Infertility Treatment

Normally when coitus takes place, sperms travel up into the uterus and then into tubes to reach the ova or egg. If the egg from the ovary of a woman is ready at that time, it may get fertilized. That fertilized egg comes back to the uterus and gets implanted and develops into a baby. Infertility means there is an obstacle or problem anywhere in this process and pregnancy does not take place and needs infertility services.

Infertility

Infertility is a medical condition where a person is unable to conceive a child despite having regular, unprotected sexual intercourse for at least one year. It can affect both men and women and can be caused by a variety of factors, including hormonal imbalances, genetic disorders, structural problems, infections, lifestyle factors, and certain medications. You need to take fertility specialist advice in such cases.

It is to be noted that 20% of women might conceive in one month, 70% in six months, 85% in 12 months, 90% in 18 months, and 95% in 24 months provided ideal opportunities are present. In normal circumstances, if a woman does not get pregnant for two years, a couple should be investigated for causes and treated
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What Causes of Female Infertility and Diagnosis?

Ovulation disorders are the most frequent cause of sterility in females. A woman's age, hormonal imbalances, weight, and other factors have an impact on female fertility. Problems with ovulation are the most common reasons for infertility in women. Ovulation studies as fertility tests for women may be required in such cases. Ultrasonography is a female fertility test needed to examine pelvic organs like the ovary, uterus, tubes, and fibroids. Temperature studies in the first half of the cycle serve best ovulation test. A fertility doctor can assess such investigations and tell in any evident cause is present. Majority of cases no clear cause is seen.

Fertility drugs or medicines that regulate or stimulate ovulation are generally used. Fertility drugs generally work like natural hormones to trigger ovulation. Fertility drugs are the main sterility treatment for women who are infertile due to anovulation. It is also a treatment for getting pregnant with PCOS. Calculating ovulation dates are important in assisting fertilization to time coitus. The ovulation date will improve the conception rate.

Intrauterine Insemination (IUI):

Intrauterine insemination (IUI) is a form of fertility treatment that involves artificial insemination by the direct placement of sperm into a woman's uterus. Unlike natural conception, where sperm have to travel through the cervix, into the uterus, and up to the fallopian tubes, IUI involves washing and concentrating the sperm before placing them directly into the uterus, thus bringing them closer to the egg. This is typically a painless, noninvasive, and low IUI treatment cost procedure. It can be a further low-cost procedure if done in a "natural cycle," which means no medications are given and the woman ovulates naturally. If it is done in conjunction with ovarian stimulation, which involves the use of medications like clomiphene citrate (Clomid), hCG (human chorionic gonadotropin), and FSH (follicle-stimulating hormone) to prompt the ovaries to mature and release one or more eggs. The use of ovarian stimulation can increase the chances of IUI pregnancy, particularly if multiple eggs are released. The specific instructions for the IUI procedure may vary depending on the medical facility and the sterility doctor.

Fallopian Tube Blockage Treatment:

There are no symptoms of blocked fallopian tubes, but it can be diagnosed by hysterosalpingography study. Sometimes Fallopian tubes are seen to be blocked. And sometimes studies show balloons at end of tubes called hydrosalpinx. Both situations result in resulting in reduced chances of getting pregnant. It will need tubal recanalization and hydrosalpinx treatment surgeries respectively. Fallopian tube block treatment will need surgery, acupuncture treatment is worth trying as it may be effective sometimes,though rational is not explained.

IVF Treatment of Infertility:

IVF treatment for sterility is indicated in cases of Fallopian tube damage or blockage; ovulation disorders; endometriosis; uterine fibroids; previous tubal sterilization or removal; Impaired sperm production or function; unexplained infertility or a genetic disorder. IVF cost in India is quite high and the success claimed is only about 20-30%. The IVF process involves in vitro freezing of eggs and embryo transfer at IVF centers.

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Acupuncture Treatment for Female Infertility:

A clear link is found in brain and conception in studies published in the journal Fertility and Sterility in 2002 by endocrinologist Zev Rosenwaks, MD at Cornell University. Their research noted that acupuncture treatment increases the production of endorphins, a brain chemical that also plays a role in regulating the menstrual cycle. Electroacupuncture for fertility also appears to have a neuroendocrine effect, impacting a three-way axis between the hypothalamus, pituitary, and ovaries – a cycle that ultimately controls ova production and possibly ovulation. Sandra Emmons, MD, assistant professor of obstetrics and gynecology at Oregon Health Sciences University, reports that acupuncture may directly impact the number of egg follicles available for fertilization in women undergoing IVF in Medical Acupuncture in 2000 journal. Sandra Emmons, MD, assistant professor of obstetrics and gynecology at Oregon Health Sciences University, reports that acupuncture may directly impact the number of egg follicles available for fertilization in women undergoing IVF in Medical Acupuncture in 2000 journal. Acupuncture may change the blood supply to the ovaries, possibly dilating the arteries and increasing blood flow, so that ultimately, the ovaries receive greater amounts of hormonal stimulation. Acupuncture for fertility may also promote favorable growth of the endometrium, in case of missed abortions. It may be promoting the continuation of a healthy pregnancy. In addition to the above, acupuncture treatment may reduce stress which may disturb neuro-hormones.

Male Infertility Treatment:

Sperm production or function can be affected by various factors resulting in reduced or absent sperm in semen. such factors can be undescended testicles, genetic defects, health problems (e.g., diabetes), or infections (e.g., chlamydia, gonorrhea, mumps, or HIV). Varicocele, or enlarged veins in the testes, can also impact sperm quality. Male fertility clinics may order semen analysis which may show oligospermia (reduced sperm) or azoospermia (absence of sperms). Before this male fertility test, patients need to keep abstinent for three days.

Delivery of sperm may be hindered by sexual issues, certain genetic disorders, structural problems, or reproductive organ injury/damage.

Environmental factors like exposure to pesticides, radiation, or other chemicals, along with habits like cigarette smoking, alcohol or marijuana use, anabolic steroid use, may also affect fertility. Frequent exposure to heat, as in hot tubs or saunas, may raise body temperature, medication for treating high blood pressure, depression, or bacterial infections can affect sperm production. The above fertility test for men needs to repeat after three months to confirm sperm status. Such conditions can lead to reduced or absent sperm count needing oligospermia treatment or azoospermia treatment.

Acupuncture Treatment for Male Infertility:

An imbalance in reproductive hormones can also negatively affect reproductive function, such as sperm motility and production. Acupuncture acts to regulate male hormones. Acupuncture infertility treatment produces no side effects while performing the same function as the drugs do in stimulating the hypothalamus to effectively balance the endocrine system and its hormones and to get to the root cause of female infertility as well as male infertility. There are many scientific reports supporting the use of acupuncture in sterility treatment. The role of acupuncture in fertility treatment is accepted in the medical fraternity.

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IVF Treatment of Infertility

IVF procedure step by step:

Full form of IVF is vitro fertilization, which is an infertility treatment that involves fertilizing an egg with sperm outside the body in a laboratory dish, and then transferring the resulting embryo(s) into the uterus. Here is a general overview of the IVF treatment process:

Ovarian Stimulation: The first step in sterility treatment involves administering medication to stimulate the ovaries to produce multiple eggs. This is done via hormone injections over a period of 8-14 days, and regular ultrasounds and blood tests are done to monitor the growth and development of the ovarian follicles.

Egg Retrieval: Once the follicles have reached the appropriate size, IVF specialist performs a minor surgical procedure to retrieve the mature eggs from the ovaries. This is done under sedation or anesthesia and using ultrasound guidance.

Fertilization: The eggs are then combined with sperm in a laboratory dish for fertilization to occur. This can be done using conventional IVF (mixing eggs and sperm together in a dish) or ICSI (injecting a single sperm directly into an egg).

Embryo Culture:After fertilization, the resulting embryos are cultured in a laboratory by IVF doctor for several days to allow them to develop and grow.

Embryo Transfer: The final step involves transferring one or more embryos into the uterus, via a thin catheter passed through the cervix. This procedure is typically done under ultrasound guidance and is painless.

Pregnancy Test: After about two weeks, a blood test is done to determine whether the treatment has resulted in a pregnancy.

It's important to note that the exact IVF treatment process can vary depending on individual circumstances, and that IVF pregnancy may not be successful in every case. The success rate of IVF treatment varies depending on several factors such as age, underlying infertility causes, and the specific technique used, but it typically ranges from 20% to 40%. IVF success rates by age again reduces with advancing.

Risks and Disadvantages of IVF

Some potential disadvantages of IVF treatment include its high cost, physical and emotional stress on the patient. IVF treatment risks of multiple pregnancies and associated complications, and the possibility of treatment failure or birth defects in the resulting child.

Cost Of IVF

The cost of IVF can vary greatly depending on factors such as geographic location, clinic reputation, and the specific techniques used, but it typically Rs 100,000/- per cycle.

In addition to the actual IVF treatment cost, patients should also consider other related expenses such as medications, consultation fees, and genetic testing, which can significantly increase the total cost.

IVF Fertility, a global network of fertility clinics, offers IVF treatment packages that include consultation, testing, and medication for an average cost of one lac per cycle, depending on the location.

For those looking for low-cost IVF options, some clinics offer reduced fees for patients who meet certain criteria, such as income level or military service, and there are also grants and financing options available to help offset the cost.

The IUI cost (intrauterine insemination) typically ranges from 5000- 7,000 per cycle, not including additional expenses such as medications or fertility testing.

IVF Babies

While most IVF babies are healthy, there are some potential risks associated with the procedure, including a higher chance of multiple pregnancies and associated complications, increased risk of preterm birth and low birth weight, and a slightly higher risk of certain birth defects such as heart and digestive system abnormalities, although these risks are generally small and vary depending on a variety of factors.

FAQ's

Infertility needs to investigated to find the cause and treated accordingly. It can be anovulation or oligospermia needing clomiphene citrate and on.
Yes, it can be treated in most cases, unless cause is like absent uterus or similar.
After evaluation treatment will depend upon cause and speed of treatment has consider nature process of menstruation, ovulation and sperm generation.
Yes, unless it is azoospermia or similar causes.
Clomiphene citrate is a type of fertility drug that can be taken orally to induce ovulation. It works by triggering the pituitary gland to release more FSH and LH hormones, which in turn promote the growth of an ovarian follicle that houses an egg. For women under 39 who don't have PCOS, this is often the primary treatment option for infertility.
One of the most frequent causes of infertility is associated with ovulation issues - the monthly discharge of an egg from the ovaries. There are various reasons why ovulation can be impaired, including certain cases where an egg isn't released at all, and others where it's only released intermittently. Polycystic ovary syndrome (PCOS) is among the factors that can lead to ovulation difficulties.
आईवीएफ प्रक्रिया चरण दर चरण: आईवीएफ उपचार प्रक्रिया (इन विट्रो फर्टिलाइजेशन) एक फर्टिलिटी उपचार है जिसमें एक प्रयोगशाला डिश में शरीर के बाहर शुक्राणु के साथ एक अंडे को निषेचित करना और फिर परिणामी भ्रूण को गर्भाशय में स्थानांतरित करना शामिल है। आईवीएफ उपचार प्रक्रिया का एक सामान्य अवलोकन यहां दिया गया है:

डिम्बग्रंथि उत्तेजना: पहले चरण में कई अंडे पैदा करने के लिए अंडाशय को उत्तेजित करने के लिए दवा देना शामिल है। यह 8-14 दिनों की अवधि में हार्मोन इंजेक्शन के माध्यम से किया जाता है, और डिम्बग्रंथि के रोम के विकास और विकास की निगरानी के लिए नियमित अल्ट्रासाउंड और रक्त परीक्षण किया जाता है।

एग रिट्रीवल: एक बार फॉलिकल्स के उचित आकार तक पहुंचने के बाद, अंडाशय से परिपक्व अंडों को निकालने के लिए एक मामूली शल्य प्रक्रिया की जाती है। यह बेहोश करने की क्रिया या संज्ञाहरण के तहत और अल्ट्रासाउंड मार्गदर्शन का उपयोग करके किया जाता है।

निषेचन: निषेचन के लिए अंडे को फिर शुक्राणु के साथ एक प्रयोगशाला डिश में जोड़ा जाता है। यह पारंपरिक आईवीएफ (एक डिश में अंडे और शुक्राणु को एक साथ मिलाकर) या आईसीएसआई (एक शुक्राणु को सीधे एक अंडे में इंजेक्ट करना) का उपयोग करके किया जा सकता है।

भ्रूण संस्कृति: निषेचन के बाद, परिणामी भ्रूण को विकसित करने और बढ़ने की अनुमति देने के लिए कई दिनों तक प्रयोगशाला में सुसंस्कृत किया जाता है।

भ्रूण स्थानांतरण: अंतिम चरण में गर्भाशय ग्रीवा के माध्यम से पारित एक पतली कैथेटर के माध्यम से एक या एक से अधिक भ्रूण को गर्भाशय में स्थानांतरित करना शामिल है। यह प्रक्रिया आमतौर पर अल्ट्रासाउंड मार्गदर्शन में की जाती है और दर्द रहित होती है।

गर्भावस्था परीक्षण:लगभग दो सप्ताह के बाद, यह निर्धारित करने के लिए रक्त परीक्षण किया जाता है कि उपचार के परिणामस्वरूप गर्भावस्था हुई है या नहीं।

यह ध्यान रखना महत्वपूर्ण है कि सटीक आईवीएफ उपचार प्रक्रिया अलग-अलग परिस्थितियों के आधार पर भिन्न हो सकती है, और यह कि आईवीएफ गर्भावस्था हर मामले में सफल नहीं हो सकती है।
The 'cumulative live birth rate' is the term used to describe this measurement; while women between the ages of 34-35 had a 40% chance of achieving pregnancy after one cycle of treatment, their chances increased to 54% after two cycles and 61% after three cycles.
When the fallopian tubes are severely damaged or absent, or in cases of unexplained or male-factor infertility, IVF is the most commonly used fertility treatment; in recent years, it has increasingly been used as the first line of therapy for all causes of infertility due to its high success rate.

Step 1: Control Ovarian Hyperstimulation (COH) COH is done using different protocols.

Step 2: Egg Retrieval. Oocytes.

Step 3: Fertilization and Embryo Culture.

Step 4: Embryo Quality. There are several criteria used to assess the quality of the embryo.

Step 5: Embryo Transfer.

This metric is referred to as the 'cumulative live birth rate,' which indicates that women aged 34-35 had a 40% likelihood of becoming pregnant after the initial cycle of treatment, while their chances of success increased to 54% after two cycles and 61% after three cycles.
To find the best IVF fertility clinic near you, there are several steps you can take:

Research online: Use search engines such as Google or Bing to search for IVF centers near your location. Make a list of centers that are conveniently located and seem reputable based on their websites.

Check success rates: Look up the success rates of the IVF clinic you are considering to see how well they perform in terms of live birth rates for patients. You can typically find this information on the clinic's website or by contacting them directly.

Read reviews: Check online reviews from previous patients to get a sense of their experiences with the fertility treatment you are considering. You can find reviews on websites such as Yelp or Healthgrades.

Consider cost: IVF can be expensive, so it's important to consider the cost of infertility center when choosing a clinic. Look for clinics that offer transparent pricing and payment plans to help make treatment more affordable.

Schedule consultations: Once you have narrowed down your list of potential clinics, schedule consultations with the ones you are considering. This will give you a chance to meet with the staff, ask questions, and get a sense of their approach to treatment.

By taking these steps, you can find the best IVF fertility center near you that meets your individual needs and provides you with the highest chance of success.

To find a fertility specialist near you, there are several steps you can take:

Ask for referrals: Ask your primary care physician or gynecologist for a referral to a fertility specialist in your area.

Research online: Use search engines such as Google or Bing to search for fertility specialists near your location. Make a list of specialists that are conveniently located and seem reputable based on their websites.

Check credentials: Look for fertility specialists who are board-certified and have specific training and experience in fertility treatments.

Read reviews: Check online reviews from previous patients to get a sense of their experiences with the specialists you are considering. You can find reviews on websites such as Yelp or Healthgrades.

Consider cost: Fertility treatments can be expensive, so it's important to consider the cost of treatment when choosing a specialist. Look for specialists who offer transparent pricing and payment plans to help make treatment more affordable.

Schedule consultations: Once you have narrowed down your list of potential specialists, schedule consultations with the ones you are considering. This will give you a chance to meet with the specialist, ask questions, and get a sense of their approach to treatment.

By taking these steps, you can find a reputable fertility specialist near you who can provide you with personalized care and support to help you achieve your fertility goals.

The answer would be same for queries like fertility doctor near me or IUI near me.

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