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Infertility
High technology infrastructure, medical expertise and procedures increase the probability of infertile couples having a baby. In fact our clinic has the distinction of having a (50 %) rate of success in achieving conception
Infertility

Infertility means not being able to get pregnant after one year of trying. Or, six months, if a woman is 35 or older. Women who can get pregnant but are unable to stay pregnant may also be infertile.

Pregnancy is the result of a process that has many steps. To get pregnant:

• A woman must release an egg from one of her ovaries (ovulation).

• The egg must go through a Fallopian tube toward the uterus (womb).

• A man's sperm must join with (fertilize) the egg along the way.

• The fertilized egg must attach to the inside of the uterus (implantation).

Infertility can happen if there are problems with any of these steps.

How is infertility tested?

For the woman, the first step in testing is to determine if she is ovulating each month. This can be done by charting changes in morning body temperature, by using a home ovulation test kit or by examining the cervical mucus, which undergoes a series of hormone-induced changes throughout the menstrual cycle.

Checks of ovulation can also be done in the physician's office with simple blood tests for hormone levels or ultrasound tests of the ovaries. If the woman is ovulating, further testing will need to be done.

Common female tests include:


Hysterosalpingogram: An x-ray of the fallopian tubes and uterus after they are injected with dye, to show if the tubes are open and to show the shape of the uterus.

Laparoscopy:
An examination of the tubes and other female organs for disease, using a miniature telescope called a laparoscope. The tube is inserted into the abdomen through a button hole incision in the navel while the patient is under general anesthesia.

Endometrial biopsy:
An examination of a small shred of uterine lining to see if the monthly changes in the lining are normal.

What causes infertility in men?


Lifestyle can influence the number and quality of a man's sperm. Alcohol and drugs including marijuana, nicotine and certain medications - can temporarily reduce sperm quality. Also, environmental toxins, including pesticides and lead, may be to blame for some cases of infertility.

The causes of sperm production problems can exist from birth or develop later as a result of severe medical illnesses, including mumps and some sexually transmitted diseases, or from a severe testicle injury, tumor, or other problem. Inability to ejaculate normally can prevent conception, too, and can be caused by many factors, including diabetes, surgery of the prostate gland or urethra, blood pressure medication, or impotence.

What causes infertility in women?


The other half of explained infertility cases are linked to female problems (called female factors), most commonly ovulation disorders. Without ovulation, eggs are not available for fertilisation. Problems with ovulation are signaled by irregular menstrual periods or a lack of periods altogether (called amenorrhea). Simple lifestyle factors including stress, diet or athletic training can affect a woman's hormonal balance.

Other problems can also lead to female infertility. If the fallopian tubes are blocked at one or both ends, the egg can't travel through the tubes into the uterus. Such blockage may result from pelvic inflammatory disease, surgery for an ectopic pregnancy (when the embryo implants in the fallopian tube rather than in the uterus), or other problems, including endometriosis (the abnormal presence of uterine lining cells in other pelvic organs).

A medical evaluation may determine whether a couple's infertility is due to these or other causes. If a medical and sexual history doesn't reveal an obvious problem, like improperly timed intercourse or absence of ovulation, specific tests may be needed.

What is the treatment for infertility?


Depending on what the tests turn up, different treatments are recommended. 80 to 90 percent of infertility cases are treated with drugs or surgery.

Therapy with the oral drugs or with a injectable hormones is often recommended for women with ovulation problems. The benefits of each drug and the side effects, which can be minor or serious but rare, should be discussed with the doctor.

Multiple births occur in 10 to 15% of births resulting from fertility drug use. Other drugs include cabergolin for women with elevated levels of a hormone called prolactin.

Operations to repair damage to the woman's ovaries, fallopian tubes, or uterus are recommended only if there is a good chance of restoring fertility.

What are the other assisted reproductive technologies?


Gamete intrafallopian transfer, or GIFT: Similar to IVF, but used when the woman has at least one normal fallopian tube. Three to five eggs are placed in the fallopian tube, along with the man's sperm, for fertilization inside the woman's body.

Zygote intrafallopian transfer, or ZIFT (also called tubal embryo transfer): A hybrid of IVF and GIFT. The eggs retrieved from the woman's ovaries are fertilized in the lab and replaced in the fallopian tubes rather than the uterus.

Donor egg IVF: For women who, for example, have impaired ovaries or carry a genetic disease that can be transferred to the offspring. Eggs are donated by another healthy woman and fertilized in the lab with the male partner's sperm before being transferred to the female partner's uterus.

Frozen embryos: Excess embryos are frozen, to be thawed in the future if the woman doesn't get pregnant on the first cycle or wants another baby in the future.
 


 
What You Need To Know
  • IVF Success Rates
  • Cost of In Vitro Fertilization
  • Cost of Egg Donor IVF
  • What Causes Female Infertility
Why choose Nirmiti Fertility
& IVF Centre
  • An efficient team of specialized world class doctors
  • Top Class Laboratory : The heart of IVF program is the laboratory. Our IVF labs are world class.
  • We offer the most advanced methods and technology available in the field
  • Cutting Edge reproductive technology manged by renowned Specialist Doctors and trained technicians.
  • Full range of choice of Assisted Reproductive Procedures.
  • Patient Friendly approch.
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