Monday 24 February 2020

Who needs IVF treatment

In vitro fertilization (IVF) is a treatment for infertility or genetic problems. If IVF is performed to treat infertility, you and your partner might be able to try less-invasive treatment options before attempting IVF, including fertility drugs to increase the production of eggs or intrauterine insemination — a procedure in which sperm are placed directly in your uterus near the time of ovulation.

Sometimes, IVF is offered as a primary treatment for infertility in women over age 40. IVF can also be done if you have certain health conditions. For example, IVF may be an option if you or your partner has:

Fallopian tube damage or blockage. Fallopian tube damage or blockage makes it difficult for an egg to be fertilized or for an embryo to travel to the uterus.
Ovulation disorders. If ovulation is infrequent or absent, fewer eggs are available for fertilization.
Endometriosis. Endometriosis occurs when the uterine tissue implants and grows outside of the uterus — often affecting the function of the ovaries, uterus and fallopian tubes.
Uterine fibroids. Fibroids are benign tumors in the wall of the uterus and are common in women in their 30s and 40s. Fibroids can interfere with the implantation of the fertilized egg.
Previous tubal sterilization or removal. If you've had a tubal ligation — a type of sterilization in which your fallopian tubes are cut or blocked to permanently prevent pregnancy — and want to conceive, IVF may be an alternative to tubal ligation reversal.
Impaired sperm production or function. Below-average sperm concentration, weak movement of sperm (poor mobility), or abnormalities in sperm size and shape can make it difficult for sperm to fertilize an egg. If semen abnormalities are found, your partner might need to see a specialist determine if there are correctable problems or underlying health concerns.
Unexplained infertility. Unexplained infertility means no cause of infertility has been found despite evaluation for common causes.
A genetic disorder. If you or your partner is at risk of passing on a genetic disorder to your child, you may be candidates for preimplantation genetic testing — a procedure that involves IVF. After the eggs are harvested and fertilized, they're screened for certain genetic problems, although not all genetic problems can be found. Embryos that don't contain identified problems can be transferred to the uterus.
Fertility preservation for cancer or other health conditions. If you're about to start cancer treatment — such as radiation or chemotherapy — that could harm your fertility, IVF for fertility preservation may be an option. Women can have eggs harvested from their ovaries and frozen in an unfertilized state for later use. Or the eggs can be fertilized and frozen as embryos for future use.

Women who don't have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using another person to carry the pregnancy (gestational carrier). In this case, the woman's eggs are fertilized with sperm, but the resulting embryos are placed in the gestational carrier's uterus. For more information and help contact Dr. Neeraj pahlajani at pahlajani test tube baby center Raipur.

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The Most Common Causes of Infertility in Women and Men

For any couple trying to start a family, and Infertility diagnosis can be shattering. Most doctors recommend couples visit a fertility specialist if they haven’t been able to conceive even after a year of unprotected sex. For women above 35, this duration falls to six months. In India, infertility has become a growing cause for concern. Going by current estimates, around 1 in 5 Indian couples will experience problems with infertility. Understanding Infertility could help couples take steps to manage their condition. Here are the most common causes of infertility faced by men and women today.

Causes of Male Infertility

Historically, the reasons for infertility have always been attributed to women. However, male and female factors contribute to infertility equally at 40 percent. In the remaining number of cases, there are usually issues with both. Male infertility is often more difficult to diagnose than female infertility because symptoms do not show up early. The following are the most common causes of male infertility.

1. Varicoceles are enlarged veins in the scrotum which can lead to complications with normal sperm production. It is one of the most common causes of male infertility, but luckily, it is also reversible.

 2. Retrograde ejaculation Even if a man has healthy sperm, problems with ejaculation can prevent conception. Retrograde ejaculation, also known as dry ejaculation, occurs when semen enters the bladder during orgasm instead of coming out of the penis.

3. Tubal issues Sperm travels through many different tubes before it finally exits the penis at the time of ejaculation. If any of these tubes are blocked, it might lead to low sperm count and as a result, infertility.

4. Infections, especially those that are left untreated for a long time, can cause significant damage to the sperm and tubes. STIs such as gonorrhea can cause inflammation of the testicles as well as the epididymis.

Causes of Infertility in Women Infertility in women can sometimes be detected early on because it can result from hormonal disruptions. Apart from hormonal factors, there are also multiple other factors that can cause infertility in women. These are the most common causes of infertility in women.

1.Endometriosis

One of the first symptoms of endometriosis is heavy and painful periods. During normal menstruation, the uterine lining formed in anticipation of pregnancy sheds and is removed from the body. However, when a woman has endometriosis, the uterine lining does not completely shed. Instead, it attaches to other parts of the body.

2.Irregular periods

If a woman regularly experiences irregular periods, then ovulation cycles can be unpredictable. PCOS (Polycystic Ovarian Syndrome) is one of the most common reasons for irregular periods in women and is also a major cause of female infertility.
Age, fallopian tube issues and lifestyle changes are few other factors in women but don't let any of this shatter your will to be parents as Dr. Neeraj pahlajani will help you throughout the process. Visit pahlajani test tube baby center soon.

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Saturday 15 February 2020

Is IVF Painful? Myths and Facts about IVF by Dr. Neeraj Pahlajani

With the advancement of technology in medical science, people are turning to advanced technology for reproduction. One such technology is IVF. But for this process one needs to be educated, there are way too many myths about IVF.  In this article, we will discuss some of the myths and facts associated with IVF. Raipur’s renowned gynecologist Dr. Neeraj Pahlajani has simplified it for us. Firstly let us familiarize ourselves with the myths related to IVF. 



·         One of the common myths about IVF is that it gives a 100% guarantee in the first attempt.
·         Another common myth is that IVF does not require hospitalization.
·         It is often assumed that the entire burden falls upon the woman.
·         If once Conceived naturally the further pregnancy won’t require IVF.
·         Often considered as the last resort treatment.
·         IVF is still considered taboo in modern society.
·         Often taken as a difficult treatment of conception.
·         IVF can affect the immunity of the mother. 
·         Beta HCG report is the final call for pregnancy.
·         IVF is unaffordable and expensive.
·         Cesarean is the only option for delivery.

Now let us educate ourselves with the FACTS about IVF in correlation with the MYTHS mentioned above. 

IVF is not a guaranteed treatment; one does not get the result in the first attempt. With multiple IVF attempts, the cumulative pregnancy rate is very high. Cumulative pregnancy rates can vary from 70-80% to almost guarantee. One must not get depressed after the failure of their first IVF attempt.  One needs to attempt IVF 2-3 times before claiming it to be a failure.

It’s true that IVF doesn’t require hospitalization or surgery, but one needs to be mentally prepared that it takes a lot many frequent visits to the hospital. One needs to be mentally prepared as IVF is a time-consuming process. One needs to adjust their work accordingly, nothing important should fall during this period to avoid unnecessary stress. 

IVF can be stressful not only for the woman but also for the man. The would-be dads are equally involved in the process emotionally and financially. It is suggested that the couple should engage themselves in hobbies of their choice to stay relaxed and comfortable throughout the journey.

We often feel that if our first pregnancy has been natural, the upcoming will be of the same. But in case the tubes have been blocked or because of the acquired diseases the male semen has gone down or due to the advancing age the ovarian reserves have gone down, IVF can prove to be a better treatment in conditions like these. 

During the treatment, due to frequent visits and changes in hormones induced by gonadotropins one may feel emotionally challenged, irritable and sexually charged up. So it shouldn’t surprise you or disturb you if you feel all of this during your IVF treatment.

IVF success is directly related to age especially with the female party. With the increasing age of the female, the ovarian reserves tend to fall short. So the chances of getting pregnant with one’s own egg will keep declining with the advancing age. So one should not think that IVF is the last resort treatment. The success rate depends on many factors. With IVF the chances of multiple pregnancies can be high, however, it can be minimized after consulting your doctor. The success rate with a single embryo can be very less.

IVF is as common as natural pregnancies but is still considered as a taboo. Not everyone wants to tell people that they conceived through IVF or are going through IVF treatment. It is a simple process and one must be acceptable towards it. 
IVF doesn’t affect the health of the mother or the fetus significantly. The only complication involving IVF is ovarian hyperstimulation syndrome that too in the present-day world with the use of technology and advanced drugs and flexible treatment can be rectified. The other complications are similar to what we face during our natural pregnancy.

One should be happy with the positive HCG result but should also prepare themselves mentally for the upcoming pregnancy-related challenges which can be stressful for the couple. 

IVF is pretty affordable in today’s scenario. As far as the finances are concerned most people do not drop the IVF treatment because it is expensive but they get stressed out because of the whole time-consuming process.

IVF pregnancies can deliver vaginally as well. It is often considered that Cesarean delivery is the only option with IVF conception. The delivery of the baby depends on many factors and these factors remain the same for vaginal delivery as well as the Cesarean delivery.

Hope that this article answers most of your IVF related queries.