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Infertility Treatment

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InFertility treatment refers to the medication followed in order to help those having problems bearing a child. So, artificial medical assistance is taken to aid them in the process. Since Fertility Treatment is used to cure conditions of infertility in patients, it is also referred to as 'Infertility Treatment' (Fertility Treatment) or the treatment to treat infertility. This kind of artificial medical assistance to aid reproductive functions is increasingly becoming popular day by day.

Infertility refers to the inability to naturally conceive a child. It is a problem where a couple faces problems in conceiving, after a year of regular sexual intercourse without using any birth control methods. This problem may be in either man or woman, or both. It also refers to a condition of a woman when she is unable to carry a pregnancy to its full term.

Causes of Infertility

In a normal reproduction process proper interaction between the female and male reproductive system is required.
Following are the causes of infertility (both men and women):

  • Sperm causes
  • Ovulation problems
  • Tubal causes
  • Age-related factors
  • Unexplained infertility
  • Infertility Treatment Options

    Ovulation induction
    It is considered when the female has irregular ovulation. Medication is started for regulating the ovulation cycle and improving the egg quality. Commonly used are Clomiphene Citrate, HMG, purified and recombinant FSH.

    IUI (Intra Uterine Insemination)
    A method where processed semen is placed directly in the uterus with the help of a catheter.

    IVF (Invitro Fertilization)
    IVF is the fertilization of an ovum outside the body and then transferringe fertilized ovum (embryo) into the uterus.

    Dignosis for Fertility

    For Male  
    Along with the necessary basic blood and urine examination, semen analysis is also done.

    For Female
    Routine tests like Rubella IgG levels, HIV , CBC, FBS, urine routine, TSH, / FSH / LH / Prolactin (Day 2 of the cycle), VDRL, Hepatitis B, and Blood grouping are done.

    Infertility is no more a curse to couples with the development of latest technologies and medical treatments. There are various forms of infertility treatments in India by which women could conceive a child. The inability to conceive naturally gives way to assisted medical reproduction process. One way to get medical assistance for such couples is called the In Vitro fertilization or IVF, widely known as test tube baby. It is most widely used process all around the globe. In Vitro Fertilization is a form of Artificial Reproductive Technology where medical techniques are undertaken for embryo transfer or plantations.

    The Egg Retrieval Process

    This process is undertaken trans-vaginally with the use of a hollow needle that is guided by the ultrasound image. Then using the needle, the eggs are removed from the ovaries (follicular aspiration). The timing of this process should be perfect that is, it does not happen early or too.

    Now in the lab, these eggs are kept with the sperm in incubators for the fertilization process. This process is checked at regular intervals for ensuring that fertilization and cell division is happening and an embryo is formed. The embryos are usually transferred into the uterus within 2 or 3 days after egg retrieval. A speculum is inserted into the vagina to expose the neck of the womb (cervix). After the transfer there is a resting period, blood tests and ultrasounds are done for verifying if there is possible pregnancy.

    Intracytoplasmic sperm injection ICSI

    ICSI is an ART which used to treat sperm-related infertility problems. It is used for the enhancement of the fertilization phase of IVF by injecting a single sperm into the matured egg. This fertilized egg is then transferred into the uterus or fallopian tube of the woman.

    Benefits, Success rate and Support

    A major benefit of IVF is that it enables an infertile couple to have a baby. Second is that it reduces the requirements of the surgery of the fallopian tubes. For the whole IVF process to become a success, It is extremely important that one achieves success at every step. To gain the best possible benefit it is necessary that the infertile couple gets the right treatment at the right time (age). Another important thing is that such a couple should come forward without any apprehension to discuss their problem with the doctors. At, MediConnect India, you can get complete support of all sorts.

    Assisted Reproductive Techniques (ART) refer to some procedures, which are used for achieving pregnancy by means that are artificial or partially artificial. ART is used in infertility treatment. This is the only application routine, used for reproductive technology. It includes a number of treatments where any one is used depending on the condition or nature of the problem of the couple.

    Assisted Reproduction (ART) Procedures

    Intrauterine Insemination (IUI)
    Intrauterine Insemination, IUI is collection of semen that are emitted during procedures other than intercourse or masturbation). The semen is directly transferred into the uterus with the help of a catheter. This treatment can be done during a natural cycle but in order to improve pregnancy rate, it is important that fertility enhancing drugs are used.

    In-vitro fertilization (IVF)
    In-vitro fertilization, IVF, also known as test tube baby, is the most commonly used treatment all around the world. It involves fertilization of an ovum (egg) that is exposed to around 100,000 or less sperms in a test tube for fertilization outside the body. After this, the embryo is transferred into the uterus of the female.

    Intracytoplasmic Sperm Injection (ICSI)
    Intracytoplasmic Sperm Injection, ICSI is done when the quality of sperm is very poor. Here the sperms are directly retrieved from the testis or epididymis. In this highly technical process a single sperm is injected into the center of an egg to make it fertile.

    Benefits of Assisted Reproduction (ART ) Treatment

    Assisted Reproductive Technology will benefit many previously infertile couples.
    It is extremely important that a couple facing infertility problem should come forward to discuss their problem. We can arrange for Free of cost opinions from various super speciality hospitals before doctor's consultations of your query from the experts of our connected hospitals.

    This rather new technique, Assisted hatching (AH) is used during some of the IVF procedures. It is done to help the embryo hatch out of its protective layering and implant directly into the uterus. In the initial stages of development, the embryo is placed in a layer of proteins, zona pellicuda made for protecting the embryo until it reaches the blastocyst stage of development. To successfully implant into the uterus, it is required that the embryo hatches out of it and attaches itself to the walls of the uterus.

    Sometimes, the embryo has difficultly in hatching out of the layer, if the layer is too thick or if the embryo does not have enough pressure from the cells to break through. Assisted hatching helps in this release.

    Types of Assisted Hatching

    Mechanical Hatching
     The embryo cover is opened mechanically using a thin long drawn out glass needle. The machine used is called micromanipulator.

    Chemical hatching
     A hole is created in the zona pellucida of an oocyte and the embryo with the use acidic tyrode's solution.

    Laser Assisted Hatching
     A gap is created in the zona pellucida of the chosen selected embryos using a 1.48 micron infrared diode laser.

    Benefits, Success Rate and Support for Assisted Hatching

    According to evidences, AH improves the result of an IVF treatment, but they may vary according to individual cases. Age of woman is an important factor Woman between the age of 35 to 39 years experience 50 percent chance. Advanced age stages, lowers the success rate. We can arrange for Free of cost opinions from various super speciality hospitals before doctor's consultations from the expert Doctors of our connected hospitals.

    Intrauterine insemination IUI, also called artificial insemination is a basic step in the direct of fertility treatments. The treatment can be done using partner's (husband) sperm or sperm from a donor. This low tech process can be done in two ways: natural and with ovulation induction. In the first manner, the body is monitored for ovulation and when the LH surge is higher, one should contact the fertility clinic for further instructions. They will inform you when and how to collect a sperm sample.

    Unexplained infertility

    Requirements in Males 
    IUI will be ineffective where the male has low sperm count or poor sperm shape. For this, sperm tests should be done.

    Requirements in Females 
    There should be no fertility problems. Tests should give proof of normal ovulation, open fallopian tubes, and a normal uterine cavity.

    IUI Procedure

    It is done by threading a very thin flexible catheter through the cervix and injecting washed sperm straight into the uterus, taking just a few minutes. If the cervix is hard to reach then a tenaculum is used to hold it, making the process a bit uncomfortable.

  • Drug treatment is done for encouraging two or three eggs to mature.
  • The treatment is monitored for measuring the growth of follicles, individualize drug doses, and to prevent any side effects. Moreover, the reduction of the risk of multiple pregnancy is also checked. The doctor does blood tests for measuring estrogen concentrations and use ultrasound for tracking the development of follicles.
  • When two or three follicles reach the required size, hormone hCG is injected to induce ovulation.
  • Sperm sample (collected in the ovulation morning, washed and concentrated) are inseminated later that day. Using a catheter, the doctor inserts the sperm through the cervix and into the uterus of the female partner.
  • Tests of potential pregnancy and early ultrasounds are done.
  • Benefits, Success rate and Support for IUI Treatment

    The success rates IUI falls between 5 -15 percent per cycle, on the woman's age (up to 35 years), sperm count of the male partner and the female's tubes that should be healthy. Generally three cycles of IUI are tried, if they fail then advanced methods are recommended. IUI is a simple and inexpensive form of therapy, thus it should be tried first, then going on to more expensive options. In comparison to other countries, India offers treatment at affordable rates. We can arrange for Free of cost opinions from various super speciality hospitals before doctor's consultations from the expert Doctors of our connected hospitals.

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