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Can
a person without sperm in his semen
father a child? |
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Men
who do not have a sperm in their semen
can also plan to achieve fatherhood,
if some sperms can be found in their
tests. |
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Can
a woman who does not get her menses
manage to achieve motherhood? |
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Women
with hypogonadic ovaries will not
get menses on their own. But their
ovaries can be persuaded hormonally
to release eggs and get menses to
achieve motherhood. |
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What
is Infertility?
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When a couple is in conjugal relationship
for a year or two without getting
conceived is a sign of infertility.
But remember infertility is simply
a disease and not a CURSE any more.
Get your infertility treated as you
would do for any other disease. Babies
originate from embryos, which again,
are formed from the union of an egg
and a sperm. Woman produces only one
egg every month at a particular time
in her menses cycle. That egg remains
fertilizable by sperm for about 24
hours only. A woman is fecund only
in that period. This is invariably
in the middle (14th day) of a normal
menses cycle of 28 days. |
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How
many are infertile? |
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This answer will put the problem in
perspective. It is understood that 84%
of women would conceive within one year
of marriage; 92% in two years and 93%
in after three years. Which means, some
5-15% of the married couples are facing
this problem at any given time in a
society.
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Women |
Treatment
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Men |
Treatment
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Blocked Tubes not correctable by
surgery |
IVF is the ONLY choice |
Less number of Motile Sperms (10
million min) |
Insemination or IVF |
|
IVF is the ONLY choice |
No Sperms at all in Semen |
Sperm from Testes & ICSI |
|
Hypogonadism |
Medical Treatment |
Weak sperms but enough in number |
Insemination or IVF/ICSI |
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PCOS
|
Medical Treatment & IVF Optional |
Severely low sperm numbers |
ICSI |
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Antibody problems |
IVF |
Ejaculation problem |
Insemination & IVF Optional |
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Premature Ovarian Failure |
IVF with donated Eggs |
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Anovulation |
Medical Treatment & IVF Optional |
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Endometriosis |
Medical Treatment & IVF Optional |
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Cervical Mucus Problem |
Insemination or IVF |
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Antibody Problems |
IVF with ICSI |
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Other Pelvic Inflammatory Disease |
Medical Treatment & IVF Optional |
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Unknown Cause > 3 years
Infertility |
IVF or ICSI |
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Is
Infertility on the increase in society?
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At
the outset, it would appear so. There
are so many reasons for this. Our
lifestyle changes, late marriages,
career options, educational ambitions
are all responsible, but we can’t
help any of the above mentioned factors. |
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Why
am I Infertile? |
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Infertility
can be caused by the any or all of
the following reasons and the treatment
options are given below for women
and men separately. Sometimes, the
cause may not be diagnosable (unexplained).
Many a times, it is due to a combination
of all. |
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What
is Normal Semen Analysis?
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Normally
man has about 40 to 100 million sperms
in semen. WHO has found that 20 million
sperms with 50% motility as the requirement
for natural conception to occur. Anybody
whose count is consistently lower
than this may require ART procedures.
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Why
is this IVF treatment expensive?
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Because,
women needs to be injected with costly
hormone injections to make her ovaries
to produce more number of eggs which
can be collected and use them to produce
embryos in the specially equipped laboratory.
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Why
are so many blood tests required during
IVF treatment? |
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The
Doctor needs to closely monitor the
progress of the growing eggs so that
dose of Injection can be adjusted
accordingly. |
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What
tests are required before starting the
IVF treatment? |
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Tests
for Wife:
* Serum FSH, LH, PRL, TSH Anti Chlamydia
IgG/IgM, Rubella IgG, CMV IgM, HBsAg,
VDRL & HIV 1&2 (6 months validity)
* Hb, BTCT, Blood Group Random Sugar
Blood if there is no Family History
of Diabetes
* In case of family history of Diabetes,
Fasting Blood Sugar and 2 pp Sugar
* In case of history of Koch's Mantoux
test report.
Tests
for Husband:
* Semen analysis & Culture
* Serum FSH, LH and Testosterone in
cases of Severe Oligospermia (low count)
HBsAg, VDRL, HIV 1
& 2 (6 months validity) |
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Why
is laparoscopy required before Assisted
Reproductive Technology treatment? |
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Don't
you agree, knowing the cause of the
problem amounts to winning half the
battle. After all, only one egg is
released from both the ovaries every
month which need to be caught and
transported into the uterus by the
ultra small fallopian tubes. If there
is block here, how can sperm meet
with an egg? If there is some uterine
pathology also, fertilization and
further development of embryos are
jeopardized. |
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Why
increasing age of woman is a negative
factor for the success in ART? |
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The
number of eggs that a woman is endowed
with is finite and fixed. The moment
she gets menarche, she starts losing
them. They can not be replenished
in her life. Besides, the chromosomal
pattern inside her eggs starts getting
distorted slowly and steadily so much
so that by 43 years of her age, almost
85% of eggs are aneuploid (chromosomally
abnormal). Around 35 years of her
age, the egg quality starts declining
drastically. Women are highly prolific
in her 20s and up to early 30s. |
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Why
IVF is not successful all the time?
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Though
IVF/ICSI has made it feasible to produce
embryos successfully in almost 100%
of the patients, success rate is still
less than 40%. Getting an embryo does
not mean that a baby can be assured
from it.
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