Questions that Couple ask in their first Visit to An Infertility Specialist
Why we are not able to achieve pregnancy?
The woman as well man spouses both demand to be examined for the possible difficulties. First of all, the record is taken which concentrates on the period of married life and the real period of striving to conceive. The menstrual record is used to examine whether the woman is naturally developing and releasing one egg per cycle. The past medical/ surgical record such as tuberculosis, diabetes, hypertension is taken. Family record for diseases such as diabetes, hypertension, or any cancer is also taken. Also, earlier medication records are studied and listed.
The preliminary blood tests are performed to understand the common health of the patient. The male spouse is instructed for semen analysis which contains sperm quantities, motility, and amount of normal-looking sperms. A basic ultrasound of the female spouse is performed in the hospital to examine her ovaries and uterus.
What is the procedure and how we’ll start the treatment?
Founded on the preliminary record and analysis, the situations are observed in both spouses. Being sure of the difficulties, detailed counseling is performed and phase by phase therapy strategy is prepared.
When the difficulty is at the formation of an egg i.e. ovulation, then the medications for ovulation are provided, and measured intercourse or IUI( in utero insemination) at the duration of egg break is required. Likewise in patients where semen amount is subnormal then IUI (which is the practice of semen to enhance its quality and then put it inside the womb) is required. Before IUI, a sonosal pingogram which is an examination to understand whether the tubes are clear or not is performed routinely without anesthesia.
4 to 5 cycles of ovulation inauguration and IUI can be requested by the patient relying upon age and additional components. If the quantity of eggs is limited in the ovary then the procedure should be at the fastest and assertive, therefore IVF is required. If both the tubes are halted then, IVF is the only treatment.
What is IUI? How is it performed?
It is a procedure where semen is capable, focused, and impose inside the womb at the period of egg release. It has the benefit of instantly putting sperms that are decent in amount and highly motile closer to the egg. This is a department technique and is performed without any anesthesia. There is no harm or discomfort. The patient requires to rest for 15 minutes and can reach her daily ritual.
How many cycles are required to succeed an IUI?
The opportunities of conceiving are superior within the main 4 cycles of IUI. Nevertheless, an utmost of 6 cycles can be performed relying upon the age and ovarian resource of the patient.
What are the chances of us getting pregnant?
In IUI modification gives you conceivable between 10% to 15% per cycle. In IVF – a possibility of 40% to 45% per cycle is detected.
What is IVF & ICSI? How does it work?
IVF is the procedure where medications are provided to the female spouse to generate numerous eggs. The eggs are then accumulated through the vagina. The technique is called ovum pick up and it is performed under common anesthesia. There is no harm or no stitch. The eggs are then mixed with sperm to create babies. When the eggs incubated with semen in a Petri dish thus fertilization engages its own, accordingly, the technique realized as IVF( In vitro fertilization). Regardless, when one sperm inoculated inside each egg therefore it realized as ICSI ( intracytoplasmic sperm injection). The embryos maintained in an incubator and transported into the womb on day 3 or day 5 confiding upon the amount and disposition of the embryos.
How much time the does treatment take?
The impulse of the female carries 9 to 10 days. It is begun from day 1 or day 2 of the cycle. Then the ovum pick-up happens 34-36 hours after the catalyst which is the ultimate injection to grow up the eggs. The embryo transfer happens from day 2 to day 5 after the pickup. So the entire procedure takes around 12 to 15 days. Occasionally, when the female generates an enormous number of eggs, particularly in the case of polycystic ovaries, accordingly the embryos frozen and transferred into another cycle, and it perceived as the Frozen embryo transfer cycle.
What are the precautions that are required before starting the treatment?
The woman is notified to carry a decent diet and normal exercise. Good sleep, yoga/meditation enables one to relieve tension oneself. Smoking and alcohol should prevented.
How the embryo can be transferred?
It is a reasonable technique without anesthesia. The woman is inquired to arrive with an entire bladder and with the benefit of abdominal scan advice, the embryos spotted inside the uterine cavity in the true area. It is a manageable technique and one can go home or work after the treatment.
What are precautions after the embryo transfer?
Constipation should be prevented by drinking a lot of liquids and keeping a decent diet full of roughage. Difficult workouts like lifting enormous weights should prevented. The treatments and injections on the medication should accepted diligently.