What is IVF? IVF or In Vitro Fertilization is a procedure where female egg is fertilized with male’s sperm outside the body under culture condition, which is almost similar to that of woman’s tube. When is IVF required? This is a technique to provide a child to infertile couple. It is required in the following instances: # Presence of irreparably damaged fallopian tubes and absent tubes # Oligospermia that fails to respond to any other therapy # Idiopathic infertility # Presence of sperm antibodies # Abnormal cervical factor # Tuberculosis in which tubal reconstruction is contraindicated # Endometriosis # Peritonial factor How is IVF done? IVF does not involve any surgical procedure requiring a cut or stitch. The ovaries are stimulated on day 2 of a menstrual cycle with the help of drugs. These follicles take 12-14 days to develop fully. It is at this stage that eggs are aspirated out from the ovaries. The egg collection is done under sedation or short general anaesthesia in which a needle is inserted through the vagina, and under ultrasound guidance the eggs are collected from both the ovaries. One tries to get multiple eggs but each woman responds differently. This procedure takes 15-30 minutes. In normal circumstances hospitalisation is not required. Soon after the eggs are obtained, at the same time the partner is asked to collect a semen sample by masturbation. How does conception occur in IVF? Normally conception occurs by the fusion of sperm (male sex cell) and egg (female sex cell), inside the woman s womb. In IVF, the sperms and eggs are fused (fertilized) outside the womb. This is done in special tubes and petridishes in the IVF laboratory. Special incubators are used to keep these sperms and eggs together in an environment similar to the mother s womb. Once there is successful fertilisation, these embryos (earliest form of the baby) are put in to the mother s uterus. This procedure is known as Embryo Transfer or ET. What is the duration of IVF treatment? IVF is unde
Dear Doctor, We were married 12 years back but till now we are without any issue. My present age is 45 years and age of my wife is 43 years at present. After one year of marriage i.e. in the year 2000, we consulted gynaecologist, who prescribed several courses of clomiphen. Injections like choragen, pregnyl etc were also administered. Apart from this medicines like letoval were also taken by my wife. But despite this, we were unable to have a baby. Subsequently, laparoscopy / EB was conducted in January 2002 and it was diagnosed that both tubes seen healthy and potent , spill and ovaries normal, pelvis clean. After laparoscopy, the courses of medicines was repeated. After, we consulted another doctor from Mumbai (Dr. Firruza parikh), who suggested cervical dilatation, which was done January 2004. Dilatation was possible upto Hg 8 with difficulty. After this we were asked to follow CC (Tab fertyl, Inj profassi, Inj IVFC 5000) + coital courses for 3 months. After failure of this course, another course for 2 months which include Inj Lupride, Inj IVF – M with ovulation monitoring followed by Inj IVF-C 10000 iu, IVF 5000 iu. After this a cyst was developed and course was stopped after two months. After the failure of above course, we shifted to Delhi in April 2006 and consulted doctors there. First they asked us to go for HSG and the report of which was ‘Impression: Normal Study’. Another Dr. in Delhi performed Mycobacterium Tuberculosis and NK cells after which my wife has take 9 months medicinal course of AKT till Feb. 2007. After which Microbiology was again conducted at Appollo Hospital Delhi on 28.02.2007 with report ‘Negative for IS-6110 ‘Sequence of Mycobacterium Tuberculosis’ Conclusion: Endometrium *SECRETORY PHASE. After this two IUI course were done in March & April 2008 at Appollo Hospital Delhi. After failure of two IUI corses, IVF was done at Appollo Hospital in May-June 2008. After failure of IVF, we discontinued the medicines as my wife developed a cyst in left ovary. Now keeping in view the above history, we may please be guided what steps should we take to have a baby. An early response will be highly appreciated. With regards, AJAZ
i am second multigravida with one female ftnd second ectopic pregnancy laprotomy done two ivf cycles undergone not conceived and now conceived naturally but with missed abortion age is 38 what may the causea my email adress savita tapadiya WWW.WWWW.WW
my wife utras mouth is very small and tilted one side , afterr merriage we could not got phy.. for two yrs but after one IUI treatment we r able to be phy , but she feel more pain , and she say that she has no intention for sex ,pls tell what to do now?
Hi Dr I am sangeetha from india....I got done IUI two weeks back Dr had prescibed Prognova for 6 days a day before iui ....i have taken this tablets for more 6 days.....that was my mistake......Please tell me is it going to affect ....Need ur advice Dr
Hi, My wife had just gone through IVF process and had the Embryo Transfer on the 25th May 2014 (16 days ago) Proluton Depot 250mg was given on the transfer day itself, and every 3 days after that. The last injection given was on the 6th June. Also given was PREGNYL 5000IU on the day of the transfer and 3 days interval twice(6th June was the last Pregnyl Injection). Today, we made a BLOOD HCG and the result shows negative. What went wrong? Do Pregnyl or Proluton effect the reading of HCG in blood?
Hi doc. I had my first IUI on 28 may and the doc prescribed me 2 doses of Duphaston 2 mg and 1 dose of Progynova 2mg. I m having light bleeding since yesterday( my 13 day post iui). Is it my periods or bleeding due to implantation? Also I want to know whether i should continue with the medicines or not.
I am due to have a frozen embryo transfer . It got delayed because i have a cyst on my ovary. I was put on norethisterone for rwo weeks and scanned: the cyst was still there. I had to take norethisterone for snother week then wait for my period. I...
Hi, I am 30 years old and have been diagnosed with PCOD. My first 3cycles with ovofar failed so am now meeting an infertility doctor. My height is 170 cm and weight 89kg. My husband has no infertility issues. My AMH was 0.4 but the doctor has...