FERTILITY INFORMATION

INTRODUCTIONINVESTIGATIONCAUSESTREATMENTS

INTRODUCTION :

Infertility is an issue which is rising in the modern society, affecting the psychological, mental and financial stature of many couples and proving to be a major distress. The reproductive health of a particular individual can be correlated to the overview picture of their physical, mental and social well being. All over the world, infertility is a growing menace due to various factors, including lifestyle, eating habits, late marriages, increased pelvic infection, postponing the child bearing age, women shifting their focus to career rather than family, and many more. This clearly reflects that one in every seven couples seek treatment for infertility. ICMR (Indian Council of Medical Research) suggests that out of 1000 million pollution 13 to 15 million population can have infertility issues anytime in their lifetime.


 

Good News For Infertility :

Since 1960’s scientist’s were experimenting to achieve successful fertilization outside the human body, but over a period of time, due to the major advancements in science and technology the diagnosis and treatment of infertility has improved to a greater extent, proving to be a major relief for all couples finding difficulty in conception. As a result, about 65% of the couples who seek medical help eventually succeed in having children.

 

Many infertility clinics have emerged in the current society, as infertility has now become a growing boom. However for the proper functioning of these various infertility clinics, scientific societies have been appointed to formulate the guidelines related to the IVF techniques including the set-up of IVF clinics, essential qualification of IVF team, procedures and precautions to be taken during the IVF procedure.

 

Dr. Balasaheb Khadbade at the Yashoda Fertility and IVF Centre and his entire team strives to follow all the guidelines formulated by the ICMR as patient satisfaction with proper ethics is our primary focus.

 

This makes Dr. Balasaheb Khadbade the best IVF doctor. The guidance and expertise of our professionals help to give wings to your dream of having a complete family.

INVESTIGATION :

This step gives us a clear picture of the causes of infertility. The couple is taken to the discussion table and each and every aspect is discussed with our expert panel of doctors. The diagnosis of infertility can be done by carrying out certain tests on the couple separately.

We are happy to help from Monday- Saturday between 10am-10pm. Our pathology department will carry out tests in this time frame .It is suggested to call us up a day before to register your appointment.

Male :

Semen Analysis :

The Embryologist will analyse the semen sample of the husband for infertility cause if any. For this, it is advised to have 3-5 days of abstinence before the procurement of the sample. Spermicidal jellies and condoms need to be avoided during the production of the samples. The name, age, date and time of the procurement of the sample needs to be mentioned on the container. The sample needs to be submitted to the laboratory within 30 mins of production. This analysis will specify the semen count, motility and morphology in the sample. In case of doubt do speak to our fertility expert.

Infection Screening :

It is mandatory to do the following tests.

1) HIV I and II

2) HBsAg

3) Anti HCV

4) VDRL

Apart from this hormonal tests are done on the male partner to rule out the possibility of hormonal imbalance.


FEMALE :

Hormonal Blood Tests :

1) FSH
2) LH
3) AMH
4) Prolactin
5) TSH

Infection screening :

It is mandatory to do the following tests.

1) HIV I & II
2) HBsAg
3) Anti HCV
4) VDRL
5) Rubella IgG

Folliculometry :

The size of the follicles is measured by the pictures procured on the sonography machine.

 

CAUSES :

Once a problem has been diagnosed, we immediately try to find out the cure for the diagnosed problem, however to have a detailed explanation of the problem, it is very important to understand the anatomy and the physiology of human reproductive system.


Female Reproductive System :


 

The female reproductive system is very complex, as it involves a series of complex process. Every month, a single egg (Oocyte) undergoes a maturation process inside a dominant follicle. Once the egg is matured, the follicle releases the egg, this process is called OVULATION. Once the egg is released, it starts travelling from the Fimbril end into the Fallopian Tubes. This is the perfect time for fertilization to occur. During this period, if a couple performs unprotected intercourse, the Sperm with the help of their tail move inside the vagina and enter into the fallopian tubes where if the egg is available fertilises, resulting into an embryo. The embryo then travels from the fallopian tubes and implants in the lining of the uterus called the Endometrium, which grows further providing a coushin for the baby to grow for nine months.

 

This is the natural process of fertilization, however any abnormalities or deviations in any of the above mentioned processes, may result in difficulty in conception and require medical help.

 

Some causes of infertility in women :

Medical Causes :

  • PCOS (Polycystic Ovarian syndrome)
  • Tubal Blockage
  • Endometriosis
  • Diminished Ovarian reserve
  • TB (Tuberculosis)
  • STI’s (Sexually Transmitted Diseases)
  • PID (Pelvic Inflammatory Diseases)

 

Non-Medical Causes :

  • Increased Age
  • Delayed Marriages
  • Working schedules
  • Higher Body Mass Index (BMI)
  • Decreased Coital Frequency
  • Lifestyle factors (Smoking, Drinking)
  • Stress

The severity of the issue may vary, but with the expertise at Yashoda hospital, most of the issues can be handled with successful results as we have the best doctors equipped with the best treatment procedures.

 


Male Reproductive System :


 

Sperm production and maturation takes place in the seminiferous tubules of the testes. Once mature, the sperm are stored in the epididymis. During exual intercourse, the sperm leaves the epididymis and travels through the Vas Deferens to get secreted at the time of ejaculation. Here the sperm gets mixed with various secondary secretions, which increases the capacitation of the sperm to travel through the vagina to the fallopian tubes for successful fertilization.

 

Some causes of infertility in men :

When it comes to infertility in men, more than 90% of the cases are due to :

 

  • Low Sperm Count
  • Poor Sperm Quality
  • Hormonal Imbalance
  • Genetic Defects
  • Obstruction in the Vas Deferens
  • Non-obstructive Azospermia
  • Erectile Dysfunction
  • Blockage in the Ejaculatory ducts

There has been great progress in understanding the treatment options of male infertility, including sperm-retrieval techniques, Like PESA/TESA and ICSI for men with low sperm count issues.
We at Yashoda Hospital help you with our expertise and strive hard to heal the fertility issues with a detailed examination of the cause of infertility the best possible outcome.

TREATMENTS :

Assisted Reproductive Technology (ART) is the most effective multi-stage treatment option available for all couples having difficulty in conception.

Although ART is the most effective treatment option, it requires the involvement of specialists in various domains. The provision of ‘safety’ to the Embryos is directly translated to the quality of the embryos which in turn may result in successful pregnancy.

 

Why Yashoda IVF centre? 

  • Renowned doctors equipped with expertise
  • Best equipment
  • Best technology
  • Popular destination for IVF treatment
  • Gives basic and advanced fertility treatment all under one roof
  • Cost effective
  • Offers counselling and treatment to the couple so that the patients are at ease
  • Ray of hope to childless couple

 

The fertility treatment options available at Yashoda IVF Centre are listed below:

BASIC INFERTILITY TREATMENT:

 Reassurance and psychosexual counselling

 Hormonal Blood Tests

 Infection screen

 Semen Analysis for men

 Ovulation Induction

 Sonographically monitoring Follicle growth

 Laproscopy

 Hysteroscopy

 

ADVANCED FERTILITY TREATMENT:

 IUI (Intrauterine Insemination)

 IVF ( Intro-Vitro Fertilisation)

 ICSI (Intra-Cytoplasmic Sperm Injection)

 PESA / TESA

 Laser Assisted Hatching

 Blastocyst Culture

 Embryo Freezing

 Frozen Embryo Transfer (FET)

 Embryo Donation

 Pregnancy Care

 Delivery

 

To run every ART treatment successfully, we at Yashoda Hospital perform a very detailed investigation of both the partners with a detailed medical history and detailed examination of the couple, only then the most suitable treatment option is suggested.

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