In-Vitro Fertilization, a type of assisted reproductive technology (ART) which is commonly known as IVF is the process in which the eggs are extracted and fertilized manually with a sperm sample. This process will be carried out in the laboratory at specific environmental conditions. Later, the fertilized egg or embryo is placed in the uterus.
It is found that 1 out of every 6 couples got some infertility or related issues.Both or either of the partner can be a victim of infertility. However, females are more prone to it. If infertility issues exist within the female partner then it is termed as female infertility. On the other hand, if it is existing within male partner it falls under male infertility.
Infertility problems have no power over you to drag you out of your motherhood dream. So Lets first check out what triggers female infertility:
The leads to infertility in women can be many. It’s true that women are born with a finite number of eggs.However, the number and the quality of the eggs get reduces as the reproductive years progress.
Even though the lifestyle factors such as stress and obesity have the major role in infertility, they are mainly caused due to the following conditions
Hormonal imbalance lead to abnormalities in ovulation and production of the egg
Cervical disorders or hostile cervical disorder lead to rejection of sperm entry into the uterus
Damaged fallopian tubes can disrupt the path of egg and thus fertilization cannot take place
Uterine disorders such as fibroid growth or presence of polyps which resist implantation
The cause of about 20% of total infertility cases is not yet known
Surrogacy can be considered as a method or agreement in which a woman agrees to become pregnant for another person or persons, who will become the new born child’s parent or parents after birth.
Intended parents may seek a surrogacy arrangement when:
Pregnancy is medically impossible.
Pregnancy risks are present.
An unacceptable danger to the mother’s health.
Monetary compensation may or may not be involved in these arrangements. There are some laws in a few countries which restrict and regulate surrogacy and the consequences of surrogacy.
Types of surrogacy
The surrogate can be fertilized in a number of ways. Each method has its own implications for the genetic relationship of the resulting child with the surrogate and the future parents. There are two main types of surrogacy. Traditional Surrogacy and Gestational surrogacy.
It is also known as genetic, partial or straight surrogacy. It involves natural or artificial insemination of a surrogate. If the intended father’s sperm is used in the insemination, then the resulting child is genetically related to the intended father and genetically related to the surrogate.
Gestational surrogacy is also known full surrogacy as or host surrogacy. It takes place when an embryo created by IVF technology is implanted in a surrogate, sometimes called a gestational carrier. It can be done in many ways, but in each approach the resulting child is genetically unrelated to the surrogate.
Guru Multispecialty Hospital, Madurai is one of the best Infertility centers in India with the best technologies. The main aim of this hospital is to facilitate infertility patients to give birth to their own babies. This was established with the sole objective of making infertility treatment available, accessible and affordable to the common people.
Intra-cytoplasmic sperm injection (ICSI) is a technique that involves a single sperm injection into an egg directly to fertilize it. Later, this fertilized egg is inserted into female uterus. The ICSI technique is much similar to IVF. The only difference is that ICSI technique directly injected particular sperm sample into an egg cell whereas IVF is performed into a petri-dish.
ICSI is one of the most successful types of infertility treatment. Micromanipulation technique is used in ICSI process that uses a particular microscope and small surgical tools to pick up and handle sperm and directly injected into an egg cell.
The process generally contains five main steps
Obtaining a sperm sample
Obtaining eggs from the ovaries
Inject the sperm into an egg by using a tiny needle
Analyse development and growth of the fertilized egg
Later, implant one normal growth embryo into uterus to further development
Fertilization rates for ICSI are quite well. Most of the IVF programs show 70-85% positive results when injected using ICSI technique. The ICSI technique uses relatively young and fertile eggs that are good in quality and quantity than IVF. The process needs high embryo transfer skills of the embryologist to provide excellent results.
ICSI fertilization and pregnancy success rates depend on
Hysteroscopy is a minimally invasive surgical procedure for the visualization of inside of the uterus. It is done by inserting a special visualization instrument called a hysteroscope through the vagina and cervical opening.
Hysteroscopy can be done either to aid in diagnosis or to perform surgical procedures.
Complications of hysteroscopy are rare
Hysteroscopy can be used with other procedures, such as laparoscopy
A diagnostic hysteroscopy is carried out to diagnose the problems of the uterus. It is also used to confirm results of other tests, such as Hysterosalpinography or HSG.
An operative hysteroscopy is carried out to correct the abnormality diagnosed during a Diagnostic Hysteroscopy. It can also be performed at the same time of diagnostic hysteroscopy inorder to avoid the need for a second surgery. During operative hysteroscopy small instruments are used to correct the abnormal condition, which will insert through the hysteroscope.
Operative Hysteroscopy is used to correct the following uterine conditions:
Abnormal Bleeding : Hysteroscopy can diagnose the cause of heavy or lengthy menstrual flow and treat the same using Endometrial Ablation procedure. In this procedure the Hysteroscope along with some instruments are used to destroy the uterine lining which causes heavy bleeding.
Septum : Hysteroscopy helps to identify uterine septum, a malformation in the uterus that is present from birth.
Polyps and Fibroids : Hysteroscopy is carried out to remove non-cancerous growths like polyps and fibroids in the uterus.
Adhesions : Hysteroscopy is used to remove uterine adhesions, which are bands of scars in the uterus that may lead to changes in menstrual flow as well as infertility.
Benefits of Hysteroscopy
Hysteroscopy provides the following advantages compared with other more invasive surgeries:
Possible avoidance of ‘open’ abdominal surgery
Less pain medication needed after the surgery
Shorter recovery time and hospital stay
Avoidance of Hysterectomy
Guru Multispecialty Hospital is a complete infertility centre in Madurai with most sophisticated technology to craft infertility. Anish Fertility and Women Centre is a unit of Guru Hospital provide world-class infertility care to all in need.
With an increased incidence of infertility disorder among men and women, IVF (In Vitro Fertilization) as an Artificial Reproductive Technique (ART) has become quite popular. Popularly known as test tube baby procedure, IVF is the most effective infertility treatment procedure … Continue reading →
Male infertility is as common as female infertility though not popularly discussed. It is a condition, that occurs when regular unprotected intercourse for about a year, with a fertile partner, fails to lead to conception. Most cases of male infertility can be cured through proper medical attention.
Causes of Male Infertility
The various causes of male infertility include insufficient sperm count, blockages in the tubes carrying sperm or lack of sperm mobility. Other medical causes or conditions include: –
Ejaculation issues – issues like retrograde ejaculation hinders fertility as well
Infections – infections can cause scarring which interferes with the transfer and movement of sperm.
Hormonal imbalance – hormonal imbalance can affect the count and quality of sperm produced.
Varicocele – varicocele is a condition where the veins that drain the testicles swell which disrupts the transfer of sperm. This can be reversed easily and is a common cause of male infertility.
Various other disorders like chromosome defects, tubule defects and so on effects male fertility. Prior surgeries and certain medications are known to cause male infertility as well.
Symptoms of Male Infertility
Though the obvious symptom of male infertility is the inability to contribute to a successful pregnancy, there are other symptoms which go unnoticed usually. Some of them are: –
Recurring respiratory issues
Sexual function disorders
Increased growth of breasts
Inability to detect smells
Decreased hair growth on face and body
Swelling and pain in testicles
If symptoms like pain or swelling in testicles area, issues with sexual function and history of surgeries in pelvic area exist, medical attention should necessarily be sort.
The treatment for infertility is based on the issue that causes it. Diagnosis for male infertility involves physical examination of pelvic region, semen analysis and evaluation of hormonal balance. The treatment for male infertility includes: –
Hormone treatments along with medication to correct hormonal imbalance