Browse Tag

Ivf Treatment

Patients seeking for IVF treatment

Work From Home – A Ray of Hope for Patients seeking IVF Treatment

The demand for IVF treatment is gathering pace. This is because it has helped all those patients who were otherwise unable to conceive. The ultimate objective of IVF is to have a successful pregnancy and a healthy baby. However, today’s digitally driven and stressful corporate world has created a challenge for women who are looking to welcome Motherhood with the help of IVF treatmentHowever now there is a ray of hope as Work from Home is the new norm for most of the employees due to the current crisis caused by the pandemic.

How Work from Home Benefits?

The present pandemic has forced many employees working in the corporate world to compulsorily work from home. While this could slightly be a challenge to deal with those employees, especially working women, who have children to take care of, it can be a boon and much needed boost for those, who are eagerly looking to go the family way.

Success Rates of IVF Treatment

IVF has been a successful course of treatment adopted by many working women globally due to its success rated and flexible pre-requisitesHaving said that, IVF treatments needs to be well-planned, as the procedures involved take time. One of the major challenges women faced while working out of office was to request for time and leave. The high pressure, corporate work environment always made it difficult for women to plan the IVF treatment program.

The other reason is the sensitivity involved in discussing the nature of the treatment with superiors and managers. Many managers would think twice before sanctioning leave due to the stringent delivery schedules and productivity issues. Parallely, women too would find it difficult to discuss as they would want to keep the infertility issue confidential, which is understandable and rightfully so.

Working from Home comes as a big relief for all those working women who would want to plan to take IVF treatment and look forward to have a baby. They can plan their schedule in such a way that they can balance both personal and professional commitments. It is a challenge to decide to undergo the IVF treatment due to the complexities involved. The financial, physical and emotional stress on the patient due to the processes involved could be difficult to bear. This is where work from home can come in as a good solution.

Conclusion

The best part of a women’s life comes in when she is ready to go the family way and attain motherhood. It is one of the most joyous moments to expect her first child. However, finding herself in a position to meet her professional and personal expectations is a challenge in today’s world.

The IVF treatment is a proven way to help women enjoy motherhood in a safe and successful way. The need of the hour is to visit a fertility centre which gives a patient hearing to every patient and offers personalized care. It is of utmost importance to understand the work schedule of the couple and time the IVF procedures accordingly.

How to balance work from home and enjoy motherhood? NU Fertility at NU Hospitals has the answer to all your queries

IVF Fertility Care

Fertility Care – It’s all about being in Good Hands

Life presents us with many choices. It’s the choices we make that determine our future. This is all the more evident in the healthcare sector these days where patients would like to have multiple opinions before going ahead with the medical treatment advised by the physicians relevant to their specific health issues. In other words, patients would like to meet multiple doctors and take their individual opinions. This is also referred to as doctor shopping.

Doctor shopping is widely seen in patients addicted to drugs but there is another sector which is in great demand across the world and continues to see patients being impatient and choosing to doctor shop and that is choosing the IVF treatment to address fertility issues.

IVF continues to by far be the most used medically assisted reproductive technique. However, it has been observed that most of the patients resort to doctor shopping here. The reasons are multiple.

1. Patients want to take an opinion if they really need IVF or could do away with other simple treatments.

– Choose a fertility specialist who clearly justifies the treatment, discusses the other available options and their pros and cons. Discuss the success rates of each of the options available and then decide

2. Next thing to be discussed is the success rate of IVF.

– Always remember IVF success rate is anywhere between 50-65 % across the globe and never 100%. Success depends on multiple factors. Patient factors cannot be changed but appropriate clinical judgement and individualization of protocols can make a difference. Choose a clinician with a good experience. Read their online reviews and consider taking reference from other patients who have undergone IVF there.

The IVF lab and the embryologist make a huge difference in the success rate. Choose a centre which has a well maintained and well equipped IVF lab. Make sure they have a in house senior embryologist. Insist on talking to them so that you can get to know who is handling your embryos and also clear all your doubts and uncertainties. Make sure to enquire about the success rate of the centre which you are considering.

3. Next important consideration is the finance.

– Most of the IVF clinics are not transparent about the charges. They do not divulge the exact price during the discussions with the patients. Most centres offer IVF packages. However, having had to make a choice, you may not be right all the time as you might just be lured into attractive packages and actually end up shelling much more than what you anticipated.

When comparing the IVF packages enquire about the hormonal injections used. Substandard drugs can decrease the cost of the IVF package but may compromise with the outcome. Also find out if the package includes the procedures like semen freezing, embryo freezing, blastocyst transfer, laser hatching, frozen embryo transfer or any other add on s which may be suggested by your fertility expert.

4. Publicity: With many IVF centres cropping up, all of them resort to publicity to be visible. Don’t blindly follow the publicity material. Decide based on the above parameters.

Conclusion

It’s time to choose wise and choose well. Hence make your choices reflect your hope, not your fears. It’s up to you to make a healthy choice. Are you still stuck with making the best choice now?!

Your search ends here at NU Hospitals. You will surely not have to make another choice.

 

 

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.

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.