Patient Guide

18/Feb/2020

This image motivates people to do the right things to improve success chance

IVF (In Vitro Fertilization) is often the last medical option for couple trying to conceive. It’s time consuming, expensive and requires whole hearted commitment from you. IVF Success rates range from 35-55% depending on you and your partner’s fertility & the fertility clinic. It means that all those who go for IVF may not conceive in the first IVF cycle. So, it becomes absolutely necessary for you to do the right things before, during and after the IVF treatment. In this article, we will tell you 10 things you should do to improve IVF success chance?

  1. Go for IVF treatment before it’s too late: Your best chances of IVF success are before its too late. Your fertility reduces with age. If you are over 30 and trying for a baby for more than 2 years, then you should seek medical help immediately from a trustworthy Infertility Specialist.
  2. Take Pre-Conception Counselling: Talk to your Infertility specialist so that any pre existing medical issues are taken care of. Share your feelings. Ask questions and clear your doubts. A clear mind is a must.
  3. Choose IVF Specialist wisely: Choose the right IVF specialist and trust him/her completely:
  4. Take No Tension: Avoid stress and stressful situations. Think Positive. Think about the good things that have happened to you.
  5. Do Light Exercises: When we exercise, our brain releases chemicals like endorphins, serotonin and dopamine that lift our mood and we feel good. You can also indulge in an activity that gives you happiness. Maintain a healthy lifestyle. Control Weight. However, refrain from doing heavy exercises as it would divert most of the blood supply to other vital organs of the body.
  6. Take medicines timely: Your doctor may prescribe certain medications like Folic Acid, Co Enzyme Q10, Vitamin D, Lycopene, Omega-3 fatty acids time to time. Here’s why you should take these
    • Folic Acid: It prevents congenital defects in brain and spine of the baby.
    • Vitamin D: It strengthens your bones and improves functioning of muscles.
    • Lycopene, Co Enzyme Q10 These are antioxidants that you should take for your general well being.
    • Omega-3 fatty acidEssential Fatty Acids that improve your metabolism.
  7. Maintain Hygiene: Bacterial growth, Itching, Abnormal Vaginal Discharge, UTI (Urinary Tract Infection) etc. reduce fertility. Maintain hand, vaginal and overall hygiene to improve your IVF success chance.
  8. Balanced Diet: Eat balanced diet of Proteins, salads, fruits, low fat, plenty of fluids. Food items to be avoided are: Chinese Food (that have Ajinomoto), Papaya, Pineapple, Refined Carbohydrates (Maida etc)
  9. Take Support from Office: Tell your boss that you are planning to undergo the treatment and you need their whole hearted support. Also, you would need short leaves to go to the clinic.
  10. Avoid drinking and smoking: Also avoid too much of Caffeine. If your husband smokes, ask him to cut down on smoking and drinking. Smoking and drinking reduce the sperm count and quality. Encourage him to do light exercises.

If you follow these simple things, you can improve IVF success chance to a great extent. If you want to know more about IVF or Test Tube Baby treatment, please read our blog IVF : A step by step guide

If you have difficulty in getting pregnant, Gunjan IVF World team would be happy to help you. We have IVF success chance or IVF success rates greater than 60%. Our take home baby rates are more than 90%. You can contact us here


30/Oct/2019

Why do you need egg freezing?

Egg freezing, medically known as human oocyte cryopreservation. It is an effective procedure allows the woman to go against the biological clock. It enables women to postpone pregnancy to a later date. In this phenomenon, eggs extracted, frozen and stored. The success rate of the procedure depends on the age of the woman and ranges from approximately 14% to 30%.

What is the preparation of egg freezing?

Before you plan to extend your fertility, take note of the following points: 

  • Plan about your family goals: Sit with your partner and discuss family planning. If you’re pretty sure you want to get pregnant around 35, It will imply a different target plan than if you’re sure you’ll be waiting until you’re over 40. Accordingly, an egg-freezing storage plan made.
  • Explore payment and financing options: Talk to your insurance provider to check whether your insurance plan would cover the treatment and medications.
  • Extend Fertility has made egg freezing possible by offering you an option to pay in cash or credit or set up a monthly payment plan while preparing for your first egg freezing cycle.
  • If you are planning to undergo egg freezing, a series of screenings and blood tests need to be completed anytime in 12 months before the procedure.
  • Consider your calendar: To achieve desired results, it is important to decide when to freeze your eggs. Choose an optimum time for freezing so that there is no inconvenience in the process either by work, travel or any kind of social commitments. Consult the healthcare team to guide you for the most appropriate time to start the cycle. 

What is the procedure?

In the egg freezing procedure, a woman may choose to have the eggs thawed, fertilized and transferred to the uterus as embryos to facilitate pregnancy in the future. It involves stimulating the ovaries with hormones to produce multiple eggs, thereafter retrieving the eggs from the ovaries and taking them to the laboratory. Here, at the lab, they are cooled at subzero temperature to be thawed at a future date.

Who would benefit?

Women under 38 years and wishes to preserve the option of having healthy, genetically related children for a later date. Egg freezing has proved beneficial for women who anticipate becoming pregnant sometime later in the future. IT enables them to become a genetic parent using their frozen-thawed eggs. Plus, reduces the risk of having children with chromosomal abnormalities associated with ovarian aneuploidy. Women with no partner or case of women moral concerns egg freezing is a suitable alternative to embryo freezing. 

Egg freezing is popular since the late 90s. Used for fertility preservation for young women suffering from cancer who are at risk of sterility as a result of the disease or its treatment.

Costs and side effects 

Egg freezing is currently an expensive affair. The procedural cost of retrieval and storage of eggs similar to the IVF procedure may vary between Rs.50,000 to Rs.100,000. Once the eggs frozen, the cost of retaining them in frozen stare recurring annual cost and varies between Rs.15,000  to Rs.30,000 per year.  

The risks and side effects associated with the procedure are either nil or short-lived. The side effects reported are mainly as a result of the hormonal fluctuations caused by medications. PMS symptoms headaches, mood swings, insomnia, breast tenderness, bloating or mild fluid retention are common problems faced by women.


15/Oct/2019

IVF-All you need to know about

In vitro fertilization or IVF is the most effective form of assisted reproductive technology.

Overview-what is IVF or In vitro fertilization

IVF is the most effective form of reproductive technology helps with fertilization, embryo development and implantation. It’s a series of complex procedures of insemination where an egg combined with sperm outside the body in a glass in a laboratory. Then, the fertilized eggs transferred to the uterus. A complete cycle of IVF takes around three weeks. It primarily aims to prevent genetic problems and assists with the conception of, child.

Procedure

If you plan to conceive through IVF treatment, there are several stages which you need to undergo :

  • Ovulation Induction: In the first phase, the doctor could prescribe medication for synthetic hormone generation to simulate the ovaries for producing multiple eggs. It has done so that one or more eggs may develop after fertilization. Possible medications include ovarian stimulation injections, medicines for oocyte maturation and progesterone supplements.
  • Trigger Shot: Once the follicles ready, an injection is given to help eggs to mature completely and prepare them for fertilization. Within 36 hours of medication, eggs are ready for retrieval.
  • Ovum Pick Up (OPU): In this, an ultrasound probe inserted into the vagina to identify follicles for retrieving eggs. The matured eggs then kept in nutritive liquid and incubated. Healthy eggs infused with sperm to create embryos.
  • Sperm Collection: On the day of egg retrieval, a semen sample taken from your partner to separate sperms from the fluid in the laboratory.
  • Fertilization (ICSI): This is the most important stage of the IVF cycle. Depending on the complexity, fertilization can be carried out through the insemination or ICSI method. In insemination, healthy sperm and matured eggs are mixed and incubated overnight. In the case of intracytoplasmic sperm injection, a single sperm injected directly into each matured egg. The latter was chosen in case of poor semen quality, low sperm count or repeated failures in fertilization attempts during previous IVF cycles.
  • Embryo or Blastocyst Transfer: This three-day process is critical as some fertilized eggs transform into multi-celled embryos and further metamorphose into blastocysts. At this stage, they develop a fluid-filled cavity with tissues which ultimately separates into the placenta and baby.       

Who are the right candidates

        IVF procedure has proven to be a miracle for:

  • Couples who have not been able to conceive even after trying for more than 6 months.
  • People suffering from infertility problems including PCOS, endometriosis, tubal factor infertility, male factor infertility.
  • People who want some kind of control over the genetics of the baby.
  • Women who want pregnancy on demand.

What is the success rate

The success rate of IVF depends on certain factors including infertility cause, age factor and, where treatment’s done. According to research, depending on the age, the statistics claim that:

  • Pregnancy achieved at an average of 29.4% of all cycles.
  • IVF cycles that resulted in live births was on an average 22.4%

Cost cycle of IVF

An IVF treatment cycle is pretty much an expensive affair. The average cost for IVF ranges from Rs 70,000 to Rs 2,50,000. Besides, the medications vary according to the need

The risk associated with IVF procedure

There are several risks involved with IVF as discussed below:

  • Multiple births: It may occur if more than one embryo implanted in the uterine wall.
  • Pregnancy-induced Hypertension: Due to this procedure, mothers may suffer from high blood pressure.
  • Need for C-section: Usually, C-section delivery done to avoid any risk. 
  • Preterm delivery and low birth weight: The probability of having a pre-term and weak baby are high with this procedure.
  • Ovarian Hyperstimulation Syndrome: Swollen and painful ovaries due to side effects of IVF injections.
  • Birth defects in the baby
  • Risk of ovarian cancer
  • Other problems include anemia, diarrhea, nausea, stress, hot flashes. 

 


11/Oct/2019

What is Mini or Micro IVF?

Mini IVF is also called micro or minimal stimulation IVF. It follows the same pattern as in conventional IVF i.e. retrieval of the egg, fertilization of sperm and egg in simulated laboratory conditions finally followed by embryo transfer.

It differs from the conventional procedure in the amount of medication to be used for stimulating the ovaries for egg production. In mini- IVF smaller medication doses are used to produce few eggs. In many cases, no drugs are used for stimulating the ovaries.

 

Who Should Consider Mini-IVF?

Mini-IVF is a viable option in the following cases:

  1. If the woman has PCOS and is vulnerable to developing ovarian hyperstimulation syndrome (OHSS).
  2. If the woman has low ovarian or egg reserves. In such cases, more fertility drugs would have no impact on producing more eggs.
  3. If the woman has time constraints or is in a hurry. The treatment cycles in mini-IVF can happen back to back with no rest required.
  4. If the woman is about to undergo cancer treatment and wants to preserve her fertility. The fertility drugs used in conventional IVF might worsen cancer.
  5. If the woman has fear of needles. Mini- IVF employs far lesser injections.

 

Medications Taken During Mini-IVF

In conventional IVF, gonadotropins (Gonal-F, following, etc) are used to stimulate ovaries for egg production. For MINI-IVF, Clomid is generally used to stimulate the ovaries.

In some cases, small doses of gonadotropins may also be used to produce few eggs. Alternatively, mini- IVF can also be performed with no ovarian stimulating drugs. This, referred to as the natural cycle, is appropriate in cases of fallopian tube blockage or cases of male sterility. Apart from the stimulating drugs, GnRH antagonist drugs such as Anatagon and Cetrotide are required to prevent early or untimely ovulation.

 

Success Rates for Mini-IVF

The success rate for mini-IVF is generally lower than conventional IVF but mini- IVF has a better success rate than IUI ( Intrauterine insemination) with additional benefits.

Though the success rate is lower in comparison, mini- IVF benefits in the manner that it causes no ovarian hyperstimulation syndrome (OHSS). Hence, Mini-IVF is the preferred choice for women at risk of developing OHSS.

 

Mini-IVF After Failed Conventional IVF

Mini-IVF can be operational and work after failed conventional IVF.

The reason being mini- IVF is designed to produce fewer but quality eggs.

Conventional IVF can fail because of multiple factors which include: poor egg quality, stress, failed implantation, hormonal imbalances, etc. Thus, a lower stimulation technique such as mini-IVF can produce the desired effect as it can produce higher quality eggs.

Cost of Mini-IVF

The biggest advantage of Mini-IVF is the lower cost per cycle. The cost of a mini-IVF is generally 50 to 60 percent less than the conventional IVF.

However, mini-IVF costs more than IUI but still, the success rate of mini-IVF is greater than IUI.

The possible disadvantage of mini-IVF is that it is not viable if the number of eggs is needed. Also, if a cycle fails in mini-IVF, there will be no extra embryos for further cycles. We at Gunjan IVF provide the low cost ivf treatment in delhi ncr with a high success rates, because we know the joy of hearing mumma.

To sum up, even though the success rate of mini-IVF is low in comparison to conventional-IVF but looking at its low cost and lower risk of leading to ovarian hyperstimulation syndrome owing to optimized use of fertility drugs, it is a decent enough option for women. 



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Call gunjan IVF world for any IVF or Fertility related doubts.


IVF Clinics Delhi

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Copyright by GUNJANIVFWORLD 2018. All rights reserved. Design & Developed By Cnet Infosystem.



Copyright by GUNJANIVFWORLD 2018. All rights reserved. Design & Developed By Cnet Infosystem.