Frequently Asked Questions about Infertility

What is cryopreservation

Cryopreservation is a technique used to freeze and store biological materials, such as sperm, eggs, or embryos, for future use. It is an integral component of assisted reproductive technology, offering individuals and couples the opportunity to preserve their fertility when facing factors that may compromise their reproductive capabilities. Cryopreservation has revolutionised the field of reproductive medicine, allowing for the successful preservation and utilisation of gametes and embryos.

How does cryopreservation work?

Cryopreservation involves the careful freezing of biological materials using specialised techniques and equipment. The process typically includes the addition of cryoprotectants to protect the biological cells from damage during the freezing and thawing process. The samples are then cooled at a controlled rate and stored in liquid nitrogen at extremely low temperatures. This freezing technique effectively preserves the viability and functionality of sperm, eggs, and embryos, enabling their future use in fertility treatments.

What is elective cryopreservation: Are Frozen Embryos better than Fresh?

Elective cryopreservation refers to the deliberate choice of freezing and storing embryos for future use instead of transferring them immediately during an IVF cycle. This approach provides several advantages over fresh embryo transfer. Frozen embryos have a higher chance of survival and implantation due to the ability to select the most viable embryos through PGT. Additionally, cryopreservation allows for multiple transfer attempts, increasing the overall success rates of IVF treatments. Elective cryopreservation gives individuals and couples greater flexibility in family planning and increases the chances of achieving their desired parenthood goals.

What is the cryopreservation technique for sperm, egg & embryo

The cryopreservation technique for sperm, eggs, and embryos is a complex process. After collection, the samples undergo a process called vitrification, which involves rapid freezing in a high concentration of cryoprotectants. These cryoprotectants play a crucial role in preventing ice crystal formation, which can damage the biological cells during the freezing process. The samples are then preserved in liquid nitrogen at ultra-low temperatures until they are needed for future use. This cryopreservation technique is essential for the long-term preservation of sperm, eggs, and embryos, maintaining their viability and fertility potential.

How long can my embryos be frozen?

Embryos can be safely frozen and stored for extended periods. The duration of cryopreservation depends on various factors, such as the quality of the embryos and the regulations of the fertility clinic. In many cases, one can store embryos for several years without compromising their viability or fertility potential. Fertility clinics typically have stringent protocols in place to ensure the proper storage and monitoring of frozen embryos, providing individuals and couples with the flexibility to plan their family-building journey according to their specific circumstances.

What is a frozen embryo transfer (FET)?

In the frozen embryo transfer (FET) procedure, cryopreserved embryos are thawed and transferred into the uterus during an IVF cycle. FET offers several advantages over fresh embryo transfer, including a higher chance of successful implantation and pregnancy. The ability to select the healthiest embryos through PGT and prepare the uterine lining for optimal receptivity contributes to the increased success rates of FET. This technique allows individuals and couples to maximise their possibilities of achieving a successful pregnancy while minimising the risks associated with multiple embryo transfer.

How do I prepare for a frozen embryo transfer cycle?

Preparing for a frozen embryo transfer cycle involves a series of carefully planned steps to optimise the chances of successful implantation and pregnancy. The process typically starts with hormonal therapy to prepare the uterine lining for embryo transfer. This therapy may involve administering estrogen and progesterone to mimic the natural hormonal changes during a natural menstrual cycle. The fertility clinic will closely monitor the progress of the cycle through ultrasound scans and blood tests to ensure that the uterine lining is ready for implantation. Once the optimal conditions are achieved, the surgeon thaws and transfers cryopreserved embryos into the uterus, following which the individual or couple will undergo a period of waiting to determine the outcome of the cycle.

How much does IVF cost?

The price of in vitro fertilisation (IVF) can vary and depends on various components, including age, reason for infertility, need for surgery, and any additional treatments or procedures that may be necessary. On average, the cost of a single IVF cycle can range from INR 1.5 lakh to 2 lakh.

What is the cost of the IUI Program?

The cost of a single intrauterine insemination (IUI) can vary based on the age, reason for infertility, need for surgery. On average, the price of a single IUI cycle can range from INR 5000 to 10,000.

What is the cost of different fertility services?

The cost of different fertility services can vary based on the specific services and the location of the fertility centre. It is best to consult with a fertility specialist to get an accurate estimate of the costs associated with the services you may need.

How much does it cost to get an infertility test done?

Infertility testing is quite simple, and the cost can vary depending on the specific tests required and the location of the fertility centre. On average, it can range from INR 1000 to INR 5000.

What makes IVF an expensive treatment?

IVF is considered an expensive treatment due to the complex procedures and laboratory techniques involved. The cost of IVF includes ovarian stimulation medications, egg retrieval procedures, laboratory fees for fertilisation and embryo culture, and embryo transfer procedures.

What other expenses should you account for?

In addition to the cost of the fertility treatment itself, there may be additional expenses to consider. These can include medications, consultations with fertility specialists, additional diagnostic tests, genetic testing, and any necessary surgical procedures.

Will my insurance cover infertility treatments?

Insurance coverage for infertility treatments varies based on the specific policy and insurance provider. Some insurance plans offer coverage for infertility treatments, while others may have limited or no coverage. It is best to check with your coverage provider to determine your available coverage.

Will my insurance cover egg freezing?

The coverage of egg freezing by insurance depends on the insurance provider and the policy you have taken. Some insurance plans offer coverage for fertility preservation, including egg freezing, while others may have limited or no coverage. It is best to check with your insurer to determine available coverage.

What insurance do you accept?

At Ferty9 Fertility Centre, we aim to make fertility treatments accessible to as many couples as possible. We accept various insurance plans to meet the diverse needs of our patients. However, it's essential to understand that each insurance plan is unique, and coverage for infertility treatments can vary. We recommend you contact your insurer directly to determine the specifics of your coverage. Our knowledgeable and dedicated team is also available to help you understand your insurance benefits and navigate the process, ensuring you are well informed at every step.

Will my employer cover infertility?

Infertility is a medical condition that affects millions of people and couples worldwide. Many employers recognise the importance of supporting their employees in their journey towards parenthood. While infertility coverage varies from employer to employer, many companies now offer infertility benefits as part of their employee health plans. These resources may include coverage for diagnostic tests, fertility medications, and even assisted reproductive technologies such as in vitro fertilisation (IVF). Reviewing your employee benefits package or consulting with your human resources department to determine the extent of your infertility coverage is advisable.

Will my employer cover egg freezing?

Egg freezing, or oocyte cryopreservation, is a well-known fertility preservation technique that allows women to preserve their eggs for future use. It can be a valuable option for women who want to delay childbearing due to medical or personal reasons. Similar to infertility coverage, the availability of egg freezing benefits through your employer depends on your company's specific policies. Some employers may include egg freezing as part of their fertility benefits, while others may not. It is essential to check with your employer or insurance provider to understand the degree of your coverage. At Ferty9 Fertility Center, we offer comprehensive egg freezing services and can guide you through the process of utilising your insurance benefits, if applicable.

What are the different payment plans available

Understanding the financial aspect of fertility treatments is crucial for couples who are exploring their options. At Ferty9 Fertility Centre, we offer zero cost EMI option to guarantee our patients can access the care they need without considering undue financial burden. Our dedicated financial counsellors are here to guide you every step of the way. Our goal is to provide transparency and support throughout the financial process so our patients can focus on their journey towards parenthood.

What is endometriosis?

Endometriosis is a condition in which the tissue that usually lines the inside of the uterus, called the endometrium, grows outside the uterus. This displaced tissue can be found on the ovaries, fallopian tubes, or other pelvic organs, leading to inflammation, scarring, and potential fertility issues.

What causes endometriosis?

The exact reason for endometriosis is unknown, but several theories exist. Retrograde menstruation, in which menstrual blood flows back into the pelvis instead of out of the body, is one possible cause. Hormonal imbalances, immune system dysfunction, and genetic factors may also contribute to the development of endometriosis.

What are the common symptoms of endometriosis?

Common symptoms of endometriosis include pelvic pain, painful menstrual periods, pain during intercourse, and infertility. Some women may also experience heavy or irregular menstrual bleeding, fatigue, or gastrointestinal symptoms such as constipation or diarrhoea.

How is endometriosis diagnosed?

The diagnosis of endometriosis includes a combination of medical history, physical examination, and diagnostic procedures. These may include pelvic ultrasound, magnetic resonance imaging (MRI), or laparoscopy, which allows direct visualisation and removal of endometrial tissue.

Can endometriosis lead to infertility?

Endometriosis can indeed lead to infertility. The condition refers to endometrial tissue outside the uterus, which can cause inflammation, scarring, and adhesions that interfere with normal reproductive functions. Endometriosis can affect ovulation, egg quality, fallopian tube function, and implantation, making it more challenging to conceive.

Is there a cure for endometriosis?

While there is no known cure for endometriosis, various treatment modalities are available to manage symptoms and improve fertility. These can include pain management strategies, hormone therapy, or surgical interventions to remove endometrial tissue or correct any anatomical abnormalities.

How is endometriosis-related pain managed?

Various treatment approaches can help manage endometriosis-related pain. Over-the-counter pain relievers may provide temporary relief, while hormonal drugs such as contraceptive pills or GnRH agonists can help control symptoms. In severe cases, fertility professionals may recommend surgery to remove endometrial tissue or address any structural abnormalities.

Can pregnancy improve endometriosis symptoms?

Pregnancy can provide temporary relief from endometriosis symptoms for some women. The hormonal alterations that occur during pregnancy can suppress the growth of endometrial tissue. However, it's important to note that symptoms may return after childbirth or once hormonal balance is restored.

Are there lifestyle changes that can help manage endometriosis?

Certain lifestyle changes can help manage endometriosis symptoms. Eating a nutrient-rich diet, exercising regularly, managing stress and anxiety levels, and getting adequate sleep can all contribute to overall health and potentially alleviate some symptoms.

What are the long-term effects of endometriosis?

Endometriosis can have long-term effects on a woman's reproductive health. It can cause scarring and adhesions, leading to chronic pain and potential fertility issues. Additionally, endometrial tissue growth may continue over time, causing progressive symptoms and impacting quality of life.

Is there a link between endometriosis and certain cancers?

There is a potential link between endometriosis and certain cancers, particularly ovarian cancer. Women with endometriosis may have a higher chance of developing ovarian cancer, although the overall risk is still relatively low. Regular check-ups and open communication with healthcare providers are essential to monitor potential risks.

Can endometriosis recur after treatment or surgery?

Endometriosis can indeed recur after treatment or surgery. The recurrence rate can vary and depends on various components, including the disease's severity, the treatment's effectiveness, and individual factors. Close monitoring and ongoing management are essential to promptly address any recurring symptoms.

What are endometrial polyps

Endometrial polyps are outgrowths in the lining of the uterus (endometrium). They are usually non-cancerous and can vary in size from a few millimetres to several centimetres. Though the precise cause remains uncertain, hormonal imbalances, inflammation, or alterations in the endometrium's reaction to estrogen may play a role in their development. Endometrial polyps may remain asymptomatic or cause irregular bleeding, infertility, and an increased risk of miscarriage.

How does endometrial polyps affect fertility

Endometrial polyps can create an unfavourable environment for implantation and increase the risk of miscarriage. They may interfere with the implantation process by altering the endometrial lining's receptivity, reducing the embryo's ability to attach and proliferate. Polyps can also lead to irregular uterine bleeding, which may affect the timing of ovulation and intercourse, reducing the chances of conception. Sometimes, larger polyps may physically obstruct the fallopian tubes or cervix, hindering sperm transport or embryo passage. Removing the polyps through a procedure called hysteroscopy can improve fertility outcomes.

What are the causees endometrial polyps

The exact reason for endometrial polyps is unknown, but hormonal imbalances, such as elevated estrogen levels, are believed to play a role in their development. Chronic uterine inflammation, possibly due to infections or other underlying conditions, can also play a role. Other factors contributing to developing endometrial polyps include obesity, certain medications, and obesity.

What are the symptoms endometrial polyps

Some women with endometrial polyps may not experience any symptoms. However, common symptoms include irregular or heavy menstrual bleeding, bleeding between periods, and pelvic pain. Women with endometrial polyps may also experience infertility or recurrent miscarriages due to disruptions in the uterine environment. These symptoms can overlap with other gynaecological conditions, so a comprehensive evaluation by a healthcare professional is necessary for further evaluation.

How are endometrial polyps diagnosed

Diagnosing endometrial polyps involves a comprehensive analysis of medical history, physical examination, and diagnostic imaging. Transvaginal ultrasound can help visualise the uterine cavity and detect polyps. Hysteroscopy, where a thin, flexible catheter with a camera is inserted into the uterus, also helps visualise the polyps. Sometimes, imaging modalities such as saline infusion sonohysterography (SIS) or hysterosalpingography (HSG) may be employed to enhance visualisation of the endometrial lining. Healthcare professionals may also perform a biopsy to rule out the presence of cancerous cells.

What are the treatment options for endometrial polyps

The treatment options for endometrial polyps depend on their size, number, and symptoms. In some cases, if the polyps are small and asymptomatic, no treatment may be necessary. However, for symptomatic polyps or those affecting fertility, surgical removal through hysteroscopy or surgical resection is typically recommended. Regular follow-up evaluations are essential to monitor for recurrence and ensure optimal uterine health, particularly in women with risk factors or ongoing symptoms.

How does laparoscopy affect my fertility?

Laparoscopy can improve fertility by diagnosing and treating conditions like endometriosis or tubal disease. For some, it might be a step towards achieving pregnancy, either naturally or with assisted reproductive technologies.

What is hysteroscopy?

Hysteroscopy is a minimally invasive surgical method that allows visualisation and evaluation of the inside of the uterus. It involves inserting a hysteroscope (a thin, flexible catheter with a camera and a light source) through the vagina and cervix into the uterus. At Ferty9 Fertility Centre, our expert surgeons commonly use hysteroscopy to evaluate fertility ailments and perform various treatment modalities.

When is hysteroscopy recommended for fertility evaluation?

Healthcare professionals may recommend hysteroscopy fertility evaluation in various situations. It is instrumental in diagnosing and treating conditions that affect the uterine cavity, such as uterine polyps, fibroids, adhesions, and structural abnormalities. Hysteroscopy can also help remove polyps or fibroids, correct abnormalities, or perform endometrial biopsies. Our experienced reproductive specialists at Ferty9 Fertility Centre will determine if hysteroscopy is necessary in your specific case to provide an accurate diagnosis and appropriate treatment.

How is hysteroscopy performed for infertility diagnosis?

Surgeons generally perform hysteroscopy on an outpatient basis, using either local or general anaesthesia. They insert a hysteroscope through the vagina and cervix into the uterus and use carbon dioxide gas or saline solution to expand the uterine cavity for better visualisation. The hysteroscope transmits images to a monitor, allowing the doctor to inspect the uterine lining and identify any abnormalities. The surgeon may use additional instruments to remove polyps, fibroids, or adhesions if necessary. After the final evaluation or treatment completion, the surgeon removes the hysteroscope and finishes the procedure. At Ferty9 Fertility Centre, our skilled reproductive specialists ensure a safe and comfortable hysteroscopic procedure for infertility diagnosis.

Are there any potential risks or complications associated with hysteroscopy?

As with any other medical procedure, hysteroscopy has some potential risks and complications. These may include infection, bleeding, injury to the uterus or surrounding organs, and adverse reactions to anaesthesia. However, complications are rare, and our experienced reproductive specialists at Ferty9 Fertility Centre take every precaution to minimise the risks and provide optimal care.

What information can hysteroscopy provide about female fertility issues?

Hysteroscopy can provide valuable information about female fertility issues by directly visualising the inside of the uterus. It can help diagnose and evaluate various conditions, such as uterine polyps, fibroids, adhesions, and structural abnormalities. Hysteroscopy can also help with certain fertility treatments, such as removing polyps or fibroids, correcting abnormalities, or performing endometrial biopsies. At Ferty9 Fertility Centre, our skilled reproductive specialists utilise hysteroscopy to gather essential information to guide your fertility treatment plan effectively.

What is infertility, and how is it defined?

Infertility is a disease that affects a couple's ability to conceive a child. It is described as the inability to achieve pregnancy after one year of routinely unprotected sexual intercourse for women under 35 or after six months for women over 35. Various factors, such as problems with ovulation, sperm quality, or reproductive organs, can cause infertility. It is essential to seek medical help if you suspect you may be infertile, as there are treatments available to help you achieve your dream of starting a family.

Can we have our tests done at a nearby clinic as we live in a far rural area?

At Ferty9 Fertility Centre, we understand that accessibility can be a concern for patients living in rural areas. We strive to make the process as convenient as possible, and we offer the option for you to have your tests done at a nearby clinic. Our team will work closely with your local healthcare provider to ensure that all necessary tests are conducted accurately and efficiently. We strongly believe that everyone, regardless of their geographic location, should have equal access to exceptional fertility services.

What are the causes of secondary infertility

Various factors can cause secondary infertility, including an age-related decline in fertility, changes in reproductive health, hormonal imbalances, or previous medical conditions or procedures that may have affected fertility. In some cases, underlying health ailments such as polycystic ovary syndrome (PCOS) or endometriosis can contribute to secondary infertility. Lifestyle habits, such as obesity, cigarette smoking, or excessive alcohol intake, can also play a role. It is essential to consult with a fertility professional to identify the specific causes of secondary infertility and explore treatment options.

What lifestyle factors can contribute to infertility?

Several lifestyle factors can contribute to infertility. These include smoking, excessive alcohol consumption, drug use, poor nutrition, obesity, and exposure to environmental toxins. These lifestyle factors can negatively impact reproductive health in both men and women, affecting sperm quality, hormone levels, and overall fertility. Making some positive lifestyle changes, such as quitting smoking, reducing alcohol consumption, maintaining a healthy weight, and following a balanced diet, can significantly improve fertility outcomes. It is essential to address these lifestyle factors when seeking infertility treatment.

Can stress and mental health affect fertility?

Yes, stress and mental health can have a significant impact on fertility. High levels of stress and anxiety can disturb hormonal balance and intervene with ovulation in women. In men, stress can impact sperm production and quality. Additionally, conditions such as depression and anxiety can impact sexual function and desire, further affecting fertility. It is vital to prioritise mental well-being and manage stress when trying to conceive. Techniques such as counselling, mindfulness, and stress-reducing activities can help improve fertility outcomes.

When is the best time to undergo IUI in a menstrual cycle?

Timing is crucial for the success of IUI. The procedure is usually performed around ovulation time, typically 24 to 36 hours after the surge in luteinising hormone (LH). Your fertility specialist will closely monitor your menstrual cycle, perform ultrasound scans, and conduct hormone level tests to discover the optimal timing for the procedure. This careful timing enhances the chances of successful fertilisation.

Is the IUI Procedure a Painful One?

The IUI procedure is generally well-tolerated and relatively painless. It is similar to a regular pelvic exam and does not require anaesthesia. Some women may notice mild discomfort or cramping during the procedure, but it usually subsides quickly. If you have concerns about pain or discomfort, it is essential to discuss them with your fertility specialist, who can provide guidance and address your individual needs.

How many cycles of IUI should one undergo before considering other options?

The number of IUI cycles recommended before considering other options depends on individual circumstances and the advice of your fertility specialist. In general, fertility experts suggest trying IUI for three to six cycles before exploring alternative options such as IVF. However, this may vary based on numerous factors, such as age, cause of infertility, and previous treatment history. Your fertility specialist will assess your progress and guide you on the optimal treatment plan.

Can I continue normal activities after IUI?

After the IUI procedure, most women can resume their normal activities without any restrictions. However, it is advisable to take it easy for the rest of the day. Avoid strenuous physical activities or heavy lifting that could affect the success of the procedure. It is also essential to follow any specific guidelines or instructions provided by your fertility specialist for optimal results.

Is intercourse allowed during IUI treatment?

Intercourse is generally allowed during IUI treatment, but it is essential to follow the guidance of your fertility specialist. In some cases, your fertility specialist may advise abstaining from intercourse for a specific period leading up to and following the procedure to optimise the chances of success. It is crucial to have open communication with your fertility specialist and follow their recommendations for the best possible outcome.

Will I have to Come to the Clinic Many Times for the Purpose of Monitoring?

During an IUI cycle, regular monitoring is necessary to track the progress of follicle development and determine the optimal time for the procedure. This monitoring typically involves ultrasound scans and hormone level tests. The number of clinic visits will depend on your individual treatment plan and how your body responds to ovarian stimulation. Rest assured, your fertility specialist will create a tailored monitoring schedule that takes into account your unique circumstances and aims to ensure the best possible outcome.

For How Long should the Husband/Partner Abstain from Intercourse to Store Up Sperm?

Abstaining from intercourse before providing a semen sample for IUI is recommended to ensure the best quality and quantity of sperm. Typically, it is advised to abstain from ejaculation for two to five days before the scheduled IUI procedure. However, it is essential to consult with your fertility specialist for specific recommendations based on your unique circumstances.

Is it Compulsory to Lie Down After IUI?

Lying down after an IUI procedure is not compulsory but is often recommended for a short period. Some women choose to lie down for 10 to 15 minutes to allow the sperm to swim towards the fallopian tubes. However, research on the optimal position after IUI is inconclusive, and the decision to lie down or resume normal activities is a personal choice. It is advisable to discuss this with your fertility expert, who can provide guidance based on your specific circumstances.

Can I Take it Easy after the IUI Procedure?

While it is essential to take care of yourself after the IUI procedure, there is no need to restrict your activities overly. Taking it easy and avoiding rigorous physical activities or heavy lifting is generally advised for the rest of the day. However, you can resume your routine activities the next day as long as they are not excessively strenuous. Listening to your body and prioritising self-care during this time is crucial.

What happens during ovarian stimulation?

Ovarian stimulation is a crucial step in an IVF cycle. It involves using fertility medicines to stimulate the ovaries to produce a few mature eggs. The professionals administer fertility medications through injections, and the dosage is carefully monitored based on the individual's response. Regular ultrasound scans can track follicle growth and determine the optimal time for egg retrieval.

What is hyperstimulation?

Ovarian hyperstimulation is a potential side effect of ovarian stimulation during an IVF cycle. It occurs when the ovaries respond excessively to fertility medications, leading to the development of a large number of follicles. It can result in ovarian enlargement and fluid accumulation in the abdomen. Severe cases of ovarian hyperstimulation syndrome (OHSS) are rare but can cause discomfort and require medical intervention. Your fertility expert will closely monitor your response to medications and take appropriate measures to minimise the risk of hyperstimulation.

What is egg retrieval?

Egg retrieval is a minor surgical procedure usually performed under sedation or anaesthesia. Using ultrasound guidance, fertility experts insert a thin needle through the vaginal wall and reach the ovaries and aspirate the mature eggs from the follicles. The retrieved eggs are then handed to the laboratory for further processing and fertilisation.

How many eggs do we need?

The number of eggs or ova required for a successful IVF cycle differs depending on individual circumstances. However, the quality of eggs is equally essential. Your fertility specialist will aim to retrieve an optimal number of mature eggs based on your age, ovarian reserve, and previous treatment history.

What happens to the eggs after retrieval

After the eggs are retrieved, embryologists carefully examine them in the laboratory. The eggs are then prepared for fertilisation by removing the surrounding cells. For conventional IVF, the eggs are either placed in a culture dish along with a sample of sperm or subjected to intracytoplasmic sperm injection (ICSI) for cases with severe male factor infertility or previous fertilisation issues.

How many embryos do we need?

We usually put a maximum of two embryos into the woman's uterus during one cycle. If there are more embryos left after the first cycle, we cryopreserve them for later. This way, if the first try doesn't work, we can use the frozen embryos in another attempt. 

What is the embryo transfer

Embryo transfer is the final step of the IVF process, where the selected embryos are transferred into the woman's uterus. It is a relatively simple and painless procedure that does not require anaesthesia. Using a catheter, fertility experts gently transfer the embryos into the uterus with the guidance of ultrasound imaging. The number of embryos transferred depends on various factors, including the woman's age, embryo quality, and preferences.

What is the average number of embryos transferred?

One of the most common questions when undergoing in vitro fertilisation (IVF) is the number of embryos that should be transferred. The number of embryos transferred can differ depending on several components, including the woman's age and the quality of the embryos. Generally, transferring a maximum of two embryos is recommended to reduce the possibility of multiple pregnancies. 

What are the dos and don'ts after embryo transfer?

After the embryo transfer step, following certain dos and don'ts is essential to optimise the possibilities of implantation and a successful pregnancy. Some of the dos include taking prescribed medications on time, maintaining a healthy lifestyle, eating a balanced diet, and getting adequate rest. On the other hand, some of the don'ts include avoiding strenuous activities, refraining from smoking and alcohol intake, and avoiding certain medicines that may interfere with implantation. It is crucial to follow the instructions given by the fertility centre to increase the likelihood of a positive outcome.

How long do I need to rest after the embryo transfer procedure?

Rest is an essential aspect of the post-embryo transfer period. While it is recommended to take it easy and rest for a few days after the procedure, no specific duration applies to everyone. The doctor will provide guidance based on individual circumstances. Balancing rest and light physical activity is essential to ensure optimal blood flow to the uterus while avoiding excessive strain. Following the doctor's advice and listening to one's body is vital during this critical period.

Is it possible to get pregnant with frozen embryos?

It is possible to achieve pregnancy with frozen embryos. Cryopreservation, the process of freezing embryos, has revolutionised the field of assisted reproductive technology. Frozen embryos can be stored for future use, allowing couples to undergo additional IVF cycles without the need for further ovarian stimulation and egg retrieval. The success rates with frozen embryos are comparable to fresh embryos and, in some cases, may even be higher. Ferty9 Fertility Centre offers comprehensive frozen embryo transfer services, allowing couples to achieve pregnancy when the time is right for them.

Will my baby suffer birth defects?

The possibility of birth defects in babies conceived through IVF is generally similar to that of babies conceived naturally. However, it is essential to note that certain factors, such as the woman's age and any underlying genetic conditions, can influence the risk. The team at Ferty9 Fertility Centre identifies potential complications and provide appropriate guidance. It is essential to have open and honest discussions with medical experts to address any concerns and make informed decisions.

Do the chances of giving birth to twins (or multiple births) increase in the case of IVF?

The possibilities of giving birth to twins or multiple births are higher with IVF compared to natural conception. It is primarily due to the practice of transferring multiple embryos to increase the likelihood of success. While the idea of twins may be exciting for some couples, it is essential to consider the potential complications and challenges associated with multiple pregnancies. The fertility specialists at Ferty9 Fertility Centre closely monitor the number of embryos transferred to minimise the chance of multiple pregnancies while maximising the chances of a successful single pregnancy.

What if my husband or I get sick during an IVF cycle?

If either the husband or the wife gets sick during an IVF cycle, it is crucial to inform the fertility centre immediately. The medical team will guide on whether to continue or postpone the cycle based on the specific circumstances. Sometimes, it may be necessary to delay the cycle to ensure the best possible outcome. Communication with the fertility centre ensures proper care and support during the IVF cycle.

IVF and ICSI: What is the difference?

IVF (in vitro fertilisation) and ICSI (intracytoplasmic sperm injection) are two different techniques used in assisted reproductive technology. IVF includes the fertilisation of eggs and sperm outside the body, followed by the transfer of resulting embryos into the uterus. ICSI, on the other hand, is a specialised form of IVF that involves the direct injection of a single sperm into each egg. ICSI is typically recommended in cases of male factor infertility, where the sperm may have difficulty fertilising the egg naturally. The fertility specialists at Ferty9 Fertility Centre will recommend the most suitable procedure based on individual circumstances.

Is infertility treatment covered by health insurance?

Coverage for infertility treatment varies based on the health insurance provider and the specific policy. Some health insurance services may offer partial or complete coverage for fertility treatments such as IVF, while others may not provide any coverage at all. It is essential to review the insurance policy and discuss it with the insurance provider to understand the extent of coverage for infertility treatment. Ferty9 Fertility Centre also provides guidance and assistance in navigating the financial aspects of fertility treatment.

If the first cycle of IVF is unsuccessful, what are the options for subsequent attempts?

If the first IVF cycle is unsuccessful, several options exist for subsequent attempts. The fertility specialist will evaluate the reasons for the failure of the previous cycle and recommend appropriate adjustments for the next cycle. These may include changes in medication protocols, additional testing, or considering alternative approaches such as frozen embryo transfer or using donor eggs or sperm. The team at Ferty9 Fertility Centre will provide personalised recommendations based on individual circumstances, aiming to optimize the chances of success in subsequent attempts.

How does the quality of sperm and eggs impact the success of IVF, and are there ways to improve quality?

The quality of eggs and sperm plays a vital role in the success of IVF. Higher-quality eggs and sperm have a higher chance of successful fertilisation and implantation. Factors such as age, lifestyle habits, and underlying medical conditions can impact the quality of eggs and sperm. While it is impossible to change one's age, certain measures can improve the overall quality. Maintaining a healthy lifestyle, including regular physical exercise, eating a balanced meal, and avoiding smoking and excessive alcohol consumption, can improve egg and sperm quality. Additionally, the fertility specialist may prescribe certain medications and supplements to enhance the quality of eggs and sperm.

What is laparoscopy?

Laparoscopy is a minimally invasive surgical approach enabling healthcare providers to visualise and assess reproductive organs, including the uterus, fallopian tubes, and ovaries. It involves making small incisions in the abdomen and inserting a laparoscope, a thin, lighted tube with a camera, to examine the pelvic structures. At Ferty9 Fertility Centre, we use laparoscopy procedures for fertility evaluation and treatment.

When is laparoscopy recommended for fertility evaluation?

Fertility professionals may recommend laparoscopy for fertility evaluation in various situations. It is beneficial in diagnosing conditions such as endometriosis, pelvic adhesions, and ovarian cysts, which can impact fertility. Laparoscopy can also aid in removing adhesions, treating endometriosis, or repairing structural abnormalities hindering conception. Our skilled surgeons at Ferty9 Fertility Centre will determine if laparoscopy is necessary in your specific case to provide an accurate diagnosis and appropriate treatment.

How is laparoscopy performed for infertility diagnosis?

Healthcare professionals typically perform laparoscopy under general anaesthesia. They make small incisions in the abdomen and insert a laparoscope to visualise the pelvic structures. They use carbon dioxide gas to inflate the abdomen, creating space for improved visualisation. Additional instruments may be inserted through the incisions to perform necessary procedures, such as removing adhesions or cysts. Once the evaluation or treatment is complete, the surgeon pulls out instruments and closes the incisions with sutures or adhesive strips. At Ferty9 Fertility Centre, our experienced surgical team ensures a safe and comfortable laparoscopic procedure for infertility diagnosis.

Are there any potential risks or complications associated with laparoscopy?

As with any surgical procedure, laparoscopy has some potential risks and complications. These may include bleeding, infection, damage to surrounding structures or blood vessels, and adverse reactions to anaesthesia. However, complications are rare, and our skilled surgeons at Ferty9 Fertility Centre take every precaution to minimise the risks and provide optimal care.

What information can laparoscopy provide about female fertility issues?

Laparoscopy can provide valuable information about female fertility problems by directly visualising the reproductive organs. It can help diagnose and evaluate conditions such as endometriosis, pelvic adhesions, ovarian cysts, and structural abnormalities. Laparoscopy can also help implicate certain fertility treatments, such as removing adhesions, treating endometriosis, or repairing fallopian tubes. At Ferty9 Fertility Centre, our skilled surgeons utilise laparoscopy to gather essential information to effectively guide your fertility treatment plan.

How do you evaluate a male partner?

Several factors are considered when evaluating a male partner's fertility. A healthcare professional takes a thorough medical history, including any previous surgeries, infections, or medical conditions that may affect fertility. They may also conduct physical examinations to check for any abnormalities or signs of underlying issues. Additionally, a semen analysis is performed to assess sperm quality, count, and motility.

What are sperm disorders

Sperm disorders refer to abnormalities or issues with sperm that can affect fertility. These include azoospermia, characterised by the absence of sperm in the ejaculate, oligospermia, denoting a low sperm count below the normal range, asthenospermia, reflecting poor sperm motility hindering effective fertilisation, and teratospermia, indicating abnormal sperm morphology that may impede fertilisation. Various factors, including hormonal imbalances, genetic abnormalities, infections, lifestyle choices, or certain medical conditions, can cause sperm disorders.

What is the sperm count for healthy semen?

A healthy sperm count is typically regarded to be at least 15 million sperm/millilitre of semen. However, it's important to note that semen quality can vary, and a low sperm count does not necessarily indicate infertility. Other components, such as sperm motility and morphology, also significantly affect fertility.

Can an STD cause low sperm count?

Sexually transmitted diseases (STDs) can potentially result in a low sperm count. Infections like chlamydia, gonorrhoea, or syphilis can cause inflammation and injury to the reproductive organs, including the testes and epididymis. These conditions can result in decreased sperm production and quality. It's crucial to practice safe sex and seek timely treatment for any STDs to prevent long-term effects on fertility.

Does alcohol lower sperm count?

Excessive alcohol consumption can negatively influence sperm count and quality. Alcohol can disrupt hormone production, affect sperm development, and impair sperm motility. To optimise fertility, limiting alcohol intake or abstaining entirely is advisable.

Can regular exercise and a healthy diet increase my sperm count?

Managing a healthy lifestyle that involves regular physical activities and a balanced diet can positively influence sperm count and overall fertility. Regular physical activity promotes circulation and hormone balance, while a nutritious meal provides essential nutrients for sperm production. Maintaining a healthy weight and incorporating foods rich in vitamins, antioxidants, and minerals is vital for optimal sperm health.

What is Micro TESE (Microsurgical Testicular Sperm Extraction)?

Micro TESE, or Microsurgical Testicular Sperm Extraction, is a specialised technique for retrieving sperm in cases of non-obstructive azoospermia. It involves using an operating microscope to identify and extract individual sperm from the testicles with greater precision and accuracy.

When is Micro TESE recommended for male infertility?

The fertility experts generally recommend the Micro TESE procedure in cases of non-obstructive azoospermia where there is a complete absence of sperm in the ejaculate. Various factors, including a lack of sperm production or testicular dysfunction, can cause this condition. Micro TESE is often performed in conjunction with ICSI to facilitate fertilisation in cases of non-obstructive azoospermia.

How does the Micro TESE procedure differ from traditional TESE?

The main difference between Micro TESE and traditional TESE lies in the level of precision and accuracy in sperm retrieval. Micro TESE utilises an operating microscope to identify and extract individual sperm from the testicles, whereas traditional TESE relies on macroscopic examination of the tissue samples. Using an operating microscope in Micro TESE allows for better visualisation of the testicular tissue, increasing the chances of finding viable sperm.

Are there any potential risks or complications associated with Micro TESE?

As with any surgical procedure, micro TESE carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the surgery. In rare cases, damage to the testicular tissue or surrounding structures may occur. It is essential to discuss the potential risks and complications with your fertility specialist before undergoing the Micro TESE procedure.

What are the success rates of using sperm retrieved through Micro TESE?

The success rates of using sperm retrieved through Micro TESE can vary depending on various factors, including the underlying cause of male infertility and the overall health of the couple. On average, the success rates of using Micro TESE-retrieved sperm in conjunction with ICSI range from 30% to 40%. Consulting with your fertility specialist to understand your chances of success with Micro TESE is essential.

What is ovarian hyperstimulation syndrome (OHSS)?

Ovarian hyperstimulation syndrome (OHSS) is a potentially serious aftermath that can occur during fertility treatments, such as in ovarian stimulation for in vitro fertilisation (IVF). In this condition, ovaries respond excessively to fertility medications, causing fluid buildup in the abdominal cavity and, in severe instances, the chest cavity. OHSS symptoms range from mild to severe and can cause discomfort, pain, abdominal manifestations, rapid weight gain, and, in rare cases, life-threatening complications. At Ferty9 Fertility Centre, we follow mild stimulation protocol to prioritise the safety and well-being of our patients and closely monitor the development of OHSS during fertility treatments.

What are the Symptoms of OHSS?

The symptoms of OHSS can vary from mild to severe and may include abdominal bloating, discomfort or pain, nausea, and vomiting. In severe cases, OHSS can cause rapid weight gain, decreased urine output, and shortness of breath. Fluid buildup in the chest can also result in breathing difficulties and blood clotting abnormalities. If you experience any of these symptoms during or after fertility treatment, it is crucial to seek immediate medical attention at Ferty9 Fertility Centre.

What are the Causes of OHSS?

The leading cause of OHSS is the excessive use of fertility medications that activate the ovaries to produce multiple eggs. The excess production of eggs can lead to ovarian enlargement and the release of substances that cause blood vessels to seep fluid into the abdomen. Certain risk factors, such as a young age, polycystic ovary syndrome (PCOS), and a high ovarian reserve, may increase the likelihood of developing OHSS. Our experienced fertility specialists at Ferty9 Fertility Centre carefully monitor the response to fertility medications to minimise the risk of OHSS.

How Common is OHSS?

OHSS is relatively uncommon, occurring in approximately 1-10% of women undergoing fertility treatments, particularly IVF. However, the risk can vary depending on individual factors and the specific fertility protocol. At Ferty9 Fertility Centre, we employ personalised treatment plans and closely monitor our patients to minimise the risk of OHSS and ensure optimal outcomes.

What are the Risk Factors of OHSS?

Certain factors may increase the risk of developing OHSS, including a young age, a high ovarian reserve, polycystic ovary syndrome (PCOS), and a history of OHSS in previous fertility treatments. Additionally, the use of certain fertility medications and a robust response to ovarian stimulation can also increase the likelihood of developing OHSS. At Ferty9 Fertility Centre, our experienced fertility specialists will assess your risk factors and adjust your treatment plan accordingly to minimise the risk of OHSS.

What is Oncofertility?

Oncofertility is a multidisciplinary field that focuses on preserving fertility in cancer patients. Cancer treatments like chemotherapy and radiotherapy can damage reproductive organs or disrupt hormonal balance, leading to infertility or premature menopause. At Ferty9 Fertility Centre, we provide specialised oncofertility facilities to help cancer patients preserve their fertility options before undergoing cancer treatment.

How does cancer affect fertility?

Cancer can affect fertility in various ways, depending on the type and location of the cancer, as well as the treatment modalities used. Chemotherapy drugs and radiotherapy can damage the eggs or sperm, disrupt hormone production, and cause irreversible damage to the reproductive organs. At Ferty9 Fertility Centre, we understand the unique challenges faced by cancer patients and provide personalised fertility preservation options.

What Oncofertility options are available?

At Ferty9 Fertility Centre, we offer several oncofertility options to cancer patients, including egg freezing, sperm freezing and embryo freezing. These modalities allow individuals to preserve their reproductive cells or tissues before undergoing cancer treatment. Our team of experts will guide you through the process and provide the necessary support to make informed choices about your fertility preservation options.

What is Ovulation

Ovulation is the process by which a mature ovum or egg is released from a female's ovary and becomes available for fertilisation. It typically occurs once a month, halfway through the menstrual cycle. Ovulation is a crucial event in the reproductive process and is necessary for pregnancy to occur.

What are ovulation disorders

Ovulation disorders refer to conditions that interfere with or prevent the regular release of eggs from the ovaries. These disorders include polycystic ovary syndrome (PCOS), premature ovarian failure, and hypothalamic dysfunction. Ovulation disorders can result in irregular (oligoovulation) or absence of ovulation (anovulation), making it difficult for females to conceive naturally. Ovulation disorders can also lead to menstrual irregularities, mood changes, or sudden weight changes.

What are the causes of ovulation disorders

Ovulation disorders can arise from various causes, including hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, and premature ovarian failure. Other factors that can contribute to ovulation disorders include excessive exercise, extreme weight loss or gain, certain medications, pituitary gland abnormalities, and chronic illnesses. Identifying the underlying cause of ovulation disorders is crucial for developing targeted treatment strategies to restore ovulatory function and improve fertility.

What are the symptoms of ovulation disorders

The primary symptom of ovulation disorders is irregular or absence of menstrual cycles. Women with ovulation disorders may also experience other symptoms, such as excessive hair growth, hot flashes, acne, weight gain or loss, vaginal dryness, and difficulty getting pregnant. If you are experiencing any of these symptoms, seek guidance from a healthcare professional for an appropriate diagnosis and treatment.

How are ovulation disorders diagnosed

A healthcare provider may conduct a physical analysis and ask about your medical history to diagnose ovulation disorders. They may also prescribe other blood tests to measure levels of essential reproductive hormones and an ultrasound to evaluate the condition of the ovaries. Tracking your menstrual cycles and monitoring basal body temperature can also help identify ovulation patterns. Additional tests, like thyroid function tests or pelvic laparoscopy, may help identify underlying conditions contributing to ovulation disorders.

What are the treatment options for ovulation disorders

Treatment of ovulation disorder aims to restore regular ovulatory function and improve fertility. The treatment options for ovulation disorders depend on the underlying cause and the individual's fertility goals. Lifestyle changes can help regulate ovulation. These include managing a healthy weight, balancing exercise regimen, and reducing stress. Doctors may also prescribe medications to stimulate ovulation. In more severe cases, assisted reproductive technologies, such as in vitro fertilisation (IVF), may be recommended.

What is PCOS?

Polycystic Ovary Syndrome (PCOS) affects females of reproductive age. The main characteristics of this hormonal disorder include multiple cysts in the ovaries, irregular menstrual cycles, and high levels of male hormones. PCOS can result in various health issues, including infertility, insulin resistance, and obesity.

What causes PCOS?

The exact reason for PCOS is still unknown, but several factors contribute to its development. Genetic factors, insulin resistance, and hormonal imbalances play a significant role. Certain lifestyle habits, like poor nutrition and lack of exercise, can also contribute to PCOS development.

What are the common symptoms of PCOS?

The PCOS symptoms can differ from person to person, but some common symptoms include irregular menstrual cycles, excessive hair growth (hirsutism), acne, weight gain, and difficulty getting pregnant. Women with PCOS may also experience mood swings, depression, and anxiety.

How is PCOS diagnosed?

A fertility professional will typically conduct a physical examination to diagnose PCOS and ask questions about your medical history. They may also perform blood analysis to measure hormone levels and execute an ultrasound to check for cysts on the ovaries. The diagnosis of PCOS is based on the presence of specific criteria, including irregular menstrual cycles, elevated male hormone levels, and the presence of cysts on the ovaries.

Can PCOS be cured?

While there is no cure for PCOS, various treatment modalities can help manage its symptoms. Maintaining a healthy, nutrition-rich meal and regular exercise can help improve symptoms. Medications, such as hormonal contraceptives and insulin-sensitising drugs, may also be prescribed to aid in regulating menstrual cycles and manage other symptoms.

What are the potential complications of PCOS?

PCOS can lead to several complications if left untreated. Women with PCOS have an increased possibility of type 2 diabetes mellitus, hypertension, and cardiovascular diseases. PCOS can also cause infertility and increase the risk of miscarriage.

Can PCOS be treated with medication?

Yes, medication can be used to manage the symptoms of PCOS. Hormonal contraceptives, such as contraceptive pills, can help regulate menstrual cycles and diminish symptoms such as acne and excessive hair growth. Insulin-sensitising drugs, such as metformin, can help manage insulin resistance and enhance fertility in women with PCOS.

What lifestyle changes can help manage PCOS?

Making lifestyle adjustments can help manage the signs and symptoms of PCOS. Maintaining a balanced meal that is low in sugar and processed edibles can help maintain insulin levels and promote weight loss. Additionally, focusing on organic fruits, vegetables, and whole grain food products is beneficial. Regular moderate-intensity exercise is crucial in managing PCOS symptoms and maintaining a healthy weight.

Does PCOS affect fertility?

PCOS is one of the leading causes of women's infertility. The hormonal irregularities and irregular menstrual periods associated with PCOS can make it challenging for women to conceive. However, with proper treatment and lifestyle adjustments, many women with PCOS can achieve pregnancy and have a healthy baby.

Is there a link between PCOS and other health conditions?

Yes, PCOS is associated with an increased possibility of developing other health conditions. Insulin resistance associated with PCOS can increase the risk of developing type 2 diabetes. PCOS is also linked to cardiovascular diseases, such as heart disease and stroke, as well as endometrial cancer due to irregular menstruation and hormonal imbalances. PCOS also increases the risk of sleep apnea.

Can PCOS symptoms change over time?

Yes, PCOS symptoms can change over time. Some women may experience more severe symptoms during their teenage years, while others may notice changes in symptoms as they get older. Hormonal fluctuations and lifestyle factors can also influence the severity and frequency of PCOS symptoms.

What is PESA (Percutaneous Epididymal Sperm Aspiration)?

The Percutaneous Epididymal Sperm Aspiration (PESA) procedure helps retrieve sperm from the epididymis, a structure present at the back of the testicles, in cases where a blockage in the reproductive tract prevents the release of sperm during ejaculation.

When is PESA recommended for male infertility?

PESA is recommended when there is a blockage in the reproductive tract that prevents the release of sperm during ejaculation. Various conditions can cause this prevention, including previous surgeries, congenital abnormalities, or infections. PESA is often performed in conjunction with ICSI to facilitate fertilisation in cases of obstructive azoospermia.

How is the PESA procedure performed?

The PESA procedure involves the insertion of a fine needle directly into the epididymis to aspirate sperm. This procedure is typically conducted under local anaesthesia and can be done on an outpatient basis. The fertility experts use these retrieved sperm or ICSI or cryopreserved for future use. PESA is a relatively quick and straightforward procedure that can effectively treat couples with obstructive azoospermia.

Are there any potential risks or complications associated with PESA?

As with any medical procedure, PESA carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the needle aspiration. In rare cases, damage to the epididymis or surrounding structures may occur. It is essential to discuss the potential risks and complications with your fertility specialist before undergoing the PESA procedure.

What are the success rates of using sperm retrieved through PESA?

The success rates of using sperm retrieved through PESA can vary depending on various factors, including the underlying cause of male infertility and the couple's overall health. On average, the success rates of using PESA-retrieved sperm in conjunction with ICSI range from 30% to 40%. Consulting with your fertility specialist to understand your chances of success with PESA is essential.

What is TESA (Testicular Sperm Aspiration)?

Testicular Sperm Aspiration (TESA) is a fertility procedure used to retrieve sperm from the testicles in cases where there is no sperm present in the ejaculate. Fertility experts perform this minimally invasive procedure under local anaesthesia, and it is a first-line approach in cases of male infertility.

When is TESA recommended for male infertility?

Testicular Sperm Aspiration (TESA) is recommended when there is a complete absence of sperm in the ejaculate, a condition known as azoospermia. Various factors can result in this condition, including blockages in the reproductive pathway or a lack of sperm production. TESA is also favourable in cases where previous attempts at sperm retrieval, such as PESA or TESE, have been unsuccessful.

How does the TESA procedure work?

The TESA procedure involves the use of a fine needle to aspirate sperm directly from the testicles. This method is generally performed under local anaesthesia to minimise discomfort. After retrieving the sperm, fertility experts can use it for ICSI or cryopreserve it for future use. TESA is a relatively quick and straightforward procedure performed on an outpatient basis.

Are there any risks or complications associated with TESA?

As with any medical procedure, TESA carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the needle aspiration. In rare cases, damage to the testicular tissue or surrounding structures may occur. Therefore, it is necessary to discuss the potential complications with your fertility specialist before undergoing the TESA procedure.

What are the success rates of using sperm retrieved through TESA?

The success rates of using sperm retrieved through TESA can vary depending on various factors, including the underlying reason for male infertility and the couple's overall health. On average, the success rates of using TESA-retrieved sperm in conjunction with ICSI range from 30% to 40%. It is essential to counsel your fertility specialist to understand your chances of success with TESA.

What is TESE (Testicular Sperm Extraction)?

Testicular Sperm Extraction (TESE) is a fertility procedure used to directly retrieve sperm from the testicles in cases where there is no sperm present in the ejaculate. It is a more invasive technique than TESA and is commonly used in cases of non-obstructive azoospermia.

When is TESE recommended for male infertility?

Fertility experts recommend the TESE procedure when there is a complete absence of sperm in the ejaculate due to non-obstructive azoospermia. This condition can develop due to various causes, including a lack of sperm production or testicular dysfunction. TESE is often performed in conjunction with ICSI to facilitate fertilisation in cases of non-obstructive azoospermia.

How is the TESE procedure performed?

The TESE procedure involves surgically extracting small tissue samples from the testicles. These tissue samples are then carefully dissected and examined under a microscope to recognise and retrieve individual sperm. This procedure is typically conducted under general anaesthesia and may require a short hospital stay. The retrieved sperm is then used for ICSI or cryopreserved for future use.

Are there any potential risks or complications associated with TESE?

As with any surgical procedure, TESE carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the surgery site. In rare cases, damage to the testicular tissue or surrounding structures may occur. It is crucial to discuss these potential risks and complications with your fertility specialist before undergoing the TESE procedure.

What are the success rates of using sperm retrieved through TESE?

The success rates of using sperm retrieved through TESE can vary and depend on various factors, including the underlying cause of male infertility and the overall health of the couple. On average, the success rates of using TESE-retrieved sperm in conjunction with ICSI range from 30% to 40%. It is essential to seek guidance from your fertility expert to understand your chances of success with TESE.

How thyroid diseases affect fertility

Thyroid diseases can significantly impact fertility. The thyroid gland, an essential organ in the body's metabolism, directly influences the reproductive system. It produces hormones that regulate the menstrual cycle, ovulation, and the ova or eggs' quality. An imbalance in these thyroid hormones can disrupt the menstrual cycle, cause irregular ovulation, and affect the quality of the eggs produced. These factors can make it more challenging to conceive and increase the risk of miscarriage. Ferty9 Fertility Centre has a specialised team of endocrinologists who can diagnose and manage thyroid diseases to improve fertility outcomes.

How thyroid diseases can be tackled to improve fertility

At Ferty9 Fertility Centre, we take a comprehensive approach to tackle thyroid diseases and improve fertility. Our team of endocrinologists will conduct a thorough assessment to identify the underlying reason for the thyroid disorder. Treatment modalities may include medication to regulate hormone levels, lifestyle modifications, and dietary changes. By effectively managing thyroid diseases, we can restore hormonal balance and optimise your chances of conception.

What are tubal disorders?

Tubal disorders refer to conditions that affect the fallopian tubes, which carry the ovum or eggs from the ovaries to the uterus. Tubal disorders can include inflammation, blockages, or scarring of the fallopian tubes, which can intervene with the fertilisation of the egg and prevent pregnancy.

How do tubal disorders affect fertility?

Tubal disorders can significantly impact fertility. If the fallopian tubes are obstructed or damaged, it can hinder the sperm from reaching the egg and prevent the fertilisation process. Additionally, tubal disorders can increase the possibility of ectopic pregnancy, where the fertilised ovum implants outside of the uterus.

What are the common causes of tubal disorders?

Various factors can lead to the development of tubal disorders, including pelvic inflammatory disease (PID), caused by sexually transmitted infections. Other causes of tubal disorders include previous pelvic surgeries like appendectomies or surgeries for ectopic pregnancies, endometriosis, adhesions due to abdominal or pelvic surgeries, and certain genetic conditions. These conditions can lead to blockages, scarring, or damage to the fallopian tubes, hindering fertility.

What are the symptoms of tubal disorders?

Tubal disorders may not have any noticeable symptoms, especially in the early stages. However, some women may experience pelvic pain, abnormal vaginal discharge, and irregular menstrual cycles. If you are experiencing any of these symptoms, consulting a fertility professional for a proper diagnosis is crucial.

How are tubal disorders diagnosed?

A healthcare professional asks about your medical history and may perform a physical examination to diagnose tubal disorders. They may also order imaging tests, such as a hysterosalpingogram (HSG) or a laparoscopy, to evaluate the condition of the fallopian tubes and identify any abnormalities. Hysterosalpingography (HSG) involves injecting a dye into the uterus and taking X-rays to visualise the fallopian tubes, which can detect blockages or abnormalities. Transvaginal ultrasound may also reveal tubal issues, such as fluid accumulation in the tubes. Laparoscopy, a minimally invasive surgical procedure, allows direct visualisation of the fallopian tubes and can identify blockages, scarring, or other abnormalities. These diagnostic methods help fertility specialists determine the extent and nature of tubal disorders to guide appropriate treatment decisions.

What fertility treatments are available for tubal disorders?

The treatment options for tubal disorders depend on the severity of the condition and the person's fertility goals. In some cases, healthcare professionals may recommend surgery to repair or remove any blockages or scar tissue in the fallopian tubes. In more severe cases, in vitro fertilisation (IVF) may be recommended, where the eggs are fertilised outside the body and then transferred to the uterus.

What is unexplained infertility?

Unexplained infertility is regarded as the absence of a clear cause for a couple's infertility after a thorough evaluation. Despite extensive tests and examinations, no identifiable issues with sperm count, fallopian tubes, or ovulation are found. Unexplained infertility can be frustrating, but various treatment modalities are available to help couples achieve pregnancy.

What are the possible causes of unexplained infertility?

The causes of unexplained infertility remain unknown despite extensive testing. However, certain factors, including subtle hormonal imbalances, egg quality issues, sperm function abnormalities, or genetic factors, may contribute to this condition. Psychological stress and lifestyle factors can also play a role.

Is unexplained infertility common?

Unexplained infertility is more common than many people realise, accounting for a significant percentage of infertility cases. It can be a frustrating diagnosis, but it's important to remember that effective treatments are available, and many couples with unexplained infertility can conceive with medical assistance.

What tests are typically performed to diagnose unexplained infertility?

To diagnose unexplained infertility, fertility professionals may conduct a comprehensive analysis, which may include a detailed medical history, physical examination, hormone testing, semen analysis, and imaging studies such as hysterosalpingography (HSG) or ultrasound. They may also recommend additional specialised tests based on individual circumstances.

What fertility treatments are available for couples with unexplained infertility?

Couples facing unexplained infertility have several treatment options available. These can include ovulation induction with medication, IUI, or more advanced techniques like IVF. In some cases, healthcare professionals may recommend additional procedures like intracytoplasmic morphologically selected sperm injection (IMSI) or preimplantation genetic testing (PGT) to maximise chances of success.

What are Uterine Fibroids

Uterine fibroids are non-cancerous outgrowths that develop in the muscular wall of the uterus. They can vary in number and size and are common among women of reproductive age. Fibroids are composed of smooth muscle tissue and fibrous connective tissue. Symptoms can include heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and reproductive issues. While most fibroids do not cause fertility problems, certain factors, such as their location and size, can interfere with conception. At Ferty9 Fertility Centre, our experienced reproductive specialists can evaluate the impact of uterine fibroids on fertility and recommend appropriate treatment options.

How do Uterine Fibroids affect fertility

Uterine fibroids can negatively affect fertility in several ways. Large fibroids can deform the shape of the uterus, making it challenging for a fertilised egg to implant. Fibroids can also obstruct the fallopian tubes or disrupt the normal movement of sperm, hindering fertilisation. Additionally, fibroids can cause heavy or prolonged menstrual bleeding, which can lead to anaemia and decrease the chances of conception. At Ferty9 Fertility Centre, our team of experts will assess the impact of uterine fibroids on your fertility and develop a personalised treatment plan.

What are the causees Uterine Fibroids

The exact reason for uterine fibroids is still unidentified, but several factors contribute to their development. Hormonal fluctuations, specifically an excess of estrogen, can promote the growth of fibroids. Genetic factors, family history, and certain lifestyle factors, such as obesity and a sedentary lifestyle, may also increase the risk. At Ferty9 Fertility Centre, we aim to identify the underlying causes of uterine fibroids to provide effective treatment modalities tailored to your specific needs.

What are the symptoms Uterine Fibroids

Uterine fibroids can present with various symptoms, including heavy menstrual bleeding, prolonged periods, pelvic pain or pressure, lower back pain, frequent urination, and difficulty emptying the bladder. Some females may also experience pain during sexual intercourse or have an enlarged abdomen. However, not all women with fibroids experience symptoms. If you are experiencing any of these symptoms, it is essential to consult with our experts at Ferty9 Fertility Centre for accurate diagnosis and appropriate management.

How are Uterine Fibroids diagnosed

At Ferty9 Fertility Centre, we use advanced diagnostic techniques to diagnose uterine fibroids accurately. These may include a pelvic ultrasound, hysteroscopy, or MRI. A pelvic ultrasound can provide detailed images of the uterus and help identify the presence, size, and location of uterine fibroids. Hysteroscopy involves inserting a thin catheter with a camera and a light source into the uterus to visualise any abnormalities. MRI scans can provide a more comprehensive evaluation of the fibroids and their impact on fertility.

What are the treatment options for Uterine Fibroids

The treatment options for uterine fibroids depend on various factors, including the size, number, and position of the fibroids and your fertility goals. At Ferty9 Fertility Centre, we offer a range of treatment options, including medication to manage symptoms and shrink the fibroids, minimally invasive procedures such as uterine artery embolisation or MRI-guided focused ultrasound surgery, and surgical removal of the fibroids. Our dedicated team will work with you to determine the most appropriate treatment plan for your individual needs.

What is cryopreservation

Cryopreservation is a technique used to freeze and store biological materials, such as sperm, eggs, or embryos, for future use. It is an integral component of assisted reproductive technology, offering individuals and couples the opportunity to preserve their fertility when facing factors that may compromise their reproductive capabilities. Cryopreservation has revolutionised the field of reproductive medicine, allowing for the successful preservation and utilisation of gametes and embryos.

How does cryopreservation work?

Cryopreservation involves the careful freezing of biological materials using specialised techniques and equipment. The process typically includes the addition of cryoprotectants to protect the biological cells from damage during the freezing and thawing process. The samples are then cooled at a controlled rate and stored in liquid nitrogen at extremely low temperatures. This freezing technique effectively preserves the viability and functionality of sperm, eggs, and embryos, enabling their future use in fertility treatments.

What is elective cryopreservation: Are Frozen Embryos better than Fresh?

Elective cryopreservation refers to the deliberate choice of freezing and storing embryos for future use instead of transferring them immediately during an IVF cycle. This approach provides several advantages over fresh embryo transfer. Frozen embryos have a higher chance of survival and implantation due to the ability to select the most viable embryos through PGT. Additionally, cryopreservation allows for multiple transfer attempts, increasing the overall success rates of IVF treatments. Elective cryopreservation gives individuals and couples greater flexibility in family planning and increases the chances of achieving their desired parenthood goals.

What is the cryopreservation technique for sperm, egg & embryo

The cryopreservation technique for sperm, eggs, and embryos is a complex process. After collection, the samples undergo a process called vitrification, which involves rapid freezing in a high concentration of cryoprotectants. These cryoprotectants play a crucial role in preventing ice crystal formation, which can damage the biological cells during the freezing process. The samples are then preserved in liquid nitrogen at ultra-low temperatures until they are needed for future use. This cryopreservation technique is essential for the long-term preservation of sperm, eggs, and embryos, maintaining their viability and fertility potential.

How long can my embryos be frozen?

Embryos can be safely frozen and stored for extended periods. The duration of cryopreservation depends on various factors, such as the quality of the embryos and the regulations of the fertility clinic. In many cases, one can store embryos for several years without compromising their viability or fertility potential. Fertility clinics typically have stringent protocols in place to ensure the proper storage and monitoring of frozen embryos, providing individuals and couples with the flexibility to plan their family-building journey according to their specific circumstances.

What is a frozen embryo transfer (FET)?

In the frozen embryo transfer (FET) procedure, cryopreserved embryos are thawed and transferred into the uterus during an IVF cycle. FET offers several advantages over fresh embryo transfer, including a higher chance of successful implantation and pregnancy. The ability to select the healthiest embryos through PGT and prepare the uterine lining for optimal receptivity contributes to the increased success rates of FET. This technique allows individuals and couples to maximise their possibilities of achieving a successful pregnancy while minimising the risks associated with multiple embryo transfer.

How do I prepare for a frozen embryo transfer cycle?

Preparing for a frozen embryo transfer cycle involves a series of carefully planned steps to optimise the chances of successful implantation and pregnancy. The process typically starts with hormonal therapy to prepare the uterine lining for embryo transfer. This therapy may involve administering estrogen and progesterone to mimic the natural hormonal changes during a natural menstrual cycle. The fertility clinic will closely monitor the progress of the cycle through ultrasound scans and blood tests to ensure that the uterine lining is ready for implantation. Once the optimal conditions are achieved, the surgeon thaws and transfers cryopreserved embryos into the uterus, following which the individual or couple will undergo a period of waiting to determine the outcome of the cycle.

How much does IVF cost?

The price of in vitro fertilisation (IVF) can vary and depends on various components, including age, reason for infertility, need for surgery, and any additional treatments or procedures that may be necessary. On average, the cost of a single IVF cycle can range from INR 1.5 lakh to 2 lakh.

What is the cost of the IUI Program?

The cost of a single intrauterine insemination (IUI) can vary based on the age, reason for infertility, need for surgery. On average, the price of a single IUI cycle can range from INR 5000 to 10,000.

What is the cost of different fertility services?

The cost of different fertility services can vary based on the specific services and the location of the fertility centre. It is best to consult with a fertility specialist to get an accurate estimate of the costs associated with the services you may need.

How much does it cost to get an infertility test done?

Infertility testing is quite simple, and the cost can vary depending on the specific tests required and the location of the fertility centre. On average, it can range from INR 1000 to INR 5000.

What makes IVF an expensive treatment?

IVF is considered an expensive treatment due to the complex procedures and laboratory techniques involved. The cost of IVF includes ovarian stimulation medications, egg retrieval procedures, laboratory fees for fertilisation and embryo culture, and embryo transfer procedures.

What other expenses should you account for?

In addition to the cost of the fertility treatment itself, there may be additional expenses to consider. These can include medications, consultations with fertility specialists, additional diagnostic tests, genetic testing, and any necessary surgical procedures.

Will my insurance cover infertility treatments?

Insurance coverage for infertility treatments varies based on the specific policy and insurance provider. Some insurance plans offer coverage for infertility treatments, while others may have limited or no coverage. It is best to check with your coverage provider to determine your available coverage.

Will my insurance cover egg freezing?

The coverage of egg freezing by insurance depends on the insurance provider and the policy you have taken. Some insurance plans offer coverage for fertility preservation, including egg freezing, while others may have limited or no coverage. It is best to check with your insurer to determine available coverage.

What insurance do you accept?

At Ferty9 Fertility Centre, we aim to make fertility treatments accessible to as many couples as possible. We accept various insurance plans to meet the diverse needs of our patients. However, it's essential to understand that each insurance plan is unique, and coverage for infertility treatments can vary. We recommend you contact your insurer directly to determine the specifics of your coverage. Our knowledgeable and dedicated team is also available to help you understand your insurance benefits and navigate the process, ensuring you are well informed at every step.

Will my employer cover infertility?

Infertility is a medical condition that affects millions of people and couples worldwide. Many employers recognise the importance of supporting their employees in their journey towards parenthood. While infertility coverage varies from employer to employer, many companies now offer infertility benefits as part of their employee health plans. These resources may include coverage for diagnostic tests, fertility medications, and even assisted reproductive technologies such as in vitro fertilisation (IVF). Reviewing your employee benefits package or consulting with your human resources department to determine the extent of your infertility coverage is advisable.

Will my employer cover egg freezing?

Egg freezing, or oocyte cryopreservation, is a well-known fertility preservation technique that allows women to preserve their eggs for future use. It can be a valuable option for women who want to delay childbearing due to medical or personal reasons. Similar to infertility coverage, the availability of egg freezing benefits through your employer depends on your company's specific policies. Some employers may include egg freezing as part of their fertility benefits, while others may not. It is essential to check with your employer or insurance provider to understand the degree of your coverage. At Ferty9 Fertility Center, we offer comprehensive egg freezing services and can guide you through the process of utilising your insurance benefits, if applicable.

What are the different payment plans available

Understanding the financial aspect of fertility treatments is crucial for couples who are exploring their options. At Ferty9 Fertility Centre, we offer zero cost EMI option to guarantee our patients can access the care they need without considering undue financial burden. Our dedicated financial counsellors are here to guide you every step of the way. Our goal is to provide transparency and support throughout the financial process so our patients can focus on their journey towards parenthood.

What is endometriosis?

Endometriosis is a condition in which the tissue that usually lines the inside of the uterus, called the endometrium, grows outside the uterus. This displaced tissue can be found on the ovaries, fallopian tubes, or other pelvic organs, leading to inflammation, scarring, and potential fertility issues.

What causes endometriosis?

The exact reason for endometriosis is unknown, but several theories exist. Retrograde menstruation, in which menstrual blood flows back into the pelvis instead of out of the body, is one possible cause. Hormonal imbalances, immune system dysfunction, and genetic factors may also contribute to the development of endometriosis.

What are the common symptoms of endometriosis?

Common symptoms of endometriosis include pelvic pain, painful menstrual periods, pain during intercourse, and infertility. Some women may also experience heavy or irregular menstrual bleeding, fatigue, or gastrointestinal symptoms such as constipation or diarrhoea.

How is endometriosis diagnosed?

The diagnosis of endometriosis includes a combination of medical history, physical examination, and diagnostic procedures. These may include pelvic ultrasound, magnetic resonance imaging (MRI), or laparoscopy, which allows direct visualisation and removal of endometrial tissue.

Can endometriosis lead to infertility?

Endometriosis can indeed lead to infertility. The condition refers to endometrial tissue outside the uterus, which can cause inflammation, scarring, and adhesions that interfere with normal reproductive functions. Endometriosis can affect ovulation, egg quality, fallopian tube function, and implantation, making it more challenging to conceive.

Is there a cure for endometriosis?

While there is no known cure for endometriosis, various treatment modalities are available to manage symptoms and improve fertility. These can include pain management strategies, hormone therapy, or surgical interventions to remove endometrial tissue or correct any anatomical abnormalities.

How is endometriosis-related pain managed?

Various treatment approaches can help manage endometriosis-related pain. Over-the-counter pain relievers may provide temporary relief, while hormonal drugs such as contraceptive pills or GnRH agonists can help control symptoms. In severe cases, fertility professionals may recommend surgery to remove endometrial tissue or address any structural abnormalities.

Can pregnancy improve endometriosis symptoms?

Pregnancy can provide temporary relief from endometriosis symptoms for some women. The hormonal alterations that occur during pregnancy can suppress the growth of endometrial tissue. However, it's important to note that symptoms may return after childbirth or once hormonal balance is restored.

Are there lifestyle changes that can help manage endometriosis?

Certain lifestyle changes can help manage endometriosis symptoms. Eating a nutrient-rich diet, exercising regularly, managing stress and anxiety levels, and getting adequate sleep can all contribute to overall health and potentially alleviate some symptoms.

What are the long-term effects of endometriosis?

Endometriosis can have long-term effects on a woman's reproductive health. It can cause scarring and adhesions, leading to chronic pain and potential fertility issues. Additionally, endometrial tissue growth may continue over time, causing progressive symptoms and impacting quality of life.

Is there a link between endometriosis and certain cancers?

There is a potential link between endometriosis and certain cancers, particularly ovarian cancer. Women with endometriosis may have a higher chance of developing ovarian cancer, although the overall risk is still relatively low. Regular check-ups and open communication with healthcare providers are essential to monitor potential risks.

Can endometriosis recur after treatment or surgery?

Endometriosis can indeed recur after treatment or surgery. The recurrence rate can vary and depends on various components, including the disease's severity, the treatment's effectiveness, and individual factors. Close monitoring and ongoing management are essential to promptly address any recurring symptoms.

What are endometrial polyps

Endometrial polyps are outgrowths in the lining of the uterus (endometrium). They are usually non-cancerous and can vary in size from a few millimetres to several centimetres. Though the precise cause remains uncertain, hormonal imbalances, inflammation, or alterations in the endometrium's reaction to estrogen may play a role in their development. Endometrial polyps may remain asymptomatic or cause irregular bleeding, infertility, and an increased risk of miscarriage.

How does endometrial polyps affect fertility

Endometrial polyps can create an unfavourable environment for implantation and increase the risk of miscarriage. They may interfere with the implantation process by altering the endometrial lining's receptivity, reducing the embryo's ability to attach and proliferate. Polyps can also lead to irregular uterine bleeding, which may affect the timing of ovulation and intercourse, reducing the chances of conception. Sometimes, larger polyps may physically obstruct the fallopian tubes or cervix, hindering sperm transport or embryo passage. Removing the polyps through a procedure called hysteroscopy can improve fertility outcomes.

What are the causees endometrial polyps

The exact reason for endometrial polyps is unknown, but hormonal imbalances, such as elevated estrogen levels, are believed to play a role in their development. Chronic uterine inflammation, possibly due to infections or other underlying conditions, can also play a role. Other factors contributing to developing endometrial polyps include obesity, certain medications, and obesity.

What are the symptoms endometrial polyps

Some women with endometrial polyps may not experience any symptoms. However, common symptoms include irregular or heavy menstrual bleeding, bleeding between periods, and pelvic pain. Women with endometrial polyps may also experience infertility or recurrent miscarriages due to disruptions in the uterine environment. These symptoms can overlap with other gynaecological conditions, so a comprehensive evaluation by a healthcare professional is necessary for further evaluation.

How are endometrial polyps diagnosed

Diagnosing endometrial polyps involves a comprehensive analysis of medical history, physical examination, and diagnostic imaging. Transvaginal ultrasound can help visualise the uterine cavity and detect polyps. Hysteroscopy, where a thin, flexible catheter with a camera is inserted into the uterus, also helps visualise the polyps. Sometimes, imaging modalities such as saline infusion sonohysterography (SIS) or hysterosalpingography (HSG) may be employed to enhance visualisation of the endometrial lining. Healthcare professionals may also perform a biopsy to rule out the presence of cancerous cells.

What are the treatment options for endometrial polyps

The treatment options for endometrial polyps depend on their size, number, and symptoms. In some cases, if the polyps are small and asymptomatic, no treatment may be necessary. However, for symptomatic polyps or those affecting fertility, surgical removal through hysteroscopy or surgical resection is typically recommended. Regular follow-up evaluations are essential to monitor for recurrence and ensure optimal uterine health, particularly in women with risk factors or ongoing symptoms.

How does laparoscopy affect my fertility?

Laparoscopy can improve fertility by diagnosing and treating conditions like endometriosis or tubal disease. For some, it might be a step towards achieving pregnancy, either naturally or with assisted reproductive technologies.

What is hysteroscopy?

Hysteroscopy is a minimally invasive surgical method that allows visualisation and evaluation of the inside of the uterus. It involves inserting a hysteroscope (a thin, flexible catheter with a camera and a light source) through the vagina and cervix into the uterus. At Ferty9 Fertility Centre, our expert surgeons commonly use hysteroscopy to evaluate fertility ailments and perform various treatment modalities.

When is hysteroscopy recommended for fertility evaluation?

Healthcare professionals may recommend hysteroscopy fertility evaluation in various situations. It is instrumental in diagnosing and treating conditions that affect the uterine cavity, such as uterine polyps, fibroids, adhesions, and structural abnormalities. Hysteroscopy can also help remove polyps or fibroids, correct abnormalities, or perform endometrial biopsies. Our experienced reproductive specialists at Ferty9 Fertility Centre will determine if hysteroscopy is necessary in your specific case to provide an accurate diagnosis and appropriate treatment.

How is hysteroscopy performed for infertility diagnosis?

Surgeons generally perform hysteroscopy on an outpatient basis, using either local or general anaesthesia. They insert a hysteroscope through the vagina and cervix into the uterus and use carbon dioxide gas or saline solution to expand the uterine cavity for better visualisation. The hysteroscope transmits images to a monitor, allowing the doctor to inspect the uterine lining and identify any abnormalities. The surgeon may use additional instruments to remove polyps, fibroids, or adhesions if necessary. After the final evaluation or treatment completion, the surgeon removes the hysteroscope and finishes the procedure. At Ferty9 Fertility Centre, our skilled reproductive specialists ensure a safe and comfortable hysteroscopic procedure for infertility diagnosis.

Are there any potential risks or complications associated with hysteroscopy?

As with any other medical procedure, hysteroscopy has some potential risks and complications. These may include infection, bleeding, injury to the uterus or surrounding organs, and adverse reactions to anaesthesia. However, complications are rare, and our experienced reproductive specialists at Ferty9 Fertility Centre take every precaution to minimise the risks and provide optimal care.

What information can hysteroscopy provide about female fertility issues?

Hysteroscopy can provide valuable information about female fertility issues by directly visualising the inside of the uterus. It can help diagnose and evaluate various conditions, such as uterine polyps, fibroids, adhesions, and structural abnormalities. Hysteroscopy can also help with certain fertility treatments, such as removing polyps or fibroids, correcting abnormalities, or performing endometrial biopsies. At Ferty9 Fertility Centre, our skilled reproductive specialists utilise hysteroscopy to gather essential information to guide your fertility treatment plan effectively.

What is infertility, and how is it defined?

Infertility is a disease that affects a couple's ability to conceive a child. It is described as the inability to achieve pregnancy after one year of routinely unprotected sexual intercourse for women under 35 or after six months for women over 35. Various factors, such as problems with ovulation, sperm quality, or reproductive organs, can cause infertility. It is essential to seek medical help if you suspect you may be infertile, as there are treatments available to help you achieve your dream of starting a family.

Can we have our tests done at a nearby clinic as we live in a far rural area?

At Ferty9 Fertility Centre, we understand that accessibility can be a concern for patients living in rural areas. We strive to make the process as convenient as possible, and we offer the option for you to have your tests done at a nearby clinic. Our team will work closely with your local healthcare provider to ensure that all necessary tests are conducted accurately and efficiently. We strongly believe that everyone, regardless of their geographic location, should have equal access to exceptional fertility services.

What are the causes of secondary infertility

Various factors can cause secondary infertility, including an age-related decline in fertility, changes in reproductive health, hormonal imbalances, or previous medical conditions or procedures that may have affected fertility. In some cases, underlying health ailments such as polycystic ovary syndrome (PCOS) or endometriosis can contribute to secondary infertility. Lifestyle habits, such as obesity, cigarette smoking, or excessive alcohol intake, can also play a role. It is essential to consult with a fertility professional to identify the specific causes of secondary infertility and explore treatment options.

What lifestyle factors can contribute to infertility?

Several lifestyle factors can contribute to infertility. These include smoking, excessive alcohol consumption, drug use, poor nutrition, obesity, and exposure to environmental toxins. These lifestyle factors can negatively impact reproductive health in both men and women, affecting sperm quality, hormone levels, and overall fertility. Making some positive lifestyle changes, such as quitting smoking, reducing alcohol consumption, maintaining a healthy weight, and following a balanced diet, can significantly improve fertility outcomes. It is essential to address these lifestyle factors when seeking infertility treatment.

Can stress and mental health affect fertility?

Yes, stress and mental health can have a significant impact on fertility. High levels of stress and anxiety can disturb hormonal balance and intervene with ovulation in women. In men, stress can impact sperm production and quality. Additionally, conditions such as depression and anxiety can impact sexual function and desire, further affecting fertility. It is vital to prioritise mental well-being and manage stress when trying to conceive. Techniques such as counselling, mindfulness, and stress-reducing activities can help improve fertility outcomes.

When is the best time to undergo IUI in a menstrual cycle?

Timing is crucial for the success of IUI. The procedure is usually performed around ovulation time, typically 24 to 36 hours after the surge in luteinising hormone (LH). Your fertility specialist will closely monitor your menstrual cycle, perform ultrasound scans, and conduct hormone level tests to discover the optimal timing for the procedure. This careful timing enhances the chances of successful fertilisation.

Is the IUI Procedure a Painful One?

The IUI procedure is generally well-tolerated and relatively painless. It is similar to a regular pelvic exam and does not require anaesthesia. Some women may notice mild discomfort or cramping during the procedure, but it usually subsides quickly. If you have concerns about pain or discomfort, it is essential to discuss them with your fertility specialist, who can provide guidance and address your individual needs.

How many cycles of IUI should one undergo before considering other options?

The number of IUI cycles recommended before considering other options depends on individual circumstances and the advice of your fertility specialist. In general, fertility experts suggest trying IUI for three to six cycles before exploring alternative options such as IVF. However, this may vary based on numerous factors, such as age, cause of infertility, and previous treatment history. Your fertility specialist will assess your progress and guide you on the optimal treatment plan.

Can I continue normal activities after IUI?

After the IUI procedure, most women can resume their normal activities without any restrictions. However, it is advisable to take it easy for the rest of the day. Avoid strenuous physical activities or heavy lifting that could affect the success of the procedure. It is also essential to follow any specific guidelines or instructions provided by your fertility specialist for optimal results.

Is intercourse allowed during IUI treatment?

Intercourse is generally allowed during IUI treatment, but it is essential to follow the guidance of your fertility specialist. In some cases, your fertility specialist may advise abstaining from intercourse for a specific period leading up to and following the procedure to optimise the chances of success. It is crucial to have open communication with your fertility specialist and follow their recommendations for the best possible outcome.

Will I have to Come to the Clinic Many Times for the Purpose of Monitoring?

During an IUI cycle, regular monitoring is necessary to track the progress of follicle development and determine the optimal time for the procedure. This monitoring typically involves ultrasound scans and hormone level tests. The number of clinic visits will depend on your individual treatment plan and how your body responds to ovarian stimulation. Rest assured, your fertility specialist will create a tailored monitoring schedule that takes into account your unique circumstances and aims to ensure the best possible outcome.

For How Long should the Husband/Partner Abstain from Intercourse to Store Up Sperm?

Abstaining from intercourse before providing a semen sample for IUI is recommended to ensure the best quality and quantity of sperm. Typically, it is advised to abstain from ejaculation for two to five days before the scheduled IUI procedure. However, it is essential to consult with your fertility specialist for specific recommendations based on your unique circumstances.

Is it Compulsory to Lie Down After IUI?

Lying down after an IUI procedure is not compulsory but is often recommended for a short period. Some women choose to lie down for 10 to 15 minutes to allow the sperm to swim towards the fallopian tubes. However, research on the optimal position after IUI is inconclusive, and the decision to lie down or resume normal activities is a personal choice. It is advisable to discuss this with your fertility expert, who can provide guidance based on your specific circumstances.

Can I Take it Easy after the IUI Procedure?

While it is essential to take care of yourself after the IUI procedure, there is no need to restrict your activities overly. Taking it easy and avoiding rigorous physical activities or heavy lifting is generally advised for the rest of the day. However, you can resume your routine activities the next day as long as they are not excessively strenuous. Listening to your body and prioritising self-care during this time is crucial.

What happens during ovarian stimulation?

Ovarian stimulation is a crucial step in an IVF cycle. It involves using fertility medicines to stimulate the ovaries to produce a few mature eggs. The professionals administer fertility medications through injections, and the dosage is carefully monitored based on the individual's response. Regular ultrasound scans can track follicle growth and determine the optimal time for egg retrieval.

What is hyperstimulation?

Ovarian hyperstimulation is a potential side effect of ovarian stimulation during an IVF cycle. It occurs when the ovaries respond excessively to fertility medications, leading to the development of a large number of follicles. It can result in ovarian enlargement and fluid accumulation in the abdomen. Severe cases of ovarian hyperstimulation syndrome (OHSS) are rare but can cause discomfort and require medical intervention. Your fertility expert will closely monitor your response to medications and take appropriate measures to minimise the risk of hyperstimulation.

What is egg retrieval?

Egg retrieval is a minor surgical procedure usually performed under sedation or anaesthesia. Using ultrasound guidance, fertility experts insert a thin needle through the vaginal wall and reach the ovaries and aspirate the mature eggs from the follicles. The retrieved eggs are then handed to the laboratory for further processing and fertilisation.

How many eggs do we need?

The number of eggs or ova required for a successful IVF cycle differs depending on individual circumstances. However, the quality of eggs is equally essential. Your fertility specialist will aim to retrieve an optimal number of mature eggs based on your age, ovarian reserve, and previous treatment history.

What happens to the eggs after retrieval

After the eggs are retrieved, embryologists carefully examine them in the laboratory. The eggs are then prepared for fertilisation by removing the surrounding cells. For conventional IVF, the eggs are either placed in a culture dish along with a sample of sperm or subjected to intracytoplasmic sperm injection (ICSI) for cases with severe male factor infertility or previous fertilisation issues.

How many embryos do we need?

We usually put a maximum of two embryos into the woman's uterus during one cycle. If there are more embryos left after the first cycle, we cryopreserve them for later. This way, if the first try doesn't work, we can use the frozen embryos in another attempt. 

What is the embryo transfer

Embryo transfer is the final step of the IVF process, where the selected embryos are transferred into the woman's uterus. It is a relatively simple and painless procedure that does not require anaesthesia. Using a catheter, fertility experts gently transfer the embryos into the uterus with the guidance of ultrasound imaging. The number of embryos transferred depends on various factors, including the woman's age, embryo quality, and preferences.

What is the average number of embryos transferred?

One of the most common questions when undergoing in vitro fertilisation (IVF) is the number of embryos that should be transferred. The number of embryos transferred can differ depending on several components, including the woman's age and the quality of the embryos. Generally, transferring a maximum of two embryos is recommended to reduce the possibility of multiple pregnancies. 

What are the dos and don'ts after embryo transfer?

After the embryo transfer step, following certain dos and don'ts is essential to optimise the possibilities of implantation and a successful pregnancy. Some of the dos include taking prescribed medications on time, maintaining a healthy lifestyle, eating a balanced diet, and getting adequate rest. On the other hand, some of the don'ts include avoiding strenuous activities, refraining from smoking and alcohol intake, and avoiding certain medicines that may interfere with implantation. It is crucial to follow the instructions given by the fertility centre to increase the likelihood of a positive outcome.

How long do I need to rest after the embryo transfer procedure?

Rest is an essential aspect of the post-embryo transfer period. While it is recommended to take it easy and rest for a few days after the procedure, no specific duration applies to everyone. The doctor will provide guidance based on individual circumstances. Balancing rest and light physical activity is essential to ensure optimal blood flow to the uterus while avoiding excessive strain. Following the doctor's advice and listening to one's body is vital during this critical period.

Is it possible to get pregnant with frozen embryos?

It is possible to achieve pregnancy with frozen embryos. Cryopreservation, the process of freezing embryos, has revolutionised the field of assisted reproductive technology. Frozen embryos can be stored for future use, allowing couples to undergo additional IVF cycles without the need for further ovarian stimulation and egg retrieval. The success rates with frozen embryos are comparable to fresh embryos and, in some cases, may even be higher. Ferty9 Fertility Centre offers comprehensive frozen embryo transfer services, allowing couples to achieve pregnancy when the time is right for them.

Will my baby suffer birth defects?

The possibility of birth defects in babies conceived through IVF is generally similar to that of babies conceived naturally. However, it is essential to note that certain factors, such as the woman's age and any underlying genetic conditions, can influence the risk. The team at Ferty9 Fertility Centre identifies potential complications and provide appropriate guidance. It is essential to have open and honest discussions with medical experts to address any concerns and make informed decisions.

Do the chances of giving birth to twins (or multiple births) increase in the case of IVF?

The possibilities of giving birth to twins or multiple births are higher with IVF compared to natural conception. It is primarily due to the practice of transferring multiple embryos to increase the likelihood of success. While the idea of twins may be exciting for some couples, it is essential to consider the potential complications and challenges associated with multiple pregnancies. The fertility specialists at Ferty9 Fertility Centre closely monitor the number of embryos transferred to minimise the chance of multiple pregnancies while maximising the chances of a successful single pregnancy.

What if my husband or I get sick during an IVF cycle?

If either the husband or the wife gets sick during an IVF cycle, it is crucial to inform the fertility centre immediately. The medical team will guide on whether to continue or postpone the cycle based on the specific circumstances. Sometimes, it may be necessary to delay the cycle to ensure the best possible outcome. Communication with the fertility centre ensures proper care and support during the IVF cycle.

IVF and ICSI: What is the difference?

IVF (in vitro fertilisation) and ICSI (intracytoplasmic sperm injection) are two different techniques used in assisted reproductive technology. IVF includes the fertilisation of eggs and sperm outside the body, followed by the transfer of resulting embryos into the uterus. ICSI, on the other hand, is a specialised form of IVF that involves the direct injection of a single sperm into each egg. ICSI is typically recommended in cases of male factor infertility, where the sperm may have difficulty fertilising the egg naturally. The fertility specialists at Ferty9 Fertility Centre will recommend the most suitable procedure based on individual circumstances.

Is infertility treatment covered by health insurance?

Coverage for infertility treatment varies based on the health insurance provider and the specific policy. Some health insurance services may offer partial or complete coverage for fertility treatments such as IVF, while others may not provide any coverage at all. It is essential to review the insurance policy and discuss it with the insurance provider to understand the extent of coverage for infertility treatment. Ferty9 Fertility Centre also provides guidance and assistance in navigating the financial aspects of fertility treatment.

If the first cycle of IVF is unsuccessful, what are the options for subsequent attempts?

If the first IVF cycle is unsuccessful, several options exist for subsequent attempts. The fertility specialist will evaluate the reasons for the failure of the previous cycle and recommend appropriate adjustments for the next cycle. These may include changes in medication protocols, additional testing, or considering alternative approaches such as frozen embryo transfer or using donor eggs or sperm. The team at Ferty9 Fertility Centre will provide personalised recommendations based on individual circumstances, aiming to optimize the chances of success in subsequent attempts.

How does the quality of sperm and eggs impact the success of IVF, and are there ways to improve quality?

The quality of eggs and sperm plays a vital role in the success of IVF. Higher-quality eggs and sperm have a higher chance of successful fertilisation and implantation. Factors such as age, lifestyle habits, and underlying medical conditions can impact the quality of eggs and sperm. While it is impossible to change one's age, certain measures can improve the overall quality. Maintaining a healthy lifestyle, including regular physical exercise, eating a balanced meal, and avoiding smoking and excessive alcohol consumption, can improve egg and sperm quality. Additionally, the fertility specialist may prescribe certain medications and supplements to enhance the quality of eggs and sperm.

What is laparoscopy?

Laparoscopy is a minimally invasive surgical approach enabling healthcare providers to visualise and assess reproductive organs, including the uterus, fallopian tubes, and ovaries. It involves making small incisions in the abdomen and inserting a laparoscope, a thin, lighted tube with a camera, to examine the pelvic structures. At Ferty9 Fertility Centre, we use laparoscopy procedures for fertility evaluation and treatment.

When is laparoscopy recommended for fertility evaluation?

Fertility professionals may recommend laparoscopy for fertility evaluation in various situations. It is beneficial in diagnosing conditions such as endometriosis, pelvic adhesions, and ovarian cysts, which can impact fertility. Laparoscopy can also aid in removing adhesions, treating endometriosis, or repairing structural abnormalities hindering conception. Our skilled surgeons at Ferty9 Fertility Centre will determine if laparoscopy is necessary in your specific case to provide an accurate diagnosis and appropriate treatment.

How is laparoscopy performed for infertility diagnosis?

Healthcare professionals typically perform laparoscopy under general anaesthesia. They make small incisions in the abdomen and insert a laparoscope to visualise the pelvic structures. They use carbon dioxide gas to inflate the abdomen, creating space for improved visualisation. Additional instruments may be inserted through the incisions to perform necessary procedures, such as removing adhesions or cysts. Once the evaluation or treatment is complete, the surgeon pulls out instruments and closes the incisions with sutures or adhesive strips. At Ferty9 Fertility Centre, our experienced surgical team ensures a safe and comfortable laparoscopic procedure for infertility diagnosis.

Are there any potential risks or complications associated with laparoscopy?

As with any surgical procedure, laparoscopy has some potential risks and complications. These may include bleeding, infection, damage to surrounding structures or blood vessels, and adverse reactions to anaesthesia. However, complications are rare, and our skilled surgeons at Ferty9 Fertility Centre take every precaution to minimise the risks and provide optimal care.

What information can laparoscopy provide about female fertility issues?

Laparoscopy can provide valuable information about female fertility problems by directly visualising the reproductive organs. It can help diagnose and evaluate conditions such as endometriosis, pelvic adhesions, ovarian cysts, and structural abnormalities. Laparoscopy can also help implicate certain fertility treatments, such as removing adhesions, treating endometriosis, or repairing fallopian tubes. At Ferty9 Fertility Centre, our skilled surgeons utilise laparoscopy to gather essential information to effectively guide your fertility treatment plan.

How do you evaluate a male partner?

Several factors are considered when evaluating a male partner's fertility. A healthcare professional takes a thorough medical history, including any previous surgeries, infections, or medical conditions that may affect fertility. They may also conduct physical examinations to check for any abnormalities or signs of underlying issues. Additionally, a semen analysis is performed to assess sperm quality, count, and motility.

What are sperm disorders

Sperm disorders refer to abnormalities or issues with sperm that can affect fertility. These include azoospermia, characterised by the absence of sperm in the ejaculate, oligospermia, denoting a low sperm count below the normal range, asthenospermia, reflecting poor sperm motility hindering effective fertilisation, and teratospermia, indicating abnormal sperm morphology that may impede fertilisation. Various factors, including hormonal imbalances, genetic abnormalities, infections, lifestyle choices, or certain medical conditions, can cause sperm disorders.

What is the sperm count for healthy semen?

A healthy sperm count is typically regarded to be at least 15 million sperm/millilitre of semen. However, it's important to note that semen quality can vary, and a low sperm count does not necessarily indicate infertility. Other components, such as sperm motility and morphology, also significantly affect fertility.

Can an STD cause low sperm count?

Sexually transmitted diseases (STDs) can potentially result in a low sperm count. Infections like chlamydia, gonorrhoea, or syphilis can cause inflammation and injury to the reproductive organs, including the testes and epididymis. These conditions can result in decreased sperm production and quality. It's crucial to practice safe sex and seek timely treatment for any STDs to prevent long-term effects on fertility.

Does alcohol lower sperm count?

Excessive alcohol consumption can negatively influence sperm count and quality. Alcohol can disrupt hormone production, affect sperm development, and impair sperm motility. To optimise fertility, limiting alcohol intake or abstaining entirely is advisable.

Can regular exercise and a healthy diet increase my sperm count?

Managing a healthy lifestyle that involves regular physical activities and a balanced diet can positively influence sperm count and overall fertility. Regular physical activity promotes circulation and hormone balance, while a nutritious meal provides essential nutrients for sperm production. Maintaining a healthy weight and incorporating foods rich in vitamins, antioxidants, and minerals is vital for optimal sperm health.

What is Micro TESE (Microsurgical Testicular Sperm Extraction)?

Micro TESE, or Microsurgical Testicular Sperm Extraction, is a specialised technique for retrieving sperm in cases of non-obstructive azoospermia. It involves using an operating microscope to identify and extract individual sperm from the testicles with greater precision and accuracy.

When is Micro TESE recommended for male infertility?

The fertility experts generally recommend the Micro TESE procedure in cases of non-obstructive azoospermia where there is a complete absence of sperm in the ejaculate. Various factors, including a lack of sperm production or testicular dysfunction, can cause this condition. Micro TESE is often performed in conjunction with ICSI to facilitate fertilisation in cases of non-obstructive azoospermia.

How does the Micro TESE procedure differ from traditional TESE?

The main difference between Micro TESE and traditional TESE lies in the level of precision and accuracy in sperm retrieval. Micro TESE utilises an operating microscope to identify and extract individual sperm from the testicles, whereas traditional TESE relies on macroscopic examination of the tissue samples. Using an operating microscope in Micro TESE allows for better visualisation of the testicular tissue, increasing the chances of finding viable sperm.

Are there any potential risks or complications associated with Micro TESE?

As with any surgical procedure, micro TESE carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the surgery. In rare cases, damage to the testicular tissue or surrounding structures may occur. It is essential to discuss the potential risks and complications with your fertility specialist before undergoing the Micro TESE procedure.

What are the success rates of using sperm retrieved through Micro TESE?

The success rates of using sperm retrieved through Micro TESE can vary depending on various factors, including the underlying cause of male infertility and the overall health of the couple. On average, the success rates of using Micro TESE-retrieved sperm in conjunction with ICSI range from 30% to 40%. Consulting with your fertility specialist to understand your chances of success with Micro TESE is essential.

What is ovarian hyperstimulation syndrome (OHSS)?

Ovarian hyperstimulation syndrome (OHSS) is a potentially serious aftermath that can occur during fertility treatments, such as in ovarian stimulation for in vitro fertilisation (IVF). In this condition, ovaries respond excessively to fertility medications, causing fluid buildup in the abdominal cavity and, in severe instances, the chest cavity. OHSS symptoms range from mild to severe and can cause discomfort, pain, abdominal manifestations, rapid weight gain, and, in rare cases, life-threatening complications. At Ferty9 Fertility Centre, we follow mild stimulation protocol to prioritise the safety and well-being of our patients and closely monitor the development of OHSS during fertility treatments.

What are the Symptoms of OHSS?

The symptoms of OHSS can vary from mild to severe and may include abdominal bloating, discomfort or pain, nausea, and vomiting. In severe cases, OHSS can cause rapid weight gain, decreased urine output, and shortness of breath. Fluid buildup in the chest can also result in breathing difficulties and blood clotting abnormalities. If you experience any of these symptoms during or after fertility treatment, it is crucial to seek immediate medical attention at Ferty9 Fertility Centre.

What are the Causes of OHSS?

The leading cause of OHSS is the excessive use of fertility medications that activate the ovaries to produce multiple eggs. The excess production of eggs can lead to ovarian enlargement and the release of substances that cause blood vessels to seep fluid into the abdomen. Certain risk factors, such as a young age, polycystic ovary syndrome (PCOS), and a high ovarian reserve, may increase the likelihood of developing OHSS. Our experienced fertility specialists at Ferty9 Fertility Centre carefully monitor the response to fertility medications to minimise the risk of OHSS.

How Common is OHSS?

OHSS is relatively uncommon, occurring in approximately 1-10% of women undergoing fertility treatments, particularly IVF. However, the risk can vary depending on individual factors and the specific fertility protocol. At Ferty9 Fertility Centre, we employ personalised treatment plans and closely monitor our patients to minimise the risk of OHSS and ensure optimal outcomes.

What are the Risk Factors of OHSS?

Certain factors may increase the risk of developing OHSS, including a young age, a high ovarian reserve, polycystic ovary syndrome (PCOS), and a history of OHSS in previous fertility treatments. Additionally, the use of certain fertility medications and a robust response to ovarian stimulation can also increase the likelihood of developing OHSS. At Ferty9 Fertility Centre, our experienced fertility specialists will assess your risk factors and adjust your treatment plan accordingly to minimise the risk of OHSS.

What is Oncofertility?

Oncofertility is a multidisciplinary field that focuses on preserving fertility in cancer patients. Cancer treatments like chemotherapy and radiotherapy can damage reproductive organs or disrupt hormonal balance, leading to infertility or premature menopause. At Ferty9 Fertility Centre, we provide specialised oncofertility facilities to help cancer patients preserve their fertility options before undergoing cancer treatment.

How does cancer affect fertility?

Cancer can affect fertility in various ways, depending on the type and location of the cancer, as well as the treatment modalities used. Chemotherapy drugs and radiotherapy can damage the eggs or sperm, disrupt hormone production, and cause irreversible damage to the reproductive organs. At Ferty9 Fertility Centre, we understand the unique challenges faced by cancer patients and provide personalised fertility preservation options.

What Oncofertility options are available?

At Ferty9 Fertility Centre, we offer several oncofertility options to cancer patients, including egg freezing, sperm freezing and embryo freezing. These modalities allow individuals to preserve their reproductive cells or tissues before undergoing cancer treatment. Our team of experts will guide you through the process and provide the necessary support to make informed choices about your fertility preservation options.

What is Ovulation

Ovulation is the process by which a mature ovum or egg is released from a female's ovary and becomes available for fertilisation. It typically occurs once a month, halfway through the menstrual cycle. Ovulation is a crucial event in the reproductive process and is necessary for pregnancy to occur.

What are ovulation disorders

Ovulation disorders refer to conditions that interfere with or prevent the regular release of eggs from the ovaries. These disorders include polycystic ovary syndrome (PCOS), premature ovarian failure, and hypothalamic dysfunction. Ovulation disorders can result in irregular (oligoovulation) or absence of ovulation (anovulation), making it difficult for females to conceive naturally. Ovulation disorders can also lead to menstrual irregularities, mood changes, or sudden weight changes.

What are the causes of ovulation disorders

Ovulation disorders can arise from various causes, including hormonal imbalances, polycystic ovary syndrome (PCOS), thyroid disorders, and premature ovarian failure. Other factors that can contribute to ovulation disorders include excessive exercise, extreme weight loss or gain, certain medications, pituitary gland abnormalities, and chronic illnesses. Identifying the underlying cause of ovulation disorders is crucial for developing targeted treatment strategies to restore ovulatory function and improve fertility.

What are the symptoms of ovulation disorders

The primary symptom of ovulation disorders is irregular or absence of menstrual cycles. Women with ovulation disorders may also experience other symptoms, such as excessive hair growth, hot flashes, acne, weight gain or loss, vaginal dryness, and difficulty getting pregnant. If you are experiencing any of these symptoms, seek guidance from a healthcare professional for an appropriate diagnosis and treatment.

How are ovulation disorders diagnosed

A healthcare provider may conduct a physical analysis and ask about your medical history to diagnose ovulation disorders. They may also prescribe other blood tests to measure levels of essential reproductive hormones and an ultrasound to evaluate the condition of the ovaries. Tracking your menstrual cycles and monitoring basal body temperature can also help identify ovulation patterns. Additional tests, like thyroid function tests or pelvic laparoscopy, may help identify underlying conditions contributing to ovulation disorders.

What are the treatment options for ovulation disorders

Treatment of ovulation disorder aims to restore regular ovulatory function and improve fertility. The treatment options for ovulation disorders depend on the underlying cause and the individual's fertility goals. Lifestyle changes can help regulate ovulation. These include managing a healthy weight, balancing exercise regimen, and reducing stress. Doctors may also prescribe medications to stimulate ovulation. In more severe cases, assisted reproductive technologies, such as in vitro fertilisation (IVF), may be recommended.

What is PCOS?

Polycystic Ovary Syndrome (PCOS) affects females of reproductive age. The main characteristics of this hormonal disorder include multiple cysts in the ovaries, irregular menstrual cycles, and high levels of male hormones. PCOS can result in various health issues, including infertility, insulin resistance, and obesity.

What causes PCOS?

The exact reason for PCOS is still unknown, but several factors contribute to its development. Genetic factors, insulin resistance, and hormonal imbalances play a significant role. Certain lifestyle habits, like poor nutrition and lack of exercise, can also contribute to PCOS development.

What are the common symptoms of PCOS?

The PCOS symptoms can differ from person to person, but some common symptoms include irregular menstrual cycles, excessive hair growth (hirsutism), acne, weight gain, and difficulty getting pregnant. Women with PCOS may also experience mood swings, depression, and anxiety.

How is PCOS diagnosed?

A fertility professional will typically conduct a physical examination to diagnose PCOS and ask questions about your medical history. They may also perform blood analysis to measure hormone levels and execute an ultrasound to check for cysts on the ovaries. The diagnosis of PCOS is based on the presence of specific criteria, including irregular menstrual cycles, elevated male hormone levels, and the presence of cysts on the ovaries.

Can PCOS be cured?

While there is no cure for PCOS, various treatment modalities can help manage its symptoms. Maintaining a healthy, nutrition-rich meal and regular exercise can help improve symptoms. Medications, such as hormonal contraceptives and insulin-sensitising drugs, may also be prescribed to aid in regulating menstrual cycles and manage other symptoms.

What are the potential complications of PCOS?

PCOS can lead to several complications if left untreated. Women with PCOS have an increased possibility of type 2 diabetes mellitus, hypertension, and cardiovascular diseases. PCOS can also cause infertility and increase the risk of miscarriage.

Can PCOS be treated with medication?

Yes, medication can be used to manage the symptoms of PCOS. Hormonal contraceptives, such as contraceptive pills, can help regulate menstrual cycles and diminish symptoms such as acne and excessive hair growth. Insulin-sensitising drugs, such as metformin, can help manage insulin resistance and enhance fertility in women with PCOS.

What lifestyle changes can help manage PCOS?

Making lifestyle adjustments can help manage the signs and symptoms of PCOS. Maintaining a balanced meal that is low in sugar and processed edibles can help maintain insulin levels and promote weight loss. Additionally, focusing on organic fruits, vegetables, and whole grain food products is beneficial. Regular moderate-intensity exercise is crucial in managing PCOS symptoms and maintaining a healthy weight.

Does PCOS affect fertility?

PCOS is one of the leading causes of women's infertility. The hormonal irregularities and irregular menstrual periods associated with PCOS can make it challenging for women to conceive. However, with proper treatment and lifestyle adjustments, many women with PCOS can achieve pregnancy and have a healthy baby.

Is there a link between PCOS and other health conditions?

Yes, PCOS is associated with an increased possibility of developing other health conditions. Insulin resistance associated with PCOS can increase the risk of developing type 2 diabetes. PCOS is also linked to cardiovascular diseases, such as heart disease and stroke, as well as endometrial cancer due to irregular menstruation and hormonal imbalances. PCOS also increases the risk of sleep apnea.

Can PCOS symptoms change over time?

Yes, PCOS symptoms can change over time. Some women may experience more severe symptoms during their teenage years, while others may notice changes in symptoms as they get older. Hormonal fluctuations and lifestyle factors can also influence the severity and frequency of PCOS symptoms.

What is PESA (Percutaneous Epididymal Sperm Aspiration)?

The Percutaneous Epididymal Sperm Aspiration (PESA) procedure helps retrieve sperm from the epididymis, a structure present at the back of the testicles, in cases where a blockage in the reproductive tract prevents the release of sperm during ejaculation.

When is PESA recommended for male infertility?

PESA is recommended when there is a blockage in the reproductive tract that prevents the release of sperm during ejaculation. Various conditions can cause this prevention, including previous surgeries, congenital abnormalities, or infections. PESA is often performed in conjunction with ICSI to facilitate fertilisation in cases of obstructive azoospermia.

How is the PESA procedure performed?

The PESA procedure involves the insertion of a fine needle directly into the epididymis to aspirate sperm. This procedure is typically conducted under local anaesthesia and can be done on an outpatient basis. The fertility experts use these retrieved sperm or ICSI or cryopreserved for future use. PESA is a relatively quick and straightforward procedure that can effectively treat couples with obstructive azoospermia.

Are there any potential risks or complications associated with PESA?

As with any medical procedure, PESA carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the needle aspiration. In rare cases, damage to the epididymis or surrounding structures may occur. It is essential to discuss the potential risks and complications with your fertility specialist before undergoing the PESA procedure.

What are the success rates of using sperm retrieved through PESA?

The success rates of using sperm retrieved through PESA can vary depending on various factors, including the underlying cause of male infertility and the couple's overall health. On average, the success rates of using PESA-retrieved sperm in conjunction with ICSI range from 30% to 40%. Consulting with your fertility specialist to understand your chances of success with PESA is essential.

What is TESA (Testicular Sperm Aspiration)?

Testicular Sperm Aspiration (TESA) is a fertility procedure used to retrieve sperm from the testicles in cases where there is no sperm present in the ejaculate. Fertility experts perform this minimally invasive procedure under local anaesthesia, and it is a first-line approach in cases of male infertility.

When is TESA recommended for male infertility?

Testicular Sperm Aspiration (TESA) is recommended when there is a complete absence of sperm in the ejaculate, a condition known as azoospermia. Various factors can result in this condition, including blockages in the reproductive pathway or a lack of sperm production. TESA is also favourable in cases where previous attempts at sperm retrieval, such as PESA or TESE, have been unsuccessful.

How does the TESA procedure work?

The TESA procedure involves the use of a fine needle to aspirate sperm directly from the testicles. This method is generally performed under local anaesthesia to minimise discomfort. After retrieving the sperm, fertility experts can use it for ICSI or cryopreserve it for future use. TESA is a relatively quick and straightforward procedure performed on an outpatient basis.

Are there any risks or complications associated with TESA?

As with any medical procedure, TESA carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the site of the needle aspiration. In rare cases, damage to the testicular tissue or surrounding structures may occur. Therefore, it is necessary to discuss the potential complications with your fertility specialist before undergoing the TESA procedure.

What are the success rates of using sperm retrieved through TESA?

The success rates of using sperm retrieved through TESA can vary depending on various factors, including the underlying reason for male infertility and the couple's overall health. On average, the success rates of using TESA-retrieved sperm in conjunction with ICSI range from 30% to 40%. It is essential to counsel your fertility specialist to understand your chances of success with TESA.

What is TESE (Testicular Sperm Extraction)?

Testicular Sperm Extraction (TESE) is a fertility procedure used to directly retrieve sperm from the testicles in cases where there is no sperm present in the ejaculate. It is a more invasive technique than TESA and is commonly used in cases of non-obstructive azoospermia.

When is TESE recommended for male infertility?

Fertility experts recommend the TESE procedure when there is a complete absence of sperm in the ejaculate due to non-obstructive azoospermia. This condition can develop due to various causes, including a lack of sperm production or testicular dysfunction. TESE is often performed in conjunction with ICSI to facilitate fertilisation in cases of non-obstructive azoospermia.

How is the TESE procedure performed?

The TESE procedure involves surgically extracting small tissue samples from the testicles. These tissue samples are then carefully dissected and examined under a microscope to recognise and retrieve individual sperm. This procedure is typically conducted under general anaesthesia and may require a short hospital stay. The retrieved sperm is then used for ICSI or cryopreserved for future use.

Are there any potential risks or complications associated with TESE?

As with any surgical procedure, TESE carries certain risks and potential complications. These can include bleeding, infection, pain, and swelling at the surgery site. In rare cases, damage to the testicular tissue or surrounding structures may occur. It is crucial to discuss these potential risks and complications with your fertility specialist before undergoing the TESE procedure.

What are the success rates of using sperm retrieved through TESE?

The success rates of using sperm retrieved through TESE can vary and depend on various factors, including the underlying cause of male infertility and the overall health of the couple. On average, the success rates of using TESE-retrieved sperm in conjunction with ICSI range from 30% to 40%. It is essential to seek guidance from your fertility expert to understand your chances of success with TESE.

How thyroid diseases affect fertility

Thyroid diseases can significantly impact fertility. The thyroid gland, an essential organ in the body's metabolism, directly influences the reproductive system. It produces hormones that regulate the menstrual cycle, ovulation, and the ova or eggs' quality. An imbalance in these thyroid hormones can disrupt the menstrual cycle, cause irregular ovulation, and affect the quality of the eggs produced. These factors can make it more challenging to conceive and increase the risk of miscarriage. Ferty9 Fertility Centre has a specialised team of endocrinologists who can diagnose and manage thyroid diseases to improve fertility outcomes.

How thyroid diseases can be tackled to improve fertility

At Ferty9 Fertility Centre, we take a comprehensive approach to tackle thyroid diseases and improve fertility. Our team of endocrinologists will conduct a thorough assessment to identify the underlying reason for the thyroid disorder. Treatment modalities may include medication to regulate hormone levels, lifestyle modifications, and dietary changes. By effectively managing thyroid diseases, we can restore hormonal balance and optimise your chances of conception.

What are tubal disorders?

Tubal disorders refer to conditions that affect the fallopian tubes, which carry the ovum or eggs from the ovaries to the uterus. Tubal disorders can include inflammation, blockages, or scarring of the fallopian tubes, which can intervene with the fertilisation of the egg and prevent pregnancy.

How do tubal disorders affect fertility?

Tubal disorders can significantly impact fertility. If the fallopian tubes are obstructed or damaged, it can hinder the sperm from reaching the egg and prevent the fertilisation process. Additionally, tubal disorders can increase the possibility of ectopic pregnancy, where the fertilised ovum implants outside of the uterus.

What are the common causes of tubal disorders?

Various factors can lead to the development of tubal disorders, including pelvic inflammatory disease (PID), caused by sexually transmitted infections. Other causes of tubal disorders include previous pelvic surgeries like appendectomies or surgeries for ectopic pregnancies, endometriosis, adhesions due to abdominal or pelvic surgeries, and certain genetic conditions. These conditions can lead to blockages, scarring, or damage to the fallopian tubes, hindering fertility.

What are the symptoms of tubal disorders?

Tubal disorders may not have any noticeable symptoms, especially in the early stages. However, some women may experience pelvic pain, abnormal vaginal discharge, and irregular menstrual cycles. If you are experiencing any of these symptoms, consulting a fertility professional for a proper diagnosis is crucial.

How are tubal disorders diagnosed?

A healthcare professional asks about your medical history and may perform a physical examination to diagnose tubal disorders. They may also order imaging tests, such as a hysterosalpingogram (HSG) or a laparoscopy, to evaluate the condition of the fallopian tubes and identify any abnormalities. Hysterosalpingography (HSG) involves injecting a dye into the uterus and taking X-rays to visualise the fallopian tubes, which can detect blockages or abnormalities. Transvaginal ultrasound may also reveal tubal issues, such as fluid accumulation in the tubes. Laparoscopy, a minimally invasive surgical procedure, allows direct visualisation of the fallopian tubes and can identify blockages, scarring, or other abnormalities. These diagnostic methods help fertility specialists determine the extent and nature of tubal disorders to guide appropriate treatment decisions.

What fertility treatments are available for tubal disorders?

The treatment options for tubal disorders depend on the severity of the condition and the person's fertility goals. In some cases, healthcare professionals may recommend surgery to repair or remove any blockages or scar tissue in the fallopian tubes. In more severe cases, in vitro fertilisation (IVF) may be recommended, where the eggs are fertilised outside the body and then transferred to the uterus.

What is unexplained infertility?

Unexplained infertility is regarded as the absence of a clear cause for a couple's infertility after a thorough evaluation. Despite extensive tests and examinations, no identifiable issues with sperm count, fallopian tubes, or ovulation are found. Unexplained infertility can be frustrating, but various treatment modalities are available to help couples achieve pregnancy.

What are the possible causes of unexplained infertility?

The causes of unexplained infertility remain unknown despite extensive testing. However, certain factors, including subtle hormonal imbalances, egg quality issues, sperm function abnormalities, or genetic factors, may contribute to this condition. Psychological stress and lifestyle factors can also play a role.

Is unexplained infertility common?

Unexplained infertility is more common than many people realise, accounting for a significant percentage of infertility cases. It can be a frustrating diagnosis, but it's important to remember that effective treatments are available, and many couples with unexplained infertility can conceive with medical assistance.

What tests are typically performed to diagnose unexplained infertility?

To diagnose unexplained infertility, fertility professionals may conduct a comprehensive analysis, which may include a detailed medical history, physical examination, hormone testing, semen analysis, and imaging studies such as hysterosalpingography (HSG) or ultrasound. They may also recommend additional specialised tests based on individual circumstances.

What fertility treatments are available for couples with unexplained infertility?

Couples facing unexplained infertility have several treatment options available. These can include ovulation induction with medication, IUI, or more advanced techniques like IVF. In some cases, healthcare professionals may recommend additional procedures like intracytoplasmic morphologically selected sperm injection (IMSI) or preimplantation genetic testing (PGT) to maximise chances of success.

What are Uterine Fibroids

Uterine fibroids are non-cancerous outgrowths that develop in the muscular wall of the uterus. They can vary in number and size and are common among women of reproductive age. Fibroids are composed of smooth muscle tissue and fibrous connective tissue. Symptoms can include heavy menstrual bleeding, pelvic pain or pressure, frequent urination, and reproductive issues. While most fibroids do not cause fertility problems, certain factors, such as their location and size, can interfere with conception. At Ferty9 Fertility Centre, our experienced reproductive specialists can evaluate the impact of uterine fibroids on fertility and recommend appropriate treatment options.

How do Uterine Fibroids affect fertility

Uterine fibroids can negatively affect fertility in several ways. Large fibroids can deform the shape of the uterus, making it challenging for a fertilised egg to implant. Fibroids can also obstruct the fallopian tubes or disrupt the normal movement of sperm, hindering fertilisation. Additionally, fibroids can cause heavy or prolonged menstrual bleeding, which can lead to anaemia and decrease the chances of conception. At Ferty9 Fertility Centre, our team of experts will assess the impact of uterine fibroids on your fertility and develop a personalised treatment plan.

What are the causees Uterine Fibroids

The exact reason for uterine fibroids is still unidentified, but several factors contribute to their development. Hormonal fluctuations, specifically an excess of estrogen, can promote the growth of fibroids. Genetic factors, family history, and certain lifestyle factors, such as obesity and a sedentary lifestyle, may also increase the risk. At Ferty9 Fertility Centre, we aim to identify the underlying causes of uterine fibroids to provide effective treatment modalities tailored to your specific needs.

What are the symptoms Uterine Fibroids

Uterine fibroids can present with various symptoms, including heavy menstrual bleeding, prolonged periods, pelvic pain or pressure, lower back pain, frequent urination, and difficulty emptying the bladder. Some females may also experience pain during sexual intercourse or have an enlarged abdomen. However, not all women with fibroids experience symptoms. If you are experiencing any of these symptoms, it is essential to consult with our experts at Ferty9 Fertility Centre for accurate diagnosis and appropriate management.

How are Uterine Fibroids diagnosed

At Ferty9 Fertility Centre, we use advanced diagnostic techniques to diagnose uterine fibroids accurately. These may include a pelvic ultrasound, hysteroscopy, or MRI. A pelvic ultrasound can provide detailed images of the uterus and help identify the presence, size, and location of uterine fibroids. Hysteroscopy involves inserting a thin catheter with a camera and a light source into the uterus to visualise any abnormalities. MRI scans can provide a more comprehensive evaluation of the fibroids and their impact on fertility.

What are the treatment options for Uterine Fibroids

The treatment options for uterine fibroids depend on various factors, including the size, number, and position of the fibroids and your fertility goals. At Ferty9 Fertility Centre, we offer a range of treatment options, including medication to manage symptoms and shrink the fibroids, minimally invasive procedures such as uterine artery embolisation or MRI-guided focused ultrasound surgery, and surgical removal of the fibroids. Our dedicated team will work with you to determine the most appropriate treatment plan for your individual needs.