Infertility Treatment

The “Parenthood” is a “dream” that almost every couple would want to achieve in their life time.

But in 10 to 15 out of 100 couple worldwide struggle to conceive and face the agony of the  “ Infertility” which is a global public health issue.

The field of Reproductive Medicine and Fertility Treatments is rapidly evolving and thus reducing the global burden of infertility.

Systematic analysis of couple, skilful team ( Expert clinicians , Embryologist , Nurses), well equipped technology and empathetic approach with continuous emotional support  to these couples is key to achieve their dreams of “Parenthood”.

Are there any situations where couple needs to seek advice of Fertility specialist earlier than one year of trying ?

Some special situations are : Female age more than 35 years, known fertility problems in male or female partner or social reasons.

What are the reasons for Infertility ?

1. Female Factors (35 %) PCOD, Endometriosis , Poor ovarian reserve, Tubal factor, Uterine factor

2. Male Factor (30%)

3. Combined Factors (15%) Both male and female factors

4. Unexplained Infertility (25%) No reason found after complete tests

Is increasing female age is concern ? Why ?

Yes , as the female age increases fertility potential decreases.  Females are born with limited number of eggs. As age progresses the egg destruction process is faster reducing the egg reserve. Thus “age “ and “AMH” (test of egg reserve) decides the timeline for fertility treatments.

What are the tests involved to find the reasons for Infertility

Focused history and examination of both the partners.

Tests done on female partner :

• Routine tests & Infection screening

• Optional Hormonal Tests : AMH (test of egg reserve), D2-4 FSH & LH, Prolactin, TSH,T4,T3

• Transvaginal Ultrasound

• Tubal tests : Saline infusion sonography (SIS), Hysterosalpingography (HSG), Laparoscopy and Hysteroscopy and dye test

Test done on male partner :

• Routine tests & Infection screening

• Semen Analysis & Semen Culture

• Hormonal tests : FSH, LH, Testosterone, TSH, Prolactin

• Genetic tests : Karyotyping, Y chromosome microdeletion

• Surgical Sperm Retrieval: PESA, TESA, TESE

What treatments would be offered for Infertility ?

Treatment Options are :

1. Lifestyle management (maintaining healthy diet & healthy weight, stress management, optimization of health prior to conception)

2. Ovulation  Induction + Natural trying

3. Ovulation Induction + IUI (Intra Uterine Insemination)

4. IVF/ICSI (In Vitro Fertilization/ Intra-cytoplasmic Sperm Injection)

The treatment option is chosen based on reason for infertility, duration of infertility and age of female partner. The treatment decision is always a “shared decision” between clinician and couple considering medical and emotional factors. Counselling and emotional support  is an integral part of the fertility treatments. Strategic stepwise approach , choosing right option right time , will help in achieving outcome in shortest possible period.

What are the success rates of different treatments ?

The success rate mainly depends on reason for infertility , age and AMH of female partner, quality of sperm and condition of uterus. If all the factors are favourable the success rates of different treatments will be optimal.

Dr. Arif and Dr Sana are renowned as an infertility specialist team which provides comprehensive infertility treatment in Mysore. If you have previously failed IVF- feel free to consult us for second opinion to plan next course of action.

Dr. Arif is one of the best Infertility/ Reproductive Medicine Specialist who provide the best Infertility care service in Mysore. For more information about our comprehensive treatment options call +919481289390 or Click on Book Appointment for online booking.

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Disclaimer: The information provided in this blog is for educational purposes only and is not intended as medical advice. Always consult a qualified healthcare professional for any medical concerns or questions.