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When Should A Couple Seek Help Of Infertility Specialist?
If Couple Is Unable To Have A Baby In Spite Of 1 Yr Of Unprotected Sexual Contact If Female Partner Is Less Than 30 Yrs Of Age And 6 Month Of Unprotected Sexual Contact If Female Partner Is More Than 30 Yrs Of Age.

What Are The Common Cause Of Childlessness?
Traditionally, In Our Society The Blame Of Childlessness Is Always On Wife. It Is Not True. Both Husband And Wife Are Responsible For Making A Baby So The Problem Could Be In Either Partner Or Both. In Males, Cause May Be Less Number Of Sperms & Poor Quality Sperm Or Nil Sperms, While In Females The Main Reason Are Deficient Egg Formation, Hormonal Disturbances, Blocked Tube, Endometriosis, Tuberculosis And Other Infections. 15-20% Of The Couples May Show Unexplained Infertility But Are Unable To Have A Baby On Their Own Unexplained Infertility

Is The Treatment Of Infertility Expensive?
All Infertility Treatment Are Not Very Expensive And There Are Lots Of Simplified And Cost Effective Treatments Available Which Are Employed To Give A Suitable Outcome In Most Of The Patient. However It Is Recommended To Have Baseline Investigations So As To Know The Exact Line Of Treatment. Only A Small Percentage Of Patients Need To Go For The More Expensive Treatment Like Test Tube Baby. However There Is No Shortcut And If More Advanced And Costly Treatment Like Ivf Is Required Then One Should Not Delay It As Age Is One Important Factor In Conception. We Always Try To Minimize The Cost Of All Procedures To Give Maximum Benefit To Most Of The Couples.

What Are The Basic Investigations Before Starting The Treatment?
Before Starting The Treatment, We Must Know Seminal Parameters For Male Partner & Tubal Status, Ovulatory Status And Hormonal Profile Of The Female Partner. This Helps Us To Decide The Most Cost Effective Line Of Management.

What Are Various Options For Nil Sperms In Male Partner?
It Depends Upon The Cause, Which Can Be Known By Few Investigations. If It Is Due To Less Hormones Than Treatment Is By Medicines, If The Cause Is Flow Obstruction Than Sperms Can Be Retrieved Surgically & Used In Ivf/icsi (Test Tube Babies). In Case Of Damaged Testes, No Medicine Or Surgery Helps. So We Offer Frozen Donor Semen From Sperm Bank.

Is There Any Treatment For Damages Tubes ?
Treatment Depends On Nature And Extent Of Damage. I Will Like To Clarify That There Is No Medication For Correcting Tubal Damage. So If There Is Minimal Damage, Then By Surgery, Tubes Can Be Opened And Results Are Acceptable Otherwise For Tubal Factor, We Have To Restore To Test Tube Baby. Some Cornual Block Can Be Opened By Laparoscopy Guided Hysteroscopic Tubal Cannulation.

What Is Actually Test Tube Baby Or Ivf-icsi ?Normally Fertilization & Early Development Takes Place In Fallopian Tubes. In Ivf Or Test Tube Baby, Egg Are Taken Out By Ultrasound In A Petridish/ Test Tube And Then Fertilized With Husband’s Sperm In Ivf Lab. Initial Development For 2-3 Day Also Occurs Outside Than Growing Embryo Is Transferred Back In Uterus. Rest Of The Development Takes Place As In Normal Pregnancy. Ivf Is One Of The Greatest Advance Of This Century Which Had Given Hope Of Parenthood To Millions Of Couples Worldwide.
In Icsi, A Type Of Test Tube Baby In Which A Normal Looking Sperm Is Injected In Removed Egg.

Apart From Blocked / Damaged Tube, Are There Other Patients Who Can Be Benefited By Ivf/ Icsi?
Yes, Now Test Tube Baby Procedure Is Offered To Almost All Patients Who Fail To Conceive By Conventional Or Simpler Mode Of Treatment. It Is Very Successful For Patients With Very Few Sperms / Nil Sperms. Other Patients With Endometriosis, Egg Problem, Elderly Patients, Iui Failures Can Also Achieve Motherhood By This Wonderful Procedure.

How Many Days Hospitalization Is Required During Test Tube Baby Procedure?
No Hospitalization Is Required For Ivf In Most Cases. All Investigation And Procedures Are On Out Door Basis Or Short Stay.
However At Least 5-6 Visits Are Required During One Cycle.

Is The Procedure Very Painful?
Not At All, Only Egg Retrieval Requires Mild Anesthesia Otherwise Rest Of The Procedure Is Completely Painless & No Anesthesia Or Hospitalization Is Required.

Is It 100% Successful?
No, All Procedure Have Got Limitations On An Average Success Rate Is 35% -40% Per Cycle Which Increase Up To 80% If A Patient Goes For 3-4 Cycles. This Success Rate Should Be Seen In Comparison With Normal Fertility Which Is Also Same For Any Given Population For Corresponding Period. As Of Female Is An Important Factor For Successful Outcome. Younger Patients Have Higher Chances Of Conception Then Patients Per Cycle With Self Egg. In Donor Egg, Age Of Female Has No Effect On Pregnancy.