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IVF centers in Bangalore

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

Does the collection of eggs increase the chance of pregnancy?

Does the collection of eggs increase the chance of pregnancy from IVF?

The process of IVF(In-Vitro-Fertilization) involves the ovarian stimulation with hormones with the intention of retrieving more eggs. The whole idea is to have enough eggs to produce an optimum number of good embryos to transfer and to freeze a few in case the fresh transfer fails. The question here is how many do we actually need? What is the optimum number of eggs needed to achieve a live birth, which in turn is the ultimate aim of IVF?

Does the collection of eggs increase the chance of pregnancy?

The higher number of eggs retrieved is associated with a probability of more chromosomally normal (euploid) embryos which can implant and give rise to a living birth. Chromosomally abnormal embryos (“aneuploid”) are unlikely to develop as pregnancies, and, if they do, frequently result in miscarriage. The frequency of chromosomally abnormal embryos increases with age and thus the pregnancy rates decrease with age. To produce one and two euploid embryos respectively, five and 14 oocytes would be required at age 34, while 10 and 24 oocytes would be required at age 38. Thus it makes sense to retrieve more eggs.

But this comes at a cost .. To retrieve more eggs often we have to use a higher dose of hormones increasing the cost as well as the side effects. It also leads to a potentially serious complication of ovarian hyperstimulation where they collect fluid in the abdomen, lungs and also susceptible to hypotension, increased clotting tendency and at times renal shutdown. The excessive ovarian response can also cause the enlarged ovaries to twist on its pedicle, cutting off its blood supply – what we call as ovarian torsion. This is an acutely painful condition which requires immediate medical and surgical attention. Another reason for concern is the compromised egg quality for unknown reasons when there is an excessive ovarian response. The raised estradiol hormone in case of excessive ovarian response advances the implantation window, thereby causing an asynchrony between the embryo and the endometrium (uterine lining), ultimately decreasing the implantation rates.

Frozen Embryo Transfer

So our aim in IVF cycle is to retrieve anywhere between 8 to 15 oocytes, so as to consider a fresh embryo transfer and also to expect a reasonably good pregnancy rate. Studies have proven that pregnancy rates steadily increase till 15 oocytes and thereby it decreases. When there is hyperresponse we may have to defer embryo transfer and freeze all embryos to avoid potential complications of ovarian hyperstimulation. They can be transferred at a later date after preparing the endometrium – Frozen Embryo transfer.