IVF,ART, GIFT, ZIFT, TET, ICSI,donor egg and surrogacy services,surrogate
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The Deccan Fertility Clinic
Tel: +91 22 2446 6633
Fax: +91 22 2444 4443
testtubebabyclinic@gmail.com
Our fertility center provides the best affordable quality infertility,fertility treatments with advanced reproductive technologies like IVF,ART, GIFT, ZIFT, TET, ICSI,donor egg,surrogate and surrogacy services for all nationalities,All couples including lesbian and gay couples and even single men and single women can avail this facility to fulfill their dream of enjoying parenthood.
Deccan Fertility Clinic & Keyhole Surgery Center offers a comprehensive range of infertility services under one roof, and we are known for our innovation, integrity, medical and technical excellence, personalized service, and consistent willingness to accept patients facing the most difficult medical challenges.
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- Slide 1: Test Tube Baby Clinic Profile Services Welcome to the youngest member of our family - the new, state-of-the-art Deccan Fertility Team Clinic and Keyhole Surgery Center. We have grown and in doing so we have multiplied our Virtual Tour of Lab commitment to your dreams. As all younger siblings, Deccan has so many things that Press Clippings make it special. It is India's first budget IVF clinic, and the first of our tentative steps in Statistical Analysis of our Group Success Rates taking the miracle of life to the masses. All men were born free and procreation shouldn't Testimonials be a privilege. We hope to facilitate the transition to make it a medically-assisted right. We have been able to do this without compromising on our technology, techniques or our Global Ambassadors commitment to quality. In Vitro Fertilization (IVF) Over the years, we have seen the look of joy on the faces of thousands of expecting Intracytoplasmic Sperm parents who have belatedly experienced the miracle of life and we feel fortunate to have Injection (ICSI) the privilege of spreading that joy a little further. Assisted Reproduction is an expensive Success Rates proposition and we at Deccan are taking on the challenge of reaching out to the masses Donor Egg IVF who need the treatment, even as they make difficult choices at home to aspire for it. We Overseas IVF work towards the dream of making Assisted Reproduction a reality for the common man. Embryo Adoption Free Second Opinion We know that facing infertility can be one of the most stressful situations you may DNA ID Check encounter, emotionally, physically and of course, financially. At the Deccan Fertility Clinic, MYC Test we work hand-in-hand with you to make every phase of the process- from diagnosis to treatment- as predictable and comfortable as possible. Together we will map out a plan to determine the cause of your infertility and an appropriate course of action. Many problems One Day Training Course in Intrauterine Insemination can easily be corrected with medication or minimally invasive surgical procedures. For One Year Fulltime couples facing more difficult challenges, our ART program ranks among the best in the Clinical Fellowship Program nation. Hands-On Training Course in Gynecologic We know when you visit our offices you may be worried about a procedure, a result, or Endoscopy your next step. Our staff is here to help - to answer all your questions, offer support, and make any procedures as comfortable as possible. Our goal is to provide our patients with Round and About state-of-the-art medical care and an environment that fosters the best possible outcome - Muslim Views at affordable prices!! and Issues on ART ART Truths http://www.testtubebabyclinic.com/new/default.asp (1 of 2) [10/16/2008 9:17:33 AM]
- Slide 2: Test Tube Baby Clinic While the information provided here is not a substitute for the professional medical advice Help Line provided by your physician, it is a place to start as you search for a solution to overcome Satellite IVF Clinic the challenge of infertility. We encourage you to learn as much as you can so you can make educated decisions about your options and find the support you need to get through Diagnostic Laparoscopy this difficult and frustrating time in your life. Operative Laparoscopy Laparoscopy FAQs Diagnostic Hysteroscopy Operative Hysteroscopy Hysteroscopy FAQs Our Publications BLOG Gender selection is illegal in India. We do not advocate it nor do it. Top of the Page http://www.testtubebabyclinic.com/new/default.asp (2 of 2) [10/16/2008 9:17:33 AM]
- Slide 3: Test Tube Baby Clinic Profile Services FREQUENTLY ASKED QUESTIONS Team Virtual Tour of Lab What is Infertility? Press Clippings Statistical Analysis What is the incidence of infertility worldwide? of our Group Success Rates My husband and I have an active sex life, we are both healthy, and my periods are regular. Testimonials Why are we still unable to conceive? Global Ambassadors Is infertility exclusively a female problem? In Vitro Fertilization (IVF) How can I determine my fertile period? Intracytoplasmic Sperm Injection (ICSI) What are the most common causes of infertility? Success Rates Donor Egg IVF My gynecologist has done an internal examination and said I am normal. Do I still need to get Overseas IVF tests done to determine why I am not conceiving? Embryo Adoption Free Second Opinion What is the general progression of infertility treatment? DNA ID Check Do painful periods cause infertility? MYC Test What treatment options do infertile couples have? One Day Training Course in Intrauterine Insemination My periods come only once every 6 week Could this be a reason for my infertility? One Year Fulltime Clinical Fellowship Program How successful is infertility treatment? Hands-On Training Course in Gynecologic Endoscopy My husband's blood group is B positive and I am A negative. Could this blood group \"incompatibility\" be a reason for our infertility? Round and About Muslim Views Are there particular factors influencing the success of a treatment? and Issues on ART ART Truths After having sex, most of the semen leaks out of my vagina. How can we prevent this? Should we change our sexual technique? Could this be a reason for our infertility? http://www.testtubebabyclinic.com/new/faq.asp (1 of 16) [10/16/2008 9:17:50 AM]
- Slide 4: Test Tube Baby Clinic What about success rates of IVF? Help Line Satellite IVF Clinic My colleagues at work tell me that if we \"work\" hard at getting pregnant, and want it enough, we definitely will ! In fact, my mother in law is even suggesting that the fact that I am not Diagnostic Laparoscopy conceiving means that subconsciously I do not wish to have a baby (because it may interfere Operative Laparoscopy with my career) and this psychological barrier is the reason for our infertility. Laparoscopy FAQs Diagnostic Hysteroscopy Are there particular health risks for women undergoing infertility treatment? Operative Hysteroscopy Hysteroscopy FAQs My grandmother says that if I just pray and have faith, I will definitely conceive. How far is Our Publications this true? BLOG What is Ovarian Hyper Stimulation Syndrome(OHSS)? Gender selection is illegal My husband refuses to get his semen tested. He says the fact that it is thick and voluminous in India. We do not means it must be normal. Is that true? advocate it nor do it. How do multiple births occur? My sister conceived only after 6 years of marriage. Does this mean I will also have difficulty conceiving? What are the common local side effects? My doctor just did a physical examination for me, and he feels that the reason for my infertility is that my uterus is tipped backwards, and this prevents the sperm from swimming into the uterus. He is advising I have surgery to correct this problem. Should I go ahead? Can ovulation induction increase the risk of ovarian cancer? My husband says we should be having intercourse every day to achieve pregnancy. Is this true? What about the health risks for children born following infertility treatment? My friends say I should have sex exactly on the day I ovulate to get pregnant. How can I do this? How important is counseling to the patient undergoing infertility treatment? My sister in law is advising me to keep a pillow under my hips during and after intercourse. Will this increase my chances of conceiving? What is the duration of one IVF or ICSI cycle? My mother feels I am too tense, and that if I just relax, I'll get pregnant. Is that true? What is Extra Uterine Pregnancy (EUP)? http://www.testtubebabyclinic.com/new/faq.asp (2 of 16) [10/16/2008 9:17:50 AM]
- Slide 5: Test Tube Baby Clinic I just had a HSG (X-ray of the uterus and tubes) done, and this shows my tubes are blocked. I've never had symptoms of a pelvic infection, so how could my tubes get blocked? What is timed sexual intercourse? My doctor has advised me to take fertility drugs . I don't want to take them because I am scared that if I do , then I'll have a multiple birth. What is Egg donation? My husband's sperm count varies every time we test it! How do we determine what the \"real\" sperm count is? What is PCOS? I have no problems having sex. Since I am virile, is my sperm count normal? What is Embryo Reduction? I don't think infertility treatment should not offered in India, because there are too many babies in this country already. Why should we exacerbate the population problem by producing more? In any case, IVF treatment is too expensive for India to be able to afford it. What is Cryopreservation? My semen analysis report shows I have no sperm in the semen (azoospermia). Is this because I used to masturbate excessively as a boy? Is Intra Uterine Insemination suitable for every infertile couple? My wife is frigid and does not enjoy having sex. Could this be the reason for her infertility? What is TESE or MESA? What are the causes of damaged fallopian tubes? What is Cystic Fibrosis and Male Infertility? What is Endometriosis? What does Sperm Preparation mean? What is Reproductive Surgery? What does Laparoscopy involve? What is Infertility? Infertility, whether male or female, can be defined as 'the inability of a couple to achieve http://www.testtubebabyclinic.com/new/faq.asp (3 of 16) [10/16/2008 9:17:50 AM]
- Slide 6: Test Tube Baby Clinic conception or to bring a pregnancy to term after a year or more of regular, unprotected intercourse'. Top of the Page What is the incidence of infertility worldwide? The World Health Organization (WHO) estimates that approximately 8-10% of couples experience some form of infertility problem. On a worldwide scale, this means that 50-80 million people suffer from infertility. However, the incidence of infertility may vary from region to region. In France, 18% of couples of childbearing age said that they had difficulties in conceiving. Top of the Page My husband and I have an active sex life, we are both healthy, and my periods are regular. Why are we still unable to conceive? You need to remember that it's not possible to determine the reason for your infertility until you undergo tests to find out if your husband's sperm count is normal; if your fallopian tubes and uterus are normal; and if you are producing eggs. Only after undergoing these tests will your doctor be able to tell you why you are not conceiving. While testing does cause considerable anxiety, it's far better to intelligently identify the problem so that we can look for the best solution. Top of the Page Is infertility exclusively a female problem? No. The incidence of infertility in men and women is almost identical. Infertility is exclusively a female problem in 30-40% of the cases and exclusively a male problem in 10-30% of the cases. Problems common to both partners are diagnosed in 15-30% of infertile couples. After thorough medical investigations, the causes of the fertility problem remain unexplained in only a minority of infertile couples (5-10%). Top of the Page How can I determine my fertile period? Your fertile period is the time during which having sex could lead to a pregnancy. This is the 4- 6 days prior to ovulation (release of a mature egg from the ovary). Women normally ovulate 14 days prior to the date of the next menstrual period. Top of the Page What are the most common causes of infertility? The most common causes of female infertility are ovulatory disorders and anatomical abnormalities such as damaged fallopian tubes. Less frequent causes include, for example, endometriosis and hyperprolactinemia. Causes of male infertility can be divided into three main categories: Sperm production disorders affecting the quality and/or the quantity of sperm; anatomical obstructions; Other factors such immunological disorders. Approximately a third of all cases of male infertility can be attributed to immune or endocrine problems, as well as to a failure of the testes to respond to the hormonal stimulation triggering sperm production. However, in a great number of cases of male infertility due to inadequate spermatogenesis (sperm production) or sperm defects, the origin of the problem still remains unexplained. http://www.testtubebabyclinic.com/new/faq.asp (4 of 16) [10/16/2008 9:17:50 AM]
- Slide 7: Test Tube Baby Clinic Top of the Page My gynecologist has done an internal examination and said I am normal. Do I still need to get tests done to determine why I am not conceiving? A routine gynecological examination does not provide information about possible problems which can cause infertility, such as blocked fallopian tubes or ovulatory disorders. You need a systematic infertility workup. Top of the Page What is the general progression of infertility treatment? A variety of procedures can be used to diagnose the cause of infertility in a couple; these range from simple blood tests to more complicated analytical methods. In any case, diagnosis is a crucial first step to determine the appropriate therapeutic path that should be followed. In addition to the cause itself, other factors, such as the age of the woman, or problems shared by both partners, might also influence the choice of treatment. Top of the Page Do painful periods cause infertility? Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during sex) may mean you have endometriosis. Top of the Page What treatment options do infertile couples have? Several options are offered to couples depending on the type of infertility that has been diagnosed. The vast majority of female patients are successfully treated with the administration of drugs such as clomiphene citrate, cabergoline, metformin or gonadotropins. Surgery can also be a means to repair damage to the reproductive organs, such as those caused by endometriosis and infectious diseases. Treatment options for male infertility also include the administration of drugs, surgery and assisted reproductive technologies, such as intracytoplasmic sperm injection (ICSI). Drug therapy and surgery have proved very successful for specific types of male infertility. However, in a great number of cases, the reason why men have fertility problems remains unexplained and the treatment methods applied are empirical. Some patients nevertheless require more complex medical intervention. Assisted reproductive technologies (ART) refer to several different methods designed to overcome barriers to natural fertilization such as anatomical problems (eg blocked fallopian tubes). One of these techniques, in-vitro fertilization (IVF), has now been practiced for more than 15 years. Overall, the estimated number of infertile patients currently treated by ART is around 20%. Top of the Page My periods come only once every 6 week. Could this be a reason for my infertility? As long as the periods are regular, this means ovulation is occurring. Some normal women have menstrual cycle lengths of as long as 40 days. Of course, since they have fewer cycles every year, the number of times they are ‘fertile’ in a year is decreased. Also, they need to monitor their fertile period more closely, since this is delayed (as compared to women with a http://www.testtubebabyclinic.com/new/faq.asp (5 of 16) [10/16/2008 9:17:50 AM]
- Slide 8: Test Tube Baby Clinic 30 day cycle). Top of the Page How successful is infertility treatment? When talking of success rates for any type of infertility treatment, one should bear in mind that the average chance to conceive for a normally fertile couple having regular unprotected intercourse is around 25% during each menstrual cycle. It is estimated that 10% of normally fertile couples fail to conceive within their first year of attempt and 5% after two years. Comparable to normal fertility rates, effective treatments can be expected to have, on an average, up to a 25% success rate per cycle of treatment, and may therefore need to be repeated several times before a pregnancy is achieved. Simple ovulation induction to compensate for hormonal imbalances has a very high success rate; more than 80% of women suffering from such disorders are likely to conceive after several cycles of treatment with drugs such as clomiphene citrate or gonadotropins. Top of the Page My husband's blood group is B positive and I am A negative. Could this blood group 'incompatibility' be a reason for our infertility? There is no relation between blood groups and fertility. Top of the Page Are there particular factors influencing the success of a treatment? In any type of infertility treatment, important factors need to be taken into account when referring to success rates. The age of the woman and the duration of the couple's infertility are likely to influence the success of treatment. In women, fecundity decreases as age increases, particularly after 40 years of age. When the woman is being treated, her chances of conceiving can be lessened if her partner also has infertility problems (eg poor quality sperm). Top of the Page After having sex, most of the semen leaks out of my vagina. How can we prevent this? Should we change our sexual technique? Could this be a reason for our infertility? Loss of seminal fluid after intercourse is perfectly normal, and most women notice some discharge immediately after sex. Many infertile couples imagine that this is the cause of their problem. If your husband ejaculates inside you, then you can be sure that no matter how much semen leaks out afterwards, enough sperm will reach the cervical mucus. This leakage of semen (which is called effluvium seminis) is not a cause of infertility. In fact, this leakage is a good sign - it means your husband is depositing his semen normally in your vagina! Of course, you cannot see what goes in - you can only see what leaks out - but the fact that some is leaking out means enough is going in! Top of the Page What about success rates of IVF? http://www.testtubebabyclinic.com/new/faq.asp (6 of 16) [10/16/2008 9:17:50 AM]
- Slide 9: Test Tube Baby Clinic Overall, success rates for IVF have steadily improved over the last ten years. Birth rates for IVF vary according to the expertise of the centers practicing this technique. However, centers in Europe have reported pregnancy rates after one cycle of IVF equal or superior to 25%. In 1993, the French IVF registry (FIVNAT) reported a pregnancy rate of 25.4% per embryo transfer on a total of 23,025 oocytes retrieved. Based on such results, after three to four cycles of IVF, a woman under 40 whose partner does not have any fertility problems could reasonably expect to give birth. Again, in general, success rates may vary from one center to another, since they are influenced not only by the level of expertise of the medical team but also by the characteristics of the patients treated. A clinic treating a large number of women over 40 is likely to report lower success rates than a clinic having a majority of patients under 35. Top of the Page My colleagues at work tell me that if we 'work' hard at getting pregnant, and want it enough, we definitely will! In fact, my mother in law is even suggesting that the fact that I am not conceiving means that subconsciously I do not wish to have a baby (because it may interfere with my career) and this psychological barrier is the reason for our infertility. Unlike many other parts of your lives, infertility may be beyond your control. Don't blame yourself if you are not getting pregnant - it's a medical problem which often needs appropriate medical treatment. The attitudes you are encountering are often born out of ignorance - and are a kind of ‘victim-blaming’ - ignore them! Top of the Page Are there particular health risks for women undergoing infertility treatment? Along with their intended benefits, drugs used to treat infertility may on occasion cause side effects. In ovulation induction, close monitoring of follicular growth is crucial to ensuring successful treatment. Monitoring techniques (such as ultrasound scan and blood tests) and adequate use of treatment protocols help the physician to avoid ovarian hyperstimulation syndrome (OHSS) and minimize the risk of multiple pregnancy. Current treatment protocols have been designed to reduce the risk of multiple births and OHSS. Top of the Page My grandmother says that if I just pray and have faith, I will definitely conceive. How far is this true? Believing in god can help you to maintain a positive outlook - but sheer will and blind faith won't overcome a physical problem like blocked tubes or absent sperms. Top of the Page What is Ovarian Hyper Stimulation Syndrome (OHSS)? Ovarian Hyper Stimulation Syndrome (OHSS) is a side-effect that can occur during infertility treatment with ovulation inducing drugs. Symptoms of this syndrome may include ovarian enlargement, accumulation of fluid in the abdomen and gastrointestinal disorders (nausea, vomiting, diarrhea). Severe cases of OHSS are however very rare (1-2% of cases). http://www.testtubebabyclinic.com/new/faq.asp (7 of 16) [10/16/2008 9:17:50 AM]
- Slide 10: Test Tube Baby Clinic Top of the Page My husband refuses to get his semen tested. He says the fact that it is thick and voluminous means it must be normal. Is that true? Semen consists mainly of seminal fluid, secreted by the seminal vesicles and the prostate. The volume and consistency of the semen is not related to its fertility potential, which depends upon the sperm count. This can only be assessed by microscopic examination. Top of the Page How do multiple births occur? Multiple births occur more frequently after infertility treatment than in the normal population. About 80% of pregnancies achieved following simple ovulation induction with gonadotropins result in single births, the remaining 20% being multiple pregnancies, mostly twin pregnancies. New treatment regimens carefully adapted to the patient's response help to decrease the risk of a multiple pregnancy. After IVF, one pregnancy out of four is multiple (20% twin pregnancies and 3-4% triplets). In IVF centers, physicians now frequently choose to replace a maximum of three embryos after fertilization, to further reduce the chance of multiple births. Top of the Page My sister conceived only after 6 years of marriage. Does this mean I will also have difficulty conceiving? If your mother, grandmother or sister has had difficulty becoming pregnant, this does not necessarily mean you will have the same problem! Most infertility problems are not hereditary, and you need a complete evaluation. Top of the Page What are the common local side effects? Common local side effects experienced by patients who receive gonadotropins by intramuscular injection include skin redness, swelling and bruising. Pain and discomfort sometimes reported after intramuscular injections are now likely to be lessened with the availability of gonadotropins produced by recombinant DNA - or genetic engineering- techniques, which are administered by subcutaneous injection. Top of the Page My doctor just did a physical examination for me, and he feels that the reason for my infertility is that my uterus is tipped backwards, and this prevents the sperm from swimming into the uterus. He is advising I have surgery to correct this problem. Should I go ahead? About one in five women will have a retroverted uterus. If the uterus is freely mobile, this is normal, and is not a cause of infertility. This is not an indication for surgery! Top of the Page http://www.testtubebabyclinic.com/new/faq.asp (8 of 16) [10/16/2008 9:17:50 AM]
- Slide 11: Test Tube Baby Clinic Can ovulation induction increase the risk of ovarian cancer? Ovarian cancer is a rare disease; the chance of a young woman developing an ovarian malignancy during her lifetime is lower than 1.5%. A number of factors have been found to increase the risk of ovarian cancer, including genetic predisposition and dietary habits. Scientific studies carried out in the last few decades have demonstrated that infertility itself is a risk factor for ovarian cancer. There is evidence that each pregnancy reduces the risk of a woman contracting ovarian cancer (this risk could be reduced by more than 25% by a first pregnancy). No epidemiological study has ever established a causal link between ovulation promoting drugs and ovarian cancer. An extensive study on this issue, reporting on more than 2,600 women treated between 1964 and 1974 and followed for an average of twelve years, found no association between ovulation inducing drugs and ovarian cancer. Top of the Page My husband says we should be having intercourse every day to achieve pregnancy. Is this true? Sperm remain alive and active in woman's cervical mucus for 48-72 hours following sexual intercourse; therefore, it isn't necessary to plan your lovemaking on a rigid schedule. Top of the Page What about the health risks for children born following infertility treatment? Regarding children born following treatment with ovulation promoting drugs, the incidence of birth defects has never been found to be higher than that in the normal population. Top of the Page My friends say I should have sex exactly on the day I ovulate to get pregnant. How can I do this? Although having sexual intercourse near the time of ovulation is important, no single day is critical. So, don't be concerned if intercourse is not possible or practical on the day of ovulation. Top of the Page How important is counseling to the patient undergoing infertility treatment? The physician helps the infertile couple find the most appropriate therapeutic path to overcome barriers to conception, but, before a treatment is started, patients need to be aware of all its aspects, including its constraints. Beyond the medical expertise, infertile couples are also looking for counseling and support. From a psychological point of view, infertility is often a hard condition to cope with. During treatment and before a pregnancy is achieved, feelings of frustration or loss of control usually experienced by the infertile couple are likely to be exacerbated. Management of infertility includes both the physical and emotional care of the couple. Therefore, support from physicians, nurses and all people involved in treating the infertile couple is essential to help them cope with the various aspects of their condition. Offering counseling and contact with other infertile couples and patient associations can provide help outside the medical environment. http://www.testtubebabyclinic.com/new/faq.asp (9 of 16) [10/16/2008 9:17:50 AM]
- Slide 12: Test Tube Baby Clinic Top of the Page My sister-in-law is advising me to keep a pillow under my hips during and after intercourse. Will this increase my chances of conceiving? Sperm are already swimming in cervical mucus as sexual intercourse is completed and will continue to travel up the cervix to the fallopian tube for the next 48 to 72 hours. The position of the hips really doesn't matter. Top of the Page What is the duration of one IVF or ICSI cycle? One complete IVF or ICSI cycle takes approximately 15 to 16 days. From Day 1 or 2 of menses the stimulation of the ovaries start by muscular or subcutaneous injections of hormones. The mean stimulation period is 12 days, depending on the reaction of the ovaries. The ovum pick up takes place within two days after stopping the stimulation (usually on day 13). Now the real IVF or ICSI follows in the laboratory. When fertilization occurs, embryos are transferred into the uterus (usually on day 15) and drugs supporting the uterus are given. After approximately 13 days a pregnancy test will show whether the IVF treatment has been successful or not. Top of the Page My mother feels I am too tense, and that if I just relax, I'll get pregnant. Is that true? If pregnancy has not occurred after a year, chances are there is a medical condition causing infertility. There is no evidence that stress causes infertility. Remember, all infertile patients are under stress- it's not the stress which causes infertility, it's the infertility which causes the stress! Top of the Page What is Extra Uterine Pregnancy (EUP)? When a pregnancy is not located in the uterus it is called an Extra Uterine Pregnancy (EUP) or ectopic pregnancy. The most common place for an EUP is the fallopian tube but sometimes the ectopic pregnancy is located elsewhere, such as in the cervix, the ovary or in the abdomen. EUP is a rare disease and occurs in 1% of all pregnancies. With IVF treatment the risk can increase. Risk factors for EUP are a history of infection of the tubes (salpingitis), chlamydia infection, Pelvic Inflammatory Disease (PID), former EUP, operation on the tubes or in the lower abdomen, endometriosis and appendicitis. The symptoms of ectopic pregnancy are often similar to those of a normal miscarriage and may include a positive pregnancy test together with or without vaginal bleeding and abdominal pain. Although it is not common, the possibility of EUP has to be considered in patients with the symptoms and one (or more) of the risk factors for EUP. Diagnosis is made by questioning the patient on the risk factors, physical examination, vaginal ultrasound and laboratory findings. Depending on the size and the location of the EUP, different treatments can be given. Mostly the ectopic pregnancy will be removed surgically but occasionally medical treatment or expectant treatment is offered when the pregnancy is very small and thorough control of the patient is possible. http://www.testtubebabyclinic.com/new/faq.asp (10 of 16) [10/16/2008 9:17:50 AM]
- Slide 13: Test Tube Baby Clinic Top of the Page I just had a HSG (X-ray of the uterus and tubes) done, and this shows my tubes are blocked. I've never had symptoms of a pelvic infection, so how could my tubes get blocked? Many pelvic infections have no symptoms at all, but can cause damage, sometimes irreversibly, to the tubes. Top of the Page What is timed sexual intercourse? To increase the chance of getting pregnant spontaneously, timed sexual intercourse is recommended. This means that sexual intercourse, or coitus, has to be taken place around the time of ovulation, which is the most fertile period of a woman. To detect the approximate time of ovulation a temperature curve of several menstrual cycles can be made. The woman takes her body temperature each morning before getting out of bed, starting on the first day of the menstruation until the start of a new period. The body temperature rises around 0.5 degree Celsius after the ovulation. This is mostly about 14 days after the first day of the period and when no pregnancy occurs the temperature drops to normal again; with pregnancy the temperature stays high. One can also use urine or saliva tests to detect the ovulation. The time of ovulation can sometimes vary a few days each month, even in a regular menstrual cycle. Also, if the circumstances are right, sperm can live inside the women for a few days and sperm quality can decrease with high sexual activity. Therefore it is best to have intercourse 3- 4 days before the expected ovulation and every other day until 2-3 days after the expected ovulation with no necessity for higher frequency. When tests are used to detect ovulation it is advised to have sexual intercourse on the day of a positive test. Top of the Page My doctor has advised me to take fertility drugs. I don't want to take them because I am scared that if I do, then I'll have a multiple birth. Although fertility drugs do increase the chance of having a multiple pregnancy (because they stimulate the ovaries to produce several eggs) the majority of women taking them have singleton births. Top of the Page What is Egg Donation? Women with no or not properly working ovaries can, in some cases, get pregnant through egg donation. In this procedure another woman will be the egg donor. This woman will have an IVF stimulation and ovum pick-up. After the ovum pick-up the collected eggs will be fertilized with sperm of the partner of the recipient woman ie donor acceptor. The embryos are then transferred into the uterus of the recipient. If a pregnancy occurs the recipient and her partner will have a child which is biologically only half their own. Top of the Page My husband's sperm count varies every time we test it! How do we determine what http://www.testtubebabyclinic.com/new/faq.asp (11 of 16) [10/16/2008 9:17:50 AM]
- Slide 14: Test Tube Baby Clinic the 'real' sperm count is? Even a normal (fertile) man's sperm count can vary considerably from week to week. Sperm count and motility can be affected by many factors, including time between ejaculations, illness, and medications. There are other factors which affect the sperm count as well, all of which we do not understand. Top of the Page What is PCOS? Poly Cystic Ovary Syndrome or PCOS is an ovulation disorder, which affects 4-6% of all women. Several factors contribute to the disease. At this moment researchers think that the cause of the disease is genetic. The major features of this syndrome are irregular or no menstruation, hirsutism and acne due to high levels of male hormones, obesity (40-50%), high insulin levels with risk of developing diabetes and large polycystic ovaries shown on ultrasound. Women with PCOS usually present at fertility clinics for counseling. To increase fecundity the treatment possibilities are mostly focused on regulation of the menstrual cycle. For this, several drugs are used (clomiphene citrate, metformin, gonadotropins) and weight loss is strongly advised. In many cases the cycle will be ovulatory and regulated by these treatments. Furthermore at this moment it is being investigated whether electrocoagulation of the large ovaries can give (long-term) regulation of the cycles. Top of the Page I have no problems having sex. Since I am virile, is my sperm count normal? There is no correlation between male fertility and virility. Men with totally normal sex drives may have no sperms at all. Top of the Page What is Embryo Reduction? Assisted Reproductive Therapy (ART) has caused an increase in multiple pregnancies. This situation is especially seen in ovulation induction and Intra Uterine Insemination. In order to prevent the risk of severe premature birth and handicaps as well as risks for the mother, embryo reduction is sometimes performed. The number of embryos in the uterus is reduced and the remaining pregnancy has a better chance of normal development and delivery. Of course this is not an easy decision for either the patients or the doctor. With careful guidance of the patient during treatment and good counseling when the patient is at risk for a large multiple pregnancy, many triplets or higher order pregnancies may be avoided. Top of the Page I don't think infertility treatment should be offered in India, because there are too many babies in this country already. Why should we exacerbate the population problem by producing more? In any case, IVF treatment is too expensive for India to be able to afford it. The right to have children is a fundamental right of every human being and a very basic biological urge. Just because a neighbor has too many children should not deprive the infertile http://www.testtubebabyclinic.com/new/faq.asp (12 of 16) [10/16/2008 9:17:50 AM]
- Slide 15: Test Tube Baby Clinic couple of their right to have their own. IVF and related technologies are undoubtedly expensive, but, then, so is heart surgery. Yet, no one objects when over Rs 1 lakh are spent to try to salvage the heart of a 70-year-old man (whose life expectancy in any case is only about 5 years and is not extended by the surgery). Why then should medical technology not be used to help couples in their thirties (with their whole lives ahead of them) have their own baby? In fact, IVF is a much more cost-effective use of medical resources than a number of other accepted surgical procedures (such as joint replacement surgery or kidney transplants). Top of the Page What is Cryopreservation? Cryopreservation means preserving in a frozen condition. The best known cryopreservation is of semen. This is mostly done in case of cancer of the testicles before treatment of the cancer. Furthermore cryopreserved semen is used in donor insemination. It is also possible to freeze fertilized eggs after IVF or ICSI. If more embryos are left after an IVF or ICSI procedure they can be frozen and transferred another time. In this way there is another chance of a pregnancy while only one IVF or ICSI cycle is performed. For human oocytes cryopreservation is much more difficult. Only in very few experiments this is done successfully. The attention of researchers now is on developing a way to freeze ovarian tissue and after thawing, to obtain the oocytes in it. This procedure is not yet fully refined but when it is it can offer great opportunities in the future. Top of the Page My semen analysis report shows I have no sperm in the semen (azoospermia). Is this because I used to masturbate excessively as a boy? Masturbation is a normal activity which most boys and men indulge in. It does not affect the sperm count. You cannot ‘run’ out of sperms, because these are constantly being produced in the testes. Top of the Page Is Intra Uterine Insemination suitable for every infertile couple? No. In Intra Uterine Insemination (IUI) processed semen is directly put into the uterus. It is a technique used for couples with fertility problems based on specific causes. These causes are ● Cervical hostility: This means that the cervix is not permeable for semen shown after the Post Coital Test. ● Idiopathic subfertility: No cause has been found for the inability to conceive ● Male subfertility The sperm quality is decreased. Clinics use different ranges for sperm count in which they perform IUI. ● Sperm Antibodies: Inability for vaginal ejaculation with decreased sperm quality For example in men with retrograde ejaculation or spinal cord injury. IUI can be performed either in a spontaneous ovulatory cycle (cervical hostility) or in a cycle with ovarian stimulating hormones (idiopathic subfertility and male subfertility/sperm http://www.testtubebabyclinic.com/new/faq.asp (13 of 16) [10/16/2008 9:17:50 AM]
- Slide 16: Test Tube Baby Clinic antibodies). The stimulation is mostly done with clomiphene citrate or gonadotropins. Top of the Page My wife is frigid and does not enjoy having sex. Could this be the reason for her infertility? There is no connection between sexual pleasure and fertility. Don't forget that even a woman who gets raped can get pregnant! And don't forget that the commonest reason women do not enjoy sex is because their husbands are unskilled lovers! Maybe you should improve your sexual technique, and spend more time in foreplay and in pleasuring your wife! Top of the Page What is TESE or MESA? TESE (Testicular Sperm Extraction): Sperm collected out of the testicles after operation. MESA (Microsurgical Epididymal Sperm Aspiration): Sperm collected out of the epididymis after operation.TESE or MESA is a technique developed for patients with no sperm cells in their sperm due to an undeveloped or obstructed spermatic cord. The cause of obstruction can be a former sterilization or an infection of the epididymis. When the testicles make no sperm cells at all, of course TESE or MESA is not possible. If sperm cells are obtained, an ICSI procedure