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If you have been postponing parenthood for some reason, it's a good idea to talk to an expert to be aware of all your options.

Take the quiz to find out if you are vulnerable to infertility.

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Be a part of our social meet-ups and discuss your issues with our experts.

Call 1800-103-2229 for queries, 8 A.M. to 8 P.M.

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Select your gender

How old are you?

What is your Body Mass Index (BMI)?

Are your periods regular?

How long have you been trying to conceive?

Have you had any pelvic surgeries in the past?

What is your Body Mass Index (BMI)?

Are you a chain smoker?

What is your level of alcohol intake?

Have you had any scrotal injury or surgery in the last year?

Did you recently notice any change in the amount of ejaculate or experience pain or loss of erection during sexual activity?

How long have you and your partner been trying to conceive?

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.

Ask an Expert

Wouldn’t you do anything to hold your child in your arms? Then why not do the best thing first?
Ask your questions to our panel of experts to seek advice. The sooner you start a fertile conversation, the better your chances.

With such low AMH there are two ways forward 1) I a donor egg Ivf cycle 2) You can consult an infertility specialist who would do a transvaginal ultrasound and then decide if embryo pooling of embryos created with your own eggs was an option and can guide you further regarding this Dr. Ritu Hinduja
anti tubercular drugs are nit started empirically for tubal blockage.Before any drugs to be started we need to define the etiology or the cause of a certain organic problem. So first we would need to find out the cause leading to the situation you are facing. Dr. Ritu Hinduja
yes smoking does affects your semen parameters in a negative manner which has a negative effect on your fertility Dr. Ritu Hinduja
CHILD ADOPTION IN INDIA: THE PROCESS EXPLAINED Adoption is a process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfers all rights and responsibilities, along with filiation, from the biological parent or parents. Adoption is a highly personal decision. Every choice to adopt is unique. Every couple and individual has walked a different path in arriving at their decision. However, there are some common themes when it comes to adoption. Here are some common reasons why people adopt: To Overcome Infertility – One of the most common reasons people choose to adopt is because infertility stands in the way of their dreams of having a family. Adoption allows hopeful parents the opportunity to have the family they’ve always wanted. To Protect Your Health – Even if you do not specifically face infertility issues, conditions such as heart disease or epilepsy may result in your doctor suggesting that pregnancy may not be a good idea. With adoption as an option, such conditions need not stand in the way of your ability to have a family. Because You Love Caring For Children – For some people, caring for children is in their blood. It’s something that is so deeply ingrained in them, they adopt simply for the love of providing a good life to a child (or many children). To Avoid Passing Down Genetic Disorders / Diseases – People who wish to have a family but fear passing on genetic disorders they suffer from or that run in their family can do so by adopting. This allows them to experience the joy of having a family without the anxiety of potentially passing on an ailment that runs in the family. To Help A Child In Need – Some families adopt because they personally know a child in need. Perhaps the child’s was orphaned, or his/her parents cannot care for them (the reasons for this could be one of many, such as addiction). Whatever the reasons, they may choose to adopt a child in order to help lift them from their situation. To Avoid Pregnancy Complications – Some women are predisposed to having difficult pregnancies, or due to other issues (such as having had multiple cesarean births) may be at risk for a difficult pregnancy. For those women, adoption may be a safer option that gives them greater peace of mind. To Become Parents – The most simple reason of all, and yet also the most important of all. Many people adopt because they want to become parents. That’s it. They want to share their life with someone, and adopting is their best route to fulfilling that dream. Before considering adoption, there are a few questions that need to be answered and answered honestly Why do I want to Adopt? At first glance, the answer to this question seems easy: You adopt because you want a child. But it goes a lot deeper than that. Some people choose to adopt because they can't conceive a biological child and still feel a strong desire to experience parenthood. In many cases, they've tried for years to conceive and explored various fertility treatments but were ultimately unsuccessful. Others want to adopt regardless of whether they can conceive a child. Many adoptive families include both biological and adopted children. Your motivations behind adoption also go beyond whether you can have a biological child -- adoption isn't for everyone, and there's nothing wrong with that. If you're thinking of adopting because you can't conceive, you'll need to go through the process of grieving that loss first. If you consider adoption to be "second best" to having a biological child, think about how that attitude would make an adoptive child feel. And if you think that adopting will heal a troubled relationship, think about the pressure that you're putting on a child who deserves to have parents who are in a healthy relationship. These are just a few reasons why you may want to reconsider adoption. However, if you want to adopt because you truly enjoy children and want to be a parent, adoption might be for you. Can I handle not being biologically related to my child? To some people, the idea of adopting a "stranger" and raising it as their own child just isn't something that they're interested in. They can't imagine that they would feel a family bond with someone who isn't related by blood. Others are less extreme on the subject, but find that the pull to go through the experience of carrying and birthing their own child, or just to have a child that carries their genes, is undeniable. It's important before you start the process of adoption to think about whether you'll feel sad that your child won't be a biological part of you and your family. You won't go through the journey of pregnancy, labor and delivery. Depending on the type of adoption you choose, you might be present in the delivery room with the birth mother, but it's not the same as doing it yourself. And if the child you choose to adopt is older, you mayDr. Apurva Satish Amarnath
CHILD ADOPTION IN INDIA: THE PROCESS EXPLAINED Dr. Apurva Satish Amarnath
Blocked tubes,ovulation disorders,premature ovarian failure,hormonal imbalance,uterine anomalies,thyroid dysfunction,endometriosis can cause infertilityDr. Karishma Dafle
Depends on the type of treatment. Can range from a few thousands to 1.5 lakhsDr. Aswati Nair
Yes it can. Excessive Stress releases prolactin hormone and its increased levels can cause ovulatory disturbances.Dr. Azadeh Patel
Chromosomal factors,Hormonal imbalance,Infections,Testicular trauma,torsion,environmental factors,addictions like alcohol,smoking,certain drugs,sexual dysfunction can cause male infertility.Dr. Karishma Dafle
Please ask a specific queryDr. Aswati Nair
Please ask a specific queryDr. Aswati Nair
Please ask a specific queryDr. Aswati Nair
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers. Dr. Aswati Nair
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers . Dr. Aswati Nair
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers . Dr. Aswati Nair
Commercial surrogacy has been banned from our country, but altruistic surrogacy [ a relative can be your surrogate ] can be opted. Here you should have medical reason for not bearing a pregnancy and a relative who is willing to be surrogate of the needy couple. Dr. Azadeh Patel
IVF means in Vitro fertilisation [ IVF ] means fertilising the eggs with the sperms out the human body. In this procedure, follicles are stimulated with daily injections and when they are of optimum size, eggs are retrieved out of the female body. These eggs are fertilised by the sperm and the resultant embryos are monitored daily until their 5th day of their life; then 1 or 2 embryos of day 5 are taken and transferred to the uterus of the patient for pregnancy. The chances of pregnancy are 50%. IVf can be done for male or female infertility, both partner infertility and unexplained infertility. Dr. Azadeh Patel
erectile dysfunction is a very common problem evaluation for underlying condition(medical/physical/psychological)should be done,also medications and certain devices are available which can help cure the condition.Do check your sugars also quiting addictions if any and physical exercise will help.Dr. Karishma Dafle
? Dr. Ritu Hinduja
You need to see a fertility expert as soon as possible low amh indicates that your egg reserve is declining also your husbands sperm count is less,timely treatment in your case can give you results.Dr. Karishma Dafle
IVF stands for Invitro fertilisation wherein male gametes(sperms) are fused with female gametes(eggs) in the laboratory and resultant embryo is then placed 5 days later in the womens womb.Dr. Karishma Dafle
First of all don't lose hope,we have to go through your previous IVF history and find out what went wrong with advanced technology available at NOVA we can definetly help you but you have to take timely intervention as your age is advanced.Dr. Karishma Dafle
Let me inform you good things in your case you are young,duration of infertility is also not very long,PCOD is a lifestyle disorder you can start workouts and have high fiber and protein diet also we can monitor your cycles for ovulation,if that's disturbed we can help you with medications,with all these interventions you will surely achieve your dream of pregnancy.Dr. Karishma Dafle
Azoospermia can be obstructive or non obstructive. Non obstructive Azoospermia can be the result of congenital defects or hormone imbalances. Swelling of veins in the scrotum can also cause Azoospermia. Obstructive Azoospermia is caused by blockages which prevent sperms from following the natural flow during sexual intercourse and ejaculation. Call 1800 103 2229 to meet one of our Andrologist who will be able to help. Dr. Ritu Hinduja
The cost of IVF treatment starts from 1.59 1Dr. Aswati Nair
The cost starts from 1.59 Lakhs... This is inclusive of everything except freezing of embryos. The costing can differ from patient to patient and depends on the dose of injections required in each case. Dr. Aswati Nair
Central Adoption Resource Authority (CARA) is a statutory body of Ministry of Women & Child Development, Government of India. It functions as the nodal body for adoption of Indian children and is mandated to monitor and regulate in-country and inter-country adoptions. CARA is designated as the Central Authority to deal with inter-country adoptions in accordance with the provisions of the Hague Convention on Inter-country Adoption, 1993, ratified by Government of India in 2003. CARA primarily deals with adoption of orphan, abandoned and surrendered children through its associated /recognised adoption agencies. The website for more information : http://cara.nic.in/ The adoption process in India is governed by multiple laws and adherence to the same is overseen by the Central Adoption Resource Authority. The procedure for adoption of a child in India can be understood in the following steps: Step 1 – Registration Prospective adoptive parents(PAPs) need to get registered with an authorized agency. This is done online at the CARA website. Recognised Indian Placement Agencies (RIPA) and Special Adoption Agency (SPA) are the agencies which are allowed to make such registrations in India. The prospective adoptive parents can select the Specialised Adoption Agency in their area where the social worker will explain the process and take you through the formalities, paperwork and general preparation required for registration. Step 2 – Home Study and Counseling A social worker for the registration agency will make a visit to the home of the prospective adoptive parent in order to do a home study. The agency might also need the parents to attend counselling sessions in order to understand the motivation, preparation, strengths and weaknesses of the prospective parents. As per CARA regulation, the home study needs to be completed within 30 days from the date of registration. The conclusion from the home study and counselling sessions is then reported to the honourable court.Dr. Apurva Satish Amarnath
You will need to get yourself and your husband investigated to make sure everything related to your fertility is fine Dr. Ritu Hinduja
I would require more details to answer this question like are your tubes tested what is the motility . What is the age of both the partners etc You should consult an infertility specialist with all your reports to be able to get better advise Dr. Ritu Hinduja
You need to consult an andrologist for the erectile dysfunction. However reducing weight may be a good option for your wife before you can plan a pregnancy Dr. Ritu Hinduja
The volume and the viscosity of the semen is important but at the same time the sperm count is also important and a detailed semen analysis is mandatory. Please consult an infertility specialist or an andrologist and get a complete semen analysis done and take advise further Dr. Ritu Hinduja
The volume and the viscosity of the semen is important but at the same time the sperm count is also important and a detailed semen analysis is mandatory. Please consult an infertility specialist or an andrologist and get a complete semen analysis done and take advise further Dr. Ritu Hinduja
You need hormonal testing, scrotal scans and sometimes genetic testing to ascertain the cause of azoospermia. Based on the evaluation, you can be treated with hormonal injections, surgery or testicular sperms retrieval with ICSIDr. Pallavi Prasad
IVF treatments can be of various kinds depending upon what your history and reports is. Once we have reviewed your reports and evaluated your history we will be able to guide you better and because the treatments vary the costs vary depending upon the treatment Dr. Ritu Hinduja
I would request you to please be specific about what you are looking for Dr. Ritu Hinduja
Can include medicines, IUI,TESA ,MTES R, Dr. Aswati Nair
Consult fertility specialist. You will need help to ovulate, either hormonal tablets, injections Dr. Pallavi Prasad
Infertility evaluation mainly consists of Day 2or 3 scans and hormonal evaluation for female, tube testing by HSG or laparoscopy and semen analysis for Male partnerDr. Pallavi Prasad
What concerns do you have?Dr. Ritu Hinduja
Male infertility can be of various kinds if you could elaborate a little we would be advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
Male infertility can be of various kinds if you could elaborate a little we would be able to advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
Male infertility can be of various kinds if you could elaborate a little we would be able to advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
Yes medical issues like diabetes, hypothyroidism, hypertension etc can contribute to infertility.Dr. Azadeh Patel
Before you plan to conceive you can visit either a Reproductive Medicine specialist or a ObGyn who would prescribe a battery of investigations for the female partner which would mostly involve a hormonal profile ( TSH, Prolactin , AMH)and Transvaginal ultrasound . Foe the male partner it will mostly be a semen analysis. Once these investigations are done your concerned doctor can guide you further. Dr. Ritu Hinduja
Any treatment in assisted reproduction does not have a 100 percent success rate. However to be able to better guide you the further line of management we would need details of your previous IVF cycle like how many embryos were created what was the quality of those embryos. How many embryos were transferred , what was the endometrial thickness etc . Dr. Ritu Hinduja
If you are having regular cycles of 28 days, fertile period is between day 9 to 16 of your periodDr. Pallavi Prasad
Please visit your fertility specialist and get your self tested Dr. Azadeh Patel
Involves use of antioxidants, oral medications like clomiphene, letrozole to improve sperm count, hormonal injections to improve the sperm countDr. Aswati Nair
Anejaculation or absence of semen could be due due to various reasons ranging from psychological causes to some pathology affecting the male reproductive system. Please consult a good fertility specialist for further evaluation Dr. Aswati Nair
If the prolactin levels are above the biological reference range then it will need to be controlled if you are planning on conceiving Dr. Ritu Hinduja
It is recommended that the Vet D 3 levels are in t he biological reference range but at the same time it is not impossible to conceive if your VIT D 3 levels are low If you have diagnosed it you should take supplements Dr. Ritu Hinduja
AMH is a reflection of your ovarian reserve. Your AMH is on the lower side. I would advise that you consult at an IVF center and have plan chalked out for yourself. I usually advise IVF for low ovarian reserve rather that trying to conceive with IUIDr. Ritu Hinduja
Your AMH level is on the lower side . AMH is a reflection of your ovarian reserve with low ovarian reserves is always better to proceed with an IVF cycle than trying to conceive with IUI . Wishing you all the very best in your journey to parenthood Dr. Ritu Hinduja
?Dr. Ritu Hinduja
?Dr. Ritu Hinduja
?Dr. Ritu Hinduja
Work out the length of your average menstrual cycle. Day one is the first day of the menstrual period and the last day is the day before the next period begins. Ovulation happens about two weeks before the next expected period. So if your average menstrual cycle is 28 days, you ovulate around day 14.Dr. Ritu Hinduja
Get an serum AMH levels done which will tell us about ur ovarian reserves and then consult a good fertility centre and seek adviceDr. Aswati Nair
How long have you been married. It is always advisable to visit a reproductive medicine specialist and get yourself evaluated Dr. Ritu Hinduja
hiDr. Ritu Hinduja
please tell me Dr. Ritu Hinduja
do you have a question ?Dr. Ritu Hinduja
do you have a question ?Dr. Ritu Hinduja
do you have a question ?Dr. Ritu Hinduja
please ask a questionDr. Parul Katiyar
do you have a question ?Dr. Ritu Hinduja
Please, can you elaborate on your question.Dr. Azadeh Patel
You need to seek advise from your consultant as to where the problem is - whether eggs, sperms or endometrial lining. Accordingly, you can plan future treatment.Dr. Pallavi Prasad
yes please tell us Dr. Ritu Hinduja
Please visit a fertility specialist and get yourself and your husband checked for the reasons for infertility. This will include blood tests, ultrasonography and tubal testing for you and a semen analysis for your husband, these are primary work up tests for infertile couple. If any tests is found abnormal the doctor will guide you furtherDr. Azadeh Patel
and your question would be ?Dr. Ritu Hinduja
Women with low or declining ovarian reserves have various options available to them today 1) Donor egg ivf 2) Embryo pooling Please visit an infertility specialist to discuss your options and also understand the success rates of the particular procedure Dr. Ritu Hinduja
Can you please ask your questionDr. Parul Katiyar
it advisable that after one year of unprotected intercourse if you are still not been able to conceive that you visit an infertility specialist and get yourself evaluated as a couple Dr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
??Dr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
Please post her reports. Usually woman have only one uterus. So are u talking about the Fallopian tubes. If yes then IVF could be an answer to this problem Dr. Aswati Nair
There could be either a faulty endometrial receptivity or chromosomal defective embryos. Either can be ruled out on further testings like endometrial receptivity array and pre implantation genetic screening Dr. Aswati Nair
You can be assured that at Nova, we are highly ethical and we do not mix gametes. Dr. Pallavi Prasad
please elaborate your questionDr. Pallavi Prasad
ICSI with Preimlantation genetic screening, prior to embryo transfer a few blood tests to rule out thrombophilias need to be done. Also a hysteroscopy to ascertain uterine cavity normalcy is to be done. Karyotyping of both husband and wife is mandatoryDr. Aswati Nair
Yes you can conceive through IVF with donor eggs. Not getting menses since 3 years means menopause; and with menopause your egg pool is now empty. Hence IVF with donor eggs and your husband's sperms will help you conceive. Dr. Azadeh Patel
Hello, kindly visit a fertility specialist. If you have tried all other treatments then IVF might be the ultimate treatment for you.Dr. Azadeh Patel
Hello aap abhi bhi concenive kar sakte ho IVF se, agar apke dusre saare reports normal he to,Dr. Azadeh Patel
??Dr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
Please ask your questionDr. Apurva Satish Amarnath
Please ask your questionDr. Apurva Satish Amarnath
Please ask your questionDr. Apurva Satish Amarnath
please elaborate your questionDr. Pallavi Prasad
IVF is a procedure where your ovarian follicles are stimulated with daily injections and then eggs are extracted out of them. These eggs are fertilised outside in the lab with your husband's sperms and the resultant embryos are selected and transferred back to the uterus for pregnancyDr. Azadeh Patel
??Dr. Pallavi Prasad
U can visit us at your nearby Nova clinicDr. Aswati Nair
U can visit us at your nearby Nova clinicDr. Aswati Nair
Before any supplements can be prescribed it’s advisable to get a semen analysis to begin with Dr. Ritu Hinduja
There are various treatment modalities available today . However to be able to guide you better it’s always advisable to seek advise from a infertility specialist when you add planning to conceive. Because getting periods or having PCO are not the only factors that may affect your chances to conceive. It always advisable to get a thorough investigation of the Male and the female partner when faced with challenges while trying to conceive Dr. Ritu Hinduja
I would require more information to be able to answer any question that you may have Dr. Ritu Hinduja
At 36 years of age, I will suggest you to go for IVF rather than tubal recanalization as a women's fertility is already on a decline at 36 years of age.Dr. Ritu Hinduja
Before attempting tubal recanalization it’s always better to get your AMH level done which would tell you about your ovarian reserve and also get your husbands semen analysis done because if any of the two parameters are deranged then IVF may be a better option to sort to rather than tubal recanalization Dr. Ritu Hinduja
At 36 years of age, I will suggest you to go for IVF rather than tubal recanalization as a women's fertility is already on a decline at 36 years of age.Dr. Ritu Hinduja
Before attempting tubal recanalization it’s always better to get your AMH level done which would tell you about your ovarian reserve and also get your husbands semen analysis done because if any of the two parameters are deranged then IVF may be a better option to sort to rather than tubal recanalization Dr. Ritu Hinduja
I would require more information to be able to answer any question that you may have Dr. Ritu Hinduja
There are various treatment modalities available today . However to be able to guide you better it’s always advisable to seek advise from a infertility specialist when you add planning to conceive. Because getting periods or having PCO are not the only factors that may affect your chances to conceive. It always advisable to get a thorough investigation of the Male and the female partner when faced with challenges while trying to conceive Dr. Ritu Hinduja
Before any supplements can be prescribed it’s advisable to get a semen analysis to begin with Dr. Ritu Hinduja
U can visit us at your nearby Nova clinicDr. Aswati Nair
U can visit us at your nearby Nova clinicDr. Aswati Nair
??Dr. Pallavi Prasad
IVF is a procedure where your ovarian follicles are stimulated with daily injections and then eggs are extracted out of them. These eggs are fertilised outside in the lab with your husband's sperms and the resultant embryos are selected and transferred back to the uterus for pregnancyDr. Azadeh Patel
please elaborate your questionDr. Pallavi Prasad
Please ask your questionDr. Apurva Satish Amarnath
Please ask your questionDr. Apurva Satish Amarnath
Please ask your questionDr. Apurva Satish Amarnath
please elaborate your questionDr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
??Dr. Ritu Hinduja
Hello aap abhi bhi concenive kar sakte ho IVF se, agar apke dusre saare reports normal he to,Dr. Azadeh Patel
Hello, kindly visit a fertility specialist. If you have tried all other treatments then IVF might be the ultimate treatment for you.Dr. Azadeh Patel
Yes you can conceive through IVF with donor eggs. Not getting menses since 3 years means menopause; and with menopause your egg pool is now empty. Hence IVF with donor eggs and your husband's sperms will help you conceive. Dr. Azadeh Patel
ICSI with Preimlantation genetic screening, prior to embryo transfer a few blood tests to rule out thrombophilias need to be done. Also a hysteroscopy to ascertain uterine cavity normalcy is to be done. Karyotyping of both husband and wife is mandatoryDr. Aswati Nair
please elaborate your questionDr. Pallavi Prasad
You can be assured that at Nova, we are highly ethical and we do not mix gametes. Dr. Pallavi Prasad
There could be either a faulty endometrial receptivity or chromosomal defective embryos. Either can be ruled out on further testings like endometrial receptivity array and pre implantation genetic screening Dr. Aswati Nair
Please post her reports. Usually woman have only one uterus. So are u talking about the Fallopian tubes. If yes then IVF could be an answer to this problem Dr. Aswati Nair
please elaborate your questionDr. Ritu Hinduja
??Dr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
please elaborate your questionDr. Ritu Hinduja
it advisable that after one year of unprotected intercourse if you are still not been able to conceive that you visit an infertility specialist and get yourself evaluated as a couple Dr. Ritu Hinduja
Can you please ask your questionDr. Parul Katiyar
Women with low or declining ovarian reserves have various options available to them today 1) Donor egg ivf 2) Embryo pooling Please visit an infertility specialist to discuss your options and also understand the success rates of the particular procedure Dr. Ritu Hinduja
and your question would be ?Dr. Ritu Hinduja
Please visit a fertility specialist and get yourself and your husband checked for the reasons for infertility. This will include blood tests, ultrasonography and tubal testing for you and a semen analysis for your husband, these are primary work up tests for infertile couple. If any tests is found abnormal the doctor will guide you furtherDr. Azadeh Patel
yes please tell us Dr. Ritu Hinduja
You need to seek advise from your consultant as to where the problem is - whether eggs, sperms or endometrial lining. Accordingly, you can plan future treatment.Dr. Pallavi Prasad
Please, can you elaborate on your question.Dr. Azadeh Patel
do you have a question ?Dr. Ritu Hinduja
please ask a questionDr. Parul Katiyar
do you have a question ?Dr. Ritu Hinduja
do you have a question ?Dr. Ritu Hinduja
do you have a question ?Dr. Ritu Hinduja
please tell me Dr. Ritu Hinduja
hiDr. Ritu Hinduja
How long have you been married. It is always advisable to visit a reproductive medicine specialist and get yourself evaluated Dr. Ritu Hinduja
Get an serum AMH levels done which will tell us about ur ovarian reserves and then consult a good fertility centre and seek adviceDr. Aswati Nair
Work out the length of your average menstrual cycle. Day one is the first day of the menstrual period and the last day is the day before the next period begins. Ovulation happens about two weeks before the next expected period. So if your average menstrual cycle is 28 days, you ovulate around day 14.Dr. Ritu Hinduja
?Dr. Ritu Hinduja
?Dr. Ritu Hinduja
?Dr. Ritu Hinduja
Your AMH level is on the lower side . AMH is a reflection of your ovarian reserve with low ovarian reserves is always better to proceed with an IVF cycle than trying to conceive with IUI . Wishing you all the very best in your journey to parenthood Dr. Ritu Hinduja
AMH is a reflection of your ovarian reserve. Your AMH is on the lower side. I would advise that you consult at an IVF center and have plan chalked out for yourself. I usually advise IVF for low ovarian reserve rather that trying to conceive with IUIDr. Ritu Hinduja
It is recommended that the Vet D 3 levels are in t he biological reference range but at the same time it is not impossible to conceive if your VIT D 3 levels are low If you have diagnosed it you should take supplements Dr. Ritu Hinduja
If the prolactin levels are above the biological reference range then it will need to be controlled if you are planning on conceiving Dr. Ritu Hinduja
Anejaculation or absence of semen could be due due to various reasons ranging from psychological causes to some pathology affecting the male reproductive system. Please consult a good fertility specialist for further evaluation Dr. Aswati Nair
Involves use of antioxidants, oral medications like clomiphene, letrozole to improve sperm count, hormonal injections to improve the sperm countDr. Aswati Nair
Please visit your fertility specialist and get your self tested Dr. Azadeh Patel
If you are having regular cycles of 28 days, fertile period is between day 9 to 16 of your periodDr. Pallavi Prasad
Any treatment in assisted reproduction does not have a 100 percent success rate. However to be able to better guide you the further line of management we would need details of your previous IVF cycle like how many embryos were created what was the quality of those embryos. How many embryos were transferred , what was the endometrial thickness etc . Dr. Ritu Hinduja
Before you plan to conceive you can visit either a Reproductive Medicine specialist or a ObGyn who would prescribe a battery of investigations for the female partner which would mostly involve a hormonal profile ( TSH, Prolactin , AMH)and Transvaginal ultrasound . Foe the male partner it will mostly be a semen analysis. Once these investigations are done your concerned doctor can guide you further. Dr. Ritu Hinduja
Yes medical issues like diabetes, hypothyroidism, hypertension etc can contribute to infertility.Dr. Azadeh Patel
Male infertility can be of various kinds if you could elaborate a little we would be advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
Male infertility can be of various kinds if you could elaborate a little we would be able to advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
Male infertility can be of various kinds if you could elaborate a little we would be able to advise you better regarding the same. A complete history evaluation and physical examination will help us guide you better Dr. Ritu Hinduja
What concerns do you have?Dr. Ritu Hinduja
Infertility evaluation mainly consists of Day 2or 3 scans and hormonal evaluation for female, tube testing by HSG or laparoscopy and semen analysis for Male partnerDr. Pallavi Prasad
Consult fertility specialist. You will need help to ovulate, either hormonal tablets, injections Dr. Pallavi Prasad
Can include medicines, IUI,TESA ,MTES R, Dr. Aswati Nair
I would request you to please be specific about what you are looking for Dr. Ritu Hinduja
IVF treatments can be of various kinds depending upon what your history and reports is. Once we have reviewed your reports and evaluated your history we will be able to guide you better and because the treatments vary the costs vary depending upon the treatment Dr. Ritu Hinduja
You need hormonal testing, scrotal scans and sometimes genetic testing to ascertain the cause of azoospermia. Based on the evaluation, you can be treated with hormonal injections, surgery or testicular sperms retrieval with ICSIDr. Pallavi Prasad
The volume and the viscosity of the semen is important but at the same time the sperm count is also important and a detailed semen analysis is mandatory. Please consult an infertility specialist or an andrologist and get a complete semen analysis done and take advise further Dr. Ritu Hinduja
The volume and the viscosity of the semen is important but at the same time the sperm count is also important and a detailed semen analysis is mandatory. Please consult an infertility specialist or an andrologist and get a complete semen analysis done and take advise further Dr. Ritu Hinduja
You need to consult an andrologist for the erectile dysfunction. However reducing weight may be a good option for your wife before you can plan a pregnancy Dr. Ritu Hinduja
I would require more details to answer this question like are your tubes tested what is the motility . What is the age of both the partners etc You should consult an infertility specialist with all your reports to be able to get better advise Dr. Ritu Hinduja
You will need to get yourself and your husband investigated to make sure everything related to your fertility is fine Dr. Ritu Hinduja
Central Adoption Resource Authority (CARA) is a statutory body of Ministry of Women & Child Development, Government of India. It functions as the nodal body for adoption of Indian children and is mandated to monitor and regulate in-country and inter-country adoptions. CARA is designated as the Central Authority to deal with inter-country adoptions in accordance with the provisions of the Hague Convention on Inter-country Adoption, 1993, ratified by Government of India in 2003. CARA primarily deals with adoption of orphan, abandoned and surrendered children through its associated /recognised adoption agencies. The website for more information : http://cara.nic.in/ The adoption process in India is governed by multiple laws and adherence to the same is overseen by the Central Adoption Resource Authority. The procedure for adoption of a child in India can be understood in the following steps: Step 1 – Registration Prospective adoptive parents(PAPs) need to get registered with an authorized agency. This is done online at the CARA website. Recognised Indian Placement Agencies (RIPA) and Special Adoption Agency (SPA) are the agencies which are allowed to make such registrations in India. The prospective adoptive parents can select the Specialised Adoption Agency in their area where the social worker will explain the process and take you through the formalities, paperwork and general preparation required for registration. Step 2 – Home Study and Counseling A social worker for the registration agency will make a visit to the home of the prospective adoptive parent in order to do a home study. The agency might also need the parents to attend counselling sessions in order to understand the motivation, preparation, strengths and weaknesses of the prospective parents. As per CARA regulation, the home study needs to be completed within 30 days from the date of registration. The conclusion from the home study and counselling sessions is then reported to the honourable court.Dr. Apurva Satish Amarnath
The cost of IVF treatment starts from 1.59 1Dr. Aswati Nair
The cost starts from 1.59 Lakhs... This is inclusive of everything except freezing of embryos. The costing can differ from patient to patient and depends on the dose of injections required in each case. Dr. Aswati Nair
Azoospermia can be obstructive or non obstructive. Non obstructive Azoospermia can be the result of congenital defects or hormone imbalances. Swelling of veins in the scrotum can also cause Azoospermia. Obstructive Azoospermia is caused by blockages which prevent sperms from following the natural flow during sexual intercourse and ejaculation. Call 1800 103 2229 to meet one of our Andrologist who will be able to help. Dr. Ritu Hinduja
Let me inform you good things in your case you are young,duration of infertility is also not very long,PCOD is a lifestyle disorder you can start workouts and have high fiber and protein diet also we can monitor your cycles for ovulation,if that's disturbed we can help you with medications,with all these interventions you will surely achieve your dream of pregnancy.Dr. Karishma Dafle
First of all don't lose hope,we have to go through your previous IVF history and find out what went wrong with advanced technology available at NOVA we can definetly help you but you have to take timely intervention as your age is advanced.Dr. Karishma Dafle
IVF stands for Invitro fertilisation wherein male gametes(sperms) are fused with female gametes(eggs) in the laboratory and resultant embryo is then placed 5 days later in the womens womb.Dr. Karishma Dafle
You need to see a fertility expert as soon as possible low amh indicates that your egg reserve is declining also your husbands sperm count is less,timely treatment in your case can give you results.Dr. Karishma Dafle
? Dr. Ritu Hinduja
erectile dysfunction is a very common problem evaluation for underlying condition(medical/physical/psychological)should be done,also medications and certain devices are available which can help cure the condition.Do check your sugars also quiting addictions if any and physical exercise will help.Dr. Karishma Dafle
IVF means in Vitro fertilisation [ IVF ] means fertilising the eggs with the sperms out the human body. In this procedure, follicles are stimulated with daily injections and when they are of optimum size, eggs are retrieved out of the female body. These eggs are fertilised by the sperm and the resultant embryos are monitored daily until their 5th day of their life; then 1 or 2 embryos of day 5 are taken and transferred to the uterus of the patient for pregnancy. The chances of pregnancy are 50%. IVf can be done for male or female infertility, both partner infertility and unexplained infertility. Dr. Azadeh Patel
Commercial surrogacy has been banned from our country, but altruistic surrogacy [ a relative can be your surrogate ] can be opted. Here you should have medical reason for not bearing a pregnancy and a relative who is willing to be surrogate of the needy couple. Dr. Azadeh Patel
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers. Dr. Aswati Nair
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers . Dr. Aswati Nair
We can grow the follicles and conception then is possible. We can increase the follicle size by all means but not the follicle numbers . Dr. Aswati Nair
Please ask a specific queryDr. Aswati Nair
Please ask a specific queryDr. Aswati Nair
Please ask a specific queryDr. Aswati Nair
Chromosomal factors,Hormonal imbalance,Infections,Testicular trauma,torsion,environmental factors,addictions like alcohol,smoking,certain drugs,sexual dysfunction can cause male infertility.Dr. Karishma Dafle
Yes it can. Excessive Stress releases prolactin hormone and its increased levels can cause ovulatory disturbances.Dr. Azadeh Patel
Depends on the type of treatment. Can range from a few thousands to 1.5 lakhsDr. Aswati Nair
Blocked tubes,ovulation disorders,premature ovarian failure,hormonal imbalance,uterine anomalies,thyroid dysfunction,endometriosis can cause infertilityDr. Karishma Dafle
CHILD ADOPTION IN INDIA: THE PROCESS EXPLAINED Adoption is a process whereby a person assumes the parenting of another, usually a child, from that person's biological or legal parent or parents. Legal adoptions permanently transfers all rights and responsibilities, along with filiation, from the biological parent or parents. Adoption is a highly personal decision. Every choice to adopt is unique. Every couple and individual has walked a different path in arriving at their decision. However, there are some common themes when it comes to adoption. Here are some common reasons why people adopt: To Overcome Infertility – One of the most common reasons people choose to adopt is because infertility stands in the way of their dreams of having a family. Adoption allows hopeful parents the opportunity to have the family they’ve always wanted. To Protect Your Health – Even if you do not specifically face infertility issues, conditions such as heart disease or epilepsy may result in your doctor suggesting that pregnancy may not be a good idea. With adoption as an option, such conditions need not stand in the way of your ability to have a family. Because You Love Caring For Children – For some people, caring for children is in their blood. It’s something that is so deeply ingrained in them, they adopt simply for the love of providing a good life to a child (or many children). To Avoid Passing Down Genetic Disorders / Diseases – People who wish to have a family but fear passing on genetic disorders they suffer from or that run in their family can do so by adopting. This allows them to experience the joy of having a family without the anxiety of potentially passing on an ailment that runs in the family. To Help A Child In Need – Some families adopt because they personally know a child in need. Perhaps the child’s was orphaned, or his/her parents cannot care for them (the reasons for this could be one of many, such as addiction). Whatever the reasons, they may choose to adopt a child in order to help lift them from their situation. To Avoid Pregnancy Complications – Some women are predisposed to having difficult pregnancies, or due to other issues (such as having had multiple cesarean births) may be at risk for a difficult pregnancy. For those women, adoption may be a safer option that gives them greater peace of mind. To Become Parents – The most simple reason of all, and yet also the most important of all. Many people adopt because they want to become parents. That’s it. They want to share their life with someone, and adopting is their best route to fulfilling that dream. Before considering adoption, there are a few questions that need to be answered and answered honestly Why do I want to Adopt? At first glance, the answer to this question seems easy: You adopt because you want a child. But it goes a lot deeper than that. Some people choose to adopt because they can't conceive a biological child and still feel a strong desire to experience parenthood. In many cases, they've tried for years to conceive and explored various fertility treatments but were ultimately unsuccessful. Others want to adopt regardless of whether they can conceive a child. Many adoptive families include both biological and adopted children. Your motivations behind adoption also go beyond whether you can have a biological child -- adoption isn't for everyone, and there's nothing wrong with that. If you're thinking of adopting because you can't conceive, you'll need to go through the process of grieving that loss first. If you consider adoption to be "second best" to having a biological child, think about how that attitude would make an adoptive child feel. And if you think that adopting will heal a troubled relationship, think about the pressure that you're putting on a child who deserves to have parents who are in a healthy relationship. These are just a few reasons why you may want to reconsider adoption. However, if you want to adopt because you truly enjoy children and want to be a parent, adoption might be for you. Can I handle not being biologically related to my child? To some people, the idea of adopting a "stranger" and raising it as their own child just isn't something that they're interested in. They can't imagine that they would feel a family bond with someone who isn't related by blood. Others are less extreme on the subject, but find that the pull to go through the experience of carrying and birthing their own child, or just to have a child that carries their genes, is undeniable. It's important before you start the process of adoption to think about whether you'll feel sad that your child won't be a biological part of you and your family. You won't go through the journey of pregnancy, labor and delivery. Depending on the type of adoption you choose, you might be present in the delivery room with the birth mother, but it's not the same as doing it yourself. And if the child you choose to adopt is older, you mayDr. Apurva Satish Amarnath
CHILD ADOPTION IN INDIA: THE PROCESS EXPLAINED Dr. Apurva Satish Amarnath
yes smoking does affects your semen parameters in a negative manner which has a negative effect on your fertility Dr. Ritu Hinduja
anti tubercular drugs are nit started empirically for tubal blockage.Before any drugs to be started we need to define the etiology or the cause of a certain organic problem. So first we would need to find out the cause leading to the situation you are facing. Dr. Ritu Hinduja
With such low AMH there are two ways forward 1) I a donor egg Ivf cycle 2) You can consult an infertility specialist who would do a transvaginal ultrasound and then decide if embryo pooling of embryos created with your own eggs was an option and can guide you further regarding this Dr. Ritu Hinduja

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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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