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Frequently aked Questions (FAQs) :

Q: What are the main causes of infertility?

A:Due to Female factor : 40%

Due to male factors: 40%

Due to combined factors: 105

No cause found : 10%

Q: Why should a couple seek help of infertility specialist?

 A: If a couple is unable of having a baby in spite of one year of un protected sexual contact, they should consult a qualified infertility specialist/ Gynecologist.

 Q: What are the common causes of Childlessness?

 A: Traditionally, in our society the blame f childlessness is always on wife. It is not true. Both husband and wife are responsible for making the baby so the problem could be in either partner or both. In males, cause may be less numbers of sperms & poor quality of sperm or nil sperms, while in females the main reason are deficient egg formation, hormonal disturbances, blocked tube, endometriosis, tuberculosis and other infections. 15-20% of all couples may show no obvious cause but are unable to have a baby on their own.

 Q: Is the treatment of infertility Expensive?

 A: All infertility treatments need not be very expensive and there are lots of simplified and cost effective treatments available which are employed to give suitable outcome in most of the patients. 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 the more expensive treatments like test tube baby. However, there is no shortcut and if more advanced and costly treatments like IVF is required then one should not delay it as age is important factor in conception. We always try to minimize the cost of all procedures to give maximum benefit to most of the couples.

 Q: What are the various options for Nil sperms in male partner?

 A: It depends upon the cause, which can be known by few investigations. If it is due to less hormones than the treatment is by medicines, if the cause is flow obstruction than sperms can be retrieved surgically and used in IVF/ICSI. In case of damaged testes, no medicine or surgery helps. So we offer frozen donor semen from sperm bank.

 Q: Is there any treatment for damaged tubes?

 A: Treatment depends on nature and extent of damage. I would like to clarify that there is no medication for correcting tubal 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 test tube baby. Cornual block can be opened by hysteroscopy tubal cannulation.

 Q: What is actually Test Tube Baby or IVF?

 A: normally fertilization and early development takes place in fallopian tub. In IVF or test tube baby , eggs are taken out  by ultra sound in a test tube and then fertilized with husbond’s sperms in IVF lab. Initial development for 2-3 days can also occur out side  then growing empryo is transferred back in uterus .Rest of the development takes place as in normal pregnancy. IVF is one of the greatest advance of this centaury which has given hope a parenthood to millions of couples worldwide.

 Q: Apart from blocked/ damaged tube , are there other patients who can be benefited by IVF/ICSI?

 A: 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 with very few sperms or nil sperms. Other patients with endometriosis, egg problem, elderly patients, IUI failures can also achieve motherhood by the wonderful procedure.

 Q: Is procedure very painful?

 A: Not, at all, only egg retrieval requires mild anesthesia otherwise rest of the procedure is completely painless and no anesthesia or hospitalization is required.

 Q: Is it 100% successful?

 A: No, all procedure has got limitations on an average success rate is 35-40% per cycle which increase up to 60% 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. As of female is an important factor for successful outcome. Younger patients have higher chances of conception then patients per cycle.

 Q: If I conceive, will my baby will be normal?

 A: At the time of writing, lakhs of babies have been born following IVF. These healthy babies show there is no increased risk of abnormality in IVF conceived babies compared to those conceived naturally.

 Q:  Is there any physical risk to me?

 A:  with vaginal ultrasonic egg collection, you may be rest assured that this procedure is certainly no more risky than a properly performed laparoscopy. We are proud that Aarogya hospital ultrasonic egg collection have been performed and there have been no problems or accidents, so it is clear that the test tube baby treatment is relatively very safe procedure.

 Q: Will there be any hormonal imbalance due to the excessive hormones given?

 A: No proven long – standing side effects occur after the treatment cycle. However, during the course of the treatment one may have symptoms related to ovarian hyperstimulation.

 Q: Can I exercise as usual?

 A: Yes, but water sports and exhaustive exercises are prohibited.

 Q: What if IVF fails the first time? How many times will I have to undergo it?

 A: You can go through IVF as many times as you wish but we advise 3-4 cycles at the most. After this it is best to consider other options such as oocyte, sperm, embryo donation or surrogacy as may it appear to be most feasible procedure for a successful pregnancy to occur.

 Q: How much time does one successful treatment of IVF take?

 A: At present, the injections for down regulation of hormones are started on day 21 of the previous menstruation cycle. In 10 to 14 days, menstruation starts. Now with GnRh antagonists down regulation from previous cycle is not required as the agonists and can be started from day 6 of stimulation cycle. Active treatment for IVF starts on day 2 of the menstruation cycle and is carried through to day 14 to 15 of cycle, when embryo transfer is carried out. After another 14 days, a pregnancy test is done to confirm the occurrence od pregnancy. In all, it takes about 40 days from the start of treatment to know whether treatment has been successful.

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