Category Archives: IVF in Nepal

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.    


common signs for women not being able to conceive a baby

What are the common Signs for Women not being able to Conceive a Baby?

The following are the common signs due to which women are unable to conceive a baby and these are:

a) Irregular Periods: When women begin with her menstruation having irregular periods can be normal. As it takes the body a while to get regulated. Once the women have passed her teenage years then her monthly cycles should be regular as irregular periods can be a red flag for infertility problems and may be a sign of an ovulation problem. There are several things that cause irregular periods. For e.g., polycystic ovarian syndrome (PCOS) is one of the most common causes due to which a woman has her irregular cycles and ovulation-related infertility. Other possible causes for irregular periods include primary ovarian insufficiency, low ovarian reserves, thyroid dysfunction, body weight, and excessive exercise.

b) The rate of Miscarriage: Infertility is a disorder of hormone which usually associated with the inability to get pregnant. However, a woman who had experienced recurrent miscarriages needs extra assistance in getting pregnant. Miscarriage is very common and it occurs in 15 to 20% of pregnancies, however, repeated miscarriage is not common. Only 1 to 2% of women will miscarry three pregnancies in a row. If you are a woman who had two successive miscarriages then you need to speak to your doctor.

c) Painful or heavy periods: It has been found that most of the women experience cramps during their periods, however, painful periods can interfere with your daily life and this can be a symptom of endometriosis.

d) No Periods: There are many women who do not have periods at all and the factors like stress or heavy workouts can cause your period to temporarily disappear. No having the regular periods is not good and affects your fertility it’s a time for you to get your fertility checked by experienced fertility experts.

e) Hormone Fluctuations: Hormone fluctuations in women indicate the potential issues with her fertility and women need to speak to their doctor if they experience the following:

  • Reduced sex drive
  • Skin issues
  • Facial hair growth
  • Weight gain
  • Thinning hair

f) Pain during sex: There are many women who have experienced painful sex throughout their lives and they convinced themselves it’s normal, however, it’s not. Painful sex can be related to hormone issues, to endometriosis, or to other underlying conditions that affect the women fertility and reduce her chances of getting pregnant.

g) Obesity: According to the study, obesity is the major factor which stops women to conceive a baby as if affects the growth of women eggs in her ovaries due to which she is unable to get pregnant. So, the fertility experts at Fertility Center Nepal advice the women to maintain their ideal body weight according to her body mass index (BMI) to achieve the successful outcome of the treatment.

What are the common signs for men infertility?

The following are the common signs due to which men fertility get affected and these are:

a) Hormonal imbalance: According to the study, the man’s fertility is linked with his hormone health. So, if there are any changes in his virility can often be governed by hormones and this could indicate issues with his fertility. Testosterone is a key hormone for male fertility, so if a male member facing an issue with the testes that produce this hormone may lead to infertility. Two hormones are the signal to the testes that make sperm and testosterone which is luteinizing hormone and follicle-stimulating hormone. The pituitary gland produces these hormones, so any problems that men face with this gland may also influence his infertility.

b) Pain or swelling in testicle: It has been found that there are several different conditions that could lead to pain or swelling in the men testicles and many of which could affect the fertility of men.

c) Problems with an erection: There are many male members who face difficulty in maintaining an erection which is often linked to his hormone levels. Reduced level of hormones may result in infertility and men faces challenges in conceiving.

d) Problems with ejaculation: According to the study, an inability to ejaculate is a sign that men’s fertility is getting affected and this is a high time they need to visit a doctor.

e) Small testicles: The tests are where the man’s sperm live so testicle health is paramount to male fertility. A small or firm testicle is an indication of infertility and men need to consult a medical practitioner or a fertility expert.

f) Obesity: Obesity is a factor which highly affects the men fertility as it affects the production of sperms in testicles due to which it is not able to fertilize with women eggs. So, the fertility experts at Fertility Center Nepal advice the male members to maintain their ideal body weight when they plan to have a baby.

g) Other risk factors: Other risk factors which affect the fertility of both men and women are:

  • Consumption of alcohol
  • Age of men and women
  • Smoking
  • Poor diet
  • Stress
  • History of sexually transmitted infections

When to See a Doctor?

The person who experiencing signs and symptoms of infertility and trying to conceive a baby for more than 12 months without any protection and unable to conceive a baby need to speak to the doctor. Also, the couples who have reached at the age of 35 years need to speak to the fertility expert if they are unable to make the conception happen naturally. At Fertility Center Nepal we have a highly qualified and skilled professional with more than 30 years of experience who diagnose each individual and then suggest the treatment which helps them in conceiving a baby.

Sometimes you can just make some simple ways to make your lifestyle adjustments to improve your fertility, while other underlying causes may require treatment.

Even after your infertility has been diagnosed, there are still many ways to conceive a baby that you can discuss with their doctor.


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