ivf or tube reversal _nu fertility

Tube Reversal vs IVF Treatment : Which is the better Choice?

Attaining Motherhood and having children is one of the very important stages in life which a woman comes across. Though Pregnancy and Childbirth can get challenging at times, it is looked forward to as stage of immense significance, by every woman. While on one hand, birth control has become a topic for global discussion, on the other hand, there are many enthusiastic women, in their middle ages, who are looking at exploring options to extend their family, even after undergoing procedures towards achieving permanent birth control.

With life throwing up so many surprises at us at all times, circumstances change, relationships change and this might bring in a change in family building goals too. Recent studies indicate that in spite of having chosen the path to permanent sterilization, up to 14.3% of sterilized women request information about possible fertility options within a few years of having undergone the tubal sterilization procedure.

What are the possible options women can explore to achieve their dream of having children, following tubular sterilization?

Available Options

More widely suggested options for patients, in this case, is a surgical reversal of sterilization which is also referred as Tube Reversal or the process of In Vitro Fertilization or IVF, which is gaining global identity at a very rapid pace.

However, out of these two,

  1. which is the most preferred?
  2. Which process is cost-effective?
  3. Which is safer, easy and less risky based on female age? And most importantly,
  4. which process is more likely to yield the desired results?

To answer all these questions, which are on expected lines, let’s get straight into the options involved and study them independently.

Tube (block) Reversal

For simple understanding, Tube (block) Reversal is a short stay procedure, performed as an outpatient, to restore contact between tubal segments. This is a small procedure, performed using microsurgical techniques. Basically, this procedure is aimed at supporting women, who wish to become pregnant without more complex medical attention.

Process Involved during Tube Reversal,

  1. The blocked sections of the fallopian tubes are reconnected with the remainder of the Fallopian tubes, which subsequently facilitate the eggs to move up the tubes smoothly and interact with the sperm.
  2. Your doctor will take a closer look at your medical parameters before suggesting a Tube Reversal procedure. Age, body weight and fertility factors such as the (egg count, sperm quality) are taken into consideration.
  3. Furthermore, one must consider the post-operative recovery period and time off from work, usually relatively minimal but, could be possibly prolonged. Your doctors will also look into possible complexities for ectopic pregnancy as well.
  4. However, it is interesting to note that not every type of tubal sterilizations is reversible. If the earlier fallopian tube segments are either short or subjected to damage due to surgery or infection earlier, the Tube Reversal might not be the best option. Therefore, your doctor would clearly ascertain these factors to come to a conclusion.
  5. An in-depth study of the male partner’s semen sample is also conducted as a part of the pre-surgical tests required.
  6. The time taken to confirm that the Tube Reversal surgery was a success or not is usually 3 months after the surgery was performed.

In addition, it might take close to 2 years for the patient to become pregnant, after the success of the surgery.

Many patients tend to term this waiting period as pretty long as they continue to remain anxious about the results.

Misconceptions about IVF 

In Vitro Fertilization (IVF)

IVF or In-vitro fertilization continues to gain prominence as a very effective alternative to Tube Reversal. Since its inception in 1970, this technique has been refined and continues to make immense progress with very high success rates.

To put in in easy words, IVF is a procedure by which an egg is fertilized in the lab and then transferred to a woman’s uterus. This facilitates the process of pregnancy to occur by completely bypassing the Fallopian tubes. So, the events which ordinarily occur in the fallopian tubes thus occur in the laboratory, providing a sort of tubal bypass.

The process of IVF allows the choice of the strongest and healthiest embryos.

Compared to a Tube Reversal process, IVF can be thought about as an effective solution, even for problems like advanced age, tube damages beyond repair and male factor infertility. The post-procedure downtime in IVF is rather minimal. However, with the sensitivity involved with the procedure, it is always important to choose a best IVF clinic with care.

This question has been very effectively answered by best Fertility Hospital in Bengaluru, which has proven experience in offering high standard IVF services, to the fullest satisfaction of its patients. The experience and techniques employed by the IVF physicians at NU fertility is a combination of the very latest in technology and subject expertise.

Which then is the best choice: IVF or Tubal Reversal?

One of the best things about IVF is that the time taken for pregnancy is much shorter as it takes only two months for the process to be completed. The age of the woman in question is also important as the choice of whether to go for Tube Reversal of IVF depends largely on this factor. The number of children, a couple would desire also influences the decision. It is well understood that with advance in age, the chances of a woman to conceive is lesser and hence for those women who are above 35 years of age, IVF perhaps be a better choice.

Though women below the age of 35, who would want to attain parenthood again after having undergone Tube Ligation, might look into Tube Reversal, published reports for all age groups truly indicate that the success-per-cycle rates in IVF are better than those for tubal reversal.

Conclusion

Doctors connected with leading medical institutions suggest IVF over Tube Reversal, but that is surely not without a reason. Though there is not much of a difference with respect to cost in both the procedures, IVF enjoys less risk factors and more success rates, than Tube Reversal. Findings have suggested that the chances of ectopic pregnancy with Tube Reversals are as high as 20% while that with IVF is almost legible, as low as (3) %. (The pregnancy rates with IVF in tubal factor infertility are 65%; the highest among all causes of infertility while the pregnancy rates with tubal surgery vary between 20-60% depending on multiple factors.) Compared to a Tube Reversal procedure, IVF does not require a prolonged hospital stay.

Above all, it’s the quality of your medical service provider and the comfort level they offer from the basic stages of discussions that matters and NU Hospitals sees that you are comfortable, both before and after your treatment is completed to your fullest satisfaction.

Male Infertility

Male Infertility – What You Need To Know

When a couple is ready to get pregnant, it should be the happiest and easiest thing in the world. However, for a large majority of couples, getting pregnant is not so easy. There are a number of complications that can arise, either in the man or woman, that can make getting pregnant extremely problematic.
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ivf misconceptions

Misconceptions about IVF

IVF is one of the most fascinating discoveries of the 20th century. Nobel prize in medicine was awarded to Sir Robert G Edwards in 2010 for this amazing discovery. It has been about 40 years since the birth of the first child through IVF. Over 4 million people owe their existence to IVF. Despite this, many people are not convinced by this concept.

 Popular Misconceptions about IVF

  • IVF injections cause cancer.

All the injections which are given are eliminated from the body within one month. There have been numerous studies till date which have proven that the gonadotropin injections do not cause cancer. However, a small risk of borderline ovarian tumours is noted, which have an excellent prognosis with preservation of fertility. An oocyte donor can donate eggs for up to 6 cycles safely!

  • The medications take away all eggs and result in early menopause.

Normally a group of follicles containing eggs begins to grow at the beginning of a menstrual cycle. Only 1 egg matures enough and is released from the ovary. Remaining degenerate. In IVF, these injections rescue the degenerating eggs and stimulate them to reach maturity. As a result, the age of menopause is not affected.

  • Babies born through IVF are not normal physically and mentally.

2% of the babies conceived naturally are born with some malformation. Similarly, about 2-3% of babies born through IVF are with malformations. Most of the abnormal embryos do not implant in the uterus and grow.

  • IVF results in twins and higher-order pregnancies

We can limit the number of embryos transferred into the uterus and hence prevent multiple pregnancies. In other treatment options such as ovarian stimulation and Intrauterine insemination IUI, all the eggs that are released are capable of being fertilized. Hence, we have no control over the rate of multiple pregnancies.

  • After IVF treatment, complete bed rest is required.

Both the egg retrieval and embryo transfer are daycare procedures, requiring an admission of 3-4 hours. It is advisable to avoid the strenuous physical activity of any sort; however, there is no evidence that complete bed rest favours embryo implantation. Routine activities can very well be carried out without affecting pregnancy rates.

fertility-treatment-bangalore

How does being overweight affect fertility?

what is Obesity?

Obesity, in simpler terms well-understood as overweight, is a common term, heard everywhere these days. It has become a global endemic or a wide-ranging problem, so to say and millions around the world continue to face the challenges that obesity continues to throw at them.

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The easiest way to get rid of Infertility

Tips to get rid of infertility

Infertility is the inability to get pregnant after 12 months of regular unprotected intercourse. About 50 million couple worldwide experience infertility. The numbers are rising as years pass by due to various factors.

It is frustrating when you realize that you need to take help for such a basic human function, reproduction. However, you are definitely not alone. There are thousands of couples who want to get over the phase from childlessness to parenthood as quickly as possible. This path may be easy for some and not so easy for some.

Here are some tips to get rid of infertility

1. Adopt a healthy lifestyle

All the choices you make in life have a bearing on your health. Maintain appropriate weight, follow a healthy diet and exercise at least 5 times a week. Avoid smoking, drinking alcohol and limit caffeine intake to no more than 2 cups a day. Stress also contributes to infertility and miscarriages. Everybody has different stressors in life, it is important to find ways of dealing with it.

2. Understand the basic functioning of the reproductive system

The egg needs to be fertilized by a sperm to form an embryo and result in a pregnancy. The release of the egg from the ovary is called ovulation. This happens on day 13-15 of the cycle in women with a regular 28-day cycle. It is important to have intercourse around the time of ovulation. There are several ways to know when you are ovulating. You can use Urinary LH kits from day 12 of your cycle to detect the day of ovulation. Your fertility specialist can help you find out the most probable day of ovulation by the scan.

3. Visit a fertility specialist before it is too late

A fertility specialist is a doctor with special training in treating infertile couple. Not all Obstetrician & Gynaecologist have this training. It could be a fellowship or a Masters degree in Reproductive Medicine. If you have had 1 year of regular unprotected intercourse and not able to conceive, it is time to visit your fertility specialist.

4. Find the reason for infertility

About 30% of infertility is due to the female factor, 30% due to male factor, 30% due to a combination of male and female factors and 10% remain unexplained. So it is very important for the male and female partner to get evaluated simultaneously for infertility. Do not be afraid to get yourself evaluated. There is a solution to every problem, once the cause of the problem is identified.

5. Personalized fertility treatment

There are several treatment options available for subfertility. The most commonly offered fertility treatments include:

a. Ovulation Induction is medications used to induce ovulation

b. Intrauterine Insemination is the injection of processed sperms directly into the uterine cavity at the time of ovulation

c. IVF/ test tube baby where embryos are created in the lab from your egg and sperm and injected into the uterine cavity

It is not “one size fits all”. Everyone is unique. The treatment you may require is decided after thoroughly evaluating you and your partner and personalized treatment is offered.

To fix an appointment with our fertility specialist call +91 80-42489999

PCOS Related Infertility - NU Fertility

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Polycystic Ovary Syndrome (PCOS) is a common reproductive endocrine disorder, affecting about 5% of women. In women with polycystic ovaries, the ovaries are enlarged with multiple small cysts, which are nothing but the immature eggs which are not growing. These ovaries also have thick stroma which produces excessive androgens. They may also have an altered ratio of pituitary hormones- FSH and LH which interferes with ovulation. Excessive androgens are also responsible for acne and hirsutism.

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Penile Implant in the era of Viagra

Viagra:

Viagra tablets (famous as a blue pill) sell like hotcakes soon after its launch in 1998 and completed its 20th anniversary in 2018. It still continues to be the first line of medical treatment for a penile erection problem (Erectile Dysfunction).

Viagra contains Sildenafil, which was initially tested in cardiac trials. It was termed as a “lucky accident” when the nurses in the wards started noticing that these patients’ who received Viagra preferred lying on their tummy with embarrassment to hide their penile erections. It was then more studies were done to establish its role in erectile dysfunction (ED).

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What is low testosterone? 

Testosterone is an important hormone for men. Produced by the testes, the hormone gives men many of their masculine characteristics, like facial hair and a deeper voice. It is involved with sperm production and sex drive. It also contributes to strength, bones, and muscle mass.

Low testosterone, also called hypogonadism, occurs when a man’s body doesn’t produce adequate amounts of the hormone.

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