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randomactsofpigeon · 2 years

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What the heck is IVF, anyway?

I’ve had this on the brain as I’m prepping for another cycle now, and I’ve found a lot of people get the general principles behind IVF, but don’t really know what it entails. So I felt like writing an informational post on the process, for the curious, as a writing reference, and for those contemplating the procedure, and perhaps dispel some misconceptions along the way.

I will use the terms “egg donor” and “sperm donor” to avoid gendered labels, and because frankly this is the same procedure regardless of where the biological materials originate or the makeup of the family wishing to have a child. I will also put a caveat that this is drawn from my own experiences. I imagine other clinics may have slightly different approaches or timelines. This is written from a US perspective; however, my research has found that access to IVF varies wildly in countries with state-funded healthcare. Some countries will only fund a single cycle or have stricter patient access controls, while others are more generous.

Warning: this is a very long post.

Let’s start with what IVF is. In vitro fertilization is the catch-all term for the process of taking eggs and sperm out of the body and uniting them in a petri dish for the purposes of creating an embryo. The procedure is usually in reference to human conception, but has been used extensively with animals as well, particularly for the preservation of endangered species. For example, in small populations of animals, it assists with preserving genetic diversity without having to relocate and stress the animals.

IVF is not a diagnostic process, but a recommendation following a diagnostic process. That said, certain procedures (like semen analysis) may be recommended during IVF depending on the underlying cause of the infertility. IVF is also used by fertile people and couples, ex. single people with a uterus, lesbian and gay couples, and single people using surrogacy; however, a range of less invasive procedures are also available in many of these situations. Egg and sperm retrieval procedures are also used by those donating eggs or sperm to others, or preserving their own fertility prior to cancer treatment or other situations. (You will notice as we go along that egg retrieval is far more involved than sperm retrieval; it’s a very physically and mentally demanding process, to say nothing of its invasive nature, and this is why egg donor material is much harder to come by.)

Either the egg donor or the sperm donor may be given additional procedures or medications depending on the underlying cause of the infertility. About a third of infertile couples are primary factor (meaning the issue is with the egg donor), another third are male factor (issue is with the sperm donor), and the remaining third are “incompatibility” between the partners. Though rare, it’s also possible to find infertility factors in both egg and sperm donors simultaneously. Infertility can result from environmental factors, injuries, medical factors, and genetic factors. Infertility also occurs on a spectrum; it’s not a matter of “fertile” or “infertile”, but how fertile the donors are together and separately. For example, a sperm donor can have a sperm count low enough to impair fertility without having a sperm count of zero. Another example—an egg donor may have a blockage in their fallopian tubes that prevents natural conception without degrading egg number or quality.

Though IVF is probably the most well-known treatment for infertility, there are a wide variety of therapies available. Intrauterine insemination (IUI), for instance, is a procedure that involves triggering the natural ovulation of a single egg on a known timeline, and then using a tube to deliver sperm directly to the uterus. This is the most common procedure for inseminating those who have opted for sperm donation, but is also used for treating various other infertilities. As another example, IVF was recommended in our case due to my age; though our infertility is male factor, potential treatments for my partner have mixed success rates and take a long time, time we may or may not have as my reproductive system continues to age. Everyone’s case will be unique their own circumstances.

At the beginning, bloodwork is performed on both donors. The sperm donor is checked for infections and given genetic screening. The egg donor is additionally screened for ovarian function and other hormones, and undergoes both a standard transvaginal ultrasound and one with saline injected into the uterus, to check for any medical defects and evaluate the number of follicles (follicles being the structures within the ovaries that produce the eggs). If anything is out of the norm, additional procedures may be necessary before starting IVF. (For example, I needed a minor surgery to remove uterine polyps to prepare my uterus for eventual embryo transfer.)

Genetic screening is optional. It may or may not be covered by insurance and costs several thousand dollars per donor.

Sperm is gathered either by ejaculation (most commonly), or by aspiration (use of a needle to extract sperm directly from the testicles). Aspiration is used when sperm quality is severely degraded or when ejaculation is not possible, and involves local anesthetic. Eggs are gathered after using medications to force ovulation, after which the donor is put under general anesthesia and the eggs are extracted transvaginally with a needle. If the ovaries are displaced, transabdominal surgery can be attempted, again using a needle.

So how exactly does one force ovulation? It starts at least six weeks prior to the IVF cycle itself. The egg donor begins hormonal birth control to arrest natural ovulation. This allows the ovaries to “rest” in preparation for the procedure. Some patients experience no side effects. If you’re me, it causes migraines, anxiety, extreme lethargy and brain fog, continuous menstruation, cramping, bloating, and other less significant effects. If you’re my friend, you get a trip to the ER to remove a blood clot in your leg. Birth control is one of those “female problem” medications that has been severely downplayed in terms of its risks and side effects in popular culture. Because I’ve been doing IVF since March, I’ve essentially been “sick” for most of a year thanks to this medication. Because of the birth control requirement, the minimum interval for IVF cycle attempts is every two months. The interval may be longer if other therapies are attempted between cycles.

In the weeks leading up to the IVF cycle itself, both the egg and sperm donors will take a broad-spectrum antibiotic to eliminate any subclinical infections. I experienced no side effects. My husband had his entire gut wiped out and is still experiencing digestive complications; he’s less than excited about taking another course in a few weeks.

The clinic will work with the egg donor to order medications required for the IVF cycle, which I’m here to tell you is a major pain the ass because of the number of prior authorizations required. My medications cost my insurance about $16-17k per cycle. If I were paying out of pocket, it would be less, but not astonishingly less. There are clinic and surgical charges on top of that. On the whole, my insurance pays out about $20k per cycle. All of my meds have to be ordered from a telephone pharmacy due to how my clinic operates, though some IVF patients are able to fill at their local pharmacies, and I’m sure others are using online pharmacies. Some of the medications require refrigeration. All of them are injected.

The egg donor will stop birth control five days before beginning the IVF cycle. They will also stop any medications that are not permitted during the cycle (which mostly overlap with medications not permitted during pregnancy). If they’re prone to early ovulation like me, they will also start ovulation suppression shots five days before the IVF cycle, and stop these temporarily once they’re on their primary IVF medications. They will have an initial appointment with their fertility clinic, which consists of a blood draw to check hormone levels, taking their weight, and conducting a transvaginal ultrasound to evaluate the ovaries. If everything looks good, they are cleared to begin the cycle.

(If you’re unfamiliar with transvaginal ultrasounds, it involves taking a wand that looks like a dildo, sheathing it in plastic and lube, and inserting it far into the vagina. The wand presses into the sides of the vagina which can feel very uncomfortable. The patient is positioned with their legs splayed in stirrups, similar to a gynecological exam. Some people with a history of sexual assault or abuse find the procedure very triggering, and any egg donor undergoing IVF will need numerous transvaginal ultrasounds. The wand is put into an autoclave for sterilization between patients and can be uncomfortably hot when it comes out.)

The IVF cycle itself takes around twelve days on average to complete. In addition to all of the below steps, the egg donor must monitor their weight daily during the cycle in case of a very dangerous side effect called ovarian hyperstimulation syndrome that is heralded by rapid weight gain. Alcohol, smoking, and recreational drugs are prohibited for the egg donor during the IVF cycle. During the first half of the cycle, the egg donor is allowed light exercise, but not during the second half, to avoid disturbing the ovaries. By the end of the cycle, the ovaries are very enlarged and uncomfortable due to the growth of many follicles, and the medications are beginning to take a toll; I could barely wake up during the second half of my first completed cycle. Likewise, for obvious reasons, the egg donor is not allowed to have penis-in-vagina (PIV) sex during any part of the cycle, and is forbidden sexual activity in the second half of the cycle.

The egg donor is given two medications daily to stimulate egg development by as many follicles as possible. These must be taken at the same times every day. One is taken in the morning, and the other at night. The egg donor will need to closely track the amount of medication they have remaining to avoid running out.

My morning medication is called Gonal-F; the other common one is Follistim. These are different brands of the same compound. Most patients get their morning medication in a pen form. They dial in the correct dosage, and then inject it subcutaneously using a disposable needle that attaches to the pen. A subcutaneous injection involves swabbing the skin a few Inches adjacent to the belly button with an alcohol wipe to sterilize, then pinching this flesh and injecting the medication. It’s a very small needle and rarely even bleeds. The needle is then disposed of in a sharps container, which comes with the prescriptions.

If the egg donor needs intramuscular injections (not uncommon for fat patients like me), they will measure out the medication from a vial rather than a pen, and inject it into the muscle near their hip. While you can inject it yourself, it’s easier to have someone else do it for you, so I have my husband do my injections. The injection site rarely bleeds.

Subcutaneous needles are about a half inch long, while intramuscular needles are about 1.5 inches long. This makes no difference in the pain of injection; it’s just due to one going under the skin, and the other going into muscle (which is further away from the surface of your skin, physically).

The evening medication is called Menupur. Menopur comes as a two-part system, with the actual medication as a powder measured in vials, and the other being sterile water used to reconstitute the medication. The egg donor measures out an amount of sterile water using the provided syringe, injects it into the vial of powder, swishing it around to mix, and then draws it back into the needle. They then inject this mixture into the next vial and repeat the swishing process, until they’ve reached their dosage. (Example, three times for a dosage of three vials.) After the medication is measured, it is injected, either subcutaneously or intramuscularly. Larger dosages of Menopur do hurt more (from experience), but for me it’s more “intense discomfort” than real pain.

Side note: I apply over-the-counter, roll-on topical lidocaine five minutes prior to all my injections and it very much minimizes the pain. I don’t feel the needles at all (except occasionally as pressure). I do feel pain occasionally as the medication enters the muscle, but it’s endurable. Some people use ice to the same purpose. And others are fine without using anything! It’s really up to you.

The egg donor will visit the fertility clinic every other day while undergoing the IVF cycle. Each visit consists of a transvaginal ultrasound to monitor follicle growth, and a blood draw to monitor hormone levels. This feels kind of like a cattle call or an assembly line; it’s not a fun experience. If the follicles are not developing as expected, the doctor may decide to terminate the cycle early, depending on the patient’s medical history. This is primarily because IVF is expensive as hell and physically taxing, and unless there’s a reason to continue with a long shot attempt, it’s usually better for the patient to try again another time.

Assuming everything is going to plan, five days into the cycle, the egg donor will begin to take the ovulation suppression medication in addition to the other two meds. This is to allow the follicles to grow to full maturity, and to prevent any eggs from being released prior to surgical retrieval. The medication I take for this is called Cetrotide, and it is a subcutaneous injection. It comes in an easy-to-use kit and is mixed similarly to Menopur. This is probably my least favorite injection med because I have a minor reaction to it that causes the injection site to swell, redden, and itch like crazy for about a half hour after the injection, and this is apparently not uncommon. It is absolutely critical that this medication be taken at the same time every day. If it’s not, the egg donor can lose the entire cycle by ovulating early.

The doctor will determine when it’s time to trigger ovulation based on the growth of the follicles. On average, this is ten days after beginning the cycle, but can be as few as eight or as many as twelve. The “trigger shot” to initiate ovulation is hCG, human chorionic gonadotropin, which is the same hormone used to detect pregnancy. (In fact, when the egg donor shows up for the egg retrieval, they will be given a pregnancy test, which will be positive if the shot worked correctly! Talk about irony.) The trigger shot must be taken 36 hours prior to the surgery, and the egg donor will be given a very precise time to take the shot.

The egg donor will also be instructed to take leuprolide (Lupron), which stops egg development. This is another injection. If you’re thinking IVF sure does involve a lot of needles, you’re right!

Egg retrieval is a surgery using general anesthesia, and all the expected rules apply (ex. not eating or drinking for a specified time period prior to surgery). If these rules are not followed, the surgery will be refused, and the egg donor will lose the cycle. Ovulation cannot be stopped once the trigger shot is administered. (And I guarantee anyone attempting “natural conception” with potentially dozens of eggs being released will be immediately dropped by their clinic.) Also, embryos are extremely sensitive to compounds found in scented products, and the egg donor will be denied surgery if they or their support person arrive wearing perfume, scented lotion, etc.

The egg donor will arrive at the surgical center and be prepped for surgery, including having an IV line placed and being weighed. Their support person will be allowed to stay with them up until arriving at the operating room. Generally speaking, the egg donor will be accompanied by a nurse, while the surgeon (and fertility doctor if not the same person), embryologist, and anesthesiologist will stop by to explain their part in the procedure and answer questions. After changing into a hospital gown, the egg donor will be brought to the operating room and will climb onto the table with their legs spread in stirrups, as if preparing for a gynecological exam. They will then be put under anesthesia, preventing any experience or memory of the surgery, and will wake up in a recovery area or back in their room. It is an outpatient procedure and (barring complications) the egg donor will go home the same day, though they must have someone else drive them for safety reasons while recovering from anesthesia. I don’t live in an area with good public transportation, but I wouldn’t be surprised if clinics in those areas require the patient to be accompanied home.

During the surgery, eggs are retrieved by inserting a needle through the wall of the vagina into the ovaries, moving one follicle at a time. The embryologist will examine the extracted contents under a microscope to verify the presence of an egg. Each egg is very carefully labeled to avoid any mix-ups with other patients. The surgeon is assisted by transvaginal ultrasound to locate the follicles. If an ovary is in an unnatural location and inaccessible from the vagina, a transabdominal procedure may be attempted, where the needle is inserted through the abdomen. It is much harder to image this location and this procedure is often less successful. The egg donor will be informed of how many eggs were retrieved immediately following surgery.

Surgical recovery is typically easy with minimal pain. My clinic recommends taking the day off following surgery, and provides a small amount of painkillers, of which I took exactly one dose, immediately after the surgery. I had no lingering pain or soreness, though the anesthetic they used made me very nauseous for about twenty-four hours following the surgery, and I was pretty tired. I have not had the transabdominal procedure.

While the egg donor is undergoing surgery, if the sperm donor is present, their sperm will be collected. They will have undergone a protocol of ejaculating on a specified schedule during the IVF cycle to prepare for collection. Fresh sperm has a slightly higher fertilization success rate than frozen sperm, and so is preferred when possible. The sperm donor will be sent to a private room with a collection cup. Typically, pornography is offered as a stimulating mechanism. The whole process is as discrete as possible.

If testicular aspiration is being used, the sperm donor will be prepped for the procedure and given a local anesthetic prior to sperm collection. Again, aspiration involves inserting a needle into the testicles to extract sperm directly.

If the sperm donor is not present, frozen sperm will be thawed. This was either collected from a known donor at an earlier date, or from a sperm bank.

After eggs and sperm are retrieved, the embryologist will bring the materials to their lab and grade the eggs. The eggs are graded based on their maturity and immature eggs are discarded. Eggs which are borderline are cultured to attempt to mature them for fertilization. (If the eggs are being collected without fertilization, example: for a cancer patient to preserve fertility prior to chemotherapy, the process ends here and the eggs are frozen.) Sperm is likewise evaluated for count and quality, after being “washed” to discard poorer-quality sperm.

Eggs may be inseminated in one of two ways. If the sperm count is high and the quality is good, the sperm may be placed into a petri dish with the egg to inseminate on its own. More commonly (even with good sperm), the sperm is injected into the egg using a procedure known as intracytoplasmic sperm injection (ICSI). A single sperm is sucked into a syringe, and a very small needle is used to inject it into the egg under a microscope.

The embryos will mature over the next five to seven days. Sixteen to eighteen hours after insemination, it will be obvious whether fertilization was successful. Eggs that did not fertilize or which are showing abnormal fertilization are discarded. The egg donor (or parents if the egg donor is not a potential parent) will be informed of how many eggs fertilized.

Embryos are monitored to see which will continue to divide into more cells. They should have 6-12 cells each by the third day after insemination. Only about 50% of fertilized eggs will develop into blastocysts. Those that are going to develop have typically reached blastocyst stage by the fifth day after insemination. The parents are usually getting a daily call from the embryologist on the development of their embryos.

The blastocysts continue to develop, and are eventually graded themselves. Only good quality blastocysts are eligible for transfer. Transfer is the term for placing the blastocyst into the uterus for impregnation. (While transfer is not technically part of IVF as a procedure, I’ve included it for completeness.)

Assuming one has gotten this far with viable blastocysts, several things can happen from this stage. If the person becoming pregnant has opted for a “fresh” transfer, they will have been taking progesterone in oil (another injection) throughout this week to prepare for pregnancy. The blastocyst will be transferred by inserting a long tube through the cervix and into the uterus, surrounded by a carrier fluid. This is a fairly uncomfortable but not exactly painful process. The patient will be given a photograph of the blastocyst, and the doctor will verify under microscope that the blastocyst is no longer present in the syringe or the tube. After two weeks, the patient will return for a pregnancy test. Any blastocysts not transferred immediately will be frozen.

Alternatively, the patient can opt to delay transfer, in which case the blastocysts will be frozen, halting their development. People elect this option for a variety of reasons, but the most common is for genetic testing. Genetic testing biopsies the blastocyst by removing a very small number of cells with a tiny needle, and sending them to a lab for analysis. Basic testing simply looks at chromosomes—does the blastocyst have the expected number and configuration. (I want to note that almost all chromosomal anomalies are NOT compatible with life, and will 100% result in failure to implant or miscarriage. There is a strong misconception in the general public that “chromosomal anomaly” always means “Down’s Syndrome”, leading to false accusations of eugenics. Down’s Syndrome is very much the exception and not the rule.)

More advanced and expensive testing can also look for specific genes; for example, if both donors are carriers for cystic fibrosis, the blastocyst can be tested to see if it will develop CF. Genetic testing is often not covered by insurance and costs from several hundred to several thousand dollars per IVF cycle, depending on what is evaluated.

Parents have the ultimate authority over which embryos are transferred; it is their choice alone whether to go through with transferring a blastocyst that is genetically at-risk. Likewise, it is their choice alone whether to destroy a blastocyst. (And yes, it is BOTH parents; nothing can be done with a blastocyst without the consent of both egg and sperm donor, in the case where both donors are a) known, and b) the intended parents of the resulting child. There is a huge pile of consent paperwork signed off during this process and it includes contingency scenarios like the death of one or both parents, or divorce.)

Prior to a frozen transfer, the person preparing to become pregnant will take injections of progesterone in oil. The embryo will be thawed, and transferred in the exact same fashion as with a fresh embryo.

IVF is (on average) successful for most people within three transfers. So ideally, at the end of an IVF cycle, there are at least three viable blastocysts. It’s very much a numbers game, starting with trying to get as many eggs as possible, and the number will be continually winnowed through the entire process.

Decades ago, it was common practice to transfer multiple embryos at once, to increase odds that at least one would result in a pregnancy. This led to the proliferation of multiple births in the 1990s especially, most commonly twins and triplets, but also highly dangerous and often detrimental pregnancies of four, five, six, or more children simultaneously. This is no longer considered best practice. Most clinics will only transfer one embryo at a time, or at most two if prior medical history indicates it may be helpful.

However, in rare cases where multiple embryos are still transferred, the pregnant person has the option to selectively reduce the pregnancy by aborting some of the developing embryos. This option has always been available to patients, and frankly most patients historically have elected to reduce their pregnancies to promote the safety and health of their badly wanted child or children. Carrying a large number of fetuses simultaneously endangers all of them, in addition to endangering the pregnant person, and selective reduction substantially raises the odds of a positive outcome. This is why abortion access is critical to IVF care, as is contraception access, as an essential component of the IVF process.

What about leftover embryos? Embryos can be held more-or-less indefinitely in cold storage. Children have been born from embryos over twenty years old. However, people fortunate enough to get surplus embryos out of the IVF process have to make a decision about what to do with the remainder once their family is complete. They can keep them frozen indefinitely, though there is a fee associated with doing so (my clinic charges $250 every six months; the first six months are free). Another option is donating them to research, though some states bar the practice out of ethical concerns.

Alternatively, the embryos can be destroyed, which is done via cremation. Usually, the clinic will hold a ceremony several times a year to honor the remains of all embryos cremated since the last ceremony, and the families can be invited to attend (at the family’s choice). The idea that they’re just flushed as medical waste is pure myth. As someone going through IVF, I can tell you that the emotions surrounding even non-viable embryos are extremely complex, and everyone is going to have a different reaction to their own embryos, one they might not be able to predict prior to the experience. Some people want to treat it like a death; others want to never hear about it again after the decision is made; many are in between. It is entirely possible to understand and appreciate that this is a “clump of cells” while still mourning the embryo as your own potential child.

The last option is to donate the embryo to a person or couple. This works a little more like adoption than egg or sperm donation. The parents of the embryo will be involved in the selection of the recipients and often communicate with them. However, things like "open adoption” are not very common. It’s also possible to put the embryos into a bank for donation in the event of the parents’ death, or transfer “custody” of the embryos to a third party.

#ivf

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drshailja12 · 8 hours

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Infertility Treatment in Jaipur: Pathways to Parenthood

Infertility is a deeply personal and often challenging issue faced by many couples. Fortunately, modern medical advancements have made infertility treatment more accessible, offering hope to those struggling to conceive. Jaipur, a growing hub for advanced healthcare in India, is home to some of the best infertility specialists and clinics that provide comprehensive treatments for both male and female infertility. This blog explores infertility treatments available in Jaipur, covering causes, treatment options, and the significance of choosing the right specialist.

Understanding Infertility

Infertility is defined as the inability to conceive after one year of regular, unprotected intercourse. It can be caused by factors in either partner or a combination of issues that prevent conception. While some cases of infertility are straightforward, others may be more complex, requiring a thorough medical evaluation to determine the root cause.

Common Causes of Infertility in Women:

Ovulation disorders: Polycystic ovary syndrome (PCOS), thyroid issues, or hormonal imbalances can interfere with regular ovulation.

Tubal infertility: Blocked fallopian tubes, often caused by infections or pelvic inflammatory disease, can prevent the egg from meeting the sperm.

Endometriosis: This condition, where tissue similar to the uterine lining grows outside the uterus, can affect fertility.

Age-related infertility: Fertility declines as women age, with a notable decrease after age 35.

Common Causes of Infertility in Men:

Low sperm count or poor sperm motility: These issues can affect a man’s ability to fertilize an egg.

Hormonal imbalances: Low levels of testosterone can interfere with sperm production.

Ejaculation disorders: Problems with ejaculation can result in little to no sperm reaching the egg.

Infertility Treatment Options in Jaipur

Infertility treatments have come a long way in recent years, and Jaipur offers a variety of treatment options to suit individual patient needs. Depending on the underlying cause of infertility, the following treatments are commonly recommended:

1. Ovulation Induction

Ovulation induction is a treatment often used for women who do not ovulate regularly. Medications such as Clomiphene or Gonadotropins are used to stimulate the ovaries to release eggs, increasing the chances of conception.

2. Intrauterine Insemination (IUI)

IUI involves placing concentrated sperm directly into the uterus during ovulation, helping to increase the chances of the sperm reaching the egg. This procedure is often recommended for couples with mild male infertility, cervical issues, or unexplained infertility.

3. In Vitro Fertilization (IVF)

IVF is one of the most advanced and effective treatments for infertility. It involves retrieving eggs from a woman’s ovaries and fertilizing them with sperm in a lab. The resulting embryos are then implanted into the uterus. IVF is commonly recommended for couples dealing with blocked fallopian tubes, severe male infertility, or unsuccessful attempts with less invasive treatments.

4. Intracytoplasmic Sperm Injection (ICSI)

ICSI is a specialized form of IVF where a single sperm is injected directly into the egg to achieve fertilization. This is particularly useful in cases of severe male infertility.

5. Donor Eggs or Sperm

In cases where one partner has a severe fertility issue, donor eggs or sperm may be used to achieve conception. Donor eggs are typically recommended for women with poor egg quality, and donor sperm is used when the male partner’s sperm count or quality is too low for conception.

6. Laparoscopic Surgery

For women with conditions such as endometriosis or fibroids, laparoscopic surgery may be performed to improve fertility. This minimally invasive surgery helps remove blockages or scar tissue from the reproductive organs.

The Role of Infertility Specialists in Jaipur

Choosing the right infertility specialist in Jaipur is a crucial step in the journey toward parenthood. Experienced specialists not only diagnose and treat infertility but also provide emotional support throughout the process. Jaipur’s fertility clinics are equipped with advanced technology, offering personalized care and high success rates.

Key factors to consider when choosing a fertility clinic include:

Experience and expertise of the fertility specialist

Advanced fertility technology and laboratory facilities

Personalized treatment plans tailored to individual patient needs

Supportive environment that includes counseling and emotional support services

Emotional Support During Infertility Treatment

Infertility can take a significant emotional toll on individuals and couples. It is essential to have a strong support system in place, whether from family, friends, or professional counselors. Many fertility clinics in Jaipur offer counseling services to help couples cope with the emotional aspects of infertility treatment.

Conclusion

Infertility treatment in Jaipur offers a variety of solutions for couples facing challenges in conceiving. With a range of treatments like IUI, IVF, and laparoscopic surgery available, along with expert fertility specialists, Jaipur has become a sought-after destination for infertility care. By choosing the right specialist and exploring the best treatment options, couples can find hope and support on their journey to parenthood.

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saniahere · 6 days

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Blocked Fallopian Tubes and Pregnancy: Is Conception Possible?

Blocked fallopian tubes can affect fertility, but pregnancy is still possible! Discover how blockages occur, potential treatment options, and how medical interventions like in vitro fertilization (IVF) can offer hope for those trying to conceive.

#Blocked fallopian tubes

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meherhospital · 6 days

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Understanding the Four Major Causes of Female Infertility: Meher Hospital

Infertility is one of the most critical problems inflicting the minds and emotions of women today. Around the world, millions of couples are affected, and, in most cases, they end up availing of medical help in the form of fertility treatment like In Vitro Fertilization. At Meher Hospital, the premier gynecology and IVF center of Dehradun, we believe in helping women overcome infertility through the root cause approach and by offering advanced fertility treatments.

This article throws light on the four major causes of female infertility: tubal blockages, uterine issues, lifestyle factors, and endometriosis/PCOS. If you or a loved one is facing difficulties in conceiving, it is advisable to consult professionals who can guide you through diagnosis and treatment. It is towards this direction that the Best IVF Hospital in Dehradun, Meher Hospital strives to bring hope and success to women facing reproductive challenges.

Tubal Blockages Tubal blockages are considered to be one of the most common causes of female infertility. These cannot pass the sperm to the egg and result in fertilization not happening since these are blocked. Transporting the egg from the ovary to the uterus is a very important job the fallopian tubes undertake; therefore, any kind of blockage may seriously hamper the process of reproduction, be it partial or complete.

Causes of Tubal Blockages: The blockages of the tubes may result from:

Pelvic Inflammatory Disease: This infection often results from undiagnosed STIs. Inflammation causes scarring in the fallopian tubes. Operations that are performed in the abdominal or pelvic region lead to adhesions, which can cause tubal blockage. Endometriosis: Tissue outside the uterus results in scarring that eventually block the tubes. Treatment Ends Advanced tests used at Meher Hospital include hysterosalpingography (HSG) to check tubal health. If the HSG detects blockages, then laparoscopic surgery is one of the treatments that can clear obstructions. In serious cases, IVF is also advised since they bypass the fallopian tubes altogether; thus, chances are higher for conception. Our specialists, the Best Gynecologists in Dehradun, work relentlessly to provide every patient with personalized care.

Uterine Issues The Role of the Uterus in Fertility The uterus is a vital organ for human pregnancy because it is the implantation and developmental site of the embryo. Problems in uterine formation or function may lead to infertility or recurrent miscarriages.

Common Issues of the Uterus Fibroids: Benign growth within the wall of the uterus. Impeded implantation or blocked fallopian tubes decrease fertility. Uterine Polyps: Small benign growths in the uterine lining can prevent the embryo from implanting properly. Congenital Uterine Abnormalities: In some women, the uterus is born with an abnormal shape, like a septate uterus, that makes getting pregnant complex. Treatment of Uterine Disorders Meher Hospital diagnoses uterine problems through some combination of ultrasound and hysteroscopy thus providing proper treatment like the removal of fibroids or polyps which happen to be the primary causes of the problem. In the hands of our Best IVF Hospital in Dehradun, surgery for removal can help improve fertility outcomes. Our holistic approach makes us the Best IVF Hospital in Dehradun, giving an individual medical as well as emotional support during her treatment journey.

Lifestyle Factors How Does Lifestyle Affect Fertility? Modern lifestyles today have the most influence over fertility health. Stress, lack of exercise, bad diet, smoking, or excessive alcohol consumption of harmful nature can alter the reproductive functions.

Significant Lifestyle Factors That Affect Fertility Weight: Obesity or an underweight condition in a person can cause hormonal imbalance which may affect ovulation. Stress: Severe stress initiates ovulation and menstrual cycles. Substance Abuse: Smoking and excessive alcohol can result in damage to the organs in the reproductive system as well as the rates of fertility decrease. Improving Lifestyle for Better Fertility Meher Hospital takes the lifestyle as essential to fertility. The best gynecologists and fertility specialists guide you on better nutrition, exercise, and stress management to enhance your chances of getting pregnant. We are your Best Gynaecologist and IVF Hospital in Dehradun, providing all-round patients care.

Endometriosis & PCOS Endometriosis and its Effect on Fertility Endometriosis is a disease in which tissue nearly identical to the uterine lining begins to develop outside of the uterus, causing inflammation, pain, and infertility. It affects about 10% of women of reproductive age and causes blockages or adhesions that can make conception difficult.

Polycystic Ovary Syndrome (PCOS) PCOS is a hormonal disorder that affects ovulation. Common symptoms of PCOS include an irregular menstrual period, elevated androgen, and small cysts in the ovaries. PCOS is the most common cause of infertility and impacts 5-10% of women worldwide.

Treatment of Endometriosis & PCOS We provide specialized treatment for endometriosis and PCOS at Meher Hospital. The treatment could range from medication to regulate menstrual cycles, laparoscopic surgery, or fertility treatment like IVF based on the condition of the patient. In Meher Hospital, it is top-class infertility treatment in Dehradun due to the advanced IVF lab and a very skilled team working there.

Why Meher Hospital? Infertility can be a really stressful case to deal with. Meher Hospital understands this and provides professionalism in dealing with such complex cases. We are committed to providing the best medical care, and that is why we offer customized solutions for every individual. We are proud to be the Best Gynaecologist and IVF Hospital in Dehradun with our team of gynecologists and fertility specialists supported by modern diagnostic tools and treatment options. Our holistic approach, empathetic care, and excellent success rates in IVF make us the most preferred destination for those who suffer from infertility.

Conclusion Infertility has its reasons, but with proper treatment and care, several women have been known to overcome these woes. It may be tubal blockage, some concern over the uterus, lifestyle-related issues, or endometriosis or PCOS-some thorough cause of infertility might help a woman be able to achieve a successful pregnancy. Meher Hospital offers comprehensive fertility treatments in an environment that encourages women to take one step closer toward the dream of parenthood.

#ivf treatment #pathology lab #child specialist #pregnancy #pediatrician #ivf

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activeayulife · 1 year

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#Tubal Blockage Treatment #Fallopian Tube Blockage Treatment Without Surgery #Tubal Blockage Treatment in Delhi #tubal blockage centre in delhi #tubal blockage natural treatment #tubal blockage ayurvedic treatment #Tubal Blockage natural Treatment in delhi #tubal blockage ayurvedic treatment in delhi #ayurvedic doctor in delhi #ayurveda #uttar basti treatment in delhi #blocked fallopian tube treatment naturally #tubal blockage doctor in delhi

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jyotiayurveda · 9 months

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Unlocking Fertility Naturally: Ayurvedic Solutions for Tubal Blockage

Discover the power of Ayurveda in treating tubal blockages without resorting to surgery. Explore holistic and natural approaches to rejuvenate and clear fallopian tubes, promoting a healthy reproductive system. Unlock the potential for conception with ancient Ayurvedic wisdom. For more info, visit - https://www.drjyotiayurveda.com/Tubal-Blockage

#tubal blockage ayurvedic treatment #tube block treatment in ayurveda #fallopian tube blockage treatment without surgery

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aashaayurveda · 2 years

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If you’ve ever had pelvic surgery for an infection, a tumor, or an ectopic pregnancy, you might only have one fallopian tube. It is not uncommon for a woman to be born with a single fallopian tube. However, if you meet the following requirements, you may be able to conceive with a single tube.

#Blocked Fallopian Tubes #ayurveda #ayurveda treatment #ayurvedic treatment in delhi #tubal blockage treatment #ayurvedic doctor in Delhi

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idealfertilityivf · 11 days

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IVF Fertility Center in India: A Comprehensive Guide to IVF Treatment

The journey to parenthood can be filled with challenges, but advances in medical science have opened new doors for couples facing difficulties conceiving naturally. In vitro fertilization (IVF) is one of the most widely used fertility treatments around the world and has proven to be a lifeline for many. India, with its world-class medical infrastructure, is fast becoming a preferred destination for IVF treatments, offering both affordable and high-quality care. Among the most trusted names in fertility treatments are the numerous reputable IVF clinics across the country that provide personalized, compassionate, and advanced fertility services.

This article explores IVF treatments, what to expect, and why India is becoming a top choice for individuals and couples seeking fertility treatments.

What is IVF Treatment?

IVF, or in vitro fertilization, is a process where an egg and sperm are combined outside the body in a laboratory. Once fertilized, the resulting embryo is transferred back into the woman’s uterus for natural implantation and pregnancy. IVF is often the go-to option when other fertility treatments like medication or intrauterine insemination (IUI) have not been successful.

This technique is particularly useful for couples dealing with various infertility issues, such as:

Blocked or damaged fallopian tubes

Ovulation disorders

Male infertility factors like low sperm count

Endometriosis

Unexplained infertility

IVF treatments have evolved over the years, offering greater chances of success and fewer complications, making it one of the most trusted fertility treatments globally.

Why Opt for IVF Treatment?

IVF treatments offer a ray of hope for couples who have faced obstacles in their journey toward parenthood. Here are several reasons why individuals and couples opt for IVF:

High Success Rates IVF is one of the most successful fertility treatments, and with advancements in medical technology, its success rate has increased significantly. Many couples who may have otherwise struggled with fertility issues can now have biological children through IVF.

Treatment for Various Infertility Issues IVF is versatile in its approach. It can address a wide range of infertility problems, including ovulation disorders, tubal blockages, and male infertility factors. For individuals or couples facing complex infertility issues, IVF may provide the best chance of achieving a successful pregnancy.

IVF with Donor Eggs or Sperm In cases where either partner cannot provide viable eggs or sperm, IVF allows the use of donor eggs or sperm, thus offering a solution for couples who may not be able to conceive with their own gametes.

Pre-implantation Genetic Diagnosis (PGD) IVF can be combined with Pre-implantation Genetic Diagnosisto screen for genetic disorders in embryos before implantation. This is particularly important for couples who are carriers of genetic conditions and wish to avoid passing on inherited disorders to their children.

Personalized Care and Monitoring IVF treatments, particularly in top IVF clinics across India, focus on providing personalized care that meets the unique needs of every patient. Constant monitoring and individualized treatment plans ensure that patients receive the best possible care and attention throughout the treatment process.

Why Choose India for IVF Treatment?

When considering fertility treatments, it's important to choose a country and clinic that not only offers advanced medical treatments but also provides holistic support. India stands out as one of the Best IVF Centers for several reasons:

Comprehensive Care Approach Leading fertility centers in India focus not only on medical treatments but also on addressing the emotional and psychological aspects of fertility. Fertility challenges can be incredibly stressful, and a supportive environment can make a significant difference. These clinics provide counseling, emotional support, and a tailored approach to ensure that patients feel informed and supported throughout their journey.

World-Class Facilities and Technology IVF clinics in India are equipped with state-of-the-art technology and adhere to international standards. They use the latest IVF techniques and molecular diagnostics to provide patients with the best chances of success.

Experienced Fertility Specialists The fertility specialists in India are highly experienced and have helped countless couples achieve successful pregnancies. They have a deep understanding of both the science and the emotional journey involved in fertility treatments, offering compassionate care at every step.

Tailored Treatment Plans Each patient’s infertility case is unique, and there is no one-size-fits-all solution. IVF clinics in India offer personalized treatment plans tailored to the specific needs of each patient. This individualized approach helps maximize the chances of success and ensures that patients are comfortable with their treatment options.

Holistic Approach to Fertility The journey to parenthood is more than just a physical process—it also involves mental and emotional aspects. Top IVF clinics recognize the importance of a holistic approach that supports patients medically, physically, and emotionally. This ensures that the treatment process is smooth and reassuring for every individual.

IVF in India: Why It’s a Growing Destination for Fertility Treatments

India is fast emerging as a hub for fertility treatments, especially IVF. Several factors contribute to the country’s growing reputation as a top destination for individuals and couples seeking assisted reproduction technologies (ART):

Cost-Effective Treatment Compared to many countries in the West, the cost of IVF treatment in India is significantly lower. This affordability, combined with the availability of cutting-edge technology and highly qualified specialists, makes India an attractive option for individuals from around the globe.

Top-Quality Medical Care India boasts some of the best medical facilities in the world, particularly in major cities. Fertility hospitals and private IVF clinics are equipped with the latest technology, and the standards of care rival those in developed countries.

Internationally Trained Specialists Many fertility specialists in India have received training and certifications from leading institutions around the world. This level of expertise ensures that patients receive world-class care during their treatment process.

Legal Framework for ART India has a well-defined legal framework governing assisted reproduction technologies. This includes clear guidelines on surrogacy, egg donationand sperm donation, and embryo transfer, ensuring that patients are protected throughout the treatment process.

Supportive Environment The medical tourism industry in India is well-developed, and many fertility hospitals offer services that cater to international patients. From visa assistance to accommodation and post-treatment care, the infrastructure is in place to make the experience seamless for international couples.

How IVF Treatment Works: The Step-by-Step Process

For those unfamiliar with IVF treatment, here is a brief overview of the typical steps involved:

Initial Consultation and Evaluation The first step involves a consultation with a fertility specialist. During this phase, tests and evaluations are conducted to understand the underlying causes of infertility and to design a customized treatment plan.

Ovarian Stimulation The woman is given hormone injections to stimulate the ovaries to produce multiple eggs. This increases the chances of retrieving healthy eggs for fertilization.

Egg Retrieval Once the eggs are mature, they are retrieved from the ovaries through a minor surgical procedure.

Fertilization The retrieved eggs are combined with sperm in a laboratory, and fertilization takes place. Once the eggs are fertilized, they become embryos.

Embryo Transfer After a few days, one or more healthy embryos are selected and transferred to the woman’s uterus.

Pregnancy Test A pregnancy test is conducted approximately two weeks after the embryo transfer to confirm whether the treatment has been successful.

Conclusion

IVF treatment is a life-changing option for individuals and couples facing infertility challenges. With its cutting-edge technology, personalized care, and holistic approach, India has emerged as one of the best destinations for IVF treatment, offering world-class fertility services at a fraction of the cost compared to other countries. Whether you are seeking treatment at a fertility hospital or a private IVF clinic, the expertise, care, and compassion offered by the fertility centers in India are unmatched. With increasing success rates and affordable treatment options, India continues to shine as a destination for those seeking to realize their dream of having a child.

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#hospital #fertility #ivf specialist #ivf hospital #Youtube

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