What is Egg freezing?
A frozen embryo Transfer (FET) happens while the cryopreserved embryos are thawed and transferred to the woman's uterus. Patients may also request to freeze and save any extra embryos that are not used during their first cycle for numerous reasons. They can also want a second child or their initial cycle will have failed. In a few cases, their hormonal profile and / or their uterine lining isn't always top-rated in the course of a new IVF cycle. Before shifting the embryos, blood tests and ultrasounds are performed. This lets in the health practitioner to identify the correct factor within the patient's cycle to Transfer the embryos. Some patients might also need to take hormonal medications to put together for the transfer. Frozen embryo transfer (FET) with hormonal support- For sufferers with abnormal cycles and / or have time constraints, their doctor may additionally endorse FET with hormonal support. In this case, hormones inclusive of estrogen and progesterone are administered to suppress or manage ovulation and to make sure that the patient's uterine lining is ready for transfer. The embryo transfer takes region on the third or 5th day of progesterone treatment. Know more approximately Embryo freezing achievement fee below. Frozen embryo transfer (FET) by means of Natural Cycle Cycles of FET, on the alternative hand, do no longer involve tablets that control ovulation, but are based on whilst ovulation takes place naturally. The patient's health practitioner carefully video display units her menstrual cycle with blood tests and an ultrasound to determine the top of the line day for embryo transfer. The frozen embryos are thawed and transferred to the uterus. Know greater about egg freezing fulfillment charge below. Vitrification: Cost to Egg freezing- Until the speedy freezing procedure, called vitrification, became added a decade ago, frozen embryos had a totally low implantation and live birth rate. There were diverse reasons for the low numbers. One of the main problems became the freezing procedure itself. The sluggish freezing technique allowed ice crystals to form inside the embryo, which broken it to the factor where it's far no longer viable. Fortunately, with the improvement of vitrification, more than 90% of frozen embryos continue to exist the thaw and have the same fine as fresh embryos. Vitrification includes freezing eggs and embryos with extremely speedy cooling, too rapid to allow the formation of crystals. To know greater about egg freezing, egg freezing achievement charge, embryo freezing fulfillment rate or cost of egg freezing, visit the fine fertility sanatorium in India.
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Unexplained infertility affects about 15% of couples which is followed by assisted reproductive technology (ART). In medicine, we talk about idiopathic infertility more and unexplained infertility less. Indeed, the term idiopathic means that there is no cause initially found for your infertility. Unexplained infertility is therefore defined as the absence of causes found after the doctor's interrogation and after the completion of additional first-line examinations performed for couples consulting for infertility. These exams are: an ultrasound of the uterus and ovaries, a hysterosalpingography or hysterosonography to assess the permeability of the tubes, a hormonal assessment at the start of the cycle and a spermogram. If these tests return to normal, the doctor can conclude that there are no abnormalities of the uterus, that the functioning of your ovaries is normal, that the fallopian tubes are not "blocked", and that the sperms are in sufficient number with normal mobility and morphology. The doctor will therefore use the term "unexplained" to characterize your infertility. What is unexplained infertility-
Among all the couples we meet in ART, it is likely that a certain number of them have sexual problems of which they do not dare to tell us out of modesty or shame. We will then label infertility as unexplained when there may be a problem of vaginismus, ejaculation, erection or sexual desire within the couple which was not declared to the doctor during the initial consultations. There is also a role for psychosocial stress in the context of unexplained infertility. On the other hand, it is possible that, in a second step, a cause is found that can explain your difficulties in conceiving. Indeed, it is after a first attempt at in vitro fertilization (IVF) that your doctor can finally discover the problem causing you infertility. After the treatment cycle and thanks to the laboratory evaluation of your oocytes, fertilization process and the "quality" of the embryos, he/she will be able to tell you whether or not there is an explanation for your fertility problems. It will therefore be a second time that infertility called "unexplained" will finally find its explanation: problem of response to treatments, problem of oocyte or sperm "quality", fertilization problem, problem of embryonic "quality", problem of implantation etc. It was impossible for your doctor to look for this type of problem before initiating treatment since you cannot start IVF solely for diagnostic purposes. Unexplained infertility treatment- In the event of so-called unexplained infertility after carrying out the first-line examinations described above, your doctor may offer several types of treatment depending on your age and the duration of your infertility. Most often, it can start with hormonal stimulation in low doses using tablets or subcutaneous injections. After a few days of treatment, you will have an ultrasound to track the time of your ovulation. Your doctor will then be able to know when your ovulation should arrive and will recommend that you have regular sexual intercourse with your partner around this period or else you will schedule an intrauterine insemination. In vitro fertilization may be offered to you in the event of “unexplained” infertility, either immediately depending on your age or the duration of your infertility, or in a second phase after failure of hormonal stimulation associated with “scheduled” sexual intercourse and / or after failed intrauterine inseminations. To know more about different unexplained infertility treatment, visit the best IVF center in India. Embryo transfer is a key component of in vitro fertilization (IVF). Once a woman's eggs are collected and fertilized, the next step is to transfer one or more of the embryos thus obtained (fertilized eggs) into the woman's uterus. The embryologist will aspirate using a fine-tipped catheter the predetermined number of embryos from the culture in which they were fertilized and developed. The doctor guides the catheter through the vagina and the cervix, where the embryos are deposited. The embryo (s) transfer is generally performed under ultrasound guidance, either an abdominal ultrasound with a full bladder or a vaginal ultrasound without the need for a full bladder. A sedative can be administered to make the procedure more comfortable. Single embryo transfer- Single Embryo Transfer- The number of embryos transferred is based on the woman's age, her medical history, the quality of the embryos, the laws in force and the wishes of the woman. Although transferring a single embryo is generally recommended, it may be desirable to transfer two or rarely three due to the quality of the embryos, which is determined by laboratory reproductive specialists based on the age of the Woman and other factors. The decision on the number of embryos to be transferred must be made by the doctor and the patient, taking into account the probability of obtaining a pregnancy against the risk of multiple births (having twins or more). In many countries, the law sets a limit on the number of embryos that can be transferred.
Multiple embryo transfer The greatest risk of embryo transfer is the risk of multiple births (twins or more) due to the transfer of more than one embryo. Pregnancies and multiple births put babies at risk when they are at low birth weight or even a premature birth. There are also higher risks for the mother with a multiple pregnancy. Other risks associated with the embryo transfer procedure are minimal, but may include:
Embryo Transfer Success Rate- The embryos used in IVF for transfer can be fresh or frozen. A transfer of fresh embryos is carried out using fertilized eggs which have been collected, fertilized and transferred during the same menstrual cycle. A transfer of frozen embryos is done after the eggs have been taken, fertilized, developed as embryos and, frozen in a process called cryopreservation. A transfer of frozen embryos can be done during a menstrual cycle following the fresh IVF treatment cycle or during a subsequent menstrual cycle from when the eggs are taken. The results of pregnancies and births using frozen embryos are comparable to those with the use of fresh embryos, and they show no increase in birth defects or developmental abnormalities. Some research has shown that frozen embryo transfers are safer than fresh cycles for the mother and embryo since the female body has a chance to rest after egg retrieval (the first step in IVF). Since the embryos are frozen, they can be transferred later during a more natural menstrual cycle. To know more about single embryo transfer, multiple embryo transfer or embryo transfer success rate, visit the best Infertility treatment in India. Spontaneous abortion, commonly called recurrent miscarriage, is quite common and can occur once in all women during their reproductive lives. The risk of recurrent miscarriage increases with maternal age and, from the age of 40; it is estimated to be 1 in 3 pregnancies. However, when repeated miscarriage follow one another, an investigation may prove useful. An investigation will only be initiated after 2 or more consecutive miscarriages. It is also necessary that the pregnancy has been confirmed by an ultrasound or by an examination in pathology of the product of conception. Pregnancies confirmed only by a positive pregnancy test are not counted. After 2 or more successive miscarriages, the risk is evaluated at 30% in women under 35 years of age. Recurrent miscarriage causes-
The most common cause of spontaneous abortion or recurrent miscarriage is aneuploidy, commonly called chromosomal malformation, either in the embryo or in the ovum of women of advanced maternal age. Recurrent miscarriage causes include:
Unfortunately, 50% of couples will not find the cause of recurrent miscarriage. Recurrent Miscarriage Advice- Although the risk of miscarriage is estimated at 30% in women under 35 with a history of recurrent miscarriages, there is still a 70% chance of giving birth to a healthy child during her reproductive life. It is important to space pregnancies at least 2 menstrual cycles for better implantation. It is also necessary to promote healthy lifestyles, maintain a healthy weight, exercise, quit drinking and smoking, and ultimately stay well hydrated. It is recommended to add the following food supplements to your diet: folic acid 1 mg and vitamin D 1000 IU every day. Recurrent Miscarriage Tests and Procedures- Recurrent Miscarriage Tests include- The prescribed investigations are directly related to the known causes of recurrent miscarriages and for which deemed effective treatment is available. To identify abnormalities of the uterus, hysterosonography or hysteroscopy will be offered. This test will be used to identify the presence of a septum, scars or fibroids inside the uterine cavity. Blood tests will be prescribed to identify the presence of diabetes, hypothyroidism or hyperprolactinemia: fasting blood sugar, glycated hemoglobin, TSH and Prolactin. Other blood tests will be necessary to identify the presence of antiphospholipid syndrome: anti-beta 2 glycoprotein, IgM and IgG anticardiolipin, and lupus anticoagulant. A blood test for karyotype of the couple, man and woman, will be used to identify the presence of balanced translocation in one or the other of the spouses. Recurrent Miscarriage Treatment and follow-ups- Recurrent Miscarriage Treatment include- In the case of recurrent miscarriages, targeted treatment will be recommended according to the results of the investigations. In most cases, specialists in reproductive endocrinology and infertility are the most competent to provide the required treatments. If a uterine abnormality is discovered, hysteroscopic surgery will be the treatment of choice. In the case of hormonal disorders, consultation and management by an endocrinologist may be requested for the treatment of diabetes, hypothyroidism or hyperprolactinaemia. Ideal control of these conditions is necessary before becoming pregnant. If an antiphospholipid syndrome is identified, the treatment of choice is the daily intake of low dose aspirin and low molecular weight heparin, from the documentation of the positive pregnancy test until the 36th week of pregnancy. If a chromosomal abnormality is discovered in one of the parents, the preimplantation diagnosis followed by in vitro fertilization can be considered. Sometimes a gluten-free diet is effective if the IgA anti-transglutaminase test is abnormal. To know more about recurrent miscarriage treatment, visit the best infertility treatment clinic and get the right solution. Hyperthyroidism is a group of disease that affects the thyroid glands. It is butterfly-shaped, small gland in front of your neck that produces thyroid hormones. These hormones control your body energy consumption so they affect every organ of your body, even the heart.
Sometimes, thyroids creates too much or too less hormones. When too much of these hormones are produced it is known as hyperthyroidism and it may cause many body’s function to speed up& when too little of these hormones are created it is known as hypothyroidism and it may cause many body’s function to slow down. How does hyperthyroidism in pregnancy effects on baby? Some symptoms and signs of hyperthyroidism often seem normal during pregnancy but it’s not. Signs that can suggest hyperthyroidism are shaky hands, unexplained weight gain or loss and irregular heartbeats. The affect of maternal hyperthyroidism on baby can cause medical problems for the new-born, if not treated well. Uncontrolled hyperthyroidism has a lot of effects on the mother as well as the baby. It can cause preterm birth by 37th week in some cases. It can lead to low body weight for the infant. Studies has proven an increase in heart beat and blood pressure of the child. A life-threatening hyperthyroidism may complicate health can lead to dehydration, rapid heart rate and death, if not treated. It is best to plan a pregnancy under the consultation of your physician so that you and your baby can be monitored throughout the pregnancy. Neonatal graves diseases might happen to one percent of the born infants because of the history of the mother. Such cases require intensive care and hospitalization. In severe form of hyperthyroidism amongst the infants, sometimes it can be fatal. Therefore, it is very important to let your physician know about your history of hyperthyroidism to ensure good health for you and your baby. Causes Of Hyperthyroidism During Pregnancy Hyperthyroidism in pregnancy is generally an effect on the Graves disease. It may happen to every 3 woman in a thousand of pregnancies, as per the studies. Graves disease is a form of autoimmune disorder. The immune systems starts creating antibodies that causes the thyroid gland to create more thyroid hormones. This anti-body created by the immune system is called TSI or thyroid stimulating immunoglobulin. Graves disease can appear during the pregnancy, if you already have it then the symptoms might get better during the second and third trimesters. This is because, in later stage of the pregnancy the immune system gets a little less active, hence, the TSI level decreases. But, when the baby is born, once again the TSI level rises and its gets worse again for the mother and the child. There are many causes of thyroid disease in pregnancy such as – hCG mediated, hyperemesis gravidarum, gestational trophoblastic disease, etc. are to name a few of them. But,most common cause is the Graves’ disease so if you have a history of Grave disease then your physician will conduct thyroid tests on monthly basis throughout the pregnancy. Proper treatment to maintain a healthy thyroid hormone level and to protect the health of the mother and the baby must be provided. Treatment Of Hyperthyroidism During Pregnancy The most preferred treatment for maternal hyperthyroidism is antithyroid medication. This medication help in lowering down the production of thyroid hormones. Temporary hyperthyroidism during the gestational period doesn’t require this treatment, generally. Woman with graves disease history or thyroid nodules during pregnancy should start this treatment after consulting the physician. The doctor will decide the doses as per the requirement. Hyperthyroidism in some cases might get better during the second and third trimester of pregnancy but gets very difficult during the first four months after the delivery. Hence, your physician needs to prescribe the doses according to the requirement before, during and after the pregnancy. In some complicated cases, woman might be asked to go through a surgery to remove thyroid part. The best time during the period for a surgery is during the second trimester – i.e. four to six months. Woman who are excepting pregnancy must not receive any radioactive iodine treatment as it can destroy their thyroid gland as well as can harm the unborn child. So, if you are facing hyperthyroidism then it is best to constantly work with your physician along with your endocrinologist to receive the best medical advise and help before, during and after pregnancy. You must consult your doctor before planning a pregnancy with hyperthyroidism condition. Read more: Effects of Thyroid in Pregnancy Egg freezing is a kind of fertility insurance which women opt for. It allows a lady to conceive at a later age in her life with her own eggs, even if the fertility possibility has lowered. Below here are some details of egg freezing and the procedure of oocyte cryopreservation and egg freezing success rate. If you think that your fertility may have declined in the past few years, you must choose a reputed and reliable clinic and a good physician to see if egg freezing will help in your case or not. When should you get your eggs frozen?
A woman starts losing her fertility starting from age of 35 to 40. Sometimes poor lifestyle and genetic factors mays lead to infertility at an earlier age. Basically, 32-33 is the perfect age for egg freezing, but if you have some symptoms of fertility issues as of now such as irregular periods, heavy or light bleeding, too much pain or fibroids, then you should immediately visit a fertility specialist and get your fertility status checked. And, if any of the reports suggest a low fertility indication, then you should go for egg freezing earlier. Your egg quality is one of the major reasons for IVF failure and if you get your eggs preserved during your young age, it increases the chances of a successful pregnancy even at a later stage in life. Cost of egg freezing The cost of egg freezing in India ranges from INR 70,000 to 150,000. The fees may get lower if you don’t use all the injections for stimulation. You have to pay an additional yearly cost to keep the eggs frozen till you choose to use them. The procedure of egg freezing After your fertility tests have been done and the doctor will evaluate your present fertility status and you will be asked to come on the second day of your period cycle. Your doctor commences ovarian stimulations and for the upcoming 10 to 12 days you are given injections. Some women may have slight side-effects because of the injections while others may not experience anything. Those women, who have a PCOS history, ensure to discuss it with your physician before going for ovarian stimulations. The hormones lead to the growth of multiple follicles and eggs which mature. When sufficient numbers of follicles are visible, your doctor will give you an injection of HCG and finally the eggs are collected in the next 40 hours. Eggs are collected through follicle with the help of a small and hollow needle. The needle is inserted in the vagina via the guidance of ultrasound. The procedure is done under anesthesia so that the patient doesn’t experience any pain. The human oocyte is the biggest single cell of human body and has a big amount of water. It is a little tough to freeze in comparison to sperms and embryos because there are chances of water changing to ice crystals The vitrification and thawing of oocyte are done cautiously so that your doctor can freeze the egg. Thus, it is important to choose a reliable and reputed lab for this purpose. How can you use the frozen eggs in the future? When you wish to get pregnant, the frozen eggs are cautiously thawed i.e. sited in a warm solution and checked. Around 75% of the eggs are perfectly accessible for fertilization. The cryopreserved eggs are usually fertilized with the process of ICSI in which one sperm is injected in the egg for the process of fertilization. The egg freezing success rate chances are 70 to 75%. So, if you have frozen around 10 of your eggs then there are chances that you have 5 to 6 embryos which can be transferred to the uterus. Risks involved with egg freezing Risks involved with egg freezing are same as those involved in an IVF process
Long term data hasn’t been collected yet for frozen eggs and its success. However, reports suggest that for more than 10 years women have kept their eggs frozen and got successful outcomes. Although women with frozen eggs can have babies even at the age of 40 but it puts both the baby and mom-to-be at risk. Usually the eggs frozen during your 30s should be safely used in 10 years. Even though the eggs may be safe but it may get tough for you to carry a baby after the age of 45. Read more: Things you should know about Egg Freezing Every married couple dreams of becoming parents someday. They dream to have their own baby with whom they can live and cherish their childhood days again. But unfortunately, for some couple it become very difficult to conceive pregnancy due to some reasons regarded their health issues. The problems which make the couple do not conceive their child is known as infertility. Infertility occurs when the couple cannot conceive their pregnancy even after having regular sexual intercourse. The infertility problem can be with both men and women.
Male infertility takes place when a man is incapable of making his wife pregnant. In other words, the male is not able to make his fertile partner conceive a child, despite of having regular unprotected sexual intercourse for a period of one year. A male is said to be infertile, if he ejaculate the sperm which are less than 15 million and are of poor quality. This leads to the difficulty in impregnating a fertile female. Causes and Symptoms of Male Infertility- There are many causes and symptoms of male infertility like; Hormonal imbalances, physical problems, psychological and behavioural problems. The men, who live a healthy lifestyle, produce healthy and good quality sperms. Below are some of the reasons behind the infertility in men.
Diagnosis of men infertility- For checking the infertility in a couple, both men and women are evaluated together. Even if you have conceived a child before, he or she needs to be again evaluated, as the new cause of infertility may have arisen. In men the diagnosis of infertility begins with male infertility test by analysing the semen. This evaluation is known as sperm count. Doctor collects the sample of semen that man has constrained from ejaculating for two to three days. If there is no abnormality found in analysing the semen then the further evaluation is essential. But if the semen analysis is not normal then, more samples of semen are collected and more evaluation is done. This evaluation includes; a complete medical history that includes sexual and general development, history of illness and exposures; genera medical examination to look for the hormonal problems evidence. Male infertility Treatment-
Introduction
In order to conceive a child, it is important for a woman to get pregnant. The sperm of a man must combine with the egg of a woman. The testicles make and store sperm that is ejaculated by the penis to carry sperm to the female reproductive tract with the help of sexual intercourse. Sometimes problems regarding fertility arise by which a couple has to face different types of problems in giving birth to the child. It is not about female infertility all the time, even male infertility can be seen in many cases, or there are issues in which both couples have fertility problems. There are some situations where the issues are unknown. Talking about male infertility, sometimes it is not identified properly. Doctors assume male fertility at the time when a couple tries to give birth to a child and the result does not appear in a complete year. The good thing is that technology has been upgraded over time and there are measures to keep yourself out from this situation. There are different things that need to know about male infertility like treatments, symptoms, causes, and tests. They have been described below. Things like low sperm count or abnormal sperm can be caused due to the undescended testicle, chemotherapy for cancer, genetic abnormalities, hormone problems, infections in the prostate or in the testicle, or elsewhere in the body which causes fever, and varicocele which is an abnormal collection of bulging veins above the testicle. Treatments For Male Infertility Treatments for male fertility can be based upon the underlying cause of the problem. When the problem is not identified properly, evidence-based treatments which improve the fertility may be prescribed. There are treatments like surgery to repair or correct anatomic abnormalities or damage to reproductive organs. Another way is to apply medical procedures for delivering sperm to the female-partner, fertilization of the egg in the lab, etc. Problems related to male infertility issues like erectile dysfunction and hormone imbalances can be solved with the help of some medication. Surgery proves to be beneficial when there is a need to repair blockages in the tubes which transport sperm. It can also be implemented for varicocele repairing. If other treatments don't restore fertility, assistive reproductive technologies like in-vitro fertilization can be effective. Symptoms Of Male Infertility Other than the powerlessness to visualize within a stated period of time or the inability to produce a live-born infant, symptoms of male infertility can't be addressed properly. The assessment of a man's fertility contains looking for signs of hormone deficiency like decreased muscle mass, facial and body hair along with increased body fat. The evaluation also contains questions regarding the health history about the men, like their past injuries to penis or testicles, childhood diseases like mumps or recent high fevers. Tests For Male Infertility Many infertile couples around the world have at least one cause of infertility, so it is better to visit the doctor to know about the possible treatment. There are different types of tests which have been used in diagnosing male infertility problems. It includes a general physical examination and medical history. In this treatment, there will be an examination of the genitals and questions will be asked about any inherited conditions, illnesses, surgeries or injuries that could affect fertility or chronic health problems. The doctor may ask about the person's sexual habits and their sexual development after puberty. Another test is the analysis of semen. The sample of semen can be achieved in various ways. One can provide a sample by ejaculating or masturbating into a container at the check-up zone. There are some important cultural and religious beliefs. That's why some men like to advance for other alternatives of semen collection. Like it can be collected by applying a special condom at the time of intercourse. After that, the semen will be sent into the laboratory in order to measure the number of sperm present. There will be a look for any abnormalities in the shape or movement of the sperm. The practitioner may also check the semen if it contains some type of infections. In most of the cases, this test is done over a particular period of time to ensure proper results. If the analysis is normal, the professional will likely recommend thorough testing of the person's partner before conducting any more infertility tests. There might be a need for some additional tests like scrotal ultrasound, hormone testing, genetic tests, testicular biopsy, transrectal ultrasound, post-ejaculation urinalysis, specialized sperm function tests, etc. |
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