Infertility can be defined as the inability of couples to conceive after trying for one year of trying, and can be diagnosed through a comprehensive infertility evaluation which assesses ovaries, fallopian tubes and sperm production and test.
Dr Bhumika Shukla is one of Delhi NCR’s premier gynaecologists, having established Niraamaya Clinic to give patients direct service with more personal touch than what hospitals can provide. She is widely revered for her ethical, transparent, and compassionate medical practice.
For infertility management in Noida, opt for Niraamaya Clinic.
Ovulation Induction
An average menstrual cycle requires that women produce and release an egg at ovulation. Unfortunately, this process can be disrupted by several factors, including polycystic ovarian syndrome, nutritional issues or excessive exercise. Ovulation induction can help women who experience irregular or infrequent ovulation conceive through using fertility medications to stimulate the ovaries to produce and release an egg.
At this stage, you will take oral tablets or injections designed to increase the production of follicle-stimulating hormone (FSH). When one of the follicles becomes dominant and matures, your doctor will give a dose of human chorionic gonadotropin (hCG), in order to trigger ovulation.
Your doctor will use ultrasound and blood tests to monitor the progress of ovulation to ensure only one follicle forms, which will reduce risk of multiple pregnancies and increase chances for successful pregnancy. This approach has proven highly successful against anovulation (which accounts for roughly 25% of infertility cases), making it a cost-effective first-line treatment solution.
IVF
IVF (in vitro fertilization, or ART) involves collecting eggs from your ovaries and fertilizing them with sperm to produce fertilized embryos that are then implanted into your uterus for gestation and development into babies. You may choose to transfer multiple fertilized embryos at once to increase your chances of pregnancy.
IVF treatment can assist women struggling with fertility issues, including genetic ones. LGBTQI+ people also may find IVF helpful when starting their families. Before commencing IVF therapy, you should speak to your GP; they can advise you on ways to increase success rates such as taking fertility drugs.
Initial steps toward IVF usually consist of a physical examination and pelvic ultrasound, along with blood testing to check for signs of infection such as inflammation. Your gynecologist may use a tool called a speculum to insert into your cervix and uterus; this allows them to obtain more-detailed ultrasound images of both organs – although usually without pain!
ICSI
If a woman is having difficulty conceiving due to male infertility, her healthcare provider may suggest intracytoplasmic sperm injection (ICSI). ICSI is an in vitro fertilization technique which injects sperm directly into an egg in a laboratory where they will then fertilize and create an embryo which is implanted into her uterus in order to make pregnancy possible.
ICSI is often utilized in tandem with IVF because it increases the production of high-quality embryos for transfer. Additionally, it may help treat men suffering from poor sperm motility or who have undergone vasectomy treatments in which their sperm cannot enter an egg normally (such as those suffering from poor motility due to blockage of entry into an egg).
ICSI fertility treatments include hormone stimulation, egg retrieval and fertilization in a laboratory setting. While similar to IVF, its success rate tends to be higher; ICSI can be particularly useful for couples experiencing unexplained infertility or male infertility and those who have experienced multiple miscarriages or failed in vitro fertilization (IVF) procedures. If ICSI could help your situation it’s wise to speak with your healthcare provider and establish a good support network when seeking treatments for fertility.
Laparoscopic Surgery
Laparoscopic surgeries differ significantly from open surgery in that they don’t involve making large incisions in order to expose abdominal organs and structures, with surgeons using narrow surgical tubes (trochars) instead to insert instruments. A first trocar may be inserted into your belly button or pelvic bone and inflated with carbon dioxide gas to separate your abdominal contents from other organs and make them easier for surgeons to see on video monitors.
This procedure is also used to treat other conditions, including polyps, ovarian cysts and endometriosis. Furthermore, it can help identify causes for fertility issues like irregular ovulation and endometrial adhesions.
As part of your pre-surgery preparations, it is crucial that you follow your physician’s advice regarding medications such as blood thinners and anti-inflammatory agents. When scheduled for surgery, bring photo identification and insurance details along with someone to take you home after the operation; you should only need to stay in hospital less than two days and will return quickly back into daily activities than after open surgery.
Embryo Transfer
If your fallopian tubes were surgically ligated or surgically removed, IVF and embryo transfer can help you become pregnant. It may also be useful if uterine fibroids prevent fertilized eggs from fertilising properly or you have poor sperm motility or morphology – this treatment could even help!
Your doctor will insert a long, thin tube called a catheter into your vagina and through your cervix into your uterus. Attached to this catheter will be a syringe with one or more embryos suspended in a small amount of fluid; they’ll use the syringe to place them into your uterus.
Transfer of embryos is one of the key steps of IVF, yet pregnancy cannot be guaranteed due to various factors like embryo quality and type. Transcervical intrauterine (TIU) and superovulation transfers appear to be most successful as both procedures are quick, painless, and require little preparation; bed rest does not appear to improve outcomes but could reduce your chance of multiple pregnancies which pose health risks to you and your babies.