Faq's

  • What is infertility?
    • Infertility is usually defined as an inability to get pregnant after one year of trying. Older women, however, aged over 35, should probably seek advice sooner. The term is also sometimes used to describe women who do get pregnant, but repeatedly miscarry, as there may be common factors.

  • Do all fibroids need to be removed?
    • All fibroids do not require surgery.Only those more than 3.5cm or those indenting the uterine cavity & those within the cavity need excision.

  • Do painful periods cause infertility?
    • Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles.

  • During my ovulation time, how many days am I really fertile?
    • During the time of ovulation, an egg is available to be fertilized for only about 12-24 hours. But since sperm can live in the body for 3-5 days and then the egg is available for one day, your most fertile time is considered to be about 5-7 days.

  • 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.

  • How do doctors treat infertility?
    • Infertility can be treated with medicine, surgery, artificial insemination, or assisted reproductive technology (ART), such as in-vitro fertilization (IVF). Many times these treatments are combined.
      The treatment will depend on the results of a variety of tests that can be performed to determine the cause of the problem. In many cases, all that will be needed is advice – with regard to timing, for example; sometimes, lack of ovulation can be treated with simple medication. More complicated problems, such as blocked fallopian tubes, or severe male infertility, may require more sophisticated intervention.

  • How does IUI increase my chance of pregnancy?
    • The IUI procedure works by concentrating the healthiest sperm in the ejaculate, and placing the "washed" sperm into the uterus adjacent to the fallopian tube & thus increases chances to fertilize the egg.

  • How does natural conception occur?
    • Conception occurs when the male’s sperm meet the woman’s egg and successfully penetrates it. This typically takes place in one of the woman’s fallopian tube and the fertilized egg then travels to the uterus and implants in the uterine lining. For pregnancy to take place, fertilization of the egg must be followed by a successful impanation. Only one egg is released for fertilization in each menstrual cycle. If this egg is not fertilized, conception will not be possible again until the next cycle.

  • How is infertility diagnosed?
    • A complete medical history and a physical exam are the first step in diagnosing with fertility problem. Both partners need to be evaluated. The couple may also need blood tests, semen analysis and ultrasound exams or exploratory surgery for the woman.

  • How is infertility in a man treated?
    • Problems in the male reproductive organs can often be resolved with medicine and if required with surgery.

  • How is infertility in a woman treated?
    • Once the cause for infertility is determined, treatment can be planned. Sometimes, a simple instruction or little medication will solve the problem. Instructions like when having the sex will produce a pregnancy is given. In many cases medications are indicated. In some cases surgery is required.

  • How successful is fertility treatment?
    • This depends on the cause of infertility and each couple´s circumstances. The woman´s age, for example, is a very important factor.
      The success of treatment needs to be seen within the context of normal fertility – under the age of 30, about 85% of women will get pregnant within a year of trying. Over the age of 40, the chance each month is about 5%.

  • Is infertility a common problem?
    • Yes, about 1 in 6 of couples experiences some difficulty in achieving a pregnancy.

  • Is Infertility hereditary? 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.

  • Is infertility just a woman’s problem?
    • No, both men and women can have medical problems that cause difficulty in conceiving; in about a third of couples, both partners have problems.

  • My husband and I have an active sex life, we are both healthy, and my periods are regular. However, we have still not conceived! Please help!
    • 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 is 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.

  • 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.

  • 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.

  • My periods come only once every 6 weeks. 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 30 day cycle).

  • 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.

  • Under what circumstances is a Gestational Carrier (surrogate) is recommended?
    • A woman who accepts to rent her womb to carry the child of another woman who is incapable of becoming pregnant using her own uterus is called a gestational carrier. Women who need gestational carriers with IVF include those who do not have a uterus, have an abnormal uterine cavity, have had several recurrent miscarriages or have had recurrent, failed IVF cycles. "Gestational Carrier" is also known as Surrogate Mother for Intended Parents.

  • What are the common causes of fertility problems in women?
    • Less common causes of fertility problems in women include:
      - Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery
      - Physical problems with the uterus
      - Uterine fibroids, which are non-cancerous clumps of tissue and muscle on the walls of the uterus
      - PCOS

  • What are Uterine Fibroids?
    • Uterine fibroids are the most common, non-cancerous tumours in females of childbearing age.These tumours are made of muscle cells and other tissues that grow within the wall of the uterus & may interfere in implantation process.

  • What causes infertility in men?
    • Some men have reduced numbers of sperm, reduced quality, or both. In some cases, there may be complete absence of sperm. These problems are sometimes related to more general medical problems, such as diabetes, or there may be genetic factors.

  • What causes infertility in women?
    • Most cases of female infertility are caused by problems with ovulation (the monthly release of an egg). Without ovulation, there are no eggs to be fertilized. Some signs that a woman is not ovulating may include irregular or absent menstrual periods.

  • What increases aman’s risks of infertility?
    • Sperm quality and quantity can be affected by overall health and life style. Some things that may reduce sperm number and / or quality include alcohol, drugs, stress, environmental toxins, smoking, health problems, certain medicines, radio or chemotherapy and age.

  • What is an adequate sperm count for an IUI?
    • With the functional sperm count exceeding 4-5 million with Grade A motility, chances for pregnancy with well-timed IUI are excellent. Higher success rates are achieved with sperm counts in the range of 20-30 millions/ml.

  • What is Endometriosis?
    • Endometriosis is a condition in which endometrial tissue, the tissue that lines the inside of the uterus, grows outside the uterus and attaches to other organs in the abdominal cavity such as the ovaries and fallopian tubes. Endometriosis is a progressive disease that tends to get worse over time and can reoccur after treatment. Symptoms include painful menstrual periods, abnormal menstrual bleeding & pain during or after sexual intercourse.

  • What is PCOS or Polycystic Ovarian Syndrome?
    • Ovulation problems are often caused by polycystic ovarian syndrome (PCOS), a hormone imbalance problem which can interfere with normal ovulation. PCOS is the most common cause of female infertility.

  • What is the average number of embryos transferred?
    • The infertility Specialist will make the decision after discussing embryo grading with the patient & embryologist. Generally, two or three embryos will be transferred, but the number may vary slightly depending on the grading of the embryos and the age of the female partner.

  • What is unexplained infertility?
    • Infertility that is idiopathic in the sense that its cause remains unknown even after an infertility work-up, usually including semen analysis in the male partner and assessment of ovulation and fallopian tubes in the female partner.

  • What things increase a woman’s risk of infertility?
    • Things that affect woman’s fertility include age, stress, poor diet, obesity, underweight, smoking, STD, hormonal problems and health problems.

  • When do I need an oocyte donor?
    • Women who are unable to produce healthy eggs, but have a healthy uterus are candidates for Donor Egg IVF. This procedure is the same as that of Self IVF except that the intended parents select a oocyte donor and use the donor's oocytes to create the embryo.

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