Considering IVF can bring mixed feelings. You may be excited because a new life is coming, and it will fill your life with meaning and joy. Or it may be a distressing and anxiety-ridden experience, given it is a considerably complicated and lengthy process. Your anticipation can cause anxiousness. We understand it, starting a family will undoubtedly bring happiness to your life, but the journey may be a bit difficult, yet in the end, the joy is unbound.
If you look at some figures, in India nearly 10-15% of married couples are unable to conceive naturally. Worldwide, nearly 28 million couples who would like to have children have some form of infertility problems, and only 1% of them seek any kind of treatment.
There may be various reasons not to seek treatment such as social taboos and preconceived notions, or lack of awareness. Now as we are opening up to different possibilities, IVF has suggested a new way to have our dream come true.
Early on, major cities like Delhi, Mumbai, Bangalore, and Chennai were the places to find fertility centres, but as technology has advanced and people are seeking solutions near their residences, fertility centres in Varanasi like cities, are now also available.
What is IVF?
IVF is the fertilisation of eggs outside the female body in a lab. Mature eggs are removed from ovaries and fertilised by sperm. Then, the fertilised eggs, also called embryos, are placed into the uterus. The Ovaries are stimulated to produce multiple eggs. Injectable medication containing follicle-stimulating hormones (FSH), luteinising hormone (LH), or a combination of both is injected for stimulation.Why should I seek IVF?
IVF is prescribed for infertility or genetic disorders. However, it may not be the primary treatment. If IVF is used to treat infertility, you may seek some other less time-consuming, and inexpensive treatments like fertility drugs, and intrauterine insemination (sperm placed directly into the uterus when ovulation is near.) Your doctor may recommend an IVF when you have:-
Damaged or blocked fallopian tubes
: Embryos need to drift to the uterus for a successful pregnancy. A blocked or damaged fallopian tube constricts or completely blocks the passage of sperm and makes it unlikely to get pregnant. -
Previous sterilisation or removal of the fallopian tubes
: To prevent pregnancy, many people prefer to cut the fallopian tube or block it. Since the fallopian tubes are the passageway for the sperm to the uterus, IVF can provide an effective solution. -
Uterine fibroids
: Fibroids are tumours in the uterus. Though, they are benign. These tumours can block the implantation of fertilised eggs. -
Endometriosis
: In endometriosis, tissues similar to the lining of the uterus develop outside the uterus. It can adversely affect the function of the ovaries. Fallopian tubes and uterus. A common procedure used to treat endometriosis is laparoscopy. It is considered less invasive than traditional surgery. However, if you need to consult whether you need such surgery or not, you should seek help. Our laparoscopic surgeon in Varanasi can help you make these decisions.
-
Irregular Ovulation
: Irregular ovulation may be infrequent or absent ovulation, which means not many eggs are available for fertilisation. -
Genetic Diseases
: If any of you have a genetic disorder that may pass to your child, fertilised eggs with identified genetic disorders would be required to be separated from the lot. IVF can successfully solve this problem. -
Unexplained infertility
: This means no cause of infertility was found, hence unexplained infertility. -
Sperm ineffectiveness
: There may be several reasons for sperm ineffectiveness: below-average sperm count, weak mobility, and abnormal sperm size. If you think any of it could be an underlying cause, seek your doctor’s help. If you are seeking an infertility doctor in Varanasi, get in touch with us.
How much time does it take?
The entire cycle can take from 4 weeks to up to 6 weeks.What is the success Rate of IVF?
When we compare the success rate of a single IVF cycle to a natural cycle, results show it to be successful. A study of around 1.5 lac women showed chances of getting pregnant in the first cycle of IVF are the same as by natural means – after one month of trying, nearly 38% of women became pregnant.What factors affect conception by IVF?
-
Maternal Age
: The age of the mother is a significant indicator of the baby’s health. If you are considerably young (below 40), it is highly likely that you will birth a healthy baby using your own eggs. Women above 41 tend to have lower chances of having a healthy baby. When you are above 41, your doctor may recommend using donor eggs. -
Reproductive History
: If a woman has given birth before, chances of conceiving would be higher through IVF than for a woman who has never given birth. Women who have had unsuccessful attempts previously are less likely to conceive. -
Infertility
: Many factors can cause infertility. Women with acute endometriosis have a lower success rate in getting pregnant than women with unexplained infertility. If you are seeking to consult an infertility doctor in Varanasi, contact us. -
Lifestyle
: Smoking is one of the reasons that can lower the chances of live birth by 34% and miscarrying by 30%. Obesity can significantly reduce the chance of a live birth too. A BMI above 27 can cause a 33% decrease.
What is the procedure for IVF?
-
Stimulating Ovulation
: IVF cycle begins with the injection of hormones that stimulate the ovaries to release multiple eggs. Multiple eggs are required because some eggs may not fertilise or develop normally after fertilisation. Usually, stimulation requires up to two weeks before eggs are ready for retrieval. -
Egg retrieval
: Ensuring eggs are removed before ovulation is necessary. Typically, eggs are retrieved using transvaginal ultrasound. - Sperm retrieval : Usually semen is collected through masturbation. However, other methods such as testicular aspiration (sperm is directly extracted from the testicles) can be used.
-
Fertilisation
: When your doctor has extracted eggs and sperm, fertilisation is ready to begin. However, fertilisation must occur between 12 to 24 hours. 70% of the eggs get fertilised, given that the male is fertile. When the cause is male infertility, ICSI (intracytoplasmic sperm injection) may be used. In ICSI, a single sperm is paired with a mature egg. It may also be used when previous IVF attempts have failed. -
Embryo Transfer
: Your doctor will transfer the embryo 2 to 5 days after egg removal. A long tube (catheter) is inserted through the cervix into the uterus. The embryos are suspended in a small amount of liquid, so a liquid is also delivered.
How much it costs?
IVF procedures are time-consuming and require patient-specific treatments. It is only after an assessment that doctors know what diagnoses are required. Typically, the average cost for IVF in India is around 2 lacs. But additional remedies such as ICSI, PGT, assisted hatching, gestational carriers, and egg donors may require, which will increase the costs and can go up to 5-8 lacs.What are the risks associated with IVF?
-
Multiple births
: When more than one embryo is placed into the uterus, the likelihood of multiple birth increases. It may put you at risk of early labour and low weight of the child at birth, and neonatal morbidity. -
Miscarriage
: The miscarriage rate for women conceiving using IVF is similar (15-25%) to women conceiving naturally. Age has a significant impact on the likelihood of miscarrying – it goes up with age. -
Birth defects
: Some researchers ambiguously point out that infants conceived using IVF have a slightly higher risk of birth defects, but clear reasoning and better methods are required to establish these findings. -
Ectopic pregnancy
: In an ectopic pregnancy, fertilised egg implants outside the uterus – in the fallopian tube. The fallopian tube can not stretch like the uterus, which leads to bleeding in the mother. The risk of an ectopic pregnancy is 2-4% with IVF conception. -
Low birthweight
: Researchers have shown it is likely that using IVF may result in a higher premature birth rate and a lower birth weight rate than a baby conceived naturally. -
Ovarian hyperstimulation syndrome (OHS)
: Drugs used to stimulate ovulation can cause OHS. Ovaries become swollen and painful. It occurs in 10% of the people whose ovaries are stimulated for IVF treatment.