Facing Infertility issues? Read for the solution.

Hi baby!

In a country where the population is the largest in the world, it is incredible that infertility is associated with a mass of negatives.  Apart from stares, whispered snide remarks and tacit disapproval, the woman is blamed for incapacity – epithets used for infertile land, are amongst the kindest insults hurled at her.

The sole purpose of a family is to have children and shortly after marriage, the social pressure put on a young couple can build up gradually. It is vital that the genes and DNA of the family be carried along the generations. Given the threadbare fabric of our male dominated society, it becomes necessary to have a child . . . at least one, if not more. To carry on the family name, to be a prop in one’s old age – numerous are the reasons for having a child.

Science has made rapid advances and now, with a little help from doctors, a baby can be born as ‘a gift of God’ aided by medical science. One fairly successful method is IUI, [intra uterine insemination] .The     general idea is to separate sperm; the fast moving from the dull sperm which don’t go places, hence no babies. This is done under the controlled conditions of a laboratory. In the middle of the monthly cycle, when the egg is released from the womb, the active sperm are placed in the womb of the woman.

Doctors usually recommend IUI when infertility exists for no specific reason, problems in ovulation, the man suffers from pre-mature ejaculation or is impotent - or if a woman wants to have a baby without a man.

Healthy fallopian tubes

The woman’s fallopian tubes must be open and healthy. A tubular patency test is conducted to check the health of the fallopian tubes and the pelvis. This can be done both by a dye test and a laparoscopy.

In dye test, Dye is injected in to the uterine cavity to outline the tubes this procedure is called HSG or if done through Saline injection is called SSG.

In a laparoscopy, a telescope gives a clear view of the inside of the pelvis. When the tubes are clear, then a dye is passed through the tubes. It should pass clearly with no adhesions in the tubes. Adhesions prevent the sperm from having access to the ovary. This is conducted under general anesthesia.

In case only one fallopian tube is open, then IUI is effective when ovulation is about to happen on the same side as the open tube. It is also essential that there is no problem in the quality and number of sperms.

Now that Mom and Dad are ready, let’s wait for the baby to emerge!

Male infertility: Social Taboo!

Whenever any woman is not able to conceive, the family usually assumes the problem lies with her. However about 40% of infertility may be due to male factor problems. Most men find it difficult to accept that they can have infertility. Infertility is treated as a woman’s problem in a majority of the cases. Infertility in men is like any other ailment which, in most of the cases, can be treated with proper guidance and medication. However, in our society where potency and virility are the mainstays of manhood, it is very difficult to convince males that they might be the cause of infertility. The truth is always difficult to handle for men as it is perceived as a blow to their masculinity.

There is a wide range of phrases that are used for men facing infertility problems and such derogatory terms add more to their pain. Men hence  feel more insulted and dejected in society and their family. They think that their ability to father a child is either severely compromised or almost impossible which is a complete fallacy. Male Infertility is completely curable in most cases with the right medical treatment.

A couple should understand that it is the responsibility of both the husband and the wife to complete the family and if they are not able to do that then they both should see a doctor. The right diagnosis of the problem is the most important aspect of infertility treatment.  Proper medication and cure can help them build their family and perhaps save their marriage.

Infertility Talk: Still a TABOO??

At a certain point in life desire to have a family is of top most priority for married couples. However, when their longing to have a child turns out to be a failure then that can be distressing emotional blow on the sentiments of these couples.

Talking about sexual or fertility problems in our society is considered as a taboo and when couples face these problems they want someone to talk about it. People feel ashamed or embarrassed while talking about their infertility problems but it should be the other way round because when someone will talk about their problem then only they can find a solution.

Without appropriate treatment and support of family and friends success in overcoming these problems is very difficult. Impact of infertility differs greatly for different individuals and it is always influenced by cultural background and the society they live in. People in small towns and villages are not even aware about infertility treatments available, they prefer worshiping their gods and if they don’t succeed they prefer going for second marriage.

In some places, women who fail to have a child are even more socially stigmatised. Motherhood is considered to be the defining factor in a women’s life. It is a milestone achieved when a woman becomes a mother and it confers her adult identity with self respect and dignity.

We still need to aware and educate people about the options available and help them to talk about their problems instead of hiding them and getting depressed.

What is IUI Treatment ? Ridge IVF Center Delhi, IVF Doctors Delhi, Infertility Specialist.

IUI or Intra Uterine Insemination is a new reproductive technique which helps those couples who are not able to conceive. Artificial insemination can help you conceive if you have a sperm allergy or if your partner has a low sperm count or poor sperm motility. The reason for not conceiving may be some medicines taken by men, couples staying away due to job, male or female tube blockage, sperm count etc. This technique is completely a painless technique.

Procedure:

In this process when an ovum is releases semen is introduced in women’s vagina or uterus. The semen inserted in vagina may be fresh or sometimes frozen. When semen is supplied by sperm bank it is in frozen state and need to be thawed before use.  Semen is usually placed in the vagina using a needleless syringe. A longer tube, called a tom cat, may be attached to the end of the syringe to facilitate deposit of the semen deeper into the vagina. The woman is generally advised to lie still for a half hour or so after the insemination to prevent seepage and to allow fertilization to take place.

A more efficient method of artificial insemination is to insert semen directly into the woman's uterus. Where this method is employed it is important that only washed semen be used and this is inserted into the uterus by means of a catheter. Sperm banks and fertility clinics usually offer washed semen for this purpose. Semen is occasionally inserted twice within a 'treatment cycle'. A double intrauterine insemination has been theorized to increase pregnancy rates by decreasing the risk of missing the fertile window during ovulation.

Myth:

With this technique there many myths are related like this technique gives multiple pregnancy, the child who are born are abnormal for example the babies conceived through ART will have problems such as birth defects, low birth weight, developmental delays. The overwhelming majority of babies born as a result of fertility treatment are fine!

Length of treatment:

The insemination takes less than an hour, but you may be on fertility drugs for about a week before you ovulate. Depending on the cause of their fertility problem, most women undergo three to six cycles of artificial insemination before getting pregnant or trying another treatment.

 

Success Rate:

Success rates depend on you and your partner's fertility problem and your age. Most couples who turn to IUI have a 5 to 20 percent chance of becoming pregnant with each cycle. Your chances will be closer to 20 percent if you take fertility drugs in conjunction with the procedure.

How normal pregnancy happens explained by infertility specialist in Delhi, Ridge IVF Center Delhi.

Pregnancy happens in female’s genital organ during menstruation (day 1). There are 5-8 eggs in each ovary. During menstruation eggs try to grow in ovary but only one egg gets dominate during 5^th-6^th day and it keeps on growing and travels to tube. In normal pregnancy egg ruptures on 14^th day and despatch from ovary and (a tube in female reproductive organ). During this period if partner has any contact then he releases million of sperms and one sperm go and meet that egg and fertilization happens in fallopian tube.

Initial life of embryo after fertilization starts in tube. It stays in tube for 2 days and has no attachment with mother. It gets nutrition from tube fluid. On 3^rd day egg jumps into uterus and gets modified and attached to mother. “Uterus grows as baby grows.”

After 9 months female gets pain in uterus also called “labor pain” and delivery happens either through vaginal area called Normal Delivery or by abdominal route by surgical means.

Male and female infertility explained by infertility specialist.

Male and Female infertility explained by Dr. Sarabjeet , Infertility Specialist, Ridge IVF Centre, Delhi. While explaining infertility to male and female firstly, we examine both of them. We take their detailed history, for female we do basic hormonal investigation, ultrasound and some basic test. Then we test where problem is and then try to rectify it and ask them to try naturally, if it happens then its fine otherwise we suggest them for artificial method like IUI, IVF etc.

Explaining about these techniques is not very difficult as awareness has increased a lot about the same. People prefer to go to infertility specialist rather than going to a gyane. Earlier this was a general trend going to gynaecology for any problem but this has changed now. There are so many fertility centres available and people are aware for the same, so they prefer to go there for any kind of consultation.

People think that if they are opting for any artificial technique there are 100% chances to conceive but this a biggest myth. IVF or any other artificial technique just gives 40% chances to conceive. In case of failure it’s not that we can’t try again we do try again.

What is patient's conception about infertility and how you treat them?

 Dr. Sarabjeet, Infertility Specialist at Ridge IVF and Infertility Centres, Delhi answers: About conception I would rather say its a misconception, couples think that the moment when they start trying for pregnancy it must happen. But chances of getting pregnant in first month (if both male and female are normal) are just 5-7%. They think the other one has conceived in first month why am I taking so much time? They must understand that this completely depends on chances. Today we are moving towards developing sector so our initial plans are like to have a 2BHK, Car etc. Due to this, planning for a family is taking a door. After this, when they (a couple) start trying, it takes few months or even a year to conceive.

About treating patients we treat them as unit. First we ask their basic history, how their sexual life is going after getting all personal details we come to medical part. If a couple has been trying for one year and they are unable to conceive, then we check them for various infertility problems.