FAQS

Chances of pregnancy depends upon

• The age of the couple (especially for the woman , it is one of the most important factor).
• The cause and duration of your infertility.
• The number and quality of eggs that you produce following ovarian stimulation.
• The quality of the semen.
• Embryo quality.
• Endometrial Receptivity.

Infertility can be treated conventionally – medical or surgical treatment, intra-uterine insemination (IUI), or assisted reproductive technology (ART) - IVF.ICSI etc.

IUI (Intrauterine insemination) involves placing sperm in close proximity with ovum to increase the possibility of conception.IUI involves 4 steps:

• Ovarian stimulation and monitoring
• Placing of sperm inside the uterus
• Semen preparation
• Luteal support.

Assisted reproductive technology (ART) includes all fertility treatments in which both eggs and sperm are handled outside of the body. ART procedure involves:

• Ovarian stimulation and monitoring
• Retrieval of eggs under TVS guidance
• Sperm preparation
• Fertilization and embryo preparation
• Embryo Transfer inside the uterus

The different procedures of ART include:

• In vitro fertilization (IVF). The most effective and common form of ART.
• Intracytoplasmic sperm injection (ICSI) used for couples with male factor infertility, Sometimes it is also used for older couples or for those with failed IVF attempts .
• Donor eggs/sperm

ART procedures sometimes involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who cannot produce eggs. Also, donor eggs or donor sperm are sometimes used when the woman or man has a genetic disease that can be inherited by the newborn.

Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. You will be advised for intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility. In treatment of mild decrease in sperm count or motility then IUI procedure is done, where prepared sperm is prepared to separate out the best, most motile and normal sperms. These are then inserted in the uterus of the female partner. In cases of obstructive azoospermia, where there are no sperms in ejaculate, retrieval of sperms can be done surgically by aspiration or surgical extraction (TESA – Testicular sperm aspiration, TESE – Testicular sperm extraction, testicular biopsy). These prepared sperms are then injected into the recovered oocytes by a technique known as intracytoplasmic sperm injection (ICSI).

All patients are advised to collect their semen sample in the semen collection room present within our premises. The semen is required to be submitted to the laboratory within 30 minutes from the time of collection. However in some special cases home collection is allowed.

Some of the most common side effects are feeling bloated, sudden hot flashes along with emotional changes. Localized skin reaction might appear around the injection given area.

The pregnancy hormone HCG appearance takes approx 14days to give the accurate results of the pregnancy test.

In case of 1st failure, we first review and then recommend the next suitable treatment.

The success rate of IVF is highly related to the number of quality eggs collected. We therefore endeavor to obtain an optimum number of eggs by adjusting the medication regime to individual needs. If you consistently produce one or two follicles we will discuss the options with you and offer you the choice of whether to continue treatment or not. In other words, we will involve you in taking the ultimate decision regarding your own treatment.

Overall IVF is a safe treatment. A condition known as ovarian hyper stimulation may occur, whereby a woman’s ovaries become over-stimulated and enlarged, and at the same time fluid accumulates in her abdomen- endangering life. However with present day antagonist, this regime of risk is virtually eliminated. Multiple pregnancies, which can be avoided by a single Embryo Transfer and the relation of IVF and future ovarian malignancy is unfounded and unproven.

Daily diet should include foods that are high in protein, low in fat and carbohydrates.

• Dairy products, including low-fat milk, cheese, and yogurt
• Grains, such as oat bran, rice
• Beans, lentils, cereals & whole grains
• Fruits…. fresh and dried
• Citrus fruits and their juices lemon, oranges etc.
• Green leafy vegetables like spinach as well as tomatoes, broccoli, sprouts, cabbage, potatoes.
• Meats and poultry
• Eggs
• Fish and seafood

Yes, children born through IVF are completely normal and there is no difference between them and the naturally conceived babies.