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Frequenty Asked Questions ?

Frequenty Asked Questions ?

At what stage should we consider undergoing IVF treatment?

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.

What is IVF treatment?

IVF is an Assisted Reproduction Technique (ART), in which union of the eggs and sperms is done in a laboratory dish, and after fertilization, the resulting embryo is then transferred to the woman’s uterus. It involves Five Basic Step which are super ovulation (stimulating the development of more than one egg in a cycle), egg retrieval, fertilization, embryo culture, and embryo transfer.

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.

If we plan to undergo the IVF treatment, is our child going to be genetically ours?

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.

What are the precautions one has to take while undergoing IVF treatment?

IVF treatment is generally very patient friendly nowadays and patients can carry on with their routine activities as usual. Certain precautions that should be observed during treatment include:

Avoid excessive caffeine, smoking, alcohol and drugs

Avoid heavy lifting, strenuous exercising and bouncing activities

Avoid sexual intercourse and orgasms

How much does one cycle of IVF treatment cost? How do the costs differ with severity of the case?

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.

How many times can one go for IVF treatment? Are there any age restrictions for the same?

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.

What are the complications generally faced by women/men undergoing IVF treatment?

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.

At what stage should we consider undergoing IVF treatment?

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.

What is IVF treatment?

IVF is an Assisted Reproduction Technique (ART), in which union of the eggs and sperms is done in a laboratory dish, and after fertilization, the resulting embryo is then transferred to the woman’s uterus. It involves Five Basic Step which are super ovulation (stimulating the development of more than one egg in a cycle), egg retrieval, fertilization, embryo culture, and embryo transfer.

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.

If we plan to undergo the IVF treatment, is our child going to be genetically ours?

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.

What are the precautions one has to take while undergoing IVF treatment?

IVF treatment is generally very patient friendly nowadays and patients can carry on with their routine activities as usual. Certain precautions that should be observed during treatment include:

Avoid excessive caffeine, smoking, alcohol and drugs

Avoid heavy lifting, strenuous exercising and bouncing activities

Avoid sexual intercourse and orgasms

How much does one cycle of IVF treatment cost? How do the costs differ with severity of the case?

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.

How many times can one go for IVF treatment? Are there any age restrictions for the same?

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.

What are the complications generally faced by women/men undergoing IVF treatment?

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.