting IVF
  • Couples need to be made aware of the success rates, which is high for women of younger age group even with IVF procedure
  • Being pregnant through an IVF is a joyous feeling; however it is important to understand the reasons behind a failed IVF cycle and look for the next treatment option with a positive attitude

When is my fertile period?

It is a myth that women can get pregnant at any time during their menstrual cycle. The fact is that achieving pregnancy actually depends a lot on the timing. A woman can get pregnant only during a limited number of days during the menstrual cycle. This is known as the fertile window or fertile period. To understand the fertile window, one has to understand the menstrual cycle.

Most women have a 28-30 day menstrual cycle, however, it is normal to be an exception too. For a woman with a regular menstrual cycle, the fertile window usually lasts the same seven days each month – five days before ovulation and two days after ovulation. Ovulation is the process of a mature egg being released from one of the ovaries.

Technically, a woman can get pregnant only on the day of ovulation, when the mature egg is pushed down the fallopian tube and is made available for fertilisation. The fertile period of seven days takes into account the lifespan of sperm, usually five days, and the lifespan of the egg, which is 24 hours. If the egg is not fertilised in the 24 hours after ovulation, it disintegrates and begins to exit the body, thereby starting the next menstrual cycle. The rule of thumb is that ovulation occurs at the midpoint of a woman’s menstrual cycle.

  • Myth #1: Infertility is a woman’s problem / Men don’t have infertility problems
    Fact: For years it was believed that the woman was responsible for infertility, but we know today that it affects both men and women equally. Therefore the joint evaluation of the couple is critical to obtain an adequate diagnosis.
  • Myth #2: Infertility is uncommon
    Fact: In India, 27.5 million couples who are actively seeking children suffer from infertility*
  • Myth #3: IVF always results in twins or triplets
    Fact: Recent advances in the technology have made it possible to get a high success rate with the transfer of just 1 embryo.
  • Myth #4: Age doesn't affect fertility if you're healthy.
    Fact: While certain unhealthy habits, like smoking, may speed up the effect of age on fertility, living a healthy lifestyle will not stop your biological clock. Fertility begins to decline in a woman starting at age 27. At age 35, that decline speeds up, and after 40, it declines even more steeply. A healthy lifestyle cannot stop the natural process of aging.
  • Myth #5: IVF is considered unnatural. 
    Fact: The fertilization of an egg by a sperm is the most natural way in which the genetic composition of the man and the women combine to form a baby. Since this process is not possible inside a woman’s body either because of tubal blockage or poor sperm count, IVF helps in bringing the egg and the sperm together outside the body.
  • Myth #6: Egg freezing is useful only for women who have cancer
    Fact: This helps with Planned Parenthood, incase women want to wait or want to have a child later on in life
  • Myth #7: IVF babies are not normal
    Fact: IVF babies are as naturally born as other children. In fact, until one is told, it is impossible to distinguish between IVF baby and other children.

Myth #1: You have no control over the success of an IVF cycle

Fact: The results of an IVF cycle are to a large degree based upon a thorough evaluation of the couple ad choosing the right technique and treatment and there are a number of things your doctor can do before you begin to optimize success rates. The more informed you are, the better you will understand what IVF success entails.

Myth #2: Stick to bed rest after embryo transfer

Fact: There's no need to put your life on pause after the embryo transfer. This idea is an absolute myth. In fact, a study done in Egypt found that women who were on bed rest for 24 hours following a transfer had a lower success rate compared to those who returned to their usual routine.

Myth#3: Infertility only happens to couples who have never had a child before

Fact: Fact: Unfortunately for many couples who have a child and wish to conceive again, a variety of factors can contribute to what is known as "secondary infertility." A number of problems could have occurred since the last conception, such as endometrioses anovulation, tubal disease or decline in the concentration of sperms in male.

Myth #4: Herbal remedies can help with IVF

Fact: There's no data showing that herbs are safe to take while you're trying to conceive. Add to that the fact that many herbs come from overseas with detectable levels of mercury and no guarantee of safety and that some are even inadvisable to take during pregnancy.

Adoption is a beautiful experience providing us with an opportunity to render selfless love to our dear ones.

Prospective Adoptive Parents (PAPs) usually have plethora of questions as they embark on this journey. With dearth of reliable resources on adoption, lack of similar experience within the family, myths perpetrated through films and hearsay.

They wonder how long the wait for their child could be. Should the child look similar to them? Do older children bond as well as infants? Is it possible to adopt a new born baby? How and when do they tell their family and friends? Will their employer grant them adoption leave? Do they tell the child about its adoption - if yes, when and how? So on and so forth...

If you are a PAP or their close family & friend having similar doubts, do not worry. We shall guide you step-by-step in your journey of adoption. We shall help you discover the child-centric approach to adoption, get familiar with adoption guidelines, refer you to counsellors and adoptive parents, support you with resources and prepare you in bringing your little joy home.

We recommend the following steps to gain an easy introduction to adoption:

    Pre-Adoption Phase:

  1. Understand Adoption
  2. Know about Adoption Guidelines
  3. Register for Adoption
  4. Meet Adoptive Families
  5. Do Not "CHOOSE" a Child
  6. Complete Legal Proceedings

    Post-Adoption Phase:

  1. Involve Family & Friends
  2. Do Regular Medical Check-Up
  3. Tell the Child about Adoption
  4. Support the child in its Teens
  5. Discuss Adoption at home, per context
  6. Champion Adoption as Parent

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