When
a Couple should seek help of Infertility Specialist?
If a couple is
unable to have a baby in spite of one year of
unprotected sexual contact, they should consult
a qualified infertility specialist / Gynecologist
What
are the Common cause of Childlessness?
Traditionally,
in our society the blame of childlessness is always
on wife. It is not true. Both Husband and Wife
are responsible for making a baby so problem could
be in either of partner or both. In Males, cause
may be less number of sperm & poor quality
sperm or nil sperms while in females, main reason
are deficient egg formation, hormonal disturbances,
blocked tube, endometriosis, Tuberculosis and
other infections. 15 – 20% of couples may
show no obvious cause but are unable have a baby
on there own.
Is
the treatment of Infertility Expensive?
All infertility
treatment need not to be very expensive and there
are lots of simplified and cost effective treatments
available which are employed to give a suitable
outcome in most of the patient. However it is
recommended to have baseline investigations so
as to know the exact line of treatment. Only a
small percentage of patients need to go for more
expensive treatment like Test Tube Baby. However
there is no shortcut and if more advance and costly
treatment like IVF is required then one should
not delay it as age is one important factor in
conception. We always try to minimize the cost
of all procedures to give maximum benefit to most
of the couples.
What
are the basic investigations before starting
the treatment?
Before starting
the treatment, we must know seminal parameters
for male partner & Tubal Status, Ovulatory
Status and Hormonal Profile of female partner.
This helps us to decide the most cost effective
line of management.
What
are various options for Nil sperm in male partner?
It depends upon
the cause, which can be known by few investigations.
If it is due to less hormones than treatment is
by medicines if the cause is flow obstruction
than sperms can be retrieved surgically &
used in IVF / ICSI ( Test Tube Babies). In case
of damaged tests, no medicine or surgery helps.
So we offer Frozen Donor Semen from Sperm Bank.
Is
there any treatment for damages tubes ?
Treatment depends
on nature and extent of damage. I will like to
clarify that there is no medication for correcting
tube damage. So if there is minimal damage, then
by laparoscopic surgery, tubes can be opened and
results are acceptable otherwise for tubal factor,
we have to restore to Test Tube Baby.
What
is actually Test Tube Baby or IVF ?
Normally fertilization
& early development takes place in fallopian
tubes. In IVF or Test Tube Bay, egg are taken
out by ultrasound in a test tube and then fertilized
with husband’s sperm in IVF lab. Initial
development for 2 – 3 day also occur outside
than growing embryo is transferred back in uterus.
Rest of the development takes place as in normal
pregnancy. IVF is one of the greatest advance
of this century which had given hope of parenthood
to millions of couples world wide.
Apart
from Blocked / Damaged Tube, are there other
patients who can be benefited by IVF / ICSI?
Yes, Now test Tube
Baby procedure is offered to almost all patients
who fail to conceive by conventional or simpler
mode of treatment. It is very successful for patients
with very few sperms / nil sperms. Other patients
with endometriosis, egg problem, elderly patients,
IUI failures can also achieve motherhood by this
wonderful procedure.
How
many days hospitalization is required during
Test Tube Baby procedure?
No hospitalization
is required for IVF in most cases. All investigation
and procedures are on out door basis or short
stay. However at least 5 – 6 visits are
required during one cycle.
Is
the procedure very painful?
Not at all, only
egg retrieval requires mild anesthesia other wise
rest of the procedure is completely painless &
no anesthesia or hospitalization is required.
Is
it 100 % Successful?
No, all procedure
have got limitations on an average success rate
is 35 % per cycle which increase up to 50% if
a patient goes for 3 – 4 Cycles. This success
rate should be seen in comparison with normal
fertility which is also same for any given population
for corresponding period.