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Important Facts to Know if You're Considering IVF Treatment
When is IVF treatment Needed?IVF treatment is needed where natural conception is difficult like
- Bilateral tubal blockage
- Very low sperm count, motility of sperm or poor sperm morphology
- Very low egg reserve
- Failed IUI more than 4 times
- A severe form of endometriosis ( grade I &II)
- Premature menopause – where donor egg will be taken
- The scarred or absent uterus which cannot bear a baby, or extremely poor ill health – IVF with surrogacy
- Absent sperms (Azoospermia) where sperm is recovered from the testis and injected in egg (ICSI)
- Genetic disease in one partner– embryo has to be analyzed for the genetic disease before it is deposited in the uterus
How long does it take for IVF treatment - start to finish?
IVF treatment takes about 15 to 17 days. It is started on day 2 of the menstrual cycle with daily injections to grow eggs which become mature by the 10th day. The egg pickup is done on day 12 of the menstrual cycle and fertilized with sperm in the laboratory. The resulting embryo is deposited in the uterus after 3 or 5 days.
Are there any restrictions while undergoing IVF treatment?
Smoking, alcohol, drugs should not be taken. Tobacco is known to be harmful. All couples should stop these at least 3 months prior to IVF. Heavy exercise (aerobics) is not recommended but regular yoga or light exercise is good. Avoid drugs which may hamper the uterine lining like common pain killers. All medication being taken for any ailment must be checked by an IVF physician. Herbal supplements should not be taken. One should avoid stress and have a good diet.
What are the chances of getting pregnant with IVF treatment?
The chances of getting pregnant are around 50-55 percent if everything is normal ie a good sperm and egg quality, good embryo, and a good lining of the uterus. Live birth rates are lower. However, this success rate falls if the egg reserve is poor as happens in older women, or if sperm morphology and quality is poor. It may also be lower in cases of endometriosis where the quality of the egg is impaired or in cases where uterus lining is thin. The cumulative success rates ie the success rates with more than one cycle are higher up to 70 to 80% and couples must know the difference in success rate per embryo transfer and cumulative success rates.
What is the IVF cost in Delhi, India?
Average IVF cycle costs about 1,30,000 – 1,50,000 INR depending on how many injections she requires. The IVF cost in Delhi, India would go up in case of special procedures like freezing, laser hatching, specialized sperm selection, PGD
Are IVF injections painful?
IVF injections are like any other. Most of them are subcutaneous and can be self-administered like insulin injections. The needle is thin and they are less painful. However, the apprehension of daily injections is understandable. They should be administered by an experienced person to avoid pain.
How soon can out of town patients travel home after IVF treatment?
You can travel the very next day. Avoid hectic road trips but travel by train or air is fine. It is advised to take a lot of fluid as dehydration should be avoided. Prolonged sitting is not harmful. Bed rest is not required.
Will IVF significantly increase the chances of having twins?
Usually 3 embryos on day 3 or two embryos on day 5 are transferred. This gives the optimum pregnancy rate. Less number of embryos being transferred may give a lower pregnancy rate per embryo transfer but not per cycle. Chances of twins are 18-20%. If the patient wants to avoid twins a single embryo transfer is recommended.
Are IVF babies healthy?
Yes, IVF babies are like any other children. Many couples feel that since this is an artificial process baby may not be normal. However, it is to be understood that although fertilization takes place outside the body, once the embryo is transferred in the uterus and shows a pregnancy it is a normal pregnancy like any other. IVF babies are as normal as other babies physically, mentally and genetically.
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Azoospermia means that there are no sperms. This can be due to 2 reasons. 1. Obstructive azoospermia – There is normal sperm production but no sperms in the ejacualate as the duct is blocked 2. Non Obstructive azoospermia – The sperm production in testis is absent or minimal . Hence there is no sperm in