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About I.V.F Treatment: IVF i.e. In vitro fertilization is a process by which a woman’s egg is joined or fertilized with a man’s sperm in a laboratory dish. In vitro means “in glass” and is usually carried out in a beaker, test tube, or petri dish. Typically, the egg is fertilized inside the woman’s body. This process is called unassisted contraception. In contrast, IVF is a form of assisted reproductive technology (ART).
There are five steps to IVF treatment:
Stimulation – Women are given fertility drugs to boost their egg production.
Egg Retrieval – For the removal of eggs, a surgery called follicular aspiration is performed on the woman.
Insemination and Fertilization –A man’s sperm is placed in a laboratory dish with the woman’s egg and stored in a chamber. Insemination is when the sperm and the egg combine. This process normally takes a few hours. The outcome is successful egg fertilization.
Embryo Culture – The division of a fertilized egg is called an embryo. Tests are done for a few days to ensure the embryo is safe and healthily growing. Embryo Transfer – The last step in IVF treatment is that the embryo is placed inside the woman’s womb up to five days after fertilization in the laboratory dish.
Side Effects of IVF
Generally, few women experience side effects from the actual fertility drug, but the process itself can be uncomfortable and mentally draining. IVF treatment involves frequent blood tests and almost daily injections of hormonal drugs.
The initial stage is directed at suppressing the menstrual cycle in order for the doctor to induce ovulation. The woman, at this stage, will go through the typical signs of menopause. During this artificial state of menopause, the woman will have headaches, hot flashes, and mood swings.
Ayurvedic Treatment There is no satisfactory treatment of infertility in allopathic treatment system and success rates of IVF are also very low with lot many side effects, hence ayurvedic treatment is most preferred treatment for this condition. Whatever might be the cause of infertility, like blocked fallopian tubes in female, endometrosis, PCOD, etc. or Azoospermia, oligospermia etc. in males, ayurveda is having a range of treatments for these conditions. The treatment involves two procedures:
A patient can opt for one or both of these for quick results.
Medicinal Treatment: Various herbs are known for their effects in increasing the chances of concetion in the patients e.g. Musli safed, Munjatak, Ashwagandha, Shatavari, etc. Along with the herbs there are various classical combinations which are very helpful for treating this condition like Makardhwaj wati, Suwarna Siddha Makardhwaj, Shilajityadi wati wati, etc.
Ayurvedic Panchkarma Therapies: A special panchkarma procedure known as Uttar basti is very helpful for this condition, Uttar basti should be given under the supervision of a trained ayurvedic doctor only.
About I.U.I TreatmentThis is intrauterine insemination where the husband semen/donor semen is washed to remove the debris, pus cells & bacteria & is slowly put Inside the uterine cavity by the special catheter (Insemination canula). The process is painless, easy & OPD procedure. It requires no sedation or anaesthesia. It increases the chances of pregnancy as the semen quality is improved by washing, the quality of egg is improved by medicine & the timing of insemination is set with the ovulation.
What is stimulated IUI?
The ovaries are gently stimulated with clomiphene citrate tablets either alone or with low dose hormone injections followed by ultrasound monitoring until the follicles are mature when HCG trigger is given. The aim is to stimulate the release of one or two eggs only. Once day of ovulation can be predicted, insemination will be timed to within 24 hrs. unlike IVF, precise timing is not critical.
Does washing has any ill effect on sperm?
No, it is a time tested procedure. Washing help in removing bacteria dead cells, pus cells, only. The couple can see the difference in the quality of sperm count by pre & post wash analysis shown in the lab.
Chances of the success
With IUI although the time of insemination is coincided with ovulation but, the meeting of sperm with egg (fertilization), the transport of fertilized egg through the tube, its implantation in the uterus & the further continuation of pregnancy, all these events are left to nature only, resulting in success rate of 15-18% worldwide, hence IUI is offered successively for 4 to 6 cycle.
Side Effects
Cramping after IUI, or intrauterine insemination, is very common. As a matter of fact, cramping is one of the most common side effects of IUI. Sometimes, the cramping can come from the insertion of the speculum. The cramps will usually go away on their own and do not require any treatment. You will want to check with your doctor to see if there are any pain medications you can take for the cramping if they are bothering you.
Fever and Back Pain after IUI?
Has anyone ever experienced fever and severe back pain after IUI? I was fine until about 8 hours later. I started to have some lower back cramping, and within 30 minutes my entire back was in severe pain and I had a fever of 100.6. It didn't hurt if I was in bed, but I couldn't stand up because of the pain. I'm waiting to hear back from my Dr., but now I'm concerned that the fever could ruin the cycle of IUI. Has anyone else experienced these symptoms? Maybe it's a reaction to the medium used with the sperm washing?
ICSI is an acronym for intracytoplasmic sperm injection A fancy way of saying "inject sperm into egg"
ICSI is a very effective method to fertilize eggs in the IVF lab after they have been aspirated from the female
Its main use is for significant male infertility cases
ICSI fertilization procedure in progress
Needle with a sperm inside is advanced to the left
Shell of embryo has already been penetrated by needle
Membrane of egg (oolemma) is stretching and about to break
Sperm head visible at tip of needle
Fertilization and pregnancy success rates with ICSI
Fertilization rates for ICSI: Most IVF programs see that about 30 to 35 % of eggs injected using ICSI become fertilized. We call this the fertilization rate, which is different from the pregnancy success rate.
Pregnancy success rates for in vitro fertilization procedures with ICSI have been shown in some studies to be higher than for IVF without ICSI. This is because in many of the cases needing ICSI the female is relatively young and fertile (good egg quantity and quality) as compared to some of the women having IVF for other reasons.
Endometriosis (endo) is a disease in which the endometrium (the lining of the uterus) starts to grow outside of the uterus causing adhesions. These adhesions can cause the obstruction of organs and can cause some organs to stick together.
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A Congenital Anomaly is a malformation of the reproductive organs. This can, at times, cause difficulty with conception or carrying a pregnancy to term. Usually an anomaly can be found during a routine pap smear. It can also be found during an Ultrasound, Hysteroscopic Exam or a Laparoscopy.
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As is the case with women, lack of desire in men can be of either physical or psychological origin. Physical causes :
Ovulation Disorders involve the inability to release an egg or the egg not being released at the right time in the cycle to facilitate conception. Ovulation Disorders can be characterized by absent ovulation (anovulation) resulting in infrequent periods (oligomenorrhea). Several different things can cause Ovulation Disorders. It may be due to
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He fallopian tubes are a part of the female anatomy that sweeps the egg up after it is released from the follicular sac on the ovary and passes it to the uterus. The fallopian tube is also where fertilization takes place. When the fallopian tube is blocked, it makes it nearly impossible for a woman to conceive.
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