Infertility problems have become a common concern among majority of couples these days. According to World Health Organization (WHO), couples who are indulged in regular unprotected sexual intercourse for more than 12 months of period and are still not able to achieve pregnancy are considered to be suffering from infertility issues. These issues could arise from any end, either from the female side or the male partner. Couples who are struggling with such problems and who have a desire to conceive a normal and healthy baby can take medical assistance. Healthcare experts specialized in infertility treatments can significantly address underlying issues of childless couples and help them in attaining parenthood by the means of safe infertility interventions and procedures.
What is Assisted Reproductive Technology Procedures (ART Procedures)?
Assisted reproductive technology procedures or ART procedures are nowadays commonly utilized to achieve pregnancy in most cases of infertility among couples. Also known as fertility treatments, it also includes reproductive endocrinology alongside infertility. ART procedures, in fact, bypasses the normal process of sexual intercourse either through fertilization of oocytes in labor by artificial insemination to achieve pregnancy. Some common ART procedures presently in practice apart from fertility medication include IVF or in vitro fertilization, IUI or intrauterine insemination, ICSI or intracytoplasmic sperm injection, GIFT or gamete intrafallopian tube transfer and embryo cryopreservation. Sperm and egg donors are also used when either partner is sufferingfrom functional disorders.
General Causes of Infertility in Women
Infertility may be caused when both fallopian tubes are either absent or blocked due to surgery, tubal pregnancy or infection and endometriosis reduced sperm count or motility. IVF can be safely performed for counts more than 5 million/ml. IVF is also ideal for couples whose investigations have proved normal but are still unable to conceive in spite of routine treatments. Success rates of IVF in India are about 20 percent to 30 percent which compare with the leading units around the world. IVF cost in India is also comparatively much less than what you would have to pay for similar procedures in another country.
Types of Female Infertility Treatments
The following list depicts major types of female infertility treatments.
Intrauterine insemination (IUI) is also known as artificial insemination (AI). This is deliberate attempt to introduce sperm into female cervix or uterus for purpose of achieving pregnancy without intercourse, quite similar to what is common practice in animal breeding. IUI procedure is an assisted reproductive technology fertility treatment designed for humans. The prime beneficiaries of artificial insemination are couples suffering from male infertility, single women and lesbian couples. Intrauterine insemination is invasive and expensive requiring professional assistance.
Commonly known as the famed ‘Test Tube Baby’, IVF or in vitro fertilization is the process of letting fertilization of male and the female gametes take place outside the female body to be later planted inside uterus. The six important sequential steps of IVF in assisted pregnancy include monitoring development and ripening of eggs in ovaries followed by collection of ova. Obtaining sperm is the next step which is required for fertilizing ovum with sperm in laboratory. Fertilized eggs are subsequently cultured in laboratory for rapid embryo growth. Lastly, this embryo is transferred into uterus. Patients can run multiple cycles so as to achieve goals. In vitro fertilization (IVF) success rates in India are exceptional and one of the best in the world.
Intracytoplasmic sperm injection (ICSI) is an assisted reproductive technology procedure which mainly involves insertion of sperm into egg directly via an injection. Respective fertility specialists use fine needles in order to take out the sperm from male partner. After that, doctors insert the sperm into matured eggs of female partner obtained from in vitro fertilization procedure in a careful manner. The eggs are kept in a medical laboratory for observation. As soon as fertilization is complete, doctors place them into patient’s uterus by performing a procedure called as embryo transfer procedure for obtaining successful outcomes.
Gamete intrafallopian tube transfer (GIFT) is one of the highly performed ART procedures. During GIFT procedure, eggs from female and a sample of sperm from respective male partner is taken out and combined in a specialized laboratory. This obtained mixture is then inserted into a healthy fallopian tube of female with the help of a medical device known as ‘catheter’. In this way, gamete intrafallopian tube transfer procedure significantly raises the chances of attaining pregnancy. Women willing to undergo GIFT procedure must at least have a single healthy fallopian tube.
ICSI Infertility Treatment is an assisted pregnancy procedure where a single sperm is directly injected into the egg. ICSI is commonly used to overcome male fertility issues & occasionally in cases of sperm donation.
Zygote intrafallopian transfer (ZIFT) is somewhat similar to in vitro fertilization (IVF) procedure. The main difference between them is that zygote intrafallopian transfer procedure (ZIFT) involves implantation of fertilized embryo directly into fallopian tubes of patients instead of their uterus. Respective doctors provide medicines and drugs to female patients that can boost the process of egg formation in their body. These multiple eggs are taken out carefully and sent to a sophisticated laboratory for artificial fertilization. Doctors insert the fertilized eggs into fallopian tubes of patients within 24 hours with the help of catheter device. In this way, zygote intrafallopian transfer (ZIFT) female infertility treatment improves the possibility of pregnancy without any complications.
Also called as ‘egg freezing’, oocyte cryopreservation is a medical procedure that can help store egg of women who are not planning to undergo pregnancy for a considerable period of time due to other priorities. Respective doctors give certain medicines to women that increase their egg production. During oocyte cryopreservation, these eggs are taken out safely by high-end medical tools and frozen in a specialized laboratory for later use. Women who choose to preserve their eggs by oocyte cryopreservation at an early reproductive age have more chances of being pregnant as quality of eggs starts to deteriorate as their age increases.
Donor egg program involves women donating eggs for purpose of assisted reproduction. Quite often unfertilized eggs are frozen and stored to be used later. Donor egg program usually includes third party assistance for assisted reproductive technology (ART procedure). Need for donor egg program arises when females cannot have genetic children due to their own eggs inability to generate viable pregnancy. Other factors provoking egg donation include advanced reproductive age, early onset of menopause, absence of ovaries, and damaged or surgically removed female reproductive organs. Genetic disorder is another indication for couples to opt for donor egg program.
Embryo donation program is another type of third-party reproductive assistance which involves giving remaining embryos of a couple after IVF to another person for implantation. Embryo Donation is followed by placing donor embryos into recipient female uterus so as to facilitate pregnancy and childbirth. Resulting offspring from embryo donation program is considered child of the woman who carries and gives birth, and not of the donor. Embryo donation programs are quite often handled on anonymous basis where active parties are unknown to each other.
Embryo cryopreservation is an effective female infertility treatment that involves preservation of embryos at sub-zero temperatures. Embryo cryopreservation technique is very useful for leftover embryos usually after completing a cycle of IVF. It can also be helpful when patients fail to conceive at the first attempt without having to go through another full cycle of IVF. Normally utilized as a component of IVF, main techniques adopted for embryo cryopreservation include vitrification or slow programmable freezing (SPF).
Assisted hatching is a scientific technique utilized in IVF primarily designed to improve implantation of embryos in female uterine lining by creating opening through which embryonic cells hatch out. All embryos must essentially hatch out of their outer shell called ‘zona pellucida’ for pregnancy to occur. Embryos with thicker shells decrease its ability to hatch so as to implant successfully. Usually, women over 37 years of age are found to have tendency to produce to produce eggs with thicker or harder shells. Since hatching of eggs is so important to pregnancy, this process of assisted hatching is applied in IVF procedures to attain desired results.
The polyps can be benign or precancerous and can result in abnormal bleeding or postmenopausal bleeding. Growth of polyps inside the endometrium is a cause of apprehension for many young ‘want- to-be-moms’. The size can vary from millimetres to the size of a golf ball or ever bigger. During uterine polypectomy, polyps are resected with the help of a hysteroscope and a loop wire. If the polyps are tenacious and symptomatic then complete removal of womb is recommended during uterine polypectomy procedure.
There may arise chances of giving birth to children with genetic disorders especially if any of the parents have a medical history of genetic problems. Also referred to as genetic carrier screening, preconception genetic screening is a procedure that allows doctors to figure out the chances of risks and complications related to genes before pregnancy. Preconception genetic screening is mostly recommended to people who have a higher risk of getting such issues. Couples must consult an experienced fertility specialist to understand whether they are good candidates for preconception genetic screening. It raises the probability of conceiving a healthy child.
Types of Male Infertility Treatments
The given list elaborates some of the widely performed male infertility treatments.
Sometimes, enlarged varicose veins in scrotum may affect sperm production and eventually lead to infertility problem in men. Varicocele ligation is a common male infertility treatment that can help treat such enlarged varicose veins in a smooth manner. It has been observed that varicocele affects left testicle. During varicocele ligation, doctors make a small incision in patient’s abdomen in order to cut down the flow of blood towards varicocele. Varicocele ligation enhances quality of semen in men which can clearly increase the possibility of pregnancy in female partner. Varicocele ligation hardly takes an hour and patients can go back to their home within the same day.
Involving semen cryopreservation, sperm banking is a facility and procedure for preserving sperm cells. With help of sperm banking procedure, sperms of male patient can be preserved and successfully used for indefinite periods of time. The longest successful reported storage of sperm is reported to be 21 years till now. Sperm banking program can be ideally used by men undergoing treatments like chemotherapy, radiation therapy or vasectomy. Semen is normally frozen using the slow programmable freezing (SPF) method or the new flash-freezing procedure also known as vitrification.
Sperm retrieval techniques can be implemented for men who are struggling with low sperm count. Sperm retrieval techniques involve various minimally invasive medical procedures such as testicular sperm extraction (TESE), percutaneous epididymal sperm aspiration (PESA), and micro epididymal sperm aspiration (MESA) that can help treat male infertility. During these sperm retrieval techniques, doctors perform several clinical procedures to extract a significant amount of sperm that is given to female partner for achieving pregnancy and conceiving a baby.
Transurethral resection of seminal vesicles is a widely performed male infertility treatment. Seminal vesicles contain a specialized fluid that helps in production of semen and sperm in men. Transurethral resection of seminal vesicles is mainly recommended if seminal vesicles of patients are dilated. Transurethral resection of seminal vesicles helps in identifying the root cause of dilation of fluid. Doctors use imaging techniques like ultrasound test to serve the purpose.
Transurethral resection of the ejaculatory duct male infertility treatment is performed for men struggling with ejaculatory duct obstruction issue. During, transurethral resection of the ejaculatory duct procedure, respective doctors remove the trouble-causing cyst in duct with the help of fine medical tools. It opens up the blocked ducts and allows men to ejaculate in a normal way. Transurethral resection of the ejaculatory duct surgery also improves quality of semen which helps childless couples to attain parenthood in a natural manner.
Infertility Treatment Cost in India
India is a specialist destination for infertility treatments such as assisted reproductive technology (ART procedures). Infertility treatment cost in India is affordable and just a fraction of what you normally pay in the western developed countries. Low infertility treatment cost does not mean that Indian fertility specialists compromise on quality of these treatments. Offering high-tech medical solutions to a large variety of healthcare problems, it is no wonder that India is one of the most favored global medical tourism destinations today. To be honest, cost for intrauterine insemination (IUI) treatment, in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), uterine polypectomy, assisted hatching, oocyte cryopreservation and zygote intrafallopian transfer in India are down-to-earth when compared to similar procedures in the west. Economical infertility treatment cost in India allows international patients to save up to seventy percent of their money along with getting desired outcomes.
Travcure ART Fertility Treatments
Travcure provides outstanding assisted reproductive technology procedures in the best hospitals for ART in India. Our 24X7 assistance alongside free medical consultation, free call-back facility and electronic mail services are one of the best you can rely upon. We are associated with the best ART specialists who are top experts in fertility treatments. We ensure you receive transparent, high-quality, seamless, affordable and hassle-free extensive range of infertility treatments in India to overcome all kinds of medical problems concerned with reproduction.
Fertility Medical Tourism in India
A part from being a pleasing and beautiful nation, India is a reputed medical tourism destination for fertility treatments. Couples who have tried various fertility methods but have failed to achieve successful results can count on infertility treatments in India. Majority of accredited super-specialty hospitals in India are well-furnished with ART procedures and other similar high-end infertility treatments. In addition to this, fertility specialists in India are extremely skilled and experienced. They are well-versed in performing and giving positive results following any kind of infertility treatment in India. Couples willing to undergo high-quality medical procedures at reasonable prices can get highly benefited by opting for cost-effective infertility treatments in India.