Which are the Best Fertility Drugs to Conceive a Baby?

Which are the best fertility drugs to conceive a baby

Which are the Best Fertility Drugs to Conceive a Baby?

Category : blog

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.


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.

 


assisted reproductive technology (ART)

What Are the Different Types of Assisted Reproductive Technology (ART)?

Assisted reproductive treatments (ART) are the treatments which are used to assist people in achieving a pregnancy. At Fertility Center Nepal, we have various ART treatments depending on the cause of infertility. The following are the types of treatment that may be suggested to the people who were struggling to conceive a baby naturally and these are:

a) Ovulation induction: Ovulation induction is a treatment which generally the fertility experts at Fertility Center Nepal recommend to those women who are not at all ovulating or are not ovulating regularly. Ovulation induction involves taking a hormone medication which will be taken in the form of tablet or injection and it stimulates the production of the follicle-stimulating hormone. This encourages the development of one or more follicles. When the follicles are large enough your fertility expert will be administered another hormone which releases the egg from the follicle. If the couple has intercourse around this time then the chances of their conception are highly increased.

b) Artificial insemination: Artificial insemination is also known as intrauterine insemination (IUI) and this treatment is mainly used to treat women who have normal and healthy fallopian tubes, however, they are unable to conceive a baby. This may be due to difficulties during intercourse, for example, a man is unable to achieve an erection after trauma or surgery. Artificial insemination is a treatment which is used when semen has been frozen due to a male partner’s absence or prior to cancer treatment.

The artificial insemination is a procedure where the male partner semen will be inserted through the female cervix and into her uterus at or just before the time of her ovulation. This procedure will be performed during a natural menstrual cycle. If women are still unable to achieve pregnancy after a few attempts of artificial insemination then the other best options are IVF or ICSI.

c) Donor conception: There are several ways of donor conception is used at Fertility Center Nepal such as sperm donor, egg donor, and embryo donor.

  • Sperm Donor: The sperm donor can be used when a male partner is unable to produce the good quality of sperms, does not able to produce normal sperms or there is a high risk of passing the genetic disease to the baby born. In such cases, the best option is the sperm donor which can be used by single women or women with same-sex. The procedure of sperm donor is similar to artificial insemination.
  • Egg donor: Egg donor is a treatment which the fertility experts at Fertility Center Nepal performed when women are unable to produce good quality of eggs, experience miscarriages or they have the high risk of passing a genetic disease to a baby born. In such cases, the best option is the donor eggs which will be borrowed by a healthy, fertile and young woman under the age of 28 years and will be fertilized by the sperm of the intended father or donor sperm to facilitate fertilization.
  • Embryo donor: Embryo donor can be used by the couple if they require both sperm donor and egg donor to achieve a pregnancy. There are many people who choose to donate their frozen embryos which are left out after their IVF procedure so that other couples who require the embryos to create their family can use them. When the recipient woman is ready, embryos are thawed and transferred to her uterus.

d) IVF (in-vitro fertilization): IVF is a procedure which is useful for those women who have blocked or damaged fallopian tubes and are unable to conceive a baby. In IVF, the fertility experts at Fertility Center Nepal will collect the women eggs and mix them with the sperm of intended father or donor sperm. The eggs and sperms are then placed in a culture dish in a laboratory which allows the egg to fertilize. Once the fertilization occurs your embryologist will transfer the best-chosen embryo into your uterus. Sometimes while performing IVF there are chances that multiple embryos are developed your IVF clinic will freeze those embryos with your permission for later use.

e) GIFT (gamete intrafallopian transfer): GIFT is a more natural version of IVF where the eggs will not fertilize in a culture dish in a laboratory. GIFT is a procedure where the fertility experts will retrieve the women eggs from her ovaries and inserted them between two layers of sperm in fine tubing. After that, they fed this tubing into one of the woman’s fallopian tubes, where the egg and sperm are left to fertilize naturally. Nowadays, the GIFT procedure is very rarely used. However, this can be sometimes used as an option for couples who do not wish to undergo for IVF and the fallopian tubes of women are in working condition.

f) ICSI (Intracytoplasmic sperm injection): ICSI is a procedure which is mainly used to treat the male infertility factor where the fertility experts at Fertility Center Nepal will directly inject the single sperm into women each egg to facilitate fertilization and once the fertilization takes place the resulted embryo will be placed into the women uterus to achieve successful pregnancy.

g) Surrogacy: Surrogacy is a procedure which is used by those women who face difficulties in carrying a baby in their womb due to some medical illness with their uterus. In such cases, a surrogate mother is hired and she will carry the baby in her womb and hand-over the baby to his/her intended parents after the baby born. The surrogacy is of two types (i) gestational surrogacy and (ii) traditional surrogacy.

(i) Gestational surrogacy is a procedure where the eggs and the sperms of intended parents are fertilized together and the resulted embryo will be placed into the uterus of the surrogate mother. In this case, the surrogate is not the biological mother of the baby born as her eggs were not used for fertilization.

(ii) Traditional surrogacy is a procedure where the fertility expert will collect the eggs of donor or surrogate mother and fertilize them with the sperm of intended father to facilitate fertilization. Once the fertilization occurs the resulted embryo will be placed into the uterus of the surrogate mother.


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.


infertility treatment nepal

Is a Woman alone Responsible for infertility?

This is a myth that women are always responsible for the cause of infertility. Infertility is a disorder of hormones which can affect the men and women fertility; hence both are equally responsible for the cause of infertility. According to the study, about one-third of infertility cases are caused by women’s problems. Another one-third of fertility problems are due to the man and the rest of the cases are caused by a mixture of male and female problems or by unknown problems. But we are leaving in a male dominating society where they do not accept that men are equally responsible for not conceiving a baby. When they meet their doctor and came to know that not only women but men also dealing with the cause of infertility which means there is poor or low sperm count, sperm not present in ejaculate etc. can be the reason. After that, they decide to undergo some fertility treatments to fulfill their dream of having their own baby.

What is infertility?

Infertility is an ability not to conceive a baby after having regular intercourse for more than 12 months. Women who can get pregnant but are unable to stay pregnant may also be infertile. But with the advancement in medical science, the Fertility Center Nepal has various fertility treatments which help infertile couples to conceive a baby.

What are the factors that cause men fertility?

The following are the factors that cause man’s fertility and these are:

  • Poor functioning of man’s sperm that includes the quality of the man’s sperm.
  • Changes in man’s hormone levels.
  • Blockage in man’s tube which carries sperms can cause male infertility.
  • Low sperm count which can be due to an enlarged vein inside that loses the skin surroundings of man’s testicles.
  • Cancerous or non-cancerous growths.
  • Genetic disorders.
  • Radiation and X-rays.
  • The sperm quality can also be affected if there is any bacterial infection inside the man’s testicles which can convert as sexually transmitted infection (STI).
  • High intake of alcohol, drugs, and smokes can also affect the man’s fertility.
  • If the man had undergone for any surgery like vasectomy which is a procedure for preventing the sperms from leaving the testicles.
  • Medicines, especially those treating cancer, fungus, and ulcers can also be a reason for men infertility.

What are the factors that cause women fertility?

The following are the factors that cause women fertility and these are:

  • The women who are dealing with the problems to their reproductive system such as blocked or damaged fallopian tubes, the abnormal opening of the cervix, cancerous or noncancerous growths in the uterus, enlarged ovaries etc. can affect woman’s fertility.
  • A procedure where the fertility experts at Fertility Center Nepal collect the women eggs from her ovaries and mix with her partner’s sperm to facilitate fertilization, however, there are some women who face challenges while ovulating every month and for them, pregnancy is a big challenge.
  • Disease and disorders which include endometriosis. Endometriosis is a disease or disorder due to which women it becomes difficult to conceive as her uterine tissue will grow outside the uterus where she has enlarged ovaries that contain fluid-filled sacs.
  • Age is a major factor which affects the fertility of women as the older women face challenges while getting pregnant as her fertility decrease with increased age.
  • There are many women whose menopause stopped before their age of 40 years and they face challenges to get pregnant, also they face the other problems like immune system disease, cancer treatments, or a genetic syndrome.
  • The women who had undergone for the cancer treatments like radiotherapy and chemotherapy etc. can affect her fertility.
  • Medicines, especially those treating cancer, fungus, and ulcers can affect women fertility.
  • Access consumption of smoke, alcohol or any other drugs will harm the egg production which makes difficult for women to get pregnant.
  • An absence of woman regular periods can also affect her fertility.
  • Body weight of women can also be a reason for infertility. According to the study, overweight and underweight, both cases can affect a woman’s chances of getting pregnant. So, the fertility experts at Fertility Center Nepal suggest the women who are undergoing for the fertility treatment to maintain the ideal weight according to her body mass index (BMI) to achieve the successful results of treatment.

How fertility experts at Fertility Center Nepal treat infertility?

The fertility experts at Fertility Center Nepal treat infertility using medicine, surgery, artificial insemination or assisted reproductive technology. Many times they combine these treatments to achieve the highest success rates of the pregnancy. In most cases, infertility is treated with drugs or surgery.

Fertility experts at Fertility Center Nepal recommend specific treatments for infertility based on:

  • Blood test reports and ultrasound scans
  • How long the couple has been trying to get pregnant
  • The age of man and woman both
  • The overall health of the partners
  • Preference of the partners

Fertility experts at Fertility Center Nepal often treat infertility in men in the following ways:

  • Sexual problems: Male member who are dealing with impotence or premature ejaculation. In such cases, the fertility experts at Fertility Center Nepal use the behavioral therapy and/or medicines to treat infertility in men.
  • Too few sperms: Sometimes there are chances that surgery can correct the cause of the problem. However, in other cases, the fertility experts at Fertility Center Nepal can remove the sperms surgically directly from the male reproductive tract. They use antibiotics to clear up infections affecting sperm count.
  • Sperm movement: There are chances that men semen has no sperm because of a block in the man’s system. In such cases, surgery is the best option to correct the problem.

The fertility of women can be corrected with surgery. The fertility experts at Fertility Center Nepal use medicines to treat women with ovulation problems. Before taking these medications it is important that you should speak to your fertility expert about the pros and cons of these medicines. You should understand the possible dangers, benefits, and side effects before you consume any medications as it is a matter of your health.

 

 

 


infertility treatment Nepal

Is Infertility is a Disease?

No, infertility is not a disease it is only a disorder of hormones due to which many women are unable to conceive a baby after having regular unprotected intercourse without using any birth control pills for more than 12 months. Infertility is a cause which affects the man or the woman or both. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term. Fertility Center Nepal is a medical tourism company which has tie-ups with various fertility hospitals and this disorder of hormones can be treated and couples can conceive their own baby.

What are the Treatments Available at Fertility Center Nepal to Treat Female Infertility?

The following are some common fertility treatments available at Fertility Center Nepal to treat infertility in women and these are:

a) IVF: IVF is the most common fertility treatment in which the fertility experts at Fertility Center Nepal will collect the eggs from women ovaries and mix them together with the sperm of her husband to facilitate fertilization. Once the fertilization takes place the embryologist will transfer the best embryo into the women uterus and wait for the pregnancy to occur.

b) IVF with egg donor: This is also the most common IVF procedure where the fertility experts at Fertility Center Nepal will borrow the eggs from the women who are under the age group of 28 years and fertilize the donor eggs with the sperms of the intended father to facilitate fertilization. This procedure is fruitful for those women who are unable to produce the good quality of eggs for fertilization. With the help of IVF with an egg donor, an advanced procedure, many women are able to conceive their baby as the fertilized eggs of the donor will be kept in the womb of the intended mother and the fertility expert will continue to monitor the growth and the development of the fetus.

c) Surrogacy: Surrogacy is an advanced procedure and the last option if all other procedure failed to give a successful outcome. This procedure is useful for those women who are not able to carry a baby in their own womb due to some medical problems and they need extra assistance in conceiving. For such conditions, the Fertility Center Nepal has a large database of surrogate mothers who can carry the baby in her womb for nine months and hand-over the baby to his/her intended parents. The couples can hire the surrogate mother from our agency or they can bring their own surrogate who can be their friend or relative and she is willingly ready to carry a baby for the full term.

The surrogacy procedure is of two types: (i) Gestational surrogacy and (ii) traditional surrogacy.

  • Gestational Surrogacy: Gestational surrogacy is a procedure where the fertility expert will collect the women eggs and sperms of the intended father which they will fertilize together by using an IVF procedure. After that, the resulted embryo will be placed into the uterus of the surrogate mother and she will carry the baby in her womb for nine months. This is a procedure where the couple will have their own biological child as their eggs and sperms are used for fertilization.
  • Traditional Surrogacy: Traditional surrogacy is a procedure where the fertility expert will use the eggs or egg donor or surrogate mother and will artificially fertilize them with the sperm of the intended father or donor sperm to facilitate fertilization. Once the fertilization takes place the embryologist will transfer the resulted embryo into the uterus of the traditional surrogate mother and she will carry the baby in her womb until the baby birth. In this procedure, you will not be the biological mother of the baby born as your eggs are not used for fertilization.

What are the treatments available at Fertility Center Nepal to treat male infertility?

The following are some common treatments are available at Fertility Center Nepal to treat infertility in male members and these are:

a) Hormone treatment and medications: To treat the male member infertility, the fertility experts at Fertility Center Nepal first recommend the hormone replacement before they suggest any surgical option. The hormone replacement is the best fertility treatment which is used to male infertility factor that has been caused by the high or low levels of hormones.

b) Gamete Intra-Fallopian Transfer (GIFT): This procedure is similar to IVF where the fertilization will naturally occur and the fertility experts at Fertility Center Nepal will directly place the best-chosen sperm inside the women fallopian tubes to achieve the successful outcome of the procedure.

c) Assisted reproductive technology (ART): ART is a procedure where the fertility expert will surgically extract the male member sperm or donor sperm and directly inject the most active single healthy sperm into each egg of the women by performing in vitro fertilization (IVF) procedure or Intracytoplasmic sperm injection (ICSI) procedures which help the couples in conceiving a baby.

d) Surgery: The fertility experts at Fertility Center Nepal recommend the surgery as the last option when all other non-surgical male infertility treatments are failed to give the successful outcome. In such cases, the fertility experts will suggest the male member to undergo for the surgery where the fertility expert will extract the sperms of male member by using the thin fine needle from the Testicle which is known as Testicular Sperm Aspiration (TESA) or Epididymis which is known as percutaneous epididymal sperm aspiration (PESA), however, still the fertility experts are failed to retrieve enough sperms for fertilization then they opt for the highly advanced technique which is testicular sperm extraction TESE.

Once the fertility experts are able to retrieve enough sperms they mix them with the women egg to form an embryo and they will monitor the growth of an embryo in women ovaries using ultrasound scan. The day embryo formed the skilled and highly trained embryologist will implant the best-selected embryo into the women uterus and then wait for the signs and symptoms of pregnancy which will be conducted after two weeks of embryo transfer. Once the successful pregnancy occurs the women will be hand-over to her gynecologist.

 

 


How infertility affect personal relationships

How Infertility Affect Personal Relationships?

Having a baby is one of the most exciting moments in a couple’s life, but when they are unable to conceive a baby naturally after having unprotected regular intercourse which means one or both of the partner dealing with the cause of infertility. The cause of infertility affects the couples physically, emotionally and financially. In some cases, it has been found that if couples are not careful then it can affect their relationship as well.

According to the study, there are nearly one-fourth of women had a negative impact on their relationships due to the cause of infertility, however, the study says that there are some women who are struggling with the cause of infertility got benefited their relationships with their partners.

What Couples Need to Do in Such a Situation?

First, they need to stop blaming each other after the infertility diagnosis and they both need to work together to achieve the successful pregnancy and visit Fertility Centre Nepal where they will get the solution for all types of infertility issues. Also, they need to keep the following in their mind and these are:

  • Reassure your partner that you both are together to fight with the cause of infertility.
  • Talk to each other about your frustrations as the study says the couples who keep their feelings hidden are much more likely to have problems which can lead to stress.
  • Always be together while going for doctor’s appointments, copy each other with side effects, grieving together, sharing the news together with friends and family.

How to Keep your Relationship Healthy?

At Fertility Centre Nepal, the fertility experts help the couples to build their strong relationship and for this, they need to follow some important tips to maintain a healthy relationship and these are:

a) Focus on yourself: The experts at Fertility Centre Nepal suggest that before you plan a baby you both need to build a strong and healthy relationship to become good parents.

b) Take a break: Like you, both were trying from a long period of time to conceive which is not happening in such cases take some break from your infertility treatment. Reduce your stress and anxiety in your sexual relationship and will ensure that your life will remain a source of pleasure and relaxation for years to come.

c) Involve together in physical exercises: Exercise is one of the most fabulous stress buster for the couples dealing with infertility issues. You can perform physical activities like dancing, playing tennis, bike riding etc. also you can join some yoga classes together which will give strength to your body as well as it will teach you deep breathing which is helpful in relaxing and you can focus on your treatment.

d) Respect each other: If you both dealing with the cause of infertility, so in such cases respect each other’s feelings. Just because men don’t cry doesn’t mean he is not hurt. Men are more likely to distance themselves from such situations and become irritable. So such cases are together and respect your differences.

e) Talk to each other: If you need support from your husband then clearly talk to him, be specific, what you want? If you need to spend some time alone then ask your partner to give you time to spend alone but do not show your anger as he is also going through with the same phase.

f) Seek help outside: You know that your relationship is at stake because of infertility issue still seeking help from outside. You can speak to your friend, relatives or your fertility expert. You can join some support group online of the people who are going through infertility treatments.

g) Share your infertility struggles: It has been found that people who keep their infertility issues secret from their friends and family have more psychological and relationship problems as compared to those who open up. Before sharing your infertility with others it is better than you first talk to each other than with whom you will share your information and how much you will share. In some scenarios, the male member wants to discuss the infertility issues with his mother but you may think his mother’s is more questionable and judgmental. Similarly, he may not want you to discuss his low sperm counts with your friends or many other details of your fertility treatments.

h) Get Counsel yourself: At the time you are unable to deal with the situation by your own in such cases the fertility experts at Fertility Centre Nepal will suggest you meet a counsellor who will help you to communicate with each other and reach mutual agreements. It is just a myth that people require counselling only at the time of their divorce or situation of clinical depression or anxiety. The people need to understand that counselling is for everyone who needs some extra help to come out from the stress or a difficult situation. At Fertility Centre Nepal we have the best counsellor who will help you in making your decision and you will feel supported and will able to tend your relationship in a better way.

How are Male Members Dealing with the Cause of Infertility?

It has been found that male members of infertile couples were quiet and does not show that they are depressed and dealing with erectile dysfunction and other sexual relationship problems. Unfortunately, the male members who are dealing with the cause of infertility try to distance themselves from infertility and keep their feelings to themselves only and they are more focused on the plans to solve the issues of their infertility due to which they are not paying attention to their partners and this can harm their relationship.

At Fertility Centre Nepal we suggest the male members discuss their feelings with their partner and this will allow them to bond over feelings of being out of control. These few tips will help you both to maintain your strong and healthy relationship and you will be able to concentrate on your treatment to achieve a successful pregnancy.


GET A QUOTE

Attach Files

We Provides Smile Over Faces

Treatments

IVF
IMSI
Surrogacy
Egg Freezing
Azoospermia
Fertility /Infertility Treatment
MINI IVF
IVM (In Vitro Maturation)
Laparoscopic
Male Infertility treatment
Mild IVF
Embryo Donation
Endometrial Biopsy
Ask to Experts
Mr. Paul (Coordinator)
+977 9808978386
Address: Mid Baneshwor
Kathmandu, Nepal - 44600
Skype ID : fertilitycenter

Contact Us

Attach Files