IVF

Infertility refers to inability to conceive after a year of having regular unprotected sex.

In vitro fertilisation is a process of fertilisation where an egg is combined with sperm outside the body, in vitro. The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum(egg) or ova from the woman's ovaries and letting sperm fertilise them in a petri dish in a laboratory. the eggs are examined to see if they have been fertilized(embryos) by the sperm. These embryos are then placed back into the women's uterus.

The success rate depends on a number of factors including reproductive history, maternal age, the cause of infertility, and lifestyle factors. For women starting IVF, 33% have a baby as a result of their first cycle, increasing to 54-77% by the eighth cycle. a woman who is under age 35 and undergoes IVF has a 39.6% chance of having a baby, while a woman over age 40 has an 11.5% chance.

IVF is offered as a primary treatment for infertility in women over age 40 who have been trying to get pregnant through regular unprotected sex for 2 years, or who have had 12 cycles of artificial insemination.. IVF can also be done in case of certain health conditions.

90% of couples will conceive within 12 to 18 months of trying. If one is 35 years of age or older and even after six months of unsuccessful attempts at pregnancy it is best to consult a Gynaecologist.

Intrauterine Insemination (IUI) is one of the very common ways of achieving a pregnancy in which the male partner's sperms are at least 10 million. The man's semen is taken and washed by some special procedures in a laboratory. Declining egg quality results in miscarriage and Down syndrome at much higher rates in women over 35. The options are: The first step for many couples is often to try taking fertility drugs that may increase sperm production and quality, stimulate ovulation, thicken the uterine lining, and more.

Assisted Reproductive Technology (ART)- 1) in vitro fertilization- fertilization in a laboratory petri dish wherein the sperm and eggs successfully combine and the resulting embryo may be implanted in the women's uterus.

2) Intracytoplasmic sperm injection:  used as an infertility option when a male is the one experiencing infertility problems, this procedure is part of the IVF process in which a single sperm is inserted into a retrieved egg.

3) intrauterine insemination:  collecting sperm from the male partner, removing seminal fluid, and inserting the sperm directly into the uterine cavity as an option.

4) Gamete intrafallopian transfer(GIFT): GIFT is similar to IVF, except in this process the egg and sperm, which have both been harvested, are implanted into the fallopian tube for fertilization.

5) Zygote intrafallopian transfer (ZIFT): The ZIFT process is almost the same as the GIFT process, with the exception of the fact that the egg is fertilized before transfer to the fallopian tube in a Zygote intrafallopian transfer.

Sperm, Egg or Embryo Donation.

Surrogacy.

Adoption.

Living Child-Free.

In most cases, IVF injections are not much painful. There is a stinging sensation but one need not be bothered about it. The needles are too thin to cause any pain. During egg retrieval, you will be given pain medication and sedated, so the procedure itself should not be painful at all. After the procedure, you may experience some mild cramping or feelings of pressure. 

The IVF cycle itself takes around four weeks, the length of a normal ovulation cycle. Treatment begins only after initial fertility testing is completed. Fertility testing includes assessing your ovarian reserve or egg quality, uterine cavity evaluation, and semen analysis. During IVF , mature eggs are collected (retrieved) from ovaries and fertilized by sperm in a lab. Then the fertilized egg (embryo) or eggs (embryos) are transferred to a uterus. One full cycle of IVF takes about three weeks. Sometimes these steps are split into different parts and the process can take longer

Antagonist Protocol or Short Protocol:

This is the most commonly used IVF protocol. It involves the fewest number of injections and is effective for the majority of patient.

Depending on the clinical case, the short protocol is preferred in donor cycle and PCOS.

When an IVF cycle is not successful, the most common reason is that the embryo(s) stop growing before they can implant. Other possible factors to be considered include the uterine receptivity and the mechanics of the embryo transfer, but the large majority of unsuccessful IVF cycles can be attributed to embryo quality. RepeatingIVF is one option. surrogacy  is a method of assisted reproduction where intended parents work with a gestational surrogate who will carry and care for their baby(ies) until birth. 

• Wellspring IVF & Women’s Hospital Ahmedabad, India
• Sumiran Women’s Hospital Ahmedabad, Gujarat
• SNEH Hospital & IVF Centre, Ahmedabad
• Safal Fertility Foundation and Bansal Hospital
• Flora Fertility Centre, Ahmedabad

The more willing one is to use donor eggs, the higher the chances of success in women with certain conditions which can interfere with IVF success. If infertility is caused by fibroid tumors, uterine abnormalities, or ovarian dysfunction, IVF may not be the right course of treatment. Women with blocked fallopian tubes are considered good candidates for IVF since blocked tubes disrupt the physical path for fertilization. Other good candidates for IVF are those who experience unexplained infertility, endometriosis, cervical factor infertility, ovulation disorders, or when a man has a low sperm count.

• Wellspring IVF & Women's Hospital Ahmedabad, India.
• International Fertility Centre Delhi, India.
• Bloom IVF Centre Mumbai, India.
• Delhi IVF and Fertility Research Centre Delhi, India.
• Fortis Bloom IVF Center Delhi, India.
• 21st Century Hospital & Test Tube Baby Centre Surat, India.
• Conceive IVF Pune, Maharashtra
• Santaan Fertility Center & Research Institute Bhubaneswar, Odisha
• Calcutta Cureline Ivf And Infertility Clinic Kolkata, West Bengal
•  Vansh Fertility and Test Tube Baby Center Varanasi, India
• Femelife Fertility Clinic Bhubaneswar, Odisha
•  The Nurture IVF Clinic Delhi, India
• Indira IVF Udaipur, Rajasthan
• Southern Gem Hospital Hyderabad, Telangana
• Nova IVF Fertility New Delhi, India