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All About Infertility

Preconception Tips

Pregnancy is an exciting journey for all newlywed couples. Also, while you plan to start your family, you tend to get pieces of advice from every experienced couple or person you meet.

But remember, besides all those friendly bits of advice, there are a few tips and tricks from experts which you should follow to conceive without any problem.

Food

We are addicted to fast food chains, and that has to change. While you don’t need to completely avoid junk for just getting pregnant, but what you eat has an impact on your overall health, so go for healthy choices.

Men

Take Fruits, Vegetables, Nuts, Whole Grains, Antioxidant Supplements.

Avoid/Reduce Alcohol, Smoking, Saturated Fats, Caffeine (Coffee, Cold Drinks), Bodybuilding Medications or Androgens.

Women

Take Fruits, Vegetables, Nuts, Whole Grains, Legumes (Pulses), Folic Acid, Oils with monounsaturated or polyunsaturated fats (MUFA/ PUFA).

Supplements: Vitamin B12, Isoflavone (soybeans, and soy products, peanuts, pistachios), Prenatal Vitamins. Maintain Vitamin D levels in normal range.

Overweight women with PCOS should take Low Carbohydrate Diet.

Start taking folic acid daily before conception and continue it during the first three months of pregnancy. This vitamin is required for the proper development of the brain and spine of your baby

Avoid intake of Red Meat, Caffeine (Coffee, Cold Drinks) and Alcohol. It is essential to STOP smoking when you are trying to get pregnant.

Physical Activity

Most of the studies in women trying to conceive have reported beneficial effects of moderate physical activity whereas high intensity, vigorous physical activity delays time to natural pregnancy.

Rates of pregnancy and live births in physically active women are almost 2X more than those in physically inactive women undergoing IVF treatment.

Exercise regularly. Problems like PCOS, hypothyroidism and other hormonal problems can impact your pregnancy and fertility, so make sure to include exercise in your regimen. Just keeping the weight in check can be hugely beneficial.

Strenuous physical labor is known to reduce sperm count in men.

Ovulation tracking and Intercourse

Know about your fertile period. Try to make relations around the time of ovulation to increase your chances of getting pregnant. You can find your ovulation period here.

Don’t use lubricants, jellies or any products which are harmful to sperm while having intercourse. Besides using an ovulation kit, make sure that you are trying for a baby all through the month, because you can be never sure when the time is right.

Lifestyle

Avoid stress. As hard as it may sound, stress impacts our hormones and can affect chances of getting pregnant. Practice Some Relaxation/Meditation Techniques to stay as stress-free as possible.

Maintain your body weight. An obese BMI can invite health conditions that may prevent you from becoming a mother.

Diabetes and uncontrolled blood sugars affect sperm quality and can also lead to erectile dysfunction. Having high blood pressure changes the shape of sperm thereby reducing fertility. 

Control your blood pressure and blood sugars. Take medications only on the advice of your doctor.

Preconception Tips

Pregnancy is an exciting journey for all newlywed couples. Also, while you plan to start your family, you tend to get pieces of advice from every experienced couple or person you meet.

But remember, besides all those friendly bits of advice, there are a few tips and tricks from experts which you should follow to conceive without any problem.

Food

We are addicted to fast food chains, and that has to change. While you don’t need to completely avoid junk for just getting pregnant, but what you eat has an impact on your overall health, so go for healthy choices.

Men

Take Fruits, Vegetables, Nuts, Whole Grains, Antioxidant Supplements.

Avoid/Reduce Alcohol, Smoking, Saturated Fats, Caffeine (Coffee, Cold Drinks), Bodybuilding Medications or Androgens.

Women

Take Fruits, Vegetables, Nuts, Whole Grains, Legumes (Pulses), Folic Acid, Oils with monounsaturated or polyunsaturated fats (MUFA/ PUFA).

Supplements: Vitamin B12, Isoflavone (soybeans, and soy products, peanuts, pistachios), Prenatal Vitamins. Maintain Vitamin D levels in normal range.

Overweight women with PCOS should take Low Carbohydrate Diet.

Start taking folic acid daily before conception and continue it during the first three months of pregnancy. This vitamin is required for the proper development of the brain and spine of your baby

Avoid intake of Red Meat, Caffeine (Coffee, Cold Drinks) and Alcohol. It is essential to STOP smoking when you are trying to get pregnant.

Physical Activity

Most of the studies in women trying to conceive have reported beneficial effects of moderate physical activity whereas high intensity, vigorous physical activity delays time to natural pregnancy.

Rates of pregnancy and live births in physically active women are almost 2X more than those in physically inactive women undergoing IVF treatment.

Exercise regularly. Problems like PCOS, hypothyroidism and other hormonal problems can impact your pregnancy and fertility, so make sure to include exercise in your regimen. Just keeping the weight in check can be hugely beneficial.

Strenuous physical labor is known to reduce sperm count in men.

Ovulation tracking and Intercourse

Know about your fertile period. Try to make relations around the time of ovulation to increase your chances of getting pregnant. You can find your ovulation period here.

Don’t use lubricants, jellies or any products which are harmful to sperm while having intercourse. Besides using an ovulation kit, make sure that you are trying for a baby all through the month, because you can be never sure when the time is right.

Lifestyle

Avoid stress. As hard as it may sound, stress impacts our hormones and can affect chances of getting pregnant. Practice Some Relaxation/Meditation Techniques to stay as stress-free as possible.

Maintain your body weight. An obese BMI can invite health conditions that may prevent you from becoming a mother.

Diabetes and uncontrolled blood sugars affect sperm quality and can also lead to erectile dysfunction. Having high blood pressure changes the shape of sperm thereby reducing fertility. 

Control your blood pressure and blood sugars. Take medications only on the advice of your doctor.

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Causes of Infertility

Time

The first thing to consider is how long you have been trying to get pregnant, many couples won’t conceive as soon as they start trying. Approximately 80% of couples conceive within one year of trying to get pregnant (well-timed regular intercourse).

Factors like stress, smoking, excessive alcohol, genetics, uterine fibroids, which block the movement of sperms and eggs in the fallopian tubes, tube blockage, abnormal ovulation, polycystic ovary syndrome, menopause, age, cancer, and thyroid are the causes of infertility in women. 

 

Male Infertility

20 to 30 percent of infertility causes are because of male factors. Male Infertility rarely has symptoms and are usually diagnosed by a semen analysis. The abnormality of sperm in terms of their low numbers or low mobility or short lifespan or ejaculation problem is the main reason. A blockage in the tube, which leads to the lack of the quantity of sperm, is another reason for infertility. Other problems such as genetic causes,  infections, low hormones, damages to the nerves, excessive use of drugs or medications, Anabolic abuse, and more can also result in male infertility.

Low sperm count – When you opt for poor lifestyle like drinking, smoking, stress, bad food, etc. along with genetic problems, you may have a low sperm count. 

Female Infertility

Ovulation Problems

Problem with proper formation and release of an egg from the ovary is seen in 25-40% of females having trouble conceiving.

Due to various things few women do not ovulate or have irregular cycles of ovulation. This hormonal imbalance is causing troubles to your menstrual cycle, which further creates problems with your ovulation.

Most women with ovulatory problems have irregular periods. So if you have irregular periods consult your doctor early.

Age

Age of both partners matters. Women above 35 and for men above 40, it can take longer to get pregnant. Most women think if they still get regular periods then fertility is fine but the truth is age affects the egg quality and quantity.

Underlying Medical Problems

Underlying medical conditions can lead to infertility in both men and women; thyroid, uncontrolled undiagnosed diabetes, some autoimmune diseases like lupus or celiac disease can cause infertility.

Endometriosis

Endometriosis is a chronic disorder when endometrium-like tissue (the tissues which line the uterus) starts growing in places outside the uterus. The condition causes painful periods, pain during sex, painful bowel movements or chronic pelvic pain. 50% of women with endometriosis will have difficulty getting pregnant.

Blocked Fallopian Tubes

If the tubes are blocked it prevents the sperm or egg from meeting so you won’t be able to get pregnant. Blocked fallopian tubes – When both your fallopian tubes are blocked, you will have issues in getting pregnant. This tube is the important pathway through which the egg travels down from the ovaries to the uterus making you pregnant.

Anti-sperm antibodies

This is a problem that occurs in men and women. There are some antibodies that could be present in the body which kill off the sperm or some sperm might not reach the egg and fertilize it. This can cause several miscarriages, and if men have had injuries in their testicles, they might have this issue.

Causes of Infertility

Time

The first thing to consider is how long you have been trying to get pregnant, many couples won’t conceive as soon as they start trying. Approximately 80% of couples conceive within one year of trying to get pregnant (well-timed regular intercourse).

Factors like stress, smoking, excessive alcohol, genetics, uterine fibroids, which block the movement of sperms and eggs in the fallopian tubes, tube blockage, abnormal ovulation, polycystic ovary syndrome, menopause, age factors, cancer, and thyroid are the causes of fertility in women.

Male Infertility

20 to 30 percent of infertility causes are because of male factors. Male infertility rarely has symptoms and are usually diagnosed by a semen analysis. The abnormality of sperm in terms of their low numbers or low mobility or short lifespan or ejaculation problem is the main reason. A blockage in the tube, which leads to the lack of the quantity of sperm, is another reason for infertility. Other problems such as genetic causes,  infections, low hormones, damages to the nerves, excessive use of drugs or medications, Anabolic abuse, and more can also result in male infertility.

Low sperm count – When you opt for poor lifestyle like drinking, smoking, stress, bad food, etc. along with genetic problems, you may have a low sperm count.

Female Infertility

Ovulation Problems

Problem with proper formation and release of an egg from the ovary is seen in 25-40% of females having trouble conceiving.

Due to various things few women do not ovulate or have irregular cycles of ovulation. This hormonal imbalance is causing troubles to your menstrual cycle, which further creates problems with your ovulation.

Most women with ovulatory problems have irregular periods. So if you have irregular periods consult your doctor early.

Endometriosis

Endometriosis is a chronic disorder when endometrium-like tissue (the tissues which line the uterus) starts growing in places outside the uterus. The condition causes painful periods, pain during sex, painful bowel movements or chronic pelvic pain. 50% of women with endometriosis will have difficulty getting pregnant.

Blocked Fallopian Tubes

If the tubes are blocked it prevents the sperm or egg from meeting so you won’t be able to get pregnant. Blocked fallopian tubes – When both your fallopian tubes are blocked, you will have issues in getting pregnant. This tube is the important pathway through which the egg travels down from the ovaries to the uterus making you pregnant.

Age

Age of both partners matters. Women above 35 and for men above 40, it can take longer to get pregnant. Most women think if they still get regular periods then fertility is fine but the truth is age affects the egg quality and quantity.

Underlying Medical Problems

Underlying medical conditions can lead to infertility in both men and women; thyroid, uncontrolled undiagnosed diabetes, some autoimmune diseases like lupus or celiac disease can cause infertility.

Anti-sperm antibodies

This is a problem that occurs in men and women. There are some antibodies that could be present in the body which kill off the sperm or some sperm might not reach the egg and fertilize it. This can cause several miscarriages, and if men have had injuries in their testicles, they might have this issue.

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How to get pregnant with Blocked Fallopian Tubes.

What are fallopian tubes and how they help in pregnancy?

Every woman has two fallopian tubes, one on each side of the uterus.

These tubes help lead the egg from the ovary towards the uterus and the sperm also swims up the cervix and uterus to reach the fallopian tube where fertilization takes place.

Causes

Following are the causes of blocked fallopian tubes:

1. Endometriosis.

2. Rupture in the appendix.

3. Pelvic inflammation or disease connected to the pelvis.

4. Prior ectopic pregnancy and abdominal surgeries.

5. Contraction of any STD infections that are currently in your body or have been in the past.

6. Abortion or too many miscarriages which led to uterine infections.

7. Lastly, any kind of surgery or pertaining pain towards the fallopian tube.

Symptoms

If you experience any of these symptoms, you should turn to a pregnancy specialist doctor.

When you have pain during your periods, sex and urinating, it could be a sign of the blockage in the tubes.

Other than this, when you experience lower abdominal pain or unusual discharge from the vagina.

Many times, there might not be as many symptoms, but you should still get yourself checked before you start planning a baby.

Prevention

Regular screening for STIs as well as getting symptoms checked right away is an important step in preventing tubal infertility.

If an STI or Pelvic Infections are caught early enough, treatment of infection might help prevent the development of scar tissue and hence prevent Blockage of Fallopian Tubes.

Here are a few ways to get pregnant with blocked tubes.

Laparoscopic Surgery

In some cases, infertility can only be diagnosed through this type of surgery.

Laparoscopic surgery can in some cases open the blocked tubes, remove the scar tissue and allow you to get pregnant naturally or with the help of treatment, however, the procedure does not work in 100% of the cases as other factors are at play including your age, the location and cause of the blockage.

Tubal Ligation Reversal

Many times women get Tubal Ligation done as a permanent method of contraception.

But due to certain reasons need to restore their fertility.

During the procedure, the blocked segments of the tubes are reconnected.

IVF

During IVF treatment, women are given fertility drugs to stimulate ovaries and then the eggs are retrieved from the ovaries using an ultrasound-guided needle. Once eggs are retrieved they are fertilized in the lab to make embryos which are then transferred back into the uterus.

Thus, IVF treatment completely bypasses Blocked Fallopian Tubes and the blockages don’t matter.

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How to get pregnant with Blocked Fallopian Tubes

What are fallopian tubes & How they help in Pregnancy

Every woman has two fallopian tubes, one on each side of the uterus. These tubes help lead the egg from the ovary towards the uterus and the sperm also swims up the cervix and uterus to reach the fallopian tube where fertilization takes place.

How to Detect Blocked Fallopian Tubes?

 

1. Hysterosalpingogram (HSG) – A special type of x-ray taken after inserting dye into your uterus.

2. Sonosalpingogram.

3. Laparoscopy.

Here are a few ways to get pregnant with blocked tubes.

Laparoscopic Surgery

In some cases, infertility can only be diagnosed through this type of surgery.

Laparoscopic surgery can in some cases open the blocked tubes, remove the scar tissue and allow you to get pregnant naturally or with the help of treatment, however, the procedure does not work in 100% of the cases as other factors are at play including your age, the location, and cause of the blockage.

Tubal Ligation Reversal

Many times women get tubal ligation done as a permanent method of contraception but due to certain reasons need to restore their fertility.

During the procedure, the blocked segments of the tubes are reconnected.

IVF

During IVF treatment women are given fertility drugs to stimulate ovaries and then the eggs are retrieved from the ovaries using an ultrasound-guided needle. Once eggs are retrieved they are fertilized in the lab to make embryos which are then transferred back into the uterus thus IVF treatment completely bypasses blocked fallopian tubes and blockages don’t matter.

Causes

 

1. Endometriosis.

2. Rupture in the appendix.

3. Prior ectopic pregnancy and abdominal surgeries.

4. Pelvic inflammation or disease connected to the pelvis.

5. Contraction of any STD infections that are currently in your body or have   been in the past.

6. Abortion or too many miscarriages which led to uterine infections.

7. Lastly, any kind of surgery or pertaining pain towards the fallopian tube.

Symptoms

If you experience any of these symptoms, you should turn to a pregnancy specialist doctor.

When you have pain during your periods, sex and urinating, it could be a sign of the blockage in the tubes. Other than this, when you experience lower abdominal pain or unusual discharge from the vagina. Many times, there might not be as many symptoms, but you should get yourself checked before you start planning a baby.

Prevention

Majority of blocked tubes are caused by pelvic infections. Most but not all of these infections are caused by sexually transmitted infections (STI).  

Other possible causes of pelvic infection include previous pelvic surgery, having a dilatation and curettage a complication after an abortion or childbirth.

Regular screening of STI as well as getting symptoms checked right away is an important step in preventing tubal infertility.

If an STI or pelvic infections are caught early enough treatment of infection might help prevent the development of scar tissue and hence prevent blockage of fallopian tubes.

Get a Call Back

Blastocyst

What is Blastocyst?

In standard IVF, embryos are grown under very strictly controlled conditions in the laboratory for two or three days. They are then transferred into the women’s uterus (womb).

Blastocyst culture refers to growing embryos in the laboratory for two more days i.e. day 5 at which point they are referred to as blastocyst embryos.

Blastocyst Implantation

A day three embryo must continue to develop following embryo transfer but a blastocyst will implant much more quickly.

Advantages

Transferring embryos at the blastocyst stage also provides a better coordination between the embryo and the uterus by putting the embryo back in the right place at the right time.

Chances of pregnancy are higher at blastocyst stage than for Day 3 embryo.

There is a reduced risk of multiple pregnancy as single or two blastocyst transfer is done according to patient factor.

Disadvantages

The extra culture time required adds to both the financial and emotional cost of treatment.

 It is possible that you may not have an embryo transfer at all as sometimes no embryos survive till the blastocyst stage.

 It is less likely that there will be spare embryos available for freezing.

 There is a slightly increased risk of identical twins reported.

Blastocyst

What is Blastocyst?

In standard IVF, embryos are grown under very strictly controlled conditions in the laboratory for two or three days. They are then transferred into the women’s uterus (womb).

Blastocyst culture refers to growing embryos in the laboratory for two more days i.e. day 5 at which point they are referred to as blastocyst embryos.

Blastocyst Implantation

A day three embryo must continue to develop following embryo transfer but a blastocyst will implant much more quickly.

Advantages

Transferring embryos at the blastocyst stage also provides a better coordination between the embryo and the uterus by putting the embryo back in the right place at the right time.

Chances of pregnancy are higher at blastocyst stage than for Day 3 embryo.

There is a reduced risk of multiple pregnancy as single or two blastocyst transfer is done according to patient factor.

Disadvantages

The extra culture time required adds to both the financial and emotional cost of treatment.

 It is possible that you may not have an embryo transfer at all as sometimes no embryos survive till the blastocyst stage.

 It is less likely that there will be spare embryos available for freezing.

 There is a slightly increased risk of identical twins reported.

Get a Call Back

Various Treatment Options for Infertility

Information on fertile period

The fertile period is the time period in your menstrual cycle when you have the maximum chance of conceiving. This is around the time of ovulation.

So ideally, live sperm should already be present in the fallopian tubes at the time of ovulation. You need to have relations between five days before ovulation to up to 1 day after it to maximise your chances of conceiving.

 

Ovulation induction with timed intercourse

Ovulation induction is stimulating the ovaries to produce eggs. Around 30-40% of women, who have trouble conceiving, have problems with egg formation. Either they ovulate infrequently or don’t ovulate at all.

It involves the use of medicines or injections which are started from between the 2nd to the 5th day of the menstrual cycle. Then serial trans-vaginal ultrasound is done to check the growth of the egg in the ovaries. This is known as follicular monitoring.

When the mature egg is formed, an injection is given to trigger the release of the egg. Around the time when the egg is released, either you can try naturally or intrauterine insemination (IUI) can be done.

IUI – Intrauterine Insemination

In this procedure, husband semen/donor semen is washed to remove the debris, pus cells & bacteria & is placed inside the uterine cavity by a special catheter (Insemination cannula).

The process is painless, easy & an OPD procedure. It requires no sedation or anesthesia.

It increases the chances of pregnancy as the semen quality is improved by washing, the quality of egg is improved by medicine & the timing of insemination is set with the ovulation.

IVF – In Vitro Fertilization

IVF literally means ‘fertilization outside the body,’ more simply explained as ‘test tube baby’.

In the IVF process, eggs are removed from the ovaries of the female and at the same time sperms are collected from the male partner.

The eggs and sperms are made to fertilize in the laboratory and the fertilized egg (embryo) is then implanted in the woman’s womb to make her conceive.

IVF technique is used in the following cases:

1. Endometriosis.

2. Borderline male sperm count.

3. Unexplained infertility cases.

4. Couples who require donor egg IVF.

5. Females with one or both fallopian tubes blocked.

6. Couples who have failed the traditional treatments like timed intercourse, follicular monitoring, IUI etc.

ICSI – Intracytoplasmic Sperm Injection

This technique has been the greatest boon to male factor infertility which does not respond to conventional management, i.e. men with low sperm count and motility. 

As with IVF, the oocytes are aspirated. On a special microscope with a micromanipulator, a single sperm is picked up in a fine microneedle and injected manually into the oocyte. Embryos are transferred after 48 to 72 hours.

Blastocyst

In standard IVF, embryos are grown under very strictly controlled conditions in the laboratory for two or three days. They are then transferred into the women’s uterus (womb).

Blastocyst culture refers to growing embryos in the laboratory for two more days i.e. day 5 at which point they are referred to as blastocyst embryos. Chances of pregnancy are higher at blastocyst stage than for Day 3 embryo.

3rd Party Reproduction with Donor Program

Semen Donation: Semen from a donor obtained through a sperm bank.

Egg Donation: When the female partner is unable to produce eggs or her eggs can’t be used.

Embryo Donation: When both the male partner and the female partners are infertile, they opt for embryo donation. In this, the embryo is developed by fusing the sperm and eggs of donors and the embryo is implanted in the uterus of female partner. Those who are donating the sperm and the eggs undergo a series of tests to rule out any medical ailment and ensure good quality of sperm & eggs.

Surrogacy

Gestational surrogacy is a treatment option available to women with certain clearly defined medical problems, usually an absent uterus, to help them have their own genetic children. IVF allows the creation of embryos from the gametes of the commissioning couple and subsequent transfer of these embryos to the uterus of a surrogate host.

The indications for treatment include:

1. Not having a uterus as a result of a hysterectomy or being born without a functional uterus

2. Significant uterine abnormalities, including uterine scarring (Asherman’s Syndrome) and inability to develop a thick, supportive uterine lining

3. Significant medical conditions that make carrying a pregnancy risky for a woman’s health (such as hypertension)

4. Recurrent miscarriages.

Cryopreservation

This is a technique in which sperms, eggs and embryos are frozen at a sub-zero temperature to preserve them for future when the need arises. The types of Cryopreservation available are:

1. Semen Cryopreservation.

2. Embryos Cryopreservation.

Various Treatment Options for Infertility

Information on fertile period

The fertile period is the time period in your menstrual cycle when you have the maximum chance of conceiving. This is around the time of ovulation.

So ideally, live sperm should already be present in the fallopian tubes at the time of ovulation. You need to have relations between five days before ovulation to up to 1 day after it to maximise your chances of conceiving.

 

Ovulation induction with timed intercourse

Ovulation induction is stimulating the ovaries to produce eggs. Around 30-40% of women, who have trouble conceiving, have problems with egg formation. Either they ovulate infrequently or don’t ovulate at all.

It involves the use of medicines or injections which are started from between the 2nd to the 5th day of the menstrual cycle. Then serial trans-vaginal ultrasound is done to check the growth of the egg in the ovaries. This is known as follicular monitoring.

When the mature egg is formed, an injection is given to trigger the release of the egg. Around the time when the egg is released, either you can try naturally or intrauterine insemination (IUI) can be done.

IUI – Intrauterine Insemination

In this procedure, husband semen/donor semen is washed to remove the debris, pus cells & bacteria & is placed inside the uterine cavity by a special catheter (Insemination cannula).

The process is painless, easy & an OPD procedure. It requires no sedation or anesthesia.

It increases the chances of pregnancy as the semen quality is improved by washing, the quality of egg is improved by medicine & the timing of insemination is set with the ovulation.

IVF – In Vitro Fertilization

IVF literally means ‘fertilization outside the body,’ more simply explained as ‘test tube baby’. In the IVF process, eggs are removed from the ovaries of the female and at the same time sperms are collected from the male partner. The eggs and sperms are made to fertilize in the laboratory and the fertilized egg (embryo) is then implanted in the woman’s womb to make her conceive.

IVF technique is now mainly used in the following cases:

1. Endometriosis.

2. Unexplained infertility cases.

3. Borderline male sperm count.

4. Couples who require donor egg IVF.

5. Females with one or both fallopian tubes blocked.

6. Couples who have failed the traditional treatments like timed intercourse, follicular monitoring, IUI etc.

ICSI – Intracytoplasmic Sperm Injection

This technique has been the greatest boon to male factor infertility which does not respond to conventional management, i.e. men with low sperm count and motility. As with IVF, the oocytes are aspirated. On a special microscope with a micromanipulator, a single sperm is picked up in a fine microneedle and injected manually into the oocyte. Embryos are transferred after 48 to 72 hours.

Blastocyst

In standard IVF, embryos are grown under very strictly controlled conditions in the laboratory for two or three days. They are then transferred into the women’s uterus (womb).

Blastocyst culture refers to growing embryos in the laboratory for two more days i.e. day 5 at which point they are referred to as blastocyst embryos. Chances of pregnancy are higher at blastocyst stage than for Day 3 embryo.

3rd Party Reproduction with Donor Program

Semen Donation: Semen from a donor obtained through a sperm bank.

Egg Donation: When female partner is unable to produce eggs or her eggs can’t be used.

Embryo Donation: When both the male partner and the female partners are infertile, they opt for embryo donation. In this, the embryo is developed by fusing the sperm and eggs of donors and the embryo is implanted in the uterus of female partner. The couples who are donating the sperm and the eggs undergo a series of tests to rule out any medical ailment and ensure good quality of sperm & eggs.

Surrogacy

Gestational surrogacy is a treatment option available to women with certain clearly defined medical problems, usually an absent uterus, to help them have their own genetic children. IVF allows the creation of embryos from the gametes of the commissioning couple and subsequent transfer of these embryos to the uterus of a surrogate host.

The indications for treatment include:

1. Not having a uterus as a result of a hysterectomy or being born without a functional uterus

2. Significant uterine abnormalities, including uterine scarring (Asherman’s Syndrome) and inability to develop a thick, supportive uterine lining

3. Significant medical conditions that make carrying a pregnancy risky for a woman’s health (such as hypertension)

4. Recurrent miscarriages.

Cryopreservation

This is a technique in which sperms, eggs and embryos are frozen at a sub-zero temperature to preserve them for future when the need arises. The types of Cryopreservation available are:

1. Semen Cryopreservation.

2. Embryos Cryopreservation.

Get a Call Back

Causes of Failure of IVF

Quality of the Embryo

Most often a failed IVF cycle stems from issues with the embryo. Many embryos are not able to implant after transfer to the uterus because they are flawed in some way or there could be chromosomal issues. Even embryos that look good in the lab may have defects that cause them to die instead of growing.

In most cases, it’s not that your uterus has something wrong with it so you can’t carry a baby. The embryo does not implant because it is not healthy enough to grow.

Age of the Eggs

As women grow older the quality and quantity of a woman’s eggs begin to worsen. This will greatly affect her chances of success with IVF as well. Older women who use donor eggs have success rates nearly the same as those of younger women.

Ovarian Response

Women might have a poor ovarian response to stimulation resulting in fewer eggs or poor quality eggs. This may be more likely if there is – low AMH, high FSH levels, Age over 37 years.

Implantation Dysfunction

An unsuccessful IVF cycle may also occur if the embryo is unable to properly attach to the uterine lining. This can occur with a non-viable embryo or due to issues of the uterus. Thin endometrium (lining of the womb) may lead to a lower implantation rate.

Problems with Embryo Transfer

Embryo transfer is one of the most important steps of the entire cycle. The embryos must be placed in the correct location and trial embryo transfer is done in order to determine in advance the optimal location for embryo placement.

Abnormal Sperm

Abnormal sperm appears to be a less common factor affecting the success of an IVF cycle but it still plays a role. If you have previously undergone IVF treatment and have been unsuccessful we may be able to help.

Causes of Failure of IVF

Quality of the Embryo

 Most often a failed IVF cycle stems from issues with the embryo. Many embryos are not able to implant after transfer to the uterus because they are flawed in some way or there could be chromosomal issues. Even embryos that look good in the lab may have defects that cause them to die instead of growing. In most cases, it’s not that your uterus has something wrong with it so you can’t carry a baby. The embryo does not implant because it is not healthy enough to grow.

Age of the Eggs

As women grow older the quality and quantity of a woman’s eggs begin to worsen. This will greatly affect her chances of success with IVF as well. Older women who use donor eggs have success rates nearly the same as those of younger women.

Ovarian Response

Women might have a poor ovarian response to stimulation resulting in fewer eggs or poor quality eggs. This may be more likely if there is – low AMH, high FSH levels, Age over 37 years.

Implantation Dysfunction

An unsuccessful IVF cycle may also occur if the embryo is unable to properly attach to the uterine lining. This can occur with a non-viable embryo or due to issues of the uterus. Thin endometrium (lining of the womb) may lead to a lower implantation rate.

Problems with Embryo Transfer

Embryo transfer is one of the most important steps of the entire cycle. The embryos must be placed in the correct location and trial embryo transfer is done in order to determine in advance the optimal location for embryo placement.

Abnormal Sperm

Abnormal sperm appears to be a less common factor affecting the success of an IVF cycle but it still plays a role. If you have previously undergone IVF treatment and have been unsuccessful we may be able to help.

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WHAT PEOPLE SAY?

We took IVF treatment from Chaitanya IVF. I am thankful to the doctors there. With their efforts, I was able to conceive after 9 YEARS. I would highly recommend Chaitanya for IVF treatment to anyone who is facing difiiculty in conceiving.
Mr. Jaspreet Singh
Punjab
6 years after marriage, I took treatment from Chaitanya IVF and I conceived in the 1st attempt. The hospital is very good and the doctors and staff are very understanding and compassionate. They correctly diagnosed me and guided me properly. I would recommend everyone to get treatment from here only.
Mrs. Sarita Verma
Himachal Pradesh

FREQUENTLY ASKED QUESTIONS

In the beginning 10 days, your ovaries will be stimulated to produce follicles, and thereafter egg retrieval is performed. The embryo is then transferred anywhere from 3-5 days after retrieval.

The overall success rate of IVF procedure is 40-50 percent. Many women are lucky to get pregnant in their first cycle of IVF.

IVF procedure is not painful. Oocyte retrieval is done under Anesthesia. So, you will not feel any pain. Even Embryo transfer a part of IVF is not painful but certain aspects of IVF can be uncomfortable and slight cramping can be felt.

IVF is a safe and effective treatment for infertility. It has very low risks to the patient. There has been no proof that IVF or the medications used in IVF lead to an increased risk of ovarian or breast cancers. Babies born from IVF have a slightly increased risk of abnormalities vs those babies born from a natural conception (6.5-7% vs 5%). But still the absolute risk is quite low.

The number of women who developed breast cancer after IVF was not significantly different from the number of women who developed breast cancer, but not after having IVF. This suggests that IVF did not influence breast cancer risk.

It seems like many women who use In Vitro Fertilization (IVF) to get pregnant end up as the parent of twins (or more babies), that’s because IVF does, in fact, increase your chances of multiples.

One of the most common reasons as to why an IVF cycle fails is due to the quality of the embryo. Many embryos are unable to implant after transfer to the uterus as they are defective. In most cases when this happens, it is down to the embryo and not the uterus.

The level of AMH in the blood can help doctors estimate the number of follicles inside the ovaries, and therefore, the woman’s egg count. A typical AMH level for a fertile woman is 2.0–4.0 ng/ml; under 1.0 ng/ml is considered low and indicative of a diminished ovarian reserve.

The hormones are taken daily by injection according to a schedule that typically runs 28 days. Side effects can include hot flashes, mood swings, depression, nausea, breast tenderness, swelling or rash at the injection site, abdominal bloating and slight twinges of abdominal pain.

With IVF, your dates are exact. There’s no mystery about when ovulation occurred, etc. However, your baby may arrive late or early because of how your pregnancy progresses, just like with any other pregnancy. 

IVF babies are usually healthy, but tend to have a lower birth weight. Large studies that didn’t look at conception method have previously found that low birth weight is linked to adult obesity and diabetes.

Large amounts of vegetables, some fruit, and high quality, whole grain are all wonderful sources of nutrition. Overall, you can’t go wrong with fresh, whole foods. Do not be afraid of healthy fats: they are critical to good nutrition, especially when it comes to fertility.

Pregnancy Test after the Embryo Transfer. Fourteen days after the embryo transfer, the woman should take a blood pregnancy test to find out if she is pregnant. If embryo implantation has occurred, beta-hCG hormone will be detectable in the mother’s blood at that time.