Frequently Asked Questions
Read our Frequently Asked Questions (FAQs) for patients, seeking healthcare services in Yadav Hospital. Our FAQs is here to address your concerns and equip you with the right set of information.
1. Infertility Related Questions
Infertility means, not being able to get pregnant after one year of trying or, six months if a woman is 35 or older. Women who can get pregnant but are unable to continue pregnancy may also be called relatively infertile.
Not at all! Men are as much susceptible to the term as women. To be more precise, women and men have equal ratios e.g. Women can have issues like blockage in tubes, disturbed ovulation and men can have low sperm counts or problems in erection. Some causes can be common and some can be hard to establish.
A’ yes’ again. Older women find it difficult to conceive due to decrease in quality and quantity of eggs they produce which also results in reduced egg reservoir in the ovaries, especially after 35 year of age. Although, there is not much evidence of reduced fertility in males based on their age, but studies have shown reduced cases of pregnancy for women with male partners of over 40 years of age.
I am afraid the answer to that is ‘Yes’. Obesity contributes to hormonal imbalances and ovulation complications thereby affecting chances of conception. Complications related to obesity like PCOD cause irregular ovulation. Even a 10% reduction in weight can highly increase the chances of conception. Overweight can affect men as well due to its direct relation to decreased libido and erection.
Yes! Stress disturbs the functioning of the hypothalamus, a gland in the brain that influences the release of hormones and the production of eggs cycle in the ovaries. A stressed woman may totally skip ovulation or ovulate late. As far as men are concerned, the stress can lead to reduced libido or even impotency.
Absolutely! Medicine, coupled with a healthy lifestyle, consisting of exercise, nutritious diet of green vegetables and fruits, can help. For a sperm count of 10-15 million/ml. IUI can be helpful. But, in the case of a very low sperm count, IVF/ICSI increases your chances to a greater extent.
The major cause of infertility is complications in ovulation. The absence of Ovulation will result in no eggs to fertilize. Evidence of ovulation complications are irregular menstrual cycle. Polycystic ovarian syndrome (PCOS) is one of the major causes of complications in ovulation because this hormonal imbalance can greatly influence normal ovulation. The other cause is Primary ovarian insufficiency (POI). This results in dysfunction of Ovaries before the age of 40. POI is often confused with early menopause but is not the same. Some other causes of infertility are: • Blockage in Fallopian tubes because of inflammation in pelvic. • An ectopic pregnancy where fertilized eggs are implanted outside the uterus. • Endometriosis • Deformity in uterus • Uterine fibroids. ( non-cancerous clumps of tissue and muscle on the walls of the uterus).
The quality and of sperm in men can be affected by the following: • Drugs • Alcoholism • Smoking • Age • Environmental reasons like pollution, pesticides, and toxins • Some health issues like kidney dysfunction, hormonal disbalance, mumps, cancer • Radiation(for those who are susceptible to exposure)
Women in their thirties may suffer reduced chances of pregnancy due to following reasons: • Decrease in health and quantity of eggs • Hormonal changes affecting ovulation • Decrease in sexual drive and intercourse • Other medical or gynecologic conditions like endometriosis
Experts in the area go for infertility check that comprises a physical check of partners and study of the history of their sexual intercourse. Besides this the doctors can advice more tests to arrive at the root cause. Semen test is the first test for men to study the health of semen including its shape, size, number and movement. At other times, doctors may decide to test the level of their hormones. For women, apart from ovulation and blood test, number of other tests can be conducted like- • Sono Salpingography: It is conducted to check the patency of fallopian tubes by injecting saline. • Hystero Salpingography: A special dye is injected in the uterus in order to check its movement to fallopian tube. It is also a kind of X Ray that checks the blockage in uterus and Fallopian tube. • Laparoscopy: Laparoscope is inserted in the abdomen to check for any disease in ovaries, fallopian tubes, and uterus,such as endometriosis. • Hysetroscopy: Hystroscope is conducted to detect any uterus for any polyps, adhesions, septas, etc.
The advance technology can treat Infertility with artificial insemination, medicines or technology for assisted reproduction. There may be a requirement to use the combination of them. The specific treatment will depend on: • Test results • Period for which the couple has been trying for conception • Partners’ ages and overall health Treatment of infertility in men will depend on the cause of the problem. • Sperm count: In low count either a surgery or antibiotics can be advised depending upon the cause. • Azoospermia: In this case the semen does not have sperms due to a blockage which can be removed through surgery.
For fertility treatment, we offer basic evaluation and most advanced Assisted Reproductive Technologies for both male and female. Some of the treatments are: • Fertility Check for Couples • Intrauterine Insemination (IUI) • In Vitro Fertilization (IVF) • Follicular Monitoring • Embryo Freezing • Semen Freezing • Testicular Biopsy • P.E.S.A. / T.E.S.A.
2. IVF Treatment Questions
• Hormones are injected into the ovaries for stimulation, as a result of which, multiple eggs are produced. ( The natural cycle produces only one egg in a month) • These eggs are monitored, to check their growth, through ultrasound and hormone tests. • In the next stage, after follicles reach large enough sizes, hCG, a hormone is injected to help the eggs mature. • In 34-38 hours after the hormone (hCG) injection, the eggs are carefully removed (or aspirated) from the ovaries. • This is done through a needle via the vaginal route under the guidance of ultrasound. • It is then combined with the male semen and left in an incubator to fertilize • Once these eggs become embryos, they are placed back in the uterus • A pregnancy test is conducted to check for the success of the process after two weeks
There is no such requirement. One can continue to perform the normal work after the process although, strenuous work should be avoided. There has been no evidence of the relation between rest and chances of successful conception. 10 minutes lying down after the procedure is stated to be sufficient.
15 days after ovum pick up a blood test can confirm pregnancy. Thereafter, an ultrasound after 30 to 40 days can further confirm it.
3. Pregnancy Questions
One year is a good time before you see a doctor. But if you have crossed the age of 35, then six months would be more advisable as chances of conception rapidly reduce after 30. A woman’s chances of having a baby decrease rapidly every year after the age of 30. In all cases, a fertility test is highly recommended. If you suffer from the following health conditions you should seek doctors’ advice: • A missed or erratic menstrual cycle. • Periods with acute pain • Endometriosis • Pelvic inflammatory disease • Miscarriage, more than once
• Smoking • Alcoholism • Age after 35 • Malnutrition • Mental and physical Stress • Poor diet • Overweight or underweight • Sexually transmitted disease • Health issues like Thyroid. Hormonal imbalance, PCOD • Sexually transmitted disease