IVF is an acronym for in vitro fertilization (‘in vitro’ meaning ‘in glass’) Hence it is also called test tube pregnancy. It is a non-surgical process by which egg cells are fertilized by sperm outside the womb.The process involves hormonally controlling the ovulatory process, removing ova (eggs) from the woman’s ovaries, and letting sperm fertilize them in a fluid medium. The fertilized egg (Embryo) is then transferred to the patient’s uterus with the intent to establish a successful pregnancy.

IVF is usually recommended when either one or both of a woman’s Fallopian tubes are blocked or when all other fertility treatments have been unsuccessful. Poor sperm quality and/or quantity, ovulation problems, and sperm-egg interaction problems are some other problems that can prevent couples from having a baby naturally. IVF helps to solve this.

Specific conditions where the patient might require IVF include:

  • Tubal blockage or failed tubal reversal
  • Endometriosis
  • Cervical factor
  • Pelvic adhesions
  • Male factor
  • Unexplained infertility/failed conventional therapy
  • Genetic testing (PGD) for inheritable diseases
  • Genetic testing (PGD) for possible reasons for multiple miscarriages

The various steps involved in IVF Procedure are:

  • Multiple eggs are produced daily for hormonal injection for 8-12 days
  • The response is then monitored through serial Ultrasounds and Blood tests
  • Eggs are retrieved with the help of a needle under local/general anesthesia
  • Then the collected eggs and the women’s husband’s sperms are mixed outside the woman’s body in a culture dish or a test tube which is then placed carefully for fertilization in an incubator
  • Transfer of resulting embryo(s) into the uterus of the woman on D2/D5
  • A blood test is performed 2 weeks later to check the establishment of pregnancy

If the treatment is successful, one or more embryos will be implanted in the uterus and the pregnancy will result, just as it happens in the natural process of conception.

It is medically possible to go for the next cycle immediately. In some cases, however, we may need to modify your IVF treatment, depending on an assessment of your previous cycle. For example, if the ovarian response was poor, we may advise you additional medications to increase your response for the next cycle.

Risks of IVF

Multiple pregnancies after IVF – The incidence of twin pregnancies is 20% and the incidence of triplets is 3-4%. Ovarian Hyperstimulation 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)

NO, these babies are the same- mentally and physically except that they are very very special because it is a very difficult journey for their parents.

All IVF therapy does not have to be expensive, and there are several simple and cost-effective treatments that can be used to produce a satisfactory result in the majority of patients. However, baseline studies are recommended in order to determine the best course of treatment. Only a small number of people require more costly IVF treatment, such as Test Tube Baby Treatment in Delhi. However, there is no shortcut, and if more advanced and expensive therapy, such as IVF, is required, it should not be postponed, as age is a key determinant in conception. We make every effort to keep the cost of all operations as low as possible in order to assist the majority of couples.

Treatment is based upon on nature and extent of damage. No, there may be no medication to deal with broken fallopian tubes. Only laparoscopic surgical operation may be done at the blocked tubes. The best IVF Specialist in Delhi, Dr. KD Nayar advises the best IVF Treatment for this type of problem.

It is the process of a few hrs, no need to stay at the hospital in most cases but you are required to visit 5 to 6 times during one cycle.

There are some limitations for all the procedure. On an average success rate is 35% per cycle which can be increased up to 50%, if the patient goes for 3 to 4 cycles. The success rate also depends on the problem and the procedure recommended. We will do our best to help you in conceiving.

Before commencing the treatment, we must know the seminal parameters for the couple, Ovulation, complete Status, and Hormonal Profile of the male and female partner. This helps us to decide the most cost-effective line of management.

Traditionally, our society blames only ladies for childlessness. It is not true. Both partners are responsible for making a baby.

  • In Males, cause may be
    less number of sperm &
    poor quality sperm or nil sperm

  • In Females, the main reasons are
    deficient egg formation,
    hormonal disturbances,
    blocked tube,
    Tuberculosis and other infections.
    20 % couples are failed to conceive without any reasons.

  • Usually fertilization & early development takes place in fallopian tubes naturally. But in IVF or Test Tube Baby, eggs are taken out by ultrasound in a test tube and then fertilized with male sperm in the IVF lab. Initial development for 2 – 3 day also occur outside than growing embryo is injected into the uterus. The rest of the development takes place as in normal pregnancy. IVF is one of the greatest achievements for childless couples of this century. Many females suffered and lived their life with the tag of the childless mother. This procedure gives life to the suffered ladies.

    Infertility is a problem that affects a couple rather than an individual. It is the inability of 20% of couples to become pregnant after attempting regular unprotected intercourse for at least 12 months. 40% of a couple’s problems are caused by the male spouse, 30% by the female partner, and 30% by both partners.

    Problems may arise as a result of coital failure or infrequency, or in the male partner as a result of low sperm count, poor sperm quality, or ejaculatory failure. In females, eggs may not form or tubes may be clogged, or there may be abnormal cervix or cervical mucus defects, uterine shape or structure problems, or hormonal imbalance. After a thorough study, 25% of couples may have no apparent causes, resulting in cases of unexplained infertility.

    Both the woman and husband should go to the infertility clinic together and try to express their views and questions to the physicians since they need to have a clear picture of their condition and the type of treatment required to have a successful result. Because 15% of couples may have more than one reason for infertility, every patient should have the entire set of basic diagnostics performed rather than focusing on just one problem. A battery of tests is performed on the couple, including sperm analysis, tubal patency testing (HSG), ovulation tracking through ultrasound, Hormonal assay, and, if necessary, endoscopy. Following a thorough history and physical examination, investigations are arranged, which may differ from couple to couple and aid in determining the most appropriate treatment.

    The body begins preparing a few sets of follicles for ovulation on day one of the menstrual cycles. The ovary’s follicles is a tiny fluid-filled cystic structure that holds an egg. By midcycle, one follicle ruptures, and an egg is released into the fallopian tube, where it awaits the sperm, which travels all the way from the vagina to the uterine cavity under the influence of hormones issued from the brain.

    Success rates decline with increasing age and duration of infertility. As is common with couples who put off infertility treatment for years due to a lack of understanding and a desire for less expensive treatment alternatives, etc. The sperm should be motile and morphologically normal in the sperm. Any persistent medical or surgical ailment should be mentioned to your doctor as well. When no follicles develop or the follicle growth patterns are aberrant, cycle cancellation may occur.