Infertility and IVF: Treatment & Cost

Infertility is an increasing problem because of increased incidence of premature ovarian reserve, polycystic ovarian disease and male infertility. As the diagnostic measures have improved an accurate diagnosis can be made and treatment given accordingly. Since the infertile population is increasing IVF is required more and more. Advances in Assisted reproductive technology have started giving higher success rates for IVF. IVF is indicated in women who have a tubal blockage, unexplained infertility not responding to basic treatment of IUI and male factor infertility where semen count is poor. It is indicated where males have no sperms ( azoospermia ) and sperm retrieval is done from the testis and subsequently patients undergo a procedure known as intracytoplasmic sperm injection (ICSI).

IVF-  India The Fertility Clinics

 It is also indicated in women with severe endometriosis. Women who go into premature menopause have the choice of taking a donor oocyte and undergoing an IVF. Similarly women who cannot produce a baby because of absence of a uterus or due to medical reasons can have an IVF with their own oocytes and husbands sperm and deposit the embryos in a surrogates who produces the baby for them. What limits may infertile couples to avail this treatment is the high cost. One cycle would cost about 1,20,000/ per cycle. The expense is because of the high cost of drugs and lab media and disposable. Stringent laboratory controls are needed to enable a successful cycle and the maintenece of IVF lab and equipment comes at a high cost. So when an IVF lab is chosen it is important to see that the lab has a good quality control program in place and the required equipment.

  Source :                                            IVF India -The Fertility Clinics  

Dr Surveen Ghumman Sindhu

Senior Consultant

IVF & Reproductive Medicine

The Fertility Clinic – IVF Solutions

MAX Superspeciality Hospital, Panchsheel and patparganj

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How To Reverse Your Infertility?

Unfortunately, over millions of women are facing most irritation stage of infertility. Infertility is basically the inability to get pregnant. Infertility refers to the condition of a woman who is not able to conceive to full term.

There are dozens of biological causes of infertility, including few that medical intervention can prevent. This problem has increased by 4% since the 1980s, generally from the issues with fecundity because of increasing in age. Approx 40% of the cases included with infertility are because of the man, another 40% because of the woman, and 20% from some complications of both partners.

Do you know how can you get pregnant easily? While some women get pregnant easily but others have some problem to conceive. Some people are suffering from depression and hopelessness when they are unsuccessful in conceive offspring. There are some leading things which couple can do to reverse their infertility. Important information may assist you to carry the baby.

• If you want to get pregnant, then stop taking birth control pills. It is the main reason why you are not getting pregnant. In case, you are taking birth control pills regularly, then it is impossible of getting pregnant. First important thing is to flush out harsh chemicals from your body, then you task cab be easy.
• Do you think that you live a healthy life-style? Drinking and Smoking are really notoriously for your unborn baby, but do you know they can also keep away you from pregnancy? It interferes into your healthy body functions. This can also lead to hormone imbalance and cause infertility.
          
• Smoking, alcohol, and contraceptives mess up your chemical balance of the body. If you have an unhealthy life-style, so change it now. Detoxification is the best way to purge the harmful chemicals from your body. Herbal cleansing programs provide you effective results. Eliminating process of delirious toxins of the body would be more helpful to conceive and also provide a healthy environment to your unborn.
       
• Natural foods are also the best option to get healthy pregnancy. The healthy food does a wonder for you because it is completely rich in minerals and vitamins. Add regular workout and exercise to your regular routine. Exercise will assist push toxins out from your body and make a great hormone balance. Regular exercise is great to combat your stress, which is really essential for your pregnancy.

Aforementioned tips are actually helpful to become your a proud parents. But if you want to medical help for your infertility you must go to the renowned The Fertility Clinic IVF India. IVF Clinic Delhi It is a leading fertility clinic that provides you the best treatment in which you can conceive within a short span of time.
 

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Preparatory Fertility Tests for Women : Diagnosis/Testing

If you've been unable to conceive within a reasonable period of time, seek help from your doctor for further evaluation and treatment of infertility.

         Fertility tests may include:

• Ovulation testing. An over-the-counter ovulation prediction kit detects the surge in luteinizing hormone (LH) that occurs before ovulation. A blood test for progesterone — a hormone produced after ovulation — can document that you're ovulating. It can also be detected by documenting rupture of follicle on ultrasound.
• Hysterosalpingography. During hysterosalpingography X-ray contrast is injected into the uterus and an X-ray is taken to determine if the uterine cavity is normal and whether the fluid passes out of the uterus and spills out of your fallopian tubes. If abnormalities are found, you'll likely need further evaluation.
•  Ovarian reserve testing. This testing helps determine the quality and quantity of eggs available for ovulation. Women at risk of a depleted egg supply — including women older than 35 — may have this series of blood and imaging tests on day 2. 
• Other hormone testing.  Thyroid, prolactin and FSH, LH that control reproductive processes.
•  Imaging tests. Pelvic ultrasound looks for uterine or fallopian tube disease. Sometimes a hysterosonography is used to see details inside the uterus that are not seen on a regular ultrasound.

      3D ultrasonography

                                   

Conventional sonography provides two-dimensional views of three-dimensional structures. The obvious advantages are that 3D ultrasound offers more rapid and reproducible image acquisition as well as enhanced visualization and post-processing capabilities. Its main applications include assessment of uterine congenital anomalies, intrauterine pathology, tubal patency, polycystic ovaries, ovarian follicular monitoring and endometrial receptivity. It provides accurate measurement of organ dimensions and volumes, improved anatomic and blood flow information, improved assessment of complex anatomic anomalies, a better specificity in regard to the confirmation of normality and standardisation of the sonographic examination procedure

    Endometrial Biopsy: A specimen is taken from the wall of the uterus and sent for screening of infections like tuberculosisis. It is also sent for histopathology to detect defects in endometrium which may prevent implantation of baby.

Ovulation induction and follicular monitoring
It is done transvaginally and involves series of ultrasounds to see growth of the follicles and endometrium. It helps in identifying the time when egg is mature in order to do IUI or egg retrieval in IVF. It involves process of serial ultrasonic monitoring of the ovarian follicles that helps in identifying egg maturation status as well as is used for determination of uterine lining thickness. For women under fertility medication, follicle monitoring assists in assessing response to treatment and in making adjustment to the fertility medication dosage during treatment in event of seeing inadequate response

Advanced Semenalysis 

It is an important part of assessment of the male. We do an advanced semenalysis where we measure the count, motility and morphology. The semen is given by the male partner and tested immediately. We have in house facilities of a separate semen collection room. Semen analysis is the first and basic test of the male. It not only tells us about the quantity of the sperm but also about the quality and fertilizing potential.

Evaluation of male patient 

Male infertility is dealt with in a specialized way. All men have the facility of advanced semen analysis. The causes of male infertility could be testicular, pre testicular, or post testicular. A complete hormonal assessment is done where needed. A genetic analysis may be needed in patents with extremely low sperm counts. In cases of azospermia (absent sperms) testicular or epidydimal sperm extraction can be done and an ICSI performed. See section on TESA, PESA for azoospermia.

       Occasionally may require these tests:

• Hysteroscopy. Depending on your symptoms, your doctor may request a hysteroscopy to look for uterine disease.
• Laparoscopy. This minimally invasive surgery involves making a small incision beneath your navel and inserting a thin viewing device to examine your fallopian tubes, ovaries and uterus. Laparoscopy may identify endometriosis, scarring, blockages or irregularities of the fallopian tubes, and problems with the ovaries and uterus.
• Genetic testing. Genetic testing helps determine whether there's a genetic defect causing infertility 

For Consultation And Diagnoses You Can Contact: 

The Fertility Clinic- IVF Solutions

Dr Surveen Ghumman Sindhu

Phone No. : +91- 9810475476
Email Id : surveen12@gmail.com
 Website: www.ivf-india.in

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