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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.


What’s the Purpose of Egg and Embryo Donation?

Egg and embryo donation are the two ways to help the infertile couple in conceiving a baby, using donors.

Egg donation is a procedure in which the eggs from another woman are fertilized with the sperms of an intended father in a laboratory and the resulting embryos are then transferred to the uterus of the intended mother.

Embryo donation is a process in which another couple’s embryo is implanted in the uterus of the intended mother during IVF. Embryo donation is for the couples where both partner needs egg and sperm donation, or it can be used by a single woman who cannot use her own eggs.

How the procedure of an egg and embryo donation does works?

The process of egg and embryo donation starts with finding a healthy and fertile donor whom couples can find at Fertility Centre Nepal as we have a large database of egg and embryo donors.

Egg donations procedure can be performed using egg donors or egg sharers:

•    Egg donors are women who donate their eggs to an infertile woman and they are not receiving any fertility treatment themselves. They just choose to donate their eggs to help other women to whom they might don’t know.

•    Egg sharers are women who will be undergoing for fertility treatment and will donate some of their eggs as part of their IVF cycle.

Embryos donation is usually done by the couples or women who successfully have their babies with them and they wish to donate their left-over embryos from their IVF cycle to other couples who wish to start their family.

The egg and embryo donors are paid for their services by Fertility Centre Nepal as they are doing great jobs and helping the couples in conceiving their babies.

The fertility experts at Fertility Centre Nepal hire the egg donors under the age of 30 years because the chances of pregnancy are more with younger eggs as compared to the older ones.

We at Fertility Centre Nepal properly examine and screened all egg donors for infectious diseases such as HIV, hepatitis B, hepatitis C, and some genetic conditions such as cystic fibrosis, before they donate their eggs to someone else. Also, we provide the egg donors who are closely matched with the recipient couple for characteristics such as her color of hair, eye color, occupation, etc.

In the cases of egg and embryo donation, the woman who is giving birth to the child is a legal mother. Your partner will be the other legal parent if you are married or in a civil partnership. If not, then you need to sign legal parenthood consent forms before we proceed with egg or embryo donation procedure.

How fertility experts perform egg and embryo donation procedures?

a)    Embryo Donation: During IVF the extra embryos get developed which the couples can use in their future if they want more children. These embryos are usually kept in storage for up to 10 years. Sometimes couples decide that they do not want more children and decide to donate their embryo to the clinic to help other couples in conceiving a baby.

If you are the recipient of the donated eggs then your fertility expert will transfer only one or two embryos from the donated embryo into your uterus through your cervix by using a thin fine tube called catheter. This process will happen between two and six days after fertilization.

If more than two embryos are transferred then there is a chance of risk of having multiple pregnancies. Your fertility expert will discuss with you about the number of embryos he/she will transfer so that you will be able to achieve the success against the risk of multiple pregnancies.

If everything goes well then at least one of the embryos will stick to your uterine wall and continue to grow. You need to visit Fertility Center Nepal for pregnancy test after two weeks of embryo transfer. If you do become pregnant through embryo donation then your fertility expert will monitor the growth of the fetus in your womb carefully until the baby delivery.

b)    Egg Donation: Egg donation is a process where your and egg donor monthly cycles need to be synchronized. After that, the fertility expert both will give hormones to make sure this happens. This hormone will be given so that at around the time your womb lining is able to support an embryo and your donor needs to be ovulating at that particular time.

The fertility expert will give some fertility drugs to egg donor as well so that she will be able to proceed more healthy and mature eggs for fertilization. When the eggs are ready, the fertility expert will remove them using a fine hollow needle.

On the same day when the eggs are collected from your donor, your partner needs to provide a semen sample which will be mixed with the donor eggs in a laboratory if you opted for standard IVF. Or if opted for ICSI then one active sperm of your partner is injected into each egg. Two days later, any fertilized eggs become a ball of cells called an embryo.

Your fertility expert then transfers this embryo into your womb through your cervix by using a fine this tube called catheter. This happens between two days and six days after fertilization. As donors are under the age of 30 years, it has been recommended that only one embryo need to be transferred in the uterus of intended mother to avoid multiple pregnancies.

What are the advantages of using an egg or embryo donor?

The advantages of using donor eggs and embryo are for those couples who are unable to produce healthy eggs and hence they are not able to conceive a baby naturally. By using donated eggs or embryo will increase your chances of conceiving a baby. According to the study, the success rates for donor egg and embryo IVF is high as compared to regular IVF because donor eggs are always from young women.


Ovulation induction Treatment

What is Ovulation and the things you need to know about your Ovulation Cycle?

Ovulation is a process which happens usually once in every menstrual cycle in which hormone changes and ovaries are triggered to release an egg. A woman can only become pregnant if a sperm fertilizes an egg. The time when women usually ovulate is 12 to 16 days before her next period starts. The eggs which are contained in women ovaries out of multiple eggs one of the eggs grow and mature in the first part of each menstrual cycle.

The time when women approach ovulation her body starts producing an increased amount of hormone called estrogen. This hormone causes the lining of women uterus to thicken and help to create a sperm friendly environment. These high levels of estrogen will trigger a sudden increase in another hormone which is known as luteinizing hormone (LH). The LH surge causes the release of the mature egg from the woman ovary and this entire procedure is known as ovulation. The ovulation occurs usually after 24 to 36 hours of the LH surge and this is the reason that the LH surge is a good predictor of peak fertility. The egg of the woman can only be fertilized for up to 24 hours after ovulation, however, if it is not fertilized after 24 hours of ovulation then the lining of the womb is shed which means the mature egg is lost and women period begins. Once the period begins women need to wait for the next menstrual cycle and repeat the process again.

Things you need to know about your ovulation cycle

The followings are the several things which you should know about your ovulation cycle and these are:

a)    What happens at the time you ovulate?

At the time of your ovulation each month one of your ovaries will release a mature egg, which will travel into one of the woman’s fallopian tubes. The uterus lining is thick in case the egg is fertilized. The fertilized egg then will travel down to the women uterus and settles in the rich lining. The egg will only survive for 12 to 24 hours. If the women egg is not fertilized then the egg will be lost and women periods will start.

b)    What are the most fertile days?

According to the study, it has been found that most of the women are most fertile in the first five days before ovulation and on ovulation day itself. There are many cases where the cycle lengths vary and ovulation occurs 14 days prior to the women next period begins. It is difficult to know exactly when the egg will be released; however, the men sperm can stick around for up to seven days after you have sex and this is the best time for you to conceive. Having regular sex from Day 11 to Day 16 where you need to count the first day of your period as Day 1.

c)    How women can track their ovulation time?

The fertility experts at Fertility Center Nepal suggest the best way for the women to confirm when she ovulates is with an ultrasound in the hospital or clinic, or also they can track their ovulation time with hormonal blood tests at home.

•    Basal body temperature (BBT) charting: With the help of basal thermometer women can track her each morning throughout her cycle to record its changes. Ovulation is confirmed after the women temperature has stayed elevated from her baseline for three days.

•    Ovulation predictor kits (OPK): These kits are easily available over-the-counter (OTC) at any drugstore. The ovulation predictor kit will detect the presence of LH in the women urine and you will be able to ovulate within the next couple of days after the result line is as dark as the control.

•    Fertility monitors: These are also easily available over-the-counter (OTC), however, they are little expensive as compared to ovulation predictor kit. The fertility monitors are best because with this women can track two hormones i.e. estrogen and LH which help her to identify the six days of her fertile window.

d)    What if the women are not ovulating regularly?

If the women track her ovulation from one month to the next month and she will be able to notice that either she is not ovulating regularly or in some cases, they are not ovulating at all. This is a time when she needs to speak to her fertility specialist and start with the treatment.

Although there are certain things like stress or improper diet which can also impact the exact day of ovulation from month to month or there can be medical conditions as well like polycystic ovary syndrome (PCOS) or amenorrhea that may make woman’s ovulation irregular or stop completely.

These are the conditions which may also cause other symptoms related to hormonal imbalances which include excess facial or body hair, acne, and even infertility.

e)    Are women are able to get pregnant when they are on their period?

Yes, there are some cases where women are able to get pregnant even when they have on their period. It has been found that the men sperm can live in the women fallopian tubes for five or six days. If you are a woman with a short cycle say around 22 days instead of 28 days or you have long periods and you did sex on the last day of your periods in such cases, the sperm could survive until the women egg is released during her ovulation. The fertility experts at the Fertility Center Nepal says that it is important to note that there are cases where some women have bleeding in their mid-cycle and they mistakenly think that it’s their period. You should keep in mind that spotting and ovulation can happen at the same time. Also, keep in mind that if you are off from birth control pills after being on hormonal contraceptives for many years then it will take a while for your natural cycle to regulate as normal.


infertility and how it is treated

What Causes Infertility and How it is Treated?

Causes of Infertility in Men

The following are the causes that affect the men fertility which stops him to become the father these are:

•    Poor or unhealthy functioning of men sperm which includes the quality of his sperm. By the quality of sperm, it means that how well and quick the men sperm move and travel to meet the woman’s egg.

•    Varicocele is a condition in which veins inside man’s testicles gets large and causes them to overheat.  This heat may affect the number or shape of the sperm.

•    The quality of men sperm can be affected if there is any bacterial infection inside the man’s testicles such as sexually transmitted infection (STI).

•    Cancerous or non-cancerous growths.

•    Imbalance or changes in hormones.

•    Tubes which carry the sperms of man are blocked.

•    Genetic disorders.

•    Medicines, especially those treating cancer, fungus, and ulcers.

•    If a man has undergone for any surgery like vasectomy which prevents sperm from leaving the testicles.

•    Regular intake of alcohol, drugs, and smokes.

•    Exposure to industrial chemicals and heavy metals.

•    Radiation and X-rays.

•    The fertility experts at Fertility Center Nepal advise the men not to wear tight underwear or pants as it can overheat the men testicles which cause infertility. It can also happen by using a hot tub for extended periods.

Causes of infertility in Women

The following are the causes that affect the women fertility which stops her to get pregnant and these are:

•    A process in which the women egg leaves her ovary and travels to meet the men sperm which is known as ovulation period. But in some cases, women face difficulty while ovulating every month and this makes harder for her to become pregnant.

•    Women need proper functioning of her fallopian tubes, ovaries, and uterus to get pregnant. If any of these her organs are not working properly it can contribute to women infertility.

•    Disease and disorders which include endometriosis. Endometriosis is a disease or disorder in which women uterine tissue grows outside her uterus or polycystic ovary syndrome (PCOS) is a condition in which women have enlarged ovaries that contains fluid-filled sacs.

•    If women period stop before the age of 40 years will cause infertility in women which make difficult for her to get pregnant. It may be tied to her immune system disease, cancer treatments, or a genetic syndrome.

•    If she has undergone any cancer treatments such as radiotherapy and chemotherapy which affects her fertility.

•    Regular intake of smoke, alcohol and other drug make pregnancy difficult for women.

•    Medicines, especially those treating cancer, fungus, and ulcers.

•    If women are planning to get pregnant then her weight should be according to her body mass index (BMI) as overweight or underweight can also affect the woman’s fertility which decreases her chances of conception. So, it is advisable to maintain an ideal weight to conceive a baby.

•    Uncontrolled diabetes, autoimmune diseases in which your body attack itself, celiac disease, etc. can make pregnancy difficult for a woman.

What fertility tests required for men?

The fertility experts at Fertility Center Nepal suggest the following tests to be done to check infertility in men and these are:

a)    Semen Analysis: Your fertility expert will ask for one or more semen specimens. Generally, semen can be obtained by masturbating or by interrupting intercourse and you can ejaculate your semen into a clean container. The laboratory person will analyses your semen specimen.

b)    Hormone testing: Your fertility expert will ask you for the blood test so that they are able to determine the level of testosterone and other male hormones.

c)    Imaging: There are certain cases in which imaging studies required such as a brain MRI, bone mineral density scan, Transrectal or scrotal ultrasound may be performed.

d)    Genetic testing: The purpose to perform genetic testing to determine whether there is a genetic defect which causes infertility in men.

What fertility tests required for women?

The fertility experts at Fertility Center Nepal suggest the following tests to be done to check infertility in women and these are:

a)    Ovulation testing: This can be tested through a blood test which measures the levels of hormones to determine whether you are ovulating or not.

b)    Ovarian reserve testing: With the help of this test your fertility expert will able to check the quality and quantity of the eggs available for ovulation. This approach can also begin with hormone testing early in the menstrual cycle.

c)    Hysterosalpingography: Hysterosalpingography is a test which evaluates the condition of your fallopian tubes and uterus and also looks is there any blockages or other problems. Your fertility expert will also perform an X-ray which will be injected into your uterus. The X-ray is taken to determine if the cavity is normal and to ensure that the fluid spills out of your fallopian tubes.

d)    Another hormone testing: This test is performed to check the levels of ovulatory hormones, as well as pituitary hormones which control your reproductive processes.

Infertility Treatment for Men

a)    Medications: The men infertility can be treated by using certain medications which increase testicular function, including sperm production and quality.

b)    Surgery: Your fertility expert will perform surgery to reverse a sperm blockage and restore fertility.

c)    Sperm retrieval: With the help of this technique your fertility expert will able to obtain sperm when there is no sperm are present in the ejaculated fluid.

Infertility Treatment for women

a)    Ovulation with fertility drugs: Your fertility expert will give you some fertility drugs which are one of the best treatments for women who are infertile due to ovulation disorders. These medications will help in regulating or inducing ovulation.

b)    Intrauterine insemination (IUI): IUI is a first line infertility treatment in which your fertility expert will place the healthy sperm of men directly into your uterus around the time when your ovary releases one or more eggs to fertilize. Depending on the reasons for infertility, the timing of the IUI treatment will be coordinated with your normal cycle or with fertility medications.

c)    Surgery: If you are dealing with the uterine problems such as endometrial polyps, intrauterine scar tissue or a uterine septum then these conditions can be treated with hysteroscopy surgery.


How people can boost their fertility

How People Can Boost Their Fertility?

When you are thinking about getting pregnant to boost your fertility you need to evaluate your lifestyle choices. Starting healthy habits or getting rid of bad ones can improve your overall health. And some lifestyle changes may promote fertility in both you and your partner.

How to improve male fertility?

It is important for the male member to have healthy sperm when they are planning to conceive a baby, but your sperm may only be as healthy if you are healthy. The following are the ways through which you can maximize the quality and quantity of sperm that your body produces and these are:

a)    Stop smoking: It has been found that the men who smoke tend to have lower sperm counts, and the sperm which they produce may not be properly formed. The fertility experts will advise the male member to quit smoking at least prior to 3 months of the fertility treatment.

b)    Reduce alcohol consumption: If you are an occasional drinker then it will not harm sperm production, however, if you frequently drink this can lower testosterone levels, reduce sperm count and cause erectile dysfunction. So, it is always better to reduce your alcohol consumption before you plan a fertility treatment.

c)    Lose weight: According to the study, obesity is the major factor that affects male fertility in many ways. Your excess body weight can cause hormone changes and this will reduce your fertility. It has been found that male member has lower sperm count and the sperm don’t move quickly enough.

d)    Avoid drugs: The fertility experts at Fertility Center Nepal suggest the male member avoid illegal drugs as it will impact their fertility. The consumption of cocaine and marijuana reduces the number and quality of your sperm, and anabolic steroids can shrink your testicles. If you consume some legal drugs such as herbal supplements then you need to speak to your fertility expert to make sure they don’t impact sperm production.

e)    Avoid the heat: According to the study you need to elevated temperatures, especially around your scrotum which may reduce sperm production. The fertility experts at Fertility Center Nepal will limit your time in hot tubs and saunas and also they ask you to avoid tight-fitting pants and placing your laptop directly on your lap during use.

f)    Practice safe sex: It has been found that unprotected sex, especially with multiple partners can increase your chances of getting a sexually transmitted disease (STD). Men infected with an STD may experience fertility problems such as low sperm count, poor sperm movement and sperm DNA fragmentation.

How to improve female fertility?

Most of the women are aware that it is important to make a healthy lifestyle during pregnancy; however, you may be less familiar with lifestyle choices which can improve your fertility.

The following are the healthy habits that may increase your chances of getting pregnant and help you set the stage for a healthier pregnancy:

a)    Stop smoking: If you are a woman who smokes then you need to quit your smoke it affect your ovaries and you are not able to produce good quality of eggs for fertilization. It also harms your cervix and fallopian tubes and increases risk chances of ectopic pregnancy and miscarriage.

b)    Limit your caffeine intake: According to the study, too much consumption of caffeine will affect your fertility. So, the fertility experts at Fertility Center Nepal would suggest you limit your caffeine intake to 200 mg per day, especially when you are trying to conceive. The 200mg per day caffeine is equivalent to about two to eight-ounce cups of coffee per day.

c)    Maintain body weight: The fertility experts at the Fertility Center Nepal will suggest you maintain your ideal body weight as obesity can harm your health in several ways, including interfering with your ovulation. However, if you are an underweight woman then also you are at increased risk for ovulation problems. Whether you need to overweight or underweight you need to focus on a healthy body mass index (BMI) to help maintain normal ovulation.

d)    Practice safe sex: If you have unprotected sex, especially with multiple partners will increase your chances of getting the disease like chlamydia or other sexually transmitted diseases (STDs). These are the infections which permanently damage your fallopian tubes and uterus and you are unable to carry a baby for the full term.

e)    Reduce alcohol consumption: The fertility experts at Fertility Center Nepal suggest the women quit the consumption of alcohol during her pregnancy as frequent drinking before pregnancy is linked to ovulation disorder which means you are not able to conceive a baby. So, if you are trying to get pregnant, try to avoid alcohol completely.

Tips for both partners to improve fertility

The following are the tips which help you both to tackle with your infertility and these are:

a)    Change your diet: It means that you have a busy schedule due to which you consume packed food and the result is that your body will not get the sufficient nutrients which require at the time of conception. It is better to have cooked meals at home and consume fresh fruits. Besides nourishing your body, you also need to shed your excess weight and gain energy.

b)    Exercise: Moderate physical activity, such as walk, light yoga, etc. can help you to maintain your body weight and also ease your stress. The women who take part in frequent, intense exercise may experience ovulation problems for them the fertility experts at Fertility Center Nepal will suggest limiting vigorous activity.

c)    Manage stress: In this busy world, none of us can avoid stress; however, the couples who are trying to get pregnant can cause extra worry or anxiety, especially if one or both of the partners. If you feel stress and you realize that it is affecting your health or your relationship, then speak to our counselor or psychologist they will help you with coping from stress so that you can enjoy your fertility treatment journey and give birth to a healthy baby.


3 Ways to get Fertility Treatments

3 Ways to get Fertility Treatments

There are many couples who are not ready to conceive a baby immediately after their marriage, but the time when they plan to have a baby it becomes difficult for them to conceive. According to the study, the majority of couples will get pregnant within one year of regular unprotected intercourse; however, for the 15 to 29% of couples who struggle with infertility and negative pregnancy tests month after month can be frustrating for them. With the advancement in medical science, there are various fertility treatments are available to couples who need some extra help conceiving a baby.

The following are the 3 ways which help you in conceiving your baby and these are:

a)    Diagnosis of infertility: Schedule an appointment with a gynecologist if you are unable to conceive a baby even after a year of regular unprotected intercourse. Your doctor will evaluate the way you live and your sexual habits. After reviewing you and your partner your doctor may recommend some changes in sexual habits, and you will be entering a period of trial and error to see if your infertility problems can be resolved without invasive treatments. You may also undergo testing to determine if there is a physical cause for infertility which can be:

•    Women who were facing an issue with their monthly cycle and have not menstruated in six months or they are above the age of 30 years, they need to schedule an appointment to receive a diagnosis of infertility as soon as they suspect they are having trouble in conceiving a baby.

•    Men who are dealing with low or poor sperm count and women who had the previous history of recurring miscarriages, pelvic inflammatory disease, endometriosis, pelvic pain or unusual menstrual cycles need to consult a doctor before they begin trying to conceive a baby.

b)    Determining the cause of infertility: Consult with your doctor to determine the necessary tests which help in finding the cause of infertility and also that whether men or women or both are dealing with the cause of infertility. Your doctor may recommend both partners be tested depending on each person’s medical history. A medical history evaluation can help your doctor in prioritizing your treatment based on your medical report.

•    Women may undergo physical and ultrasound examinations and the doctor will also conduct the hormone testing, as well as another testing that is specific to women reproduction. Hysterosalpingography is a test in which your doctor injects fluid into the uterus of the women and after that, your doctor will use an X-ray to determine if the fluid proceeds to the fallopian tubes without encountering any damage or blockage. Your doctor may also recommend a laparoscopy, which is typically an outpatient procedure and it will be performed under general anesthesia. A laparoscopy is a procedure which allows your doctor to view inside your uterus and fallopian tubes by using a tiny fiber-optic telescope. They also recommend women to undergo genetic testing as it also gives some insight into what is causing the women fertility.

•    Like women, men also may undergo a general physical examination as well as an ultrasound examination to ensure the sexual organs are functioning properly. Y doctor will recommend you to have a semen analysis which will determine the number and quality of your sperm. Your doctor will also recommend having a blood test which helps in evaluating your hormone levels.

c)    Proceed with fertility treatments: After also tests are completed plan your fertility treatment with your fertility expert starting with the least invasive treatment first.

•    Your fertility expert will give you some fertility drugs which help hormone levels to get back on track and these are available for both men and women. The fertility experts at Fertility Center Nepal often recommend hormone therapy where the cause of infertility is unknown, even after testing. Hormone therapy may also be used in conjunction with another treatment.

•    The patients who deal with blockage and scarring within their reproductive system, for them the fertility expert recommend surgery as the best and permanent resolution. They recommend surgery for the patients with fibroids, ovarian cysts, endometriosis or genetic defects.

•    Artificial insemination is a solution to unexplained infertility. This is a procedure where the fertility expert will inject a concentrated amount of sperm directly into the women uterus during her ovulation. This is a simple fertility treatment given by the fertility experts at the Fertility Center Nepal when there is no known medical reason found which is preventing the couple from conceiving a baby.

•    If less invasive fertility treatment get failed to provide a successful outcome then artificial reproductive technologies such as in vitro fertilization (IVF), zygote intrafallopian transfer etc. are the treatments which will fulfill the dreams of many infertile couples. For men who are dealing with low sperm count or low sperm motility for them, the best treatment is Intracytoplasmic sperm injection (ICSI) in which your fertility expert will directly inject a single active sperm into harvested mature eggs. In some cases, the woman is unable to produce viable eggs, in such condition your fertility expert will suggest the egg donation treatment where they will borrow the eggs from healthy and fertile women under the age of 30 years and fertilized her eggs with the male member sperm to facilitate fertilization.

If women face an issue with her uterus and unable to carry pregnancy then the best option is surrogacy where a healthy and fertile woman will carry the baby in her womb for nine months and hand-over the baby to his/her intended parents after baby born.

•    The men who all are dealing with the issues such as premature ejaculation or impotence for them medication can help in addressing these problems and increase the chances of the couple’s to become pregnant.

•    With the advancement in fertility management, there are wide varieties of fertility drugs are available for the women who are not able to ovulate their own. The fertility experts at Fertility Center Nepal may prescribe some medications which help women to stimulate her ovaries and produce more mature and healthy eggs for fertilization.


How many types of infertility are there

How Many Types of Infertility are There?

There are 2 types of infertility:

(i)    Primary Infertility: Primary infertility is a type of infertility which refers to those couples who are not able to get pregnant after having regular intercourse for more than 1 year.

(ii)    Secondary Infertility: This refers to the couples who are able to get pregnant once but for the second time they are not able to conceive a baby.

Causes of Infertility in women

The following are the causes of female infertility:

  • When there is a blockage or damage to women fallopian tubes which result from the pelvic inflammatory disease that is usually caused by a sexually transmitted infection, endometriosis or adhesions.
  • Endometriosis is another cause of female infertility where the endometrial tissue grows outside of the women uterus which may affect the function of women ovaries, uterus, and fallopian tubes.
  • Uterine or cervical abnormalities which mean there is an issue with opening the women cervix. Non – cancerous (benign) tumors which are presented in the uterine wall and may cause infertility by blocking women fallopian tubes.
  • When women dealing with ovulation disorders which affect the release of her eggs from the ovaries. This is a condition of hormonal disorders such as polycystic ovary syndrome (PCOS). The women menstrual cycle can also be affected when there is too much thyroid hormone or too little thyroid are presented. Other causes which may affect the women fertility is excessive exercise, eating disorders, injury or tumors.
  • When women are dealing with early menopause which means her ovaries stop working and her menstruation ends before the age 40 years. According to the study, this is an unknown cause of female infertility. There are certain factors that are associated with early menopause such as immune system diseases, genetic conditions, etc.

Causes of Infertility in men

The following are the causes of male infertility:

  • If the male member is unable to deliver the sperm due to sexual problems, such as premature ejaculation; certain genetic diseases, blockage in his testicle; or damage or injury to the reproductive organs.
  • If there is any damage due to cancer and its treatment which includes radiation or chemotherapy. Cancer treatment can impair sperm production and sometimes it is very severe.
  • The men fertility can also be affected by the overexposure to certain environmental factors, which includes pesticides and other chemicals, and radiation. Smoking, alcohol, marijuana or other medications, such as antibiotics, anabolic steroids, etc. can also affect the men fertility. Excessive exposure to heat, such as in saunas or hot tubs may affect the production of sperm.
  • If there is an abnormal production of sperm or the sperm function is affected due to undescended testicles, genetic defects, and health problems such as diabetes or infections will affect the male member fertility. If men have enlarged veins in his testes, this can also affect the quality of sperm.

Treatment of female infertility

The following are some common treatments to treat the female infertility factor and these are:

a) IVF: At Nepal Fertility Center, the fertility expert recommends the IVF treatment which is the first line treatment. This is a procedure in which your fertility expert will collect the eggs from women ovaries and mix them together with the sperms of her husband to facilitate the fertilization. Once the fertilization takes place, the resulted embryo will be placed into the uterus of the intended mother.

b) IVF with Egg Donor: The fertility experts at Fertility Center Nepal use this procedure for those couples where the female member is unable to produce enough mature eggs for fertilization. In this procedure, the fertility experts will borrow the eggs from healthy, fertile and young women who are under the age of 28 years and will fertilize her eggs with the sperms of the intended father to facilitate the fertilization. Once the fertilization occurs, the fertility expert will place the resulted embryo into the uterus of the intended mother and will continue to monitor the growth and the development of the fetus.

c) IVF with Surrogacy: This is a procedure which is usually recommended to those female members who are unable to carry a pregnancy in their own womb due to some medical illness. With the help of this procedure the couple will have their own baby as the fertility expert will fertilize the eggs of the surrogate mother with the sperm of intended father and after that she will place the resulted embryo into the uterus of surrogate mother who will carry the baby until full term and once the baby born she will hand-over the baby to his/her intended parents.

Treatment of male infertility

The following are some common treatments to treat the male infertility factor and these are:

a) ICSI: ICSI is an ART is a procedure in which the fertility expert will directly insert a single mature and healthy sperm into each egg of the women which help the couple in conceiving a baby.

b) Gamete Intra-Fallopian Transfer (GIFT): This is the male infertility treatment where the fertilization will occur naturally and the fertility expert at Fertility Center Nepal will directly place the best-selected sperm inside the women fallopian tubes.

c) Hormonal treatment: The fertility expert will first recommend the male member to undergo for the hormone replacement before they suggest any surgery to them. With the help of the hormone replacement treatment fertility experts will able to treat the condition of male infertility which has been caused by the high or low levels of hormones.

d) Surgery: The fertility experts at Fertility Center Nepal will recommend the surgery as the last option when all other non-surgical treatments are failed to provide the desired results. The fertility expert will then perform surgery where they will extract the sperms by using the thin fine needle from the Testicle which is known as Testicular Sperm Aspiration (TESA) or Epididymis, known as percutaneous epididymal sperm aspiration (PESA). In case, the fertility expert is unable to retrieve enough sperm through these two techniques then they will use other advanced technology which is testicular sperm extraction TESE. Once the sperms are retrieved, the fertility expert will mix them with the women egg to form an embryo and once the embryo gets developed the same will be placed into the uterus of the female partner.

 


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