Frequently Asked Question
We at Aashakiran Fertility Center give our best to couples for treating infertility so that they enjoy parenthood. The advanced techniques of Assisted Reproduction have given hopes to several couples who have succeeded in completing their family through us.
These occur when the FSH (follicle stimulating hormone), LH (luteinizing hormone) and estrogen hormones are not produced at the right time, in the right order and in the right amount. An imbalance in any of these hormones prevents the matured egg from being released from the ovary, thereby causing infertility. The three types of ovulation disorders are:
- Anovulation This is a condition when a woman does not ovulate at all.
- Luteal Phase Defect This is a condition where there is a mature egg, but it does not attach itself to the uterus, thus preventing pregnancy. This is due to a deficiency in the production of a hormone – progesterone that is needed to build the uterine lining for implantation.
- Premature luteinization This happens when the production of progesterone occurs prematurely, and thus interferes in maturity and fertilization of the egg.
Know About Male Infertility
The root cause of infertility in males could be traced to the problems or defects in the reproductive system during fertilization stages. Lower sperm count, defects in sperm production, problem with the movement of sperms, and issues with the quality of sperm are often the main reasons contributing to male infertility. ach of these issues has an underlying cause, and understanding these causes is the first step in the direction of infertility treatment.
Female infertility could be due to ovulatory and anatomical disorders. These could be either due to inability of the egg to reach uterus or inability of the ovaries to release egg. It could also be due to damaged fallopian tubes. Sometimes a fertilized egg fails to attach to the uterus lining; and at times, an attached embryo fails to survive. Female infertility could also be due to certain other conditions such as autoimmune disorders, diabetes, tumors, and cancers, and certain hormonal problems such as thyroid or hyperprolactinemia. In certain other cases, infections such as Chlamydia, tuberculosis, gonorrhea in the womb can also contribute to infertility in women.
Whereas, male infertility could be due to blockage of sperm production or decreased sperm count. Apart from these, there are other risk factors, which could contribute to infertility in many, if not all the cases. These risk factors could be lack of sufficient nutrition, excessive smoking, sexually transmitted infections, or exposure to certain chemicals such as pesticides, herbicide, lead metal etc.
ART is a treatment option for couples with various types of infertility. It has been successfully used to overcome infertility due to blocked or damaged tubes, endometriosis, repeated IUI failure, unexplained infertility, poor ovarian reserve, poor or even nil sperm count (through sperm retrieval techniques like TESA/PESA) .
IVF can be normally performed for counts which are more than 5 million per ml. For counts less than 5 million per ml., ICSI is a better option. At Fortis Bloom IVF Centre, the success rate of IVF are in the region of 40-50% for women less than 35 years, which are comparable to the leading units in the world.
How can IVF be a ‘treatment of choice’ considering the costs, problems and advantages in contrast with other medical/non-medical treatments?
IVF has emerged as the most successful treatment modality for couples who have failed to conceive naturally. In fact women who have ovarian failure or premature menopause can now conceive using egg donation program which has a success rate of 50-60% at Aashakiran Ferility World. Women with damaged or absent uterus can opt for surrogacy to have a baby.
Similarly men with nil or very low sperm count can father a child using the technique of ICSI. Such couples could have never achieved success without IVF. Even women with blocked/damaged tube who had dismal pregnancy rates even after tubal surgery, can now successfully conceive with IVF, and avoid the trauma and pain of surgery.
Yes, during the IVF procedure the egg of the genetic mother and sperm of the genetic father are used to create the embryos in the laboratory. These embryos are then transferred into the womb of the genetic mother or surrogate – where in both cases the child is of the genetic parents.
In case, the couple decides to go for a donor egg or sperm program, the child still remains of one genetic parent.
Avoid excessive caffeine, smoking, alcohol and drugs
Avoid heavy lifting, strenuous exercising and bouncing activities
Avoid sexual intercourse and orgasms
The cost of an IVF cycle has two components – One is the procedure cost, which is fixed for any ART unit and is usually around Rs. 80-90,000, whereas the other component is the drugs/medications cost which are essentially the hormone injections that the female has to take for ovarian stimulation. This cost is variable and depends on the total dose of hormones the patients need for ovarian stimulation. The dose need is lower for younger women with good “Ovarian Reserve” and higher for older women, which increases the treatment cost. On an average one IVF cycle costs around Rs. 1,40,000.
There is no restriction to the number of attempts for IVF, and women have even conceived in their 11th cycle, but generally a couple should try a maximum of 4 attempts of IVF/ICSI. If one fails to conceive, it is advisable to opt for either egg donation/embryo donation/semen donation/adoption.
There is no age limit for taking an IVF treatment, as long as the couple is healthy. With options of egg donation and embryo donation, women can now conceive even after menopause.
Most of the procedures nowadays are simple, of short duration and patient friendly, needing a maximum hospital stay being restricted to 4-6 hours. Sometimes the ovaries swell up excessively, leading to fluid collection in abdomen and lungs. This is called ovarian hyperstimulation syndrome (OHSS) and may need hospitalization and sometimes removal of the fluid from the abdomen by a procedure called ‘Paracentesis’.
Occasionally the pregnancy may lodge in the fallopian tubes (ectopic pregnancy) and may need medical treatment or surgery for its removal. Complications may occur during the egg retrieval procedure as the removal of eggs through an aspirating needle entails a slight risk of bleeding, infection, and damage to the bowel, bladder, or a blood vessel.