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What to Expect at a Fertility Centre

What to Expect When You go for the First Consultation in the Fertility Centre?

Are you struggling to achieve pregnancy? Having hurdles in achieving pregnancy and seeking best guidance from the fertility expert? Here you are landed on the correct page, where you can find a complete detail regarding the pregnancy-associated issue. This page is about the information What to Expect at a Fertility Centre when you are planning to go for medical assistance.

If you are getting trouble to conceive through regular unprotected intercourse for more than a year, then this is the time you should rush for a fertility clinic. There are specific criteria of this rule as well; you want to know what. Couples under the age of 35 and attempting to conceive for more than one year, they might have infertility and is recommended for them to go for the guidance. On the other hand, couples who are above 35 and under 40, if they are trying to conceive for more than six months, then they should plan for their fertility consultation without any delay. If you are plus 40, later after three months, you should pay a visit. 

Your Ob-gyn will guide you for the next step and will recommend a fertility specialist who can solve the case if it is advanced. However, you need not take stress hearing the word – fertility treatment and meeting up with the fertility specialist. Take it Ease! It’s not at all a rocket science, where you have to think a lot.

So, you are outlining to pay a visit to the fertility centre. If yes, there are some aspects which you need to know before going fertility clinic for your fertility-related issue. 

Several things you need to keep in your mind –

We understand the first step of the fertility journey can be both – exciting as well as nerve-racking.  Couples at their first appointment with the fertility specialist have n number of question marks and the subject to ask.

The first consultation of yours is essential in many ways; mainly, it’s an opportunity for you to find the keys of your so many questions. The main motto of the first consultation is to build a clear map of your fertility journey. During the session, the couple meets with the fertility expert and the team that cares for the patient’s requirements and needs. The specialist will evaluate the individual’s infertility issue. Once the doctor gets confirmed about the root behind infertility, the specialist will plan to perform the most appropriate treatment for your case.

Now the major question comes, what to expect, and what should be the preparation you need to do for your first consultation in the fertility centre.

Mentioned below are all the essential aspects which you should know for the first visit to the fertility centre.

What does a couple need to Bring?

  • A couple is required to bring the copies of medical records, that may include –
    • Records of the medical history
    • If the couple has undergone any fertility evaluation or treatment
  • Pre-plan the questions you want to ask from the fertility expert. It is the best idea one can do before lining up the consultation with the fertility centre. During the session, you need to ready to give the answer asked by the specialist as well. However, make sure you ask all questions by your side.
  • You can be there at the fertility centre with your partner. It’s not necessary to bring your partner. But for you to have your partner by your side makes a comfort zone to discuss with the specialist.

During A Couple’s Initial Consultation – Prepare yourself for the diagnostic test and the treatment if the specialist will suggest to you after the confirmation of your infertility. Mentioned below are some of the helpful examples or questions that you can ask for the first consultation. You can add any of your questions as well in the below list.    

  • Fertility evaluation: 

What is the cause that is becoming the hurdle in my pregnancy? What specific evaluation would you consider to diagnose my infertility reason? What is the cost of the evaluation test? How many fertility diagnostic options are there and which one is the best suitable at a reasonable price?

  • Diagnosis:

How many days do I need to wait to get the report of my infertility issue? Do I need to come again here in the centre or will I get my report through the mail? 

  • Treatment:

The treatment of your infertility disorder depends upon the result of your tests. The doctor will profoundly evaluate the case and let you know the appropriate treatment based on your infertility occurrence. Meanwhile, a couple may ask the specialist –

  • Based on the diagnostic tests, what are the fertility options available for me to get pregnant?
  • May I know the success rate of the treatments in terms of successful deliveries?
  • A couple must ask the success rate of the fertility centre, where they have been.
  • Is there any side-effect or risk associated with these fertility treatments?

You would likely to encounter following tests at the first visit –

Couples, during their initial consultation, have to go through with some tests. These tests are done to evaluate the base root of the fertility issue of a male or female. The tests are used to diagnose the couple’s fertility problems; set-up a baseline structure for future tests, and to identify the problem that is interfering with infertility issue.

At the first visit, you’re possible to come across with the subsequent tests:

For women:

  • Ultrasound to evaluate the female’s ovaries
  • Blood work (to test out female’s hormone levels) such as:
    • Follicle Stimulating Hormone (FSH)
    • luteinizing hormone (LH)
    • Thyroid- Stimulating Hormone (TSH)
    • PRL (prolactin)
  • Evaluation of fallopian tubes
  • Pelvic ultrasound examine

For men:

  • A male has to provide his semen sample to the fertility centre
  • Semen analysis test
  • Blood tests

AT The End –

Once a fertility expert gets familiar with the exact cause of a couple’s infertility, the fertility team recommends the patient the most appropriate treatment based on their case. Each individual has different issue according to the infertility issue –

  • If a woman is having the problem of ovulation, then it can be solved using the fertility drugs under the response by ultrasound. This procedure is known as ovulation induction. Ovulation induction is sometimes combined with IUI treatment as well (as per the case of the couple).
  • If the female has an issue in her fallopian tubes (either blocked or damaged), then IVF treatment is recommended.
  • If there is the primary issue of endometriosis, then IUI can also work. However, if a female has an advanced level of endometriosis, then IVF is the best option to achieve pregnancy.
  • If a man has less count of sperm or low mobility, then IVF treatment with ICSI is referred.
  • If a male has an advanced level of male factor infertility, then IVF-ICSI with Sperm Surgical Retrieval process is performed. This surgical procedure is suggested only when a male has no sperm in his semen sample.

Fertility Centre Nepal is one of the leading fertility treatments providers across Nepal and overseas as well. We do have several branches outside Nepal and inside Nepal. A couple, if seeking the best medical assistance for their pregnancy-related issue or fertility issues, then we are always there for them at any step.    

Cost Of IUI Treatment in Nepal

How the Costs of IUI Treatment help Couples?

The cost of IUI treatment helps those couples who are unable to afford expensive fertility treatments. This is one of the most reasonable fertility treatments where the fertility experts will wash the male member sperm and place them inside the uterus of the intended mother. The purpose to perform this procedure is to increase the number of sperms so that they can easily reach to women fallopian tubes and increase the chances of successful conception. This is a painless and useful procedure for those couples who have sperm motility issues or low counts. The fertility expert will suggest the IUI fertility treatment as the first-line treatment especially for the couples under the age of 35 years to achieve the highest success rates of the procedure at a very reasonable cost. This reasonable cost of IUI fertility treatment in Nepal has attracts the attention of many international patients who are unable to conceive naturally after having regular unprotected intercourse for 12 months or more. IUI is the less invasive and less expensive fertility treatment as compared to other assisted reproductive methods.

The estimated cost of IUI treatment in Nepal is around USD 500 for one cycle and the cost of IUI will increases accordingly, if you required more IUI cycles, but when you compare the cost of IUI 3 to 4 cycles with other assisted reproductive methods you will still find the IUI is the best and reasonable procedure. The package will include the ultrasound scan and other blood tests which are required for IUI treatment and also it covers the basic clinic procedure such as washing the sperm, preparing them in the lab, implanted into women uterus. If you undergo IUI treatment in other developed countries than the cost for the basic IUI procedure will be around USD 3,000 which is quite expensive as compared to Nepal.

What are the factors that increase the cost of IUI treatment?

The following are the factors that increase the cost of IUI treatment and these are:

a)     The number of Cycles: IUI is a treatment in which couples need to pay for per cycle. For example, you use more than one IUI cycle to fulfill your dream of having an own baby than the cost of IUI treatment will increases from USD 500 to USD 1,000 and it will increase accordingly the number of cycles you use to achieve the successful outcome. According to the study, the fertility expert will perform up to 3 IUI cycles and if the results are not positive then they suggest the couples to choose other reproductive treatment. IUI is a treatment which is especially recommended to the couples below the age of 35 years and the couple over the age of 35 years need more fertility drugs to stimulate ovaries and it will increase the cost of IUI treatment in Nepal.

b)     Ovarian Stimulation Medications: The cost of IUI treatment in Nepal is depending on whether you need medication in the form of pills or injection which helps in stimulating the ovaries. If you take injectable medication than it is a little expensive as compared to the pills. The cost of the medicines in the form of pills will range between USD 10 to USD 100 and this will depend upon the dosage you required for stimulating ovaries. For the single IUI cycle you will be requiring the medicines which will cost around USD 50, whereas, the cost of injectable medication such as human chorionic gonadotropin (HCG) or Follicle-stimulating hormone (FSH) will cost you around USD 500, but in case women need multiple shots to boost the level of her fertility than the cost of these injectable medications will increase as per the requirement.

c)      Other Tests and Scans: If you require more ultrasound scan and blood tests other than the standard tests and scans than you need to pay some extra several hundred dollars apart from your basic IUI treatment cost, however, these tests and scans are under coverage by the insurance providers even if the cost of the IUI treatment is not covered under insurance.

Why Nepal is a reasonable country in terms of fertility treatments?

The team of fertility experts in Nepal offers the reasonable fertility treatments because they wish to see each individual is enjoying the phase of their parenthood happily with own baby and the cost will not stop them to enjoy this phase of their life. The fertility experts at Fertility Center Nepal have cut down their charges just to help infertile couples who were struggling from a long period to have own baby. They are the couples who have been rejected in other developed western countries because they are not able to afford such expensive treatment in countries like USA, UK, Russia, Canada, etc. The day when they visit Fertility Center Nepal and heard the cost of the IUI treatment for single-cycle they were shocked as this is the one-tenth cost of the treatment as compared to other developed countries. This is the way that the country Nepal has to help thousands of people in achieving their dream of having an own baby and now people in larger number across the globe travel Nepal instead of other developed western countries.

The fertility experts in Nepal has charge reasonable cost of the IUI treatment by keeping in mind the condition of the people who are below the poverty line so that they can also easily avail the benefits of the reasonable treatment to have an own baby. The fertility experts in Nepal and the IUI treatment both have become the blessings for thousands of infertile couples due to its reasonable cost with highest success rates for taking the baby home. This makes Nepal is the most favorable and reasonable destination especially for the people below the poverty line and now they recommend Fertility Center Nepal to their relatives and friends whosoever looking for the reasonable and affordable fertility treatments. The fertility experts here treat each individual in the same manner without biasing between the rich, poor, or needy people.

Egg Donation in Nepal

What is the Cost of Egg Donation in Nepal?

Egg Donation in Nepal is a very reasonable procedure for the couples who wish to have their baby but due to some medical problems they are not able to conceive naturally and they need more assistance to complete their family. Egg Donation is a procedure which helps in fulfilling the dream of having an own baby. This is a procedure in which fertility experts at Fertility Center Nepal will borrow the eggs from young, healthy and fertile women between the age of 21 to 30 years and they are willingly donating their eggs to those women who are unable to produce the good quality of eggs for fertilization. The estimated cost of egg donation in Nepal is around USD 20,000 which includes the compensation of egg donors, IVF procedure, screening of egg donors, embryo pick-up, etc.

How much is the cost of international egg donors?

Fertility Center Nepal is a center which has a large database of international egg donors and the cost vary according to the egg donors is from.

a)     Caucasian egg donors: We have Caucasian Egg Donors who are little expensive than Nepali egg donors because they are the one who is traveling to Nepal from other countries to donating their eggs to needy couples and we also need to spend a lot on their screening, testing, matching the egg donor according to the preference of the intended parents, etc. this will increase the cost of egg donors and the compensation made to them is little higher as compared to Nepali egg donors which means the total cost of egg donation with Caucasian egg donor will cost you around USD 32,000.

b)     African Egg donors: If you choose African egg donor then you need to pay around USD 40,000 as they are expensive than Nepali and Caucasian egg donors because they are healthier than the Caucasian egg donors and their food intake in more than the other egg donors. They are very tall, healthy and till date, we have the highest success rates for taking the baby home using African egg donors.

c)      Chinese Egg donors: The couples who are from China and wish to have a Chinese egg donor as they want their baby to look like them. We have a large database of Chinese egg donors as well and they are not very expensive. The cost of egg donation procedure with Chinese egg donor will cost you around USD 27,000.

d)     Korean egg donors: We have Korean egg donors as well at a very reasonable cost especially for those couples who want their baby to look exactly like them. They can match the egg donor according to their preference and once the egg donor is selected the fertility experts at Fertility Center Nepal will begin the egg donation procedure using the eggs from the Korean egg donor and these egg donors will cost you around USD 22,000.

e)     Japanese egg donors: They are the egg donors who are usually preferred by people with sort height and a fair complexion. The couples will select the egg donor according to their match and these are the women who ensure the highest rates of pregnancy which is around 85%. The egg donation procedure with Japanese egg donor will cost you around USD 30,000.

What’s the cost of frozen donor’s eggs?

The estimated cost for frozen donor egg in Nepal is around USD 18,000 and for the premium donor, it will cost you somewhere around USD 22,000. Fertility Center Nepal does not have any hidden cost. This is a fertility center which offers free shipping of the frozen donor eggs across the globe as compared to other clinics which are charging and additional cost for frozen egg cycle which includes ICSI, embryo transfer, embryo culture, cost of medications, etc.

How can you manage to pay for your egg donation procedure?

There are various ways to pay for egg donation procedure but for this, you need to prepare yourself at least 2 years before plan for egg donation treatment. The best way you can manage to have egg donation procedure is that you hire an egg donor who can be your close friend or relative who is ready to donate her eggs which will save your around USD 10,000 to USD 12,000 which is quite a good amount that you can save. The other options are that you can take help from insurance companies, private financers, use your credit cards, etc. Also, you can choose the egg donor who lives nearby your and the fertility center locality which helps in reducing the great amount of traveling which you pay for egg donation. This will reduce your excess travel expenses and you will feel relaxed during the egg donor cycle as you and your egg donor can walk together to reach the fertility center.

How much does the egg donors pay for their services?

The compensation which is made to egg donor will range between USD 5,000 to USD 12,000 per cycle and it depends that the egg donor is national or international. At Fertility Center Nepal we offer to our egg donors which include the following:

  • We made a portion to be paid to all the egg donors when the egg donor begins with her course of fertility medications and we also pay for the remainder within 5 days of completing the egg retrieval procedure.
  • If the egg donors need to travel to get to the fertility clinic, we cover all the cost of your travelling which include your stay at hotel, airfare, hotel, food, etc. for you and a person who is travelling with you if you decided to bring them with you for the egg retrieval procedure.
  • We also provide access to all the information and will educate the egg donor on each stage about her fertility such as the results of screening tests, ultrasound scans, etc. are available to all the egg donors who are helping the other couples in completing their family and to know about their treatment we provide all the rights to them as they are planning their reproductive future.

IVF Story

STORY of Successful IVF – Gurorijin and Idris – (Japan)

Before on-setting my IVF story from FERTILITY CENTRE NEPAL, I need to tell that my case of IVF is totally different and even I’m astonished how I had conceived and delivered TWINS via IVF treatment. Damn LUCKY in this case.

Okay! So, I’m a 53-year-old citizen of Japan and my husband is in his forty’s; we made a fabulous pair with each other but the significant part was missing from our life and that was our BABY. Since my menopause has put the last touch on 3 years ago; and for the past 3 years I’ve been trying to have my baby via ART methods, I mean IVF treatment from here only (Japan). Have undergone IVF with several clinics in Japan but unable to find the light at the end of the tunnel; we invested much money in our treatment, even from one of the centre we had taken an IVF guarantee package too but again nothing miracle happened. I don’t blame these centres (because they have done their best) as my case was complicated to get a hold of victory.  

After years of trying with an unsuccessful result, we started to fish around that centre, wherein actual miracle happens, then we were referred to FERTILITY CENTRE NEPAL, this centre was in Nepal. Why Nepal? Since my husband belongs to Nepal, we have some relatives residing there and by their way, we got to know about the Best Fertility Centre in Nepal. We outlined Nepal for the Last Hope to make our family comply with Happiness.

We met with Dr. Vishnu Deene there, had a nice talk with him regarding all our case and desire to have a baby via IVF (also informed about past failed IVF cycles). Few tests are performed and later they suggested IVF with embryo adoption option will be best for our case. But I swear, at that time I was like, HOPE this will work!

And YESSSS!!! It worked for the first time! We were so fortunate to undergo with the first IVF attempt with embryo adoption from FERTILITY CENTRE NEPAL with success for the very first time. Finally, I touched the wood and said No Doubt, there are some of the Miracle fertility Centres still existing, where such flabbergast happening takes place; anyone can count me as the Biggest Wonder case of IVF. I must say, the care and attention, which I received from this centre were totally inexplicable and gentle.


Each coordinator of FERTILITY CENTRE NEPAL was so amazing and experienced that we were 100% pleased from their nursing and attention, and entire treatment. Not just this, the senior specialist of this centre had been very supportive of me and always encouraged me and my husband to have faith in them and our fate. Doctor and the fertility coordinator always had a big smile on their face discussing with me about anything, they never let me down at any phase during my IVF or even after completing it.  It was really very nice to have a familiar team every time we would visit the centre.


To be very true, this centre has given me the biggest hope to pursue my rest of life lively and jovial with my husband and my twin’s. I just love the manner they have performed my IVF treatment success in the first case. For those who are struggling with their infertility days, need to convey a message- Don’t Give Up! Be always positive and stay confident. Surround yourself with positive people, cheer yourself, have time with your dear and near ones and go ahead for appropriate fertility treatment that can work best in your infertility case. Don’t blame anyone or anything for this journey, remember one thing, Impossible also is made of ‘I am Possible’. I know the journey of IVF sometimes can lead you frustrating and irritating but trust me it will work! A Night is always followed by Brightness.


Mine experience with FERTILITY CENTRE NEPAL was undeniably fantastic! Have been blessed with twins (baby boy and a baby girl) with the great effort by this centre, that too at the age of my 50’s; Barely-Credible. Personally recommend this centre to put an end of your infertility days.

Tendem ivf cycle

Why People Prefer Tandem IVF?

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The people prefer tandem IVF because it is the latest technique which helps older women with low fertility. Usually, clinics will first try to achieve pregnancy for the women above the age of 40 years by using her eggs. If this procedure gets fails then the fertility expert at Fertility Center Nepal would offer the option of donor eggs. Fertility Center Nepal is a center which offers tandem IVF at much cheaper service by combining the two procedures. They will create one or more embryos with the older woman’s eggs which they combined with embryos created with a donor’s eggs. In this way, if the embryos of the intended mother do not survive, the donor’s will. In this case, the rate of success will be much higher.

We offer two optional services in conjunction with tandem IVF.

1.    Cytoplasmic tandem IVF: In this method, the nucleus of the intended mother egg is injected into an enucleated donor egg to rejuvenate it.

2.    Foetal reduction: This is a method in which if all of the implanted embryos were implant and develop then the problem can occur. The intended mother might only want the baby from her embryo. If this is the case, then the fertility experts will abort the baby or babies who have been created with donor eggs. This is an extremely controversial way of dealing with the issue of multiple births.

Why and when tandem IVF procedure is needed?

Nowadays, there are several times when the procedure like tandem IVF is needed. In normal circumstances, the fertility expert will suggest the traditional IVF to the patients; however, when the IVF procedure gets failed them the tandem IVF cycle can be the best and next procedure to conceive a baby.

Generally, the fertility experts will recommend tandem IVF to the women who have less ovarian reserves and this can happen due to several reasons. The following are some reasons:

•    Tandem IVF is the best fertility procedure for the women above the age of 40 years who are unable to conceive a baby with normal IVF as there ovarian reserves get depleted.

•    If women are dealing with the lack of ovarian reserve which can happen due to some medical condition for them tandem IVF is the best option to conceive a baby.

•    There can be many other reasons which can lead to such a situation and for women the only option is the tandem IVF.

With the advancement in medical science so many things can be possible and conceiving a baby despite the problems is one of them. When we look a few years back where it was difficult for a woman to conceive a baby after crossing a certain age, but now the latest and advanced procedures such as the tandem IVF cycle have proven this thing wrong.

Who are the candidates for a tandem IVF cycle?

Tandem IVF Cycle is the best option for the women who have decreased ovarian reserves and who do not respond to IVF treatment. This treatment is a solution for those women as well who have repeated failed IVF cycles with their eggs. The purpose to perform a tandem cycle is to provide the patient with good quality of eggs so that a positive result can be achieved at the end of an IVF cycle. When the women undergo for IVF treatment to produce eggs, at the same time your egg donor will also undergo for a similar treatment to produce the number of eggs which can be utilized by the intended mother. Your fertility expert will combine the two sets of eggs retrieved from both women which make a large pool of eggs that can be used during the IVF cycle.

The women who choose a tandem IVF cycle should have some ovarian function. If they do not have ovarian function left, and the ovarian reserves have been completely exhausted, then for them the best option is the IVF with Egg Donation as this is a procedure where a woman does not have to undergo for a stressful IVF cycle with all the stimulation drugs. For an effective assessment, the fertility experts at Fertility Center Nepal would recommend measuring the Anti-Mullein Hormone (AMH) levels as well as the antral follicle count. If women are AMH level is higher than 0.2 ng/mL and there are at least 2 antral follicles available in the ovaries, in such cases, the Tandem IVF cycle may be attempted.

In a tandem cycle, your fertility expert will have two sets of eggs, one is from intended mother and the other is from the egg donor. Legally, all the fertility experts can transfer up to three embryos in a given cycle, and you need to decide that how many embryos of yours and the one created by donor eggs you would like to have transferred.

How to get started with tandem IVF cycle?

To start with tandem IVF treatment you need to undergo for various tests and scans and these are:

•    You need to undergo a transvaginal ultrasound scan for ovarian and uterine assessment. This scan is conducted to know how many antral follicles there are in each ovary. The uterine assessment will be conducted to make sure that there are no visible problems which can affect the successful pregnancy such as fibroids, polyps, free fluid in the uterus, etc.

•    Your fertility expert will conduct a hormone profile which includes FSH, LH, Estradiol, Prolactin, TSH and AMH hormone tests which are done to be administered on day 2 or day 3 of the menstrual period. These tests will be conducted to know about the women ovarian reserves and fertility level.

•    Your fertility expert will ask your partner to get a semen analysis done with the following parameters which included: volume, count, motility, morphology, pH and round cell count. The male members need to provide the semen sample after 3 to 4 days of abstinence.

•    If your menstrual cycles have become irregular this might be an indication of menopause or ovarian failure. The hormone tests which are mentioned above will be used to confirm such a diagnosis.

Which are the best fertility drugs to conceive a baby

Which are the Best Fertility Drugs to Conceive a Baby?

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The following are the fertility drugs which are the best treatment for the women who are infertile due to ovulation disorder and these are:

a)    Clomid: Clomid is a fertility drug which is taken by mouth and stimulates ovulation by causing the pituitary gland to release more FSH (Follicle-stimulating hormone) and LH (Luteinizing hormone) so that it will stimulate the growth of an ovarian follicle that is containing an egg.

b)    Metformin: Metformin is a fertility drug which is given to women when insulin resistance is a known or suspected cause of infertility. Usually, the fertility experts at Fertility Center Nepal recommend Metformin to the women who diagnosed with PCOS. Metformin is a fertility drug which helps in improving insulin resistance and also it will help in improving the likelihood of ovulation.

c)    Gonadotropins: Gonadotropins is an injectable fertility drug which is given to the women so that it will directly stimulate women ovaries to produce multiple eggs, instead of stimulating the pituitary gland to release more hormones. Gonadotropin is a medication which includes human menopausal gonadotropin (hMG) and FSH. There are other gonadotropins, human chorionic gonadotropin which is Ovidrel and Pregnyl is used to mature the eggs and trigger their release at the time of ovulation. This is a medication which has a higher risk of conceiving multiples and a premature delivery.

d)    Bromocriptine: Bromocriptine is a dopamine agonist which the fertility expert will give to the women when she has ovulation problems which have been caused by excess production of prolactin by the pituitary gland.

e)    Letrozole: Letrozole is a fertility drug which is also known as aromatase inhibitors and it works similarly as Clomid. This medication may induce ovulation. However, the effect of this medication can be seen in early pregnancy which is not yet known, so the fertility experts use this medication for ovulation induction as frequently as others.

What are the risks associated with fertility drugs?

The following are some risk factors which are associated with the fertility medications and these are:

a)    Multiple pregnancies: Medication which is taken orally has less risk of multiples which is less than 10% and mostly a risk of twins, however, your chances increase up to 30% when your fertility expert will give you injectable medications. Injectable medications increase the major risk of triplets or more multiple pregnancies.

According to the study, if you are carrying more fetuses then you are at the greater risk of premature labor, low birth weight, the problem with child development on later stages, etc. There are chances that adjusting medications can lower the risk of multiples if there are too many follicles develop.

b)    Ovarian hyperstimulation syndrome: Injecting fertility drugs which the fertility experts at Fertility Center Nepal give to women can induce ovulation and it may cause OHSS, which causes painful and swollen ovaries. Usually, the signs and symptoms of OHSS go away without treatment, and it includes mild abdominal pain, vomiting, nausea, bloating, and diarrhea.

If you become pregnant, the symptoms of OHSS might last several weeks. There can be rare chances that it will develop a more severe form of OHSS which can cause rapid weight gain, enlarged painful ovaries, shortness of breath, and fluid in the women abdomen.

c)    Risks of ovarian tumors: According to the study, the women who are taking fertility drugs for 12 or more months and they are unable to conceive a successful pregnancy they may be at increased risk of borderline ovarian tumors which can occur later in life.

It has been found that the women who never have pregnancies can also be at a higher risk of ovarian tumors, so this may be related to the underlying problem rather than the treatment. You will find the highest success rates in the first few treatment cycles and the use of re-evaluating medication will last for a few months. You will be able to concentrate on the treatments which will give you the highest success rates.

How female infertility can be diagnosed?

The fertility experts at Fertility Center Nepal recommend some tests to diagnose infertility in females and these are:

a)    Ovulation testing: Your fertility expert will give you the over-the-counter ovulation prediction kit through which you can detect the surge in luteinizing hormone (LH) at your home which occurs before ovulation. Also, a blood test is suggested for progesterone which is a hormone produced after ovulation which gives the clear picture that you are ovulating. Other hormone levels, such as prolactin, also may be checked.

b)    Ovarian reserve testing: This is a test which helps to identify the quality and quantity of eggs available for ovulation in women ovaries.

c)    Another hormone testing: Your fertility expert will recommend another hormone testing which helps in checking the levels of ovulatory hormones, thyroid and pituitary hormones which control reproductive processes.

d)    Hysterosalpingography: X-ray contrast is injected into your uterus during hysterosalpingography and your fertility expert will take this X-ray to detect if there are any abnormalities in your uterine cavity. This test helps in identifying whether the fluid passes out from your uterus and spills out of your fallopian tubes. If any abnormalities are found your fertility expert will suggest you for further evaluation.

e)    Imaging tests: Your fertility expert will conduct a pelvic ultrasound through which they will able to look for uterine or fallopian tube disease. Sometimes they use a hysterosonography to see details inside your uterus which cannot be seen by a regular ultrasound.

There are some other tests which will be conducted on your situation and these are:

a)    Laparoscopy: This is a minimally invasive surgery in which your fertility expert will make a small incision in your navel and they will insert a thin device through which they will examine your fallopian tubes, ovaries, and uterus. A laparoscopy is a test through which your fertility expert can also identify endometriosis, blockages, scarring, or irregularities of the fallopian tubes, and problems with your uterus and ovaries.

b)    Genetic testing: Genetic test will be conducted to determine if there is any genetic defect which causes infertility.

fertility treatment nepal

Why is Nepal a preferred Fertility Treatment Destination?

The people across the globe prefer to visit Nepal for their fertility treatment because it is a country where the fertility experts fulfill the dream of the sterile couple possible. IVF is one of the best fertility treatments which have come with an intention to transform the impossibilities into the possibilities. IVF treatment also includes procedures like ICSI and IUI. ICSI is one of the best procedures which are usually performed to treat infertility in men. This is a procedure where the fertility expert will inject the men sperm directly into women egg to achieve successful conception. Similarly, IUI is a treatment in which the fertility expert will directly inseminate the sperms into the uterus. IVF treatment is performed to enhance the fertility for both male and female. Nepal is a country where surrogacy is also an IVF based procedure which is usually performed for the women who are unable to carry the baby in their own womb due to some medical illness. 

There are some other reasons as well that people from other developed countries prefer Nepal as their fertility treatment destination and these are as follows:

a)    Cost: Cost is one of the major reason which attracts the attention of many people from other developed countries to visit Nepal as the cost of the fertility treatment in Nepal is one-third of the cost which the people are paying in the countries like the USA, UK, Australia, Russia, Canada, etc.

b)    Success Rates: Success rates of fertility treatment are also very high as compared to the success rates of the other developed countries by performing the same fertility treatment. For e.g. the success rates of IVF in Nepal around 70 to 80%, whereas the same procedure success rates in other developed countries vary between 30 to 45%.

c)    Environment: The environment at the Fertility Center Nepal is pleasant and comfortable which give the positive energy to the couples and this will help them in achieving the successful results of the fertility treatment.

d)    Behavior: The behavior of the fertility experts at the Fertility Center Nepal is very polite and they treat each individual as their own family member and also examine them properly for the exact cause of infertility which the couples not found in the developed countries like the USA, UK, Russia, Canada, etc.

e)    Time: The fertility expert in Nepal value for your time and they do not waste your time on unnecessary tests or scans. They will conduct only those tests or scans which is necessary for the treatment to give a successful outcome.

How IVF in Nepal has gained the lost hope of the infertile couples?

IVF is a treatment which consists of 7 major steps to achieve a successful pregnancy and these are as follows:

a)    Suppressing: The fertility expert will give you some fertility drugs through which your monthly cycle gets suppressed and this drug will continue for about two weeks.

b)    Egg boosting: The fertility expert will give you the human chorionic gonadotropin (HCG). This injection will help in increasing the supply of your eggs and your fertility expert will continue the injection for about 12 days.

c)    Monitoring: The fertility expert will continuously monitor the progress of your ovaries by conducting blood tests or ultrasound scans. Once the tests and scan are completed they will give the human chorionic gonadotropin (HCG) injection which needs to be trigger between 34 and 38 hours to mature the eggs before they are ready to be collected from your uterus.

d)    Egg collection: The fertility expert will collect the eggs from your ovaries by using a hollow needle which is attached to the ultrasound probe. After the eggs are collected your fertility expert will send them to IVF lab for fertilization. During the egg collection, you might experience mild discomfort or pain; the same will be relieved by some pain killer medications as prescribed by your fertility expert.

e)    Egg Fertilization: Your fertility expert will mix the collected eggs with the sperm of your partner or donor sperm to make an embryo and they keep that embryo under laboratory for about 16 to 20 hours where the experts in laboratory will check the growth of your eggs and identify that whether the eggs are ready for fertilization or not. Once your eggs are ready your embryologist will choose the best embryo to transfer into your uterus.

f)    Embryo transfer: This is the important and very crucial step where your skilled embryologist will transfer the best-selected embryo into your uterus and will wait for the symptoms of pregnancy to occur.

g)    Pregnancy test: This is the last and final step of the IVF procedure which will be conducted at the Fertility Center Nepal after two weeks of the embryo transfer. If the results of the treatment are positive then your pregnancy will grow as normal and you will be handed to a gynecologist who will be with you until the baby delivers, however, in case the results are not positive then you need not to worry as you can repeat your IVF cycle or you can opt for the other fertility treatment to fulfill your dream of having an own baby.

Summarization that why only Nepal for fertility treatments

Nepal is a country which offers a reasonable fertility treatment and now it has become the most favored destination for all the people across the globe as they not only offer the reasonable treatment but also a treatment where the fertility experts in Nepal does not compromise the quality of the treatment. They use the equipment that has been purchased from the international market to deliver the highest success rates and in a very short period of time, Nepal has achieved the award for providing the best and reasonable treatment across the globe.

The people for whom having an own baby was a dream only that has been fulfilled by the fertility experts at the Fertility Center Nepal where they properly examine each individual and find the exact cause which is stopping them to enjoy their parenthood. Once the cause has been identified the same will be treated by using the best fertility treatment in Nepal.

Does stress affect the fertility of couples

Does Stress Affect the Fertility of Couples?

The couples, who are struggling with the cause of infertility, for them not only infertility, cause stress, but stress may affect their fertility. It has been found that people who are unable to conceive a baby feel more stressed and not able to concentrate on their day-to-day life. The study says that fear about infertility can also lead to tension with your partner, and this can reduce your chances of pregnancy even further.

As we understand, coping with infertility is stressful, but it doesn’t mean that you give up and not try for better results. If your doctor is unable to find out the reason for your ovulation problems then you need to meet some good fertility expert who will help you in finding the causes which are stopping you to become parents and also help you in learning the better ways to cope with the anxieties that come with infertility.

What are the tips to reduce stress to increase fertility?

The fertility experts at Fertility Center Nepal will provide the best tips which help in reducing your stress and increase your fertility chances and these are:

•    Firstly, you both need to accept that you have no control over the past or the future. It means that you need to make a deal with yourself to live in the present and deal with the diagnosis.

•    Keep communicating with your partner.

•    Try to get emotional support which you can take from a couples’ counselor, books, internet or support groups, which can help you to cope with infertility issues.

•    Try to do some stress-reduction therapies such as meditation or yoga.

•    Avoid taking caffeine and other stimulants.

•    Exercise is the best way to release your physical and emotional tension, so for better results exercise regularly.

•    Discuss the medical treatment plan with your partner, including your financial limits.

•    Try to gather more and more information on the causes of your infertility and search for the best treatment option which helps you in conceiving a baby.

•    Do not leave your job to reduce your stress level as it will increase your stress level. To make yourself comfortable try to be with your friends which distract your mind and supports you.

•    And finally, remember to be your own best friend. Stop blaming yourself and your partner, treat yourself and your partner with consideration and respect which you give to others.

What is artificial insemination?

 Artificial insemination is a simple procedure which has few side effects, and this procedure helps many couples who were unable to conceive a baby. Artificial insemination is a procedure in which the fertility experts at Fertility Center Nepal will directly insert the sperm of your husband into your cervix, fallopian tubes, or uterus. The most common method of artificial insemination is the intrauterine insemination (IUI) where the fertility expert will place the sperm of your husband into your uterus. This is a very helpful procedure for the couples who are unable to conceive a baby as this procedure makes the trip shorter for the sperm and gets around any obstructions. Your fertility expert may suggest this method as the first-line treatment for infertility.

What type of infertility is treated with artificial insemination?

Artificial insemination is a procedure which can be used to treat many fertility problems. For example, in cases of male infertility, where the sperm counts are low or when sperm are not strong enough to swim through the cervix and up into the fallopian tubes, etc. can be treated with artificial insemination. When the issue is with female infertility, where the women have a condition called endometriosis or she has abnormal reproductive organs then this method may be right for the women if she has unreceptive cervical mucus. This means that the mucus which surrounds the cervix prevents sperm from getting into women uterus and fallopian tubes. Artificial insemination is a procedure where the sperm skip the cervical mucus entirely and the fertility experts often suggest this procedure when they are unable to find out the reason a couple’s infertility.

What happens before artificial insemination?

The fertility expert will use ovulation kits, blood tests and ultrasound to make sure that women are ovulating when they get artificial insemination. After that, your husband needs to provide his semen sample. Your fertility expert will advise your partner to avoid intercourse for 2 to 5 days before the procedure so that he is able to produce a high count of the sperm. When your husband semen sample is collected it will be properly washed in a laboratory within one hour of ejaculation.

What to expect during artificial insemination?

During this procedure first, your fertility expert will wash your husband sperm in the laboratory to remove the chemicals in the semen which may cause discomfort for you and raises the chances of getting pregnant. The lab technicians liquefy your husband sperm at room temperature for 30 minutes and after that, he or she will add a harmless chemical which separates out the most active sperm. After this, your fertility expert will place the sperm in a thin tube called a catheter and put through your vagina and cervix into the uterus. Artificial insemination is short and a painless procedure. You may experience some cramping during the procedure and light bleeding afterward the procedure is completed. Once the sperm properly set into your uterus you can go back home and resume your normal activities. There are some cases where your fertility expert will give some fertility drugs before the procedure so that you are able to produce more healthy and mature eggs.

Success rates of artificial insemination

The success rates for artificial insemination may vary individual to individual. There are some reasons where this procedure provides the lower success rates and these are:

•    Age of the women is above 35 years.

•    The couple has a poor quality of egg or sperm.

•    A severe case of endometriosis.

•    There may be a lot of damage to women fallopian tubes, usually from long-term infection.

•    Blockage of women fallopian tubes.

best center in Nepal for IMSI treatment

Which is the Best Center in Nepal for IMSI Treatment?

The Fertility Center Nepal is the best center for IMSI treatment because of it a center which has enhanced the possibility to achieve pregnancy when ICSI treatment failed to provide the successful outcome. The fertility expert will suggest IMSI treatment in Nepal to those individuals who are dealing with the following:

•    The quality of sperm is decreased which is released by a male member.

•    The increased proportion of construction of sperm releasing is very uncommon.

•    Unsuccessful ICSI treatment.

Why IMSI treatment is performed?

IMSI is a treatment which is performed to improve the chance of male fertility. This procedure also helps in having normal embryo development. If you compare the traditional method of selecting sperm and assessing it, you will find IMSI is a much better procedure which uses lab tools to select sperm.

How does IMSI procedure works?

IMSI is a procedure in which the surgeon at Fertility Center Nepal uses a microscope with high power light which enhanced by digital imaging and this technique will help your embryologist to magnify the sample of sperm more than 6,000 times. With the help of this magnify instrument your embryologist will able to detect the problems which they are unable to identify through a normal microscope. Your embryologist will now select the sperm which is normal in shape and have the highest level of mobility.

IMSI is a procedure which is similar to ICSI. In this procedure also your fertility expert will give to some fertility drugs to your wife to stimulate the ovaries so that she will be able to produce more mature and healthy eggs for fertilization. Once the eggs are grown to 17-22mm in your wife ovaries, the fertility expert will collect her eggs and will give her a hormone injection of human chorionic gonadotropin (hCG) which will be given to her around 36 to 38 hours before the egg are collected.

The fertility expert will perform IMSI procedure under general anesthesia and she will collect the eggs from your wife’s ovaries by using ultrasound-guided vaginal probe through which she locates the follicles and aspirates its contents. After this procedure, the fertility expert will place the women eggs in a culture dish in the IVF laboratory and then the embryologist will inject a single sperm very carefully into each egg of women to facilitate fertilization.

To whom IMSI treatment is recommended

The fertility experts will recommend the IMSI Treatment to those couples who have previously failed IVF cycles, or for the couples where male infertility is an issue which is stopping a fertile woman to get pregnant. IMSI treatment is little expensive as compared to traditional IVF treatment, however, if you compared the IMSI treatment cost in Nepal with other developed countries than you will find that Nepal is the reasonable country to have IMSI treatment with highest success rates. Till date, the success rate of IMSI treatment at Fertility Center Nepal is around 70 to 80% which is quite higher as compared to other developed countries like the USA, UK, Australia, Russia, etc.

Benefits of having IMSI treatment

IMSI is a treatment which is beneficial for the couples with the unexplained cause of infertility. This is a treatment in which your fertility expert will a healthy sperm by using the high power magnification instrument which gives 6,000 times to magnify the sperm sample and bypasses all defects which are decreasing the chances of a successful pregnancy. Also, IMSI is a treatment which provides benefits to those couples who had failed IVF with ICSI treatment and not able to achieve their goal of a successful pregnancy.

Is there any risk of IMSI treatment?

As we all know, that every surgical procedure is associated with some of the risks, the same goes with the IMSI Treatment as well it is also associated with some risk factors such as there can be higher chances of multiple pregnancies in IMSI treatment as compared to ICSI treatment. It has been found that IMSI is a treatment which is little expensive than ICSI because while performing IMSI procedure the fertility expert use the expensive state-of-the-art equipment and they also need specialized training to perform IMSI procedure.

Is IMSI treatment is useful for all?

It has been found that IMSI is a promising treatment in terms of improving the outcome of ICSI treatments. The people need to agree that high magnification which has been achieved by IMSI treatment contributes with a better evaluation of the aspirated sperm cell for the injection which provides the encouraging results. On the other hand, special instrumentation, prolonged sperm manipulation and the embryologists who are highly qualified and trained professionals to perform IMSI treatment will increase the cost-effectiveness of the procedure. Taking all the above-mentioned points into consideration, your fertility expert will provide you with the best counseling which helps you in undergoing for IMSI treatment and for a better chance to conceive a baby.

Cost of IMSI treatment in Nepal

It has been found that the cost of IMSI treatment in Nepal is quite expensive as they use the special state-of-art equipment to perform IMSI treatment and there is some of the cost of ICSI treatment is also added while performing IMSI. IMSI is a treatment which is performed by highly skilled and experienced fertility experts. This is also the reason that the cost of IMSI is little expensive than ICSI treatment, but if you compare the cost of IMSI treatment in Nepal with other developed countries like the USA, UK, Australia, Russia, Canada, etc. then you will find Nepal is a reasonable and affordable country for IMSI treatment.  Nepal is a country which is a very peaceful place and the Fertility Center Nepal is a center where you will find the positive energy around you and also you will find that your hope of having baby turning into reality.

Nowadays, Nepal has become the most favored destination for the people across the world because of reasonable IMSI treatment in Nepal as compared to other developed countries and the highest success rates for taking the baby home.

ivf treatment in nepal

How Long Does IVF Take in Nepal?

IVF is a procedure in Nepal which takes about 6 to 8 weeks to complete one cycle.

You need to wait for a few weeks so that your egg gets mature. Then you and your husband need to stay for at least half of the day at the Fertility Center Nepal for your egg retrieval and fertilization process. You need to visit the clinic again three to five days later to have the embryos inserted into your uterus and you will be able to go home that same day.

How does the IVF procedure work in Nepal?

The IVF procedure involves the following steps to complete one IVF cycle:

Week 1:

a)    Initial consultation: In your first meeting with the clinic, the clinical staff will obtain an extensive medical history of you and your husband, and they will answer to your all questions or concerns you may have at this stage. This is a stage where you can freely ask any questions without any hesitation. You feel well-informed and comfortable before you commit to IVF treatment In Nepal.

b)    Clinical consultation: This is an appointment with your clinical coordinator who will review your diagnosis and accordingly plan the best treatment for you. Your IVF expert will also help you in learning how to self-administer the medications which are used in an IVF cycle and accordingly will schedule your key procedures.

c)    Consultation on financial aspects: At Fertility Center Nepal we have good counsellors who will provide the best guidance which is one way to help minimize some stress. This consultation is provided so that you can review your options for insurance coverage. If IVF is not covered then the consultant will help you with many other flexible options to explore, including IVF financing.

Week 2 to 4:

Here your procedure for IVF will begin:

a)    Pre-treatment preparation for IVF: Your fertility expert will recommend some comprehensive lab tests which will give the clear picture of your fertility. The following are some common pre-IVF tests:

•    Ultrasounds

•    A blood tests

•    Uterine evaluation

•    Screening for infectious diseases such as AIDS or Hepatitis B

•    Male fertility tests which include a sperm analysis

b)    Start birth controlling pills: The next step followed by your clinical staff is to regulate your menstrual cycle and prepare your ovaries. Your fertility expert will ask you to take birth control pills for 2 to 4 weeks after testing and diagnosis and this mainly depends on the length of your cycle.

Week 5 to 6:

Monitoring and medication will take place during this period:

a)    Consumption of fertility drugs: Your fertility expert will give you some oral fertility medications like Clomid, injectable follicle stimulation hormones such as Follistim and Gonal-F, etc. are used to stimulate the ovaries so that you will be able to produce more mature and healthy eggs in one normal cycle. With the help of fertility drugs, you will be able to produce at least 4 eggs to process a successful outcome.

b)    Monitoring: With the help of ultrasounds and blood tests your fertility expert will be able to monitor the development and the growth of your follicles and eggs. This is the most time-taken part of the IVF process which requires at least 5 to 7 office visits.

Week 7 to 8

During this period your egg will be retrieved, triggered and fertilized:

a)    Egg retrieval: This is a day procedure which will be performed under local anesthesia. Your fertility expert will collect the eggs from your ovaries by using the hollow needle which will be easily inserted through the cervix into your uterus. If you are going through IVF you’re your partner then he needs to provide his semen specimen which will be collected on the same day as your egg retrieval or the sperm could be frozen before.

b)    Combining of egg and sperm in the lab: Once the successful fertilization takes place and embryos are developed then there are several options which can be used at this stage to increase the chances of a successful pregnancy and these are:

•    Assisted hatching: This is a procedure in which a tiny hole is made in an embryo’s outer membrane which is known as the zona pellucida and it will increase the rate of implantation after transfer.

•    Intracytoplasmic sperm injection (ICSI): This is one of the best options when male infertility is a factor. In this procedure, your fertility expert at Fertility Center Nepal will inject a single healthy sperm directly into an egg.

•    Preimplantation genetic screening (PGS) or Preimplantation genetic diagnosis (PGD): This is a procedure which ensures that only healthy embryos are transferred because genetic abnormal embryos can lead to the cause of miscarriage. Usually, this testing is helpful in cases of recurrent pregnancy loss.

c)    Embryo Transfer: This is the final step of the IVF procedure in which your fertility expert will transfer the best-chosen embryo into the uterus via a thin, flexible plastic tube, which is gently passed through the opening in the cervix leading to the interior of the uterus. This procedure is a painless procedure but in there are some women who may experience mild cramping which will be taken care through medications.

What after the IVF procedure?

Once the IVF procedure is completed, your fertility expert at Fertility Center Nepal will recommend you to take a progesterone supplement which helps in supporting the uterine lining and encourage implantation. Also, after two weeks of embryo transfer, you need to visit the center again for the pregnancy test. If the results are positive then you will be handed-over to OB gynecologist for care, but in case your results are not positive then you can repeat the IVF cycle or can opt for other assisted reproductive treatments to fulfill your dream of having an own baby.

Success Rates of IVF

Success rates of IVF Treatment in Nepal performed at Fertility Center Nepal are around 70 to 80% but it depends on the age and the reason for infertility. According to the study, younger women usually have healthier eggs and higher success rates as compared to older women.


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