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2 years ago Infertility Treatment

What couple should know before planning for children

Should know before planning for children

 

Fertility can be age related

We deferred having a baby for so long. If we had known how age impacts fertility, we could have started sooner.

Fertility gradually declines with age, in both men and women.

In women, this begins from around the age of 30. By the age of 44, the average woman has very few eggs left.

From a purely biological perspective, we recommend that couples try to start a family before the age of 35 as from then on wards fertility issues become more commonplace.

Once women approach 45, the chances of conceiving are extremely low, and associated risks are higher. There is also a higher chance of miscarriage – over 50% for those over the age of 43.

While the media will occasionally report instances of older women having children, the vast majority of these babies will be as a result of a donated egg from a younger woman.

For men, the story is somewhat similar in that fertility also declines with age. However many men remain fertile into their 50’s and beyond. However, there is a concern that children conceived by older men may have health issues.

If you are concerned about age related fertility, you should discuss the matter with your clinician. Perhaps we can blame the number of ageing rock stars producing offspring – many couples don’t realize that the age of the man can also have an impact on your chance of conceiving as a couple.

Nutrition is Important

If I had realized how important nutrition is, I’d have started eating healthily much earlier on.

A healthy diet is crucial to a successful pregnancy and a healthy baby. We recommend that couples enjoy a balanced diet and take regular exercise. The healthiest Body Mass Index for fertility is the same

as what is considered “normal weight”– a BMI between 19 and 25. Doctor recommends that females have a BMI of 30 or less before commencing treatment.

How to calculate your BMI – Log in here and enter your details

Alcohol

Drinking alcohol reduces your chances of conceiving – we never knew.

There is one simple rule with alcohol; the more you drink, the less likely you are to conceive. We recommend reducing alcohol intake for three months prior to treatment for both men and women.

For men, aside from lessened libido and possible impotence, excess alcohol consumption can lower testosterone and cause a decrease in sperm quality. If possible, alcohol should be completely removed in this period, but certainly not more than 1-2 units, weekly.

 

Smoking

I smoked for years never realizing that I was doing damage to my ovaries as well as my lungs.

The link between reduced fertility and smoking has been well established and documented. In women, smoking can damage the ovaries and it can lead to miscarriage. Smoking increases the risk of cervical cancer.

Leading research indicates that women who smoke reduce their probability of conception by 40% month after month. It also showed that smoking also causes impotency and impairment of sperm in men.

Simply put, both partners should stop smoking to maximize their chances of successful treatment.

 

 Less stress, more action

We lived with infertility, day after day, and we found it hard to take action. If we had realized how easy it is to just tackle the problem, we’d have taken action sooner and saved ourselves a lot of grief.

Be reassured that studies carried out in 2011 showed that emotional distress caused by fertility challenges or other life events during treatment will not compromise the chance of becoming pregnant.

With that said, we would recommend that couples investigate ways to relieve stress, independently and together. We can recommend some simple steps that can be very effective.

You need to understand your body

When you’re on the pill for a long time, your body has a very predictable cycle. Come off it, and things may be far from what you expect.

It can be very difficult to be told at the age of 39 that having been on the pill for a number of years, that your hormones are out of sync. It sometimes takes a number of months for the hormones and menstrual cycle to regulate. It also takes time to monitor and track your cycles so that you become attuned to your ovulation dates.

It’s not always so easy the second time around

We had one child and anticipated that the second would arrive just as easily for us.

Secondary infertility is more common than you may think. Couples may be lulled into a false sense of security and assume that ‘it’s only a matter of time, because our first child was conceived and carried to term so easily’. The key is to not postpone treatment, but to treat secondary infertility as you would primary infertility. If you are trying for more than one year, then go to see a specialist.

Wasting those precious years could lead to you compromising your ability to have a second or third baby.

One woman confessed.

“I wish we hadn’t wasted a few good years postponing treatment for the second time around”.

Although proven fertility can be reassuring, things can change after a previously successful pregnancy.

 

It can be a long road to conception

For some couples, the decision to start a family is quick – but the outcome is anything but.

Most couples really don’t think they will ever have difficulties in conceiving and so when the time is right, they begin trying. We recommend that you and your partner get a fertility check-up to make sure that there are no inhibiting factors, before you try for a baby.

It simply means that if there are fertility challenges, you allow enough time to deal with those, so that you can conceive the family that you dream of.  Unfortunately for many, the discovery of either a male or female problem may lead to a longer time delay in starting a family.

 

Sometimes you need to take a break

Fertility challenges can understandably lead to emotional stress.

Some people find taking a break from something that’s causing stress, whether that’s work, or fertility treatment, can help. While stress does not cause infertility, studies show higher levels of stress are associated with taking longer to conceive.

When you’re already on the emotionally challenging fertility roller coaster it can be hard to imagine getting into a relaxed head space, but it can make all the difference.

 

Everyone’s journey is different

Every single person has a unique set of circumstances, and their path to parenthood will take many different forms. It helps to talk about it with others – you may find it comforting to know you’re not alone, or you may get some insights that help you through to conception.

Patients often say that once they embark on the journey that they begin to feel better and more optimistic. It is important to do something about it and not to listen to the negative comment. There are many paths to having a child and once you become a parent, it doesn’t matter about the path that you took to get there.

 

For IVF Treatment,

Contact us now for,

  1. Appointment with Best IVF Specialist
  2. Second Opinion from leading IVF Specialist
  3. Cost Estimate for your IVF treatment
  4. All required details like number of days stay, procedure, etc.

You can Email to [email protected]

Or Send us your details with Second Opinion Link

Or Click on WhatsApp Icon below

 

2 years ago Infertility Treatment

Tips to Help Get Pregnant – Women

Tips to Help Get Pregnant – Women

 

1. Eat nutritious food

Eat a healthy, balanced diet rich in nutrients. Include leafy greens, heart healthy beans, grains, seeds and whole milk products. Reduce your consumption of sugar, highly processed foods and trans fats.

2. Stop smoking

The more you smoke, the more you risk negatively impacting your ability to get pregnant. Smoking affects your oestrogen levels and ovulation. Smokers are more likely to experience early menopause and smoking can impair the quality of a woman’s eggs.

3. Avoid illegal drug use

Illegal drugs are considered to be unsafe in pregnancy and most will pass through the placenta to your baby in the womb. Some may affect the healthy development of your baby.  If drugs are an issue for you, get help. Being informed about the risks to a pregnancy will help you to make better choices.

4. No alcohol

A 2009 study done at Harvard University of couples undergoing IVF showed that women who drank more than six units per week were 18% less likely to conceive, while men were 14% less likely.

5. Have sex

Regular intercourse 2-3 times per week ensures that you don’t miss the fertile window. Some couples confine their sexual activity specifically to the time when the woman is ovulating. Try instead, to ensure that you have sex regularly through the month. Keeping sex spontaneous, relaxing and fun is the ideal.

6. Exercise regularly

Regular moderate exercise is good for your body, your weight and your stress levels.  That means that exercise may help you to get pregnant. Avoid hard-core exercise that may, if over done, impact your menstrual cycle.

7. Take Folic Acid

Take a daily dose of 500ug folic acid three months before you plan to conceive, right up to and including the first trimester of your pregnancy. Folic acid is crucial because it helps to reduce the risk of neural tube defects.

 

8. Get blood tests

Ask your GP to check for rubella and chicken pox status, blood group Rh factor, Hepatitis B and Hepatitis C.

9. Prescription medications

If you are on any medications, review their implications for pregnancy and indeed fertility with your GP.

10. Track your Menstrual Cycle

Make sure that you understand your menstrual cycle – the most fertile time is between days 8-14 of a regular monthly cycle. However, many women have irregular periods and it is important to track and monitor those cycles so that you can work with your fertility doctor to know when ovulation is likely.

11. Manage your BMI

You can work out your appropriate weight, for your height using the Body Mass Index (BMI). Evidence suggests that fertility improves dramatically if people with a high BMI can achieve a 5% reduction in weight. In fact, the ideal weight is a BMI below 30.

12. Check your Ovarian Reserve

A blood test to measure a woman’s level of Anti-Müllerian Hormone (AMH) – a hormone secreted by cells in developing egg sacs – is a good indicator of her ovarian reserve.

 

For IVF Treatment,

Contact us now for,

  1. Appointment with Best IVF Specialist
  2. Second Opinion from leading IVF Specialist
  3. Cost Estimate for your IVF treatment
  4. All required details like number of days stay, procedure, etc.

You can Email to [email protected]

Or Send us your details with Second Opinion Link

Or Click on WhatsApp Icon below

 

 

 

 

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2 years ago Infertility Treatment

In vitro fertilization (IVF) Treatment

In vitro fertilization (IVF) Treatment

In vitro fertilization (IVF) helps with fertilization, embryo development, and implantation, so you can get pregnant.

IVF stands for in vitro fertilization. It’s one of the more widely known types of assisted reproductive technology (ART).  IVF works by using a combination of medicines and surgical procedures to help sperm fertilize an egg, and help the fertilized egg implant in your uterus.

First, you take medication that makes several of your eggs mature and ready for fertilization. Then the doctor takes the eggs out of your body and mixes them with sperm in a lab, to help the sperm fertilize the eggs. Then they put 1 or more fertilized eggs (embryos) directly into your uterus. Pregnancy happens if any of the embryos implant in the lining of your uterus.

During IVF, mature eggs are collected (retrieved) from your ovaries and fertilized by sperm in a lab. Then the fertilized egg (embryo) or eggs are implanted in your uterus. One cycle of IVF takes about two weeks.

IVF is the most effective form of assisted reproductive technology. The procedure can be done using your own eggs and your partner’s sperm. Or IVF may involve eggs, sperm or embryos from a known or anonymous donor. In some cases, a gestational carrier — a woman who has an embryo implanted in her uterus — might be used.

 

Why Should I Start IVF Treatment?

In Vitro Fertilization is typically used when couples have continuously failed in attempts to conceive and after other types of fertility treatments were not successful. IVF can be used to treat infertility caused by a number of reasons, including female ovulation disorders, premature ovarian failure, uterine fibroids, genetic disorders, blocked, damaged or removed fallopian tubes, and male infertility, such as decreased sperm count.

Women who have damaged or removed fallopian tubes can get pregnant through IVF treatment because the eggs are retrieved from the ovaries, and the embryos are transferred through the cervix — no direct need for open fallopian tubes.

For couples who hope to use an egg donor or surrogate, IVF treatment is a viable option.

 

Common IVF Terms You May Have Heard

Starting IVF treatment isn’t just about what happens at the doctor’s office — you’ve probably already realized that there’s a lot of research involved in the process. To help, here are a few common IVF terms that you may have heard, explained.

  • Blastocyst: Going through the IVF process can seem clinical, especially when it comes to what reproductive tissues and matter are called. After an egg is fertilized by sperm, it develops into blastocyst. Within five to seven days, these cells then turn into an embryo, which can be transferred to the uterus during IVF.
  • Clomid: Clomid is a commonly used fertility medication that a doctor may recommend during IVF. It encourages the body to ovulate and release an egg.
  • HCG levels: Human Chorionic Gonadotropin (HCG) is a hormone created by the body after conception has occurred. HCG can be tested for from blood or urine, and is the hormone that pregnancy tests identify to determine if conception has occurred. After an IVF cycle, your HCG levels will be checked to determine if you are pregnant.
  • IVF with PGS: Some couples choose to undergo IVF after determining they have a family or genetic history of particular diseases, syndromes or other traits. Preimplantation Genetic Screening (PGS) can be used to study each embryo and determine if it has genetic or chromosomal abnormalities before being transferred to the uterus.
  • PCOS: Polycystic Ovarian Syndrome (PCOS) is an ovarian issue that can cause irregular menstrual cycles and make it difficult for women to ovulate — a crucial part to the conception and pregnancy process. Women with PCOS do not release eggs regularly, and their ovaries often have many small cysts within. IVF is a strong option for women with PCOS, since it can help their bodies ovulate to achieve pregnancy.

 

Steps involved in IVF treatment

There are five basic steps in the IVF and embryo transfer process:

Step 1: Fertility medications are prescribed to stimulate egg production. Multiple eggs are desired because some eggs will not develop or fertilize after retrieval. A trans-vaginal ultrasound is used to examine the ovaries, and blood test samples are taken to check hormone levels.

You may need several different medications, such as:

  • Medications for ovarian stimulation. To stimulate your ovaries, you might receive an injectable medication containing a follicle-stimulating hormone (FSH), a luteinizing hormone (LH) or a combination of both. These medications stimulate more than one egg to develop at a time.
  • Medications for oocyte maturation. When the follicles are ready for egg retrieval — generally after eight to 14 days — you will take human chorionic gonadotropin (HCG) or other medications to help the eggs mature.
  • Medications to prevent premature ovulation.These medications prevent your body from releasing the developing eggs too soon.
  • Medications to prepare the lining of your uterus. On the day of egg retrieval or at the time of embryo transfer, your doctor might recommend that you begin taking progesterone supplements to make the lining of your uterus more receptive to implantation.

Step 2: Eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity to remove the eggs. Medication is provided to reduce and remove potential discomfort.

Typically, you’ll need one to two weeks of ovarian stimulation before your eggs are ready for retrieval. To determine when the eggs are ready for collection, your doctor will likely perform:

  • Vaginal ultrasound, an imaging exam of your ovaries to monitor the development of follicles — fluid-filled ovarian sacs where eggs mature
  • Blood tests, to measure your response to ovarian stimulation medications — estrogen levels typically increase as follicles develop and progesterone levels remain low until after ovulation

Sometimes IVF cycles need to be canceled before egg retrieval for one of these reasons:

  • Inadequate number of follicles developing
  • Premature ovulation
  • Too many follicles developing, creating a risk of ovarian hyperstimulation syndrome
  • Other medical issues

Egg retrieval can be done in your doctor’s office or a clinic 34 to 36 hours after the final injection and before ovulation.

  • During egg retrieval, you’ll be sedated and given pain medication.
  • Transvaginal ultrasound aspiration is the usual retrieval method. An ultrasound probe is inserted into your vagina to identify follicles. Then a thin needle is inserted into an ultrasound guide to go through the vagina and into the follicles to retrieve the eggs.
  • If your ovaries aren’t accessible through transvaginal ultrasound, an abdominal surgery or laparoscopy — a procedure in which a tiny incision is made near your navel and a slender viewing instrument (laparoscope) is inserted — may be used to guide the needle.
  • The eggs are removed from the follicles through a needle connected to a suction device. Multiple eggs can be removed in about 20 minutes.
  • After egg retrieval, you may experience cramping and feelings of fullness or pressure.
  • Mature eggs are placed in a nutritive liquid (culture medium) and incubated. Eggs that appear healthy and mature will be mixed with sperm to attempt to create embryos. However, not all eggs may be successfully fertilized.

Step 3: The male is asked to produce a sample of sperm, which is prepared for combining with the eggs. Other methods, such as testicular aspiration — the use of a needle or surgical procedure to extract sperm directly from the testicle — are sometimes required. Donor sperm also can be used. Sperm are separated from the semen fluid in the lab.

Step 4: In a process called insemination, the sperm and eggs are mixed together and stored in a laboratory dish to encourage fertilization. In some cases where there is a lower probability of fertilization, intracytoplasmic sperm injection (ICSI) may be used. Through this procedure, a single sperm is injected directly into the egg in an attempt to achieve fertilization. The eggs are monitored to confirm that fertilization and cell division are taking place. Once this occurs, the fertilized eggs are considered embryos.

Fertilization can be attempted using two common methods:

  • Insemination. During insemination, healthy sperm and mature eggs are mixed and incubated overnight.
  • Intracytoplasmic sperm injection (ICSI). In ICSI, a single healthy sperm is injected directly into each mature egg. ICSI is often used when semen quality or number is a problem or if fertilization attempts during prior IVF cycles failed.

In certain situations, your doctor may recommend other procedures before embryo transfer.

  • Assisted hatching. About five to six days after fertilization, an embryo “hatches” from its surrounding membrane (zona pellucida), allowing it to implant into the lining of the uterus. If you’re an older woman, or if you have had multiple failed IVF attempts, your doctor might recommend assisted hatching — a technique in which a hole is made in the zona pellucida just before transfer to help the embryo hatch and implant.
  • Preimplantation genetic testing. Embryos are allowed to develop in the incubator until they reach a stage where a small sample can be removed and tested for specific genetic diseases or the correct number of chromosomes, typically after five to six days of development. Embryos that don’t contain affected genes or chromosomes can be transferred to your uterus. While preimplantation genetic testing can reduce the likelihood that a parent will pass on a genetic problem, it can’t eliminate the risk. Prenatal testing may still be recommended.

Step 5: The embryos are usually transferred into the woman’s uterus three to five days following egg retrieval and fertilization. A catheter or small tube is inserted into the uterus to transfer the embryos. This procedure is painless for most women, although some may experience mild cramping. If the procedure is successful, implantation typically occurs around six to ten days following egg retrieval.

Embryo transfer is done at your doctor’s office or a clinic and usually takes place two to six days after egg retrieval.

  • You might be given a mild sedative. The procedure is usually painless, although you might experience mild cramping.
  • The doctor or nurse will insert a long, thin, flexible tube called a catheter into your vagina, through your cervix and into your uterus.
  • A syringe containing one or more embryos suspended in a small amount of fluid is attached to the end of the catheter.
  • Using the syringe, the doctor or nurse places the embryo or embryos into your uterus.

If successful, an embryo will implant in the lining of your uterus about six to 10 days after egg retrieval.

 

IVF Success Rate

The chances of giving birth to a healthy baby after using IVF depend on various factors, including:

  • Maternal age. The younger you are, the more likely you are to get pregnant and give birth to a healthy baby using your own eggs during IVF. Women age 41 and older are often counseled to consider using donor eggs during IVF to increase the chances of success.
  • Embryo status. Transfer of embryos that are more developed is associated with higher pregnancy rates compared with less developed embryos (day two or three). However, not all embryos survive the development process. Talk with your doctor or other care provider about your specific situation.
  • Reproductive history. Women who’ve previously given birth are more likely to be able to get pregnant using IVF than are women who’ve never given birth. Success rates are lower for women who’ve previously used IVF multiple times but didn’t get pregnant.
  • Cause of infertility. Having a normal supply of eggs increases your chances of being able to get pregnant using IVF. Women who have severe endometriosis are less likely to be able to get pregnant using IVF than are women who have unexplained infertility.
  • Lifestyle factors. Women who smoke typically have fewer eggs retrieved during IVF and may miscarry more often. Smoking can lower a woman’s chance of success using IVF by 50 percent. Obesity can decrease your chances of getting pregnant and having a baby. Use of alcohol, recreational drugs, excessive caffeine and certain medications also can be harmful.

The success rate of IVF clinics depends on a number of factors including reproductive history, maternal age, the cause of infertility, and lifestyle factors. It is also important to understand that pregnancy rates are not the same as live birth rates.

What are the side effects of IVF?

Like all medications and medical procedures, IVF has some risks and possible side effects. These include:

  • bloating
  • cramping
  • breast tenderness
  • mood swings
  • headaches
  • bruising from shots
  • allergic reaction to medicines
  • bleeding
  • infection
  1. Cramping and abdominal pain: Period-like cramps are common during the IVF process, along with minor abdominal pain that feels similar to your menstrual cycle. You can combat general cramps with over-the-counter pain relievers or a heat pad to reduce discomfort.
  2. Bloating: Fertility medications can heavily impact how your body retains water, leading to the dreaded side effect of bloating. This is especially common in your midsection, where fluid can build up near the ovaries (creating abdominal tenderness, too). You can combat bloating by increasing your fluid intake, and participating in light exercise such as walking.
  3. Breast tenderness: Tenderness is often felt throughout your menstrual cycle, and can be amplified by IVF medications. You can help ease this discomfort by using warm or cold compresses on your breasts (whichever feels best) or by taking a warm or cool shower. Wearing a supportive but non-restricting bra can also help.
  4. Constipation: Constipation is an unfortunate side effect that can be remedied by eating more fiber, increasing your water intake, and avoiding dehydrating beverages such as coffee and soda.
  5. Headaches and mood swings: Headaches and mood swings are common IVF treatment side effects. Over-the-counter medications can ease headaches, and while no medication can help with mood swings, knowing that they’re a normal part of IVF treatment helps. If you find mood swings are disrupting your day, be sure to seek out self-care practices such as enjoying alone time, reading a book, taking a nice bath, or sharing feelings with a friend or loved one.
  6. Hot flashes: If you suddenly feel very warm, have a flushed face, or find yourself randomly sweating, you may be experiencing a hot flash. They can appear at random during the IVF treatment process, but you can help prevent them by reducing stress, avoiding spicy foods and warm environments, and cutting back on alcohol or caffeine intake.

Your doctor can talk with you about any questions or concerns you have about IVF risks and side effects.

IVF can also be difficult emotionally, both for the person having the procedures and for their partner and/or family. Many people doing IVF treatments struggle with depression and anxiety throughout the process.

 

IVF Cost

The cost of IVF can vary greatly depending on your location, Doctor and Hospital you choose. Many couples prefer to travel to other cities with more affordable IVF treatment plans.

Other Important factors are

  • Women’s Age
  • Medical Condition of Wife
  • Medical Condition of Husband

Understanding the cost of fertility treatments can be difficult, simply because there are so many factors that impact the final bill.

Special Scenarios That Can Impact IVF Costs

Only you and your reproductive specialist can determine the best ways to utilize IVF treatments. Sometimes, that means using donor eggs or sperm, or with the help of a surrogate.

IVF Cost With Donor Eggs

In some fertility cases, it is necessary to use donor eggs. Depending on the region and clinic, this can either decrease or increase the bill for IVF treatment. Some IVF clinics claim that IVF costs with donor eggs can be dropped by up to 50 percent, partially because of the reduced medication cost and the fact that donor eggs remove the need for egg retrieval. But, how the eggs are collected and stored can make a cost difference. IVF costs with egg donation can be impacted based the clinic or donor egg bank you select.

IVF Cost With Frozen Embryos

Choosing to undergo an IVF cycle utilizing frozen embryos can reduce the IVF price tag. This is because multiple eggs are fertilized at one time, developing into embryos that can either be implanted or frozen for later use. IVF costs with frozen embryos are reduced because there is no need to retrieve more eggs, speeding up the IVF process and cutting out parts of a complete cycle.

IVF Cost With a Surrogate

Contrary to popular believe, utilizing a surrogate is common among more people than just celebrities. Surrogates allow women who are unable to carry a baby to still have children. Though, the IVF cost with a surrogate can go far beyond other kinds of fertility treatments.

IVF Cost With PGD

PGD, short for Preimplantation Genetic Diagnosis, is a form of testing done on embryos created during the IVF process to ensure there are no genetic abnormalities. PGD testing is done before embryos are transferred to the uterus, allowing doctors to select the healthiest embryos possible. Because this is an additional service, the IVF cost with PDG can increase. Some clinics will include this cost in your total cycle price, while others charge separately.

 

 

For IVF Treatment,

Contact us now for,

  1. Appointment with Best IVF Specialist
  2. Second Opinion from leading IVF Specialist
  3. Cost Estimate for your IVF treatment
  4. All required details like number of days stay, procedure, etc.

You can Email to [email protected]

Or Send us your details with Second Opinion Link

Or Click on WhatsApp Icon below

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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