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Infertility Treatment

Infertility Treatment

At some point during the lifetime, most people have the strong urge to conceive a child. Therefore, understanding normal fertility is very important for a person or a couple who is planning for a child and also to know when is the appropriate time for them to look for help if they are not able to conceive. A successful pregnancy is achieved as a result of a process that has following steps :

  • Female body release an egg from one of her ovaries during ovulation.
  • Male sperm is required to couple with the released egg in the female’s fallopian tube for fertilization.
  • After fertilization the egg needs to propagate through a fallopian tube toward uterus for implantation.
  • Once the fertilized egg reaches uterus, it should get attached or implant inside the wall of uterus.

According to the statistics, majority of the couples can achieve successful pregnancy within one year of trying. However about 6% of the females aged between 20-44 years are unable to get pregnant even after one year of trying leading to infertility.

Infertility thus can be defined as not being able to conceive or get pregnant after one year of unprotected sex. It occurs as a result of problem in any or more than one of the above mentioned steps of pregnancy.

As per World Health Organization – Infertility is defined as the Inability of a Sexually Active, Non Contracepting Couple to achieve clinical pregnancy in one year in couples with age less than 35 years and six months in couples with more than 35 years of age.

Types of Infertility

Infertility can be categorized into 3 main types. They are :

  • Primary Infertility: It is a condition in which couple has not achieved any pregnancy.
  • Secondary Infertility : It is a condition in which couple have had at least one pregnancy regardless of the outcome.
  • Subfertility : It is a special case of infertility in which there are deliveries but the couple is not having any or desired number of alive child/children.

Most of the couples struggle with infertility problem, however it is often considered as women’s problem, which is in fact not the case. Men and Women equally contribute to infertility. In approximately 35% of couples facing infertility issues, a male infertility factor has been identified along with a female factor whereas in 8% of couples, a male infertility factor is the only identifiable cause of infertility.

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Causes of Female Infertility

A woman needs normally functioning ovaries, fallopian tubes and a uterus to conceive. Conditions affecting any one of these organs can contribute to female infertility. Enlisted below are few of the conditions that can result in female infertility:

A woman has regular menstrual periods also known as menstrual cycles, on average, 28 days long. A regular cycle occurring between every 24 to 32 days always indicates that a female is ovulating regularly. Ovulation of an egg is very essential for pregnancy. If a woman has menstrual cycles at an interval of greater than 35 days, it may indicate that she is not ovulating an egg as required, or even at all. Thus, a comprehensive evaluation is indicated in females who are attempting pregnancy if her menstrual cycles are infrequent or irregular.

When a woman does not ovulate during a menstrual cycle, it is called as anovulation. The causes for the same are enlisted below :

  • Polycystic Ovarian Syndrome (PCOS)
  • Diminished Ovarian Reserves
  • Improper functioning of hypothalamus and pituitary glands
  • Premature ovarian insufficiency or Premature Menopause
  • Menopause

One can’t prevent many causes of blocked fallopian tubes, but one can always decrease the risk of sexual transmitted infections by practicing safe sex.

Fallopian Tube occlusion is one of the causes of infertility in females since an ovulated egg will not be able to get fertilized by sperm or to reach the endometrial cavity if the tube is blocked. Risk factors for blocked fallopian tubes comprises of :

  • History of pelvic infection
  • History of ruptured appendicitis
  • History of sexually transmitted infections like gonorrhea, chlamydia etc
  • Known endometriosis

Female’s Uterus needs to be examined carefully to check for fibroids, the presence of which can result in infertility.

Female age-related infertility is the most common cause of infertility today as in modern world; women are delaying child birth until their 30s and 40s, which has known to cause adverse effect on egg function. As women ages, the number of eggs in the ovaries decreases at a rapid rate. In addition, with advancing age the quality and the chances of an egg being genetically normal also decrease. Hence the ability to conceive a normal pregnancy decreases when a woman is in her 30s or 40s.

Causes of Male Infertility

The treatment process for Infertility can take time varying from case to case. It requires commitment from both partners. There is also a possibility that the treatment may not covered by your insurance company. Therefore, it is advised to speak with a medical professional and your insurance company to be well informed.

Sr.No. Test Volume
1 Volume
2.0 ml or more
2 PH
500
3 Sperm Count
40 Million or more per ml
4 Motility
50% or more motile
5 Morphology
15% or more normal forms
6 WBC’s
Less than 1 million/ml
7 Viability
50% or more alive sperms

1. Problem is testicular or ejaculatory function : There can be issues in functioning of testis which may lead to problems in ejaculation. Enlisted below are few of the factors responsible for this issue –

  • Varicocele, a condition in which the veins on a man’s testicles become large and cause them to overheat which in turn affect the number or shape of the sperm.
  • Unhealthy habits like chronic alcoholism, smoking, anabolic steroid use, and illicit drug use.
  • Injury to testes that may affect sperm production and may result in lower concentration of sperms.
  • Exposure to cancer treatment like chemotherapy, radiation or surgery to remove one or both testicles.
  • Infections causing testicular failure.

2. Hormonal disturbances : This includes :

  • Dysfunction of hypothalamus or pituitary glands which is responsible for maintaining normal testicular function.
  • Presence of benign pituitary gland tumor, which over secrets the prolactin hormone resulting in low or no sperm production.
  • Congenital adrenal hyperplasia.
  • Exposure to too much estrogen.
  • Chronic use of medications like glucocorticosteroids.

3. Genetic Disorder : Genetic conditions like Klinefelter’s syndrome, Myotonic dystrophy, Y-chromosome micro deletion, etc. may cause low or no sperm production.

Treatment for Infertility

Treatments for infertility can be decided on the basis of :

  • Age of the female
  • Factors contributing to the infertility
  • Duration of the infertility and
  • Preference of the after counseling about success rates, risks, and benefits of each treatment option

Following are the treatment options for the couples facing infertility issues :

Medications can be given to induce egg development and normal ovulation. The medications that help to stimulate the ovary in order to develop mature eggs for ovulation come in two forms: pills that can be taken by mouth and injections.

Intrauterine insemination, also known as IUI, is a process by which sperm is washed and prepared for placement into the uterine cavity, therefore bypassing the cervix and bringing a higher concentration of motile sperm closer to the tubes and ovulated egg. In order to accomplish this, the semen is washed with a solution safe to sperm and eggs, and then centrifuged to separate motile sperm from immotile sperm and other cells. Those motile and viable sperm are then placed in a very small amount of solution, and then very gently and painlessly injected into the uterine cavity using a very thin, soft, and flexible catheter. At least one open tube is required for IUI, and any sperm abnormality cannot be severe, otherwise the sperm will not be able to swim to and fertilize the egg.

In vitro mean “outside the body.” IVF is a process in which eggs are collected from the female ovaries and then fertilized by sperm outside the body, in a specialized embryology laboratory. IVF is a revolutionary treatment option as it allows successful pregnancies in women that were previous deemed permanently infertile. This procedure involves following steps :

  • Removal of eggs directly from the ovary.
  • Fertilization with sperm in the laboratory.
  • Transfer of the embryos directly into the uterus, bypassing the tubes.
  • Successful Conception.

ICSI is an advanced form of IVF in which each egg is individually injected with a single sperm using a tiny needle under microscopic guidance. The resulting embryo is then cultured similarly to an embryo as produced in a non-ICSI IVF treatment.

Treatment cost

Cost of Infertility Treatment

India is one of the most affordable places for Infertility Treatment across the globe. We certainly understand that if you have chosen to travel overseas for your Infertility Treatment, then you are indeed looking for cost effectiveness.

When you speak about the best, MedicoExperts is the name you can trust on. Modern technology, State of the art hospitals, most coveted gynecologist and fertility specialists, excellent infrastructure at par with international standards, no language barrier, personalized attention, safe surgery and seamless travel are some of our zeniths which magnetizes individuals worldwide to get their Infertility Treatment in India done through us.

We are thus committed to offer you the best possible and special negotiated prices for your Infertility Treatment without compromising on the quality of medical services and results. Here’s a look at the approximate costs of Infertility Treatment in India :

Sr.No. Name of Procedures Cost of Procedure USD
1 Infertility Evaluation Package 600-1000
2 Medical Management 700-1200
3 Intrauterine Insemination 500-1000
4 In Vitro Fertilization (IVF) 3000-6000
5 Intra Cytoplasmic Sperm Injection (ICSI) 3500-6500

Frequently Asked Questions and patient concerns:

1. What is the success rate of fertility treatments?

According to research, about 80-90 per cent of infertility cases can be treated. Along with age and health, the treatment option choose also plays a part in the success rate.

2. How long do fertility treatments take to work?

Fertility treatment gives hope to many infertile couples. While some couples are able to successfully conceive in the first couple of months, some may take a year or longer. This depends on many factors, like the age of the couple, medical history, lifestyle, etc.
Therefore, based on thorough medical examination of both the partners, the doctor will suggest a personalized timeframe for the couple.

3. How long should a couple wait before they seek treatment for infertility?

The chances of conceiving decrease rapidly in a woman after 30 years of age. Women below the age of 35 should wait at least a year of trying to conceive before consulting for treatment. For women of age 35 and above should see a doctor after 6 months of unsuccessful trying.
Certain health conditions in women like painful menstruation, endometriosis, irregular or no menstrual cycle, pelvic inflammatory disease, more than one miscarriage, etc. could be signs of infertility.
In males, history of testicular hernia, surgery of the hernia, chemotherapy, etc. could be indicators of infertility.

4. When is surgery used in fertility treatments?

A surgery is suggested only when the issue with the reproductive organ cannot be treated with medication. At times, blocked or torn fallopian tubes require surgery to ensure successful release and fertilization of the eggs.
In male, surgery is recommended for varicoceles in the testicles which could be the reason for infertility in male.

5. Does lifestyle affect fertility in both male and female?

Females who are overweight, underweight, or who work out excessively find it comparatively harder to conceive. Over indulgence in alcohol consumption, smoking cigarette or marijuana, etc. are known factors to affect fertility in both male and females.

6. What changes in lifestyle can help better my chances of conceiving?

Maintaining a healthy weight and making right eating choices can be beneficial in both male and female to improve their chances of getting pregnant. Avoiding drugs, alcohol or smoking can also help greatly.

7. What are the chances of having multiple babies?

Assisted reproductive technology (ART) treatments may produce multiple pregnancies at once. Doctors can now reduce this by limiting the number of embryos transferred to the uterus at one time.

8. What more should I know about infertility treatment?

The treatment process for Infertility can take time varying from case to case. It requires commitment from both partners. There is also a possibility that the treatment may not covered by your insurance company. Therefore, it is advised to speak with a medical professional and your insurance company to be well informed.

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