Erectile Dysfunctioning: For many couples, reproduction has been a natural and simple experience. But it is not the same for many. A man’s fertility generally relies on the quantity & quality of his sperm. If the number of sperm a man ejaculates is low or if the sperm is of poor quality, it will be difficult and sometimes impossible for him to cause pregnancy. Male infertility is diagnosed only after both the partners and tested and the reproductive problems have been found in the male.
How Common is Male Infertility?
It is a very common problem. For 1 in every 5 couples, the infertility problem solely lies in the male. It is been estimated that about 1 in every 20 men has the same kind of infertility problem with a low number of sperms in his ejaculate. However, only 1 in every 100 men has no sperm in his ejaculate.
Symptoms of Male Infertility:
In most cases, there are no signs of infertility. Intercourse, erections, and ejaculations will happen without any difficulty. The quantity of semen ejaculated seems to be normal to a naked eye. Medical tests are required to detect male infertility.
Causes of Male Infertility:
Male infertility is usually caused by problems that affect either sperm production or sperm transport. Through medical testing, the doctor may be able to find the cause of the problem. About 2/3rd of infertile men have a problem with making sperm in the testes. Either low numbers of sperm are made and/or the sperm that is made does not work properly. Sperm transport problems are found in about one in every five infertile men, including men who have had a vasectomy but now wish to have more children. Blockages (often referred to as obstructions) in the tubes leading sperm away from the testes to the penis can cause a complete lack of sperm in the ejaculated semen.
Other less common causes of infertility include:
- sexual problems that affect whether semen is able to enter the woman’s vagina for fertilization to take place
- low levels of hormones made by the pituitary gland that acts on the testes (one in 100 infertile men)
- sperm antibodies (found in one in 16 infertile men).
In most men, sperm antibodies will not affect the chance of a pregnancy but in some men sperm antibodies reduce fertility.
Male Reproductive System:
There are 2 main glands that help in the production of male hormones and sperms. They are the pituitary and the hypothalamus glands. Luteinizing hormone and follicle-stimulating hormone are the 2 important messenger hormones made by the pituitary gland that acts on the testes.
The tests are a pair of egg-shaped glands that sit in the scrotum next to the base of the penis on the outside of the body. The testes make sperm and the male sex hormone testosterone. It takes about 70 days for sperm to become mature and able to fertilize an egg. When released from the testes, the sperm spends two to 10 days passing through the epididymis where they gain the vital ability to swim strongly or become motile and to attach to and penetrate the egg.
The waves of muscle contractions transport the sperm, with a small amount of fluid, from the testes to the vas deferens. The seminal vesicles and prostate contribute extra fluid to protect the sperm. This mixture of sperm and fluid travels along the urethra to the tip of the penis where it is ejaculated.
What is Erectile Dysfunction?
A man is said to have erectile dysfunction if he has permanent difficulty in getting or maintaining a firm enough erection to be able to achieve sexual activity. Most men have occasionally experienced some difficulty with their penis becoming hard or staying firm, but this is not normally causing for a diagnosis of erectile dysfunction. This condition is only considered a concern if satisfactory sexual performance has been impossible on a persistent number of occasions for some time.
Broadly, two forms of erectile dysfunction can affect men’s sex lives – the main cause is either medical or psychosocial.
Here, psychosocial refers to the psychological effects – including the effects of social relationships – on sexual performance. Medical conditions can also affect psychological well-being, meaning that, while the primary cause of sexual impotence is typically either medical or psychological, there is often overlap between the two.
Erectile dysfunction used to be known more widely as ‘impotence‘ before the causes became better understood and successful treatments came into use. Impotence is a term that is still in use, however, although it can be seen as pejorative.
Diagnosis, with the help of a doctor, can identify the likely cause by taking a history, discussing symptoms, performing blood tests to establish the presence of conditions such as diabetes or heart problems, and other physical problems.
Causes of Erectile Dysfunction:
The relaxation of muscles allows blood to rush into the cylinder-shaped spongy tissue of the erection chamber. This creates increased tissue pressure and erection. This blood flow process is led by nervous and hormonal triggers when the brain is stimulated by touch.
The normal erectile function can be affected by problems that compromise any of the following normal physiological contributions needed for an erect penis:
- Blood flow
- Nervous supply
Vascular causes that affect blood flow and neurological causes that affect nerve signals are the major medical causes of erectile dysfunction, often due to the underlying disease such as atherosclerosis and diabetes.
Smoking and diabetes often cause atherosclerosis, and this narrowing or ‘clogging’ of arteries in the penis is the most common vascular cause of erectile dysfunction.
Numerous medicines can also cause erectile dysfunction. Anyone taking prescription medications should consult their doctor or healthcare practitioner prior to stopping or changing their medications.
- Drugs to control high blood pressure
- Heart medications such as digoxin
- Some diuretics (known as ‘water pills’ that increase urine output)
- Drugs that act on the central nervous system (in the brain or spinal cord), including some sleeping pills and amphetamines
- Anxiety treatments (anxiolytics)
- Antidepressants including monoamine oxidase inhibitors (MAOIs), selective-serotonin reuptake inhibitors (SSRIs), and tricyclic antidepressants
- Opioid painkillers
- Some cancer drugs, including chemotherapeutic agents
- Prostate treatments, including treatments for cancer, and for benign prostatic hypertrophy (such as 5α-reductase inhibitors). Anti-androgen drugs used for prostate disease and other conditions can also cause erectile dysfunction
- Anticholinergics – drugs with a wide range of uses that block a neurotransmitter (nerve signal molecule) that affects muscle tone
- Hormone drugs, including estrogens and drugs that act on luteinizing hormone-releasing hormone
- The peptic ulcer medication cimetidine
To know more about erectile dysfunction or male infertility and to know its diagnosis procedures log on to www.freedoctorhelpline.com or call us at +918010555444.
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Hormones are the chemical substances that circulate throughout your body. They are produced and secreted by the glands which play a very vital role in our body functions and daily activities. Different types of hormones affect different glands. Sex hormones form an important and a critical part of our body functions that is generally responsible for regulating the skeletal growths in both the males as well as the females. These hormones affect the internal process of skeletal growth when there is an increase or decrease in the skeletal mass during those periods.
The sex hormones tend to interact with the cytosolic and the specific nuclear receptors such that it can produce masses of genomic effects in an innumerable amount of different vascular cells as present inside the body along with the added non-genomic vascular effects while acting with the specific plasmalemmal receptors.
Our human body comprises of innumerable assortments of different types and forms of hormones each of which performs different functions, few of which may even be interlinked. Growth hormone and sex hormones are few of the examples of those hormone assortments that functions inside our body and regulates our body functions. Hormones are responsible for transferring the messages in between the organs and the cells.
Hormones are secreted in our endocrine systems by the glands that are present inside the endocrine system. This secretion helps in keeping the hormone levels normal and supports in maintaining our body balance. The body thus keeps its balance and functions normally and effectively.
Ageing, the progressive change, and the process of getting older are also associated with hormones. It is affected by the loss of these sex hormones in the human body, be it male or female. Therefore, if one wishes to restore their feelings of well-being, happiness, comfort, longevity, sexual desires and ambitions, sex drive, pleasures, muscle or bone losses, lost energy levels, or any other effects that are associated with aging, then, one needs to replace their male / female hormones that have been lost during the process of aging.
Certainly, there exists several approaches and procedures that may be done to restore these hormones and look more youthful. Few of such hormone supplements include creams, patches and pellets. These approaches would at times help you in ageing slowly and lead an improved satisfied life during your old age.
Sex Hormones: Synthesis
- Synthesis of the sex hormones is controlled by the production of a hypothalamic gonadotropin-releasing hormone (GnRH).
- During the process of general circulations, GnRH tends to encourage the production of luteinizing hormone (LH) and the follicle-stimulating hormone (FSH) in the pituitary gland.
- LH further binds itself to the target cells which may again lead to an increase in the extraction of steroidogenic acute regulatory protein (StAR) which promotes cholesterol transfers and initiates steroidogenesis.
- Androgens, DHEA and androstenedione are released in the adrenal cortex.
- Testosterone is released in the Leydig cells, lying adjacent to the male testes.
- The production of pregnenolone is initiated in the Leydig cells of the luteinizing hormone.
- The synthesis of oestrogen in females helps in controlling the growth and development of sexual characteristics in females.
- The synthesis of glandular oestrogen takes place in the ovarian cells and the corpus luteum.
- The luteinizing hormone (LH) stimulates the granulosa cells to release pregnenolone.
- Pregnenolone then diffuses from these granulosa cells and mediate the process of pregnenolone hormone conversion to androstenedione through DHEA.
- The process of extra-glandular synthesis facilitates the aromatization of androgens to oestrone.
- The fat cells convert the androgen to oestrone and thereby increases the serum oestrogens.
- The bones convert testosterone to form local oestrogen and thereby supports the development of epiphyses.
- Even though oestrogens are usually responsible for balancing the sexual characteristics in females, however, they are also synthesized at some levels in males.
- Progestin synthesis also exists. The inventories of hormone synthesis alter menstrual cycles during its production.
Hormones tend to control the functions of all the organs, and therefore it becomes extremely important to keep our hormonal levels balanced. Hormone imbalances can have several adverse effects on our total body processes. It affects the way our body stores its energy. It controls the levels of fluids, salt and sugar/glucose in our body. Sex hormones influences and affects the health of both men and women and therefore there always exists a need to keep a track your hormone levels and perform regular assessments and routine examinations to keep a balance of its levels last longer. Even a very small variation in the hormonal levels can take you to adverse situations.
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Fertility is one thing that you take for granted until you want to actually put it into to use. This happens when you have no idea of what goes into having a baby. Here are some answers to various questions hanging unanswered in your mind!
1. What can be done to have more eggs?
Nothing can be done to produce or develop more eggs. Women are born with about 2 million eggs and they gradually lose them throughout your lifetime and menstrual cycles.
2. How can pills affect the fertility?
When you are on birth control you actually don’t ovulate. This doesn’t mean that you are killing off the extra eggs. You are just not using them! Even if you don’t ovulate your eggs will naturally degrade and die with time. The pills actually reduce the risk of ovarian cancer.
3. Can IUDs impact your fertility?
Intrauterine devices do not affect fertility in any negative way. You still have the possibility to ovulate when you have an IUD inserted into your uterus. The device only makes your uterus inhospitable for the fertilized eggs.
4. Does eating anything, in particular, induce labor?
There are a lot of myths out there about how foods can induce labor. Eating spicy foods, garlic, pineapple and almost everything is meant to induce labor. But the fact is that no food can actually induce labor.
5. Plan in your early 20s!
It might found silly, but just as we plan our retirement we need a plan for the reproduction as well! This is because there are a lot of things that can make it harder for you to get pregnant. So it is always better to know your own body and understand the risks and make potential choices well in advance.
6. It’s couple issue and not a women problem!
Fertility affects both men & women and it’s not a women problem alone. When a couple seeks for infertility issue, most of the time it is male infertility and it is the male sperm that is responsible for infertility.
7. Are you potentially Capable?
It can take awhile for even young, healthy women to get pregnant. And if you plan to put off having kids at an early age and plan it during your early 30s then you should have done a complete evaluation with your doctor to check if you are potentially capable of conceiving at a later age.
8. Blood Test Performance
You may have a blood test performed to check on your egg reserves. It is performed on the 3rd day of the menstrual cycle so that we can identify whether the female is capable or incapable of postponing her pregnancy to a later stage.
9. Consult a Specialist
If you are women under 35 and trying to get pregnant then you will have to try for a year with your partner and if that doesn’t work then you can consult a specialist. But if you have crossed your 40s and still want to get pregnant then you will have to consult a specialist to know about the odds and opinions.
10. Lifestyle Factors
Some lifestyle factors can also affect your reproduction. Very small changes in your lifestyle can make potential changes in your fertility.
- Women who smoke go through menopause 4 years earlier than those who don’t!
- Chronic stress
- Poor diet
- Lack of regular exercise
Lifestyle changes in men can also affect the fertility.
- Smoking definitely hurts your sperm
- Taking testosterone to build muscles can also affect sperm count
- Chronic stress
- Poor diet
- Lack of regular exercise
11. Health Conditions
Health conditions that make it harder for you to conceive. There are some health conditions which can worsen your ability to conceive. Some are listed below:
Women health issues:
- Uterine fibroids
- Irregular periods
- Overweight or underweight
- Endocrine disorders
- Polycystic ovarian syndrome
Men health issue:
- Weight problems
- Hormone disorders
- Thyroid problems
- Previous trauma to the area
12. Inheritance Problem
Your mom’s pregnancy and menopause can tell you something about your own fertility. If your mom underwent menopause in her late 30s or early 40s then it is a sign that you might suffer from infertility problems. The same is true even if she has suffered uterine fibroids, difficulty in pregnancy, or endometriosis.
13. Surgical Treatment
Technology is amazing but it is not a sure thing! Most of the surgical treatment methods may not be applicable if you have crossed your 40s. There is no way to grow new eggs or to develop new eggs. Once a woman is out of eggs then she is out of eggs. There is no way to develop new ones.
14. Freezing your Egg
If at all you are planning to freeze your eggs then the best time is in your 20s or early 30s! the younger you are when you froze your eggs then there is a possibility that it is more viable and is of high quality!
15. Age Effects
Age effects sperm as well! It is a wrong belief that male age does not have any impact on fertility. Men also have equal contribution. The older they get the less healthy is their sperm quality. Men can become a father even in their late 70s but the fact is that children born to older dads have more chances of being victims of autism and other psychiatric conditions.
If you know you want to conceive one day then the only thing you need to do is to plan for it well in advance. Take good care of your body, keep in mind about your family history & medical history. Talk to your doctor and get medical advice. Consult our online doctors at www.freedoctorhelpline.com or call us at +918010555444.
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Polycystic Ovarian Syndrome(PCOS), is a set of symptoms that result from a hormonal imbalance affecting women and girls of childbearing age.
PCOS, a heterogeneous disorder is the most common endocrine abnormality among women of reproductive age.
PCOS can be described as an oligogenic disorder in which the interaction of a number of genetic and environmental factors determine the heterogeneous, clinical, and biochemical phenotype.
Although the genetic etiology of PCOS remains unknown. The current literature suggests that the clustering of PCOS in families resembles an autosomal dominant pattern.
Environmental factors implicated in PCOS (eg. : obesity) can be exacerbated by poor dietary choices and physical inactivity; infectious agents and toxins may also play a role.
PCOS is the most common cause of anovulatory infertility, meaning that the infertility results from the absence of ovulation, the process that releases a mature egg from the ovary every month.
PCOS can cause other problems as well, such as unwanted hair growth, dark patches of skin, acne, weight gain, and irregular bleeding.
Women with PCOS are also at higher risk for:-
- Obstructive sleep apnea, a disorder that causes pauses in breathing during sleep.
- Insulin resistance
- Type 2 diabetes
- Heart diseases and high blood pressure.
- Mood disorders
- Endometrial hyperplasia, a condition in which the lining of the uterus becomes too thick, and endometrial cancer.
The pathophysiology of PCOS involves primary defects in the hypothalamic-pituitary axis, insulin resistance and action, and ovarian function.
Although the cause of PCOS is unknown, it has been linked to insulin resistance and obesity.
Follicular maturation arrest is a hallmark sign that an ovarian abnormality exists.
Clinical signs of PCOS include elevated Luteinizing Hormone(LH) and Gonadotropin-Releasing Hormone(GnRH) levels, whereas follicular-stimulating hormone(FSH) levels are muted or unchanged. As a result of the increase in GnRH, stimulation of the ovarian thecal cells, in turn, produces more androgens.
PCOS is a hormonal disorder with a potential to lead to various diseases. It also continues to be a common cause of infertility among women.
Although signs and symptoms vary, the three most common factors associated with PCOS include ovulation irregularities, increased androgen levels, and cystic ovaries.
If PCOS is suspected, a complete medical history, physical examination, blood tests, and a pelvic ultrasound should be performed.
During the assessment period, other potential causes associated with reproduction, endocrine, and metabolic dysfunction should be excluded. Moreover, a pregnant woman with PCOS should be informed is the increased rates of miscarriage, gestation diabetes, pre-eclampsia, and premature delivery.
1) Weight reduction for obese patients with PCOS is beneficial in many ways. Weight loss helps to decrease androgen, luteinizing hormone(LH), and insulin levels. It also helps to regulate ovulation, thereby improving the potential for pregnancy.
2) Laparoscopic ovarian drilling is an outpatient surgical intervention in which multiple perforations are created in the ovarian surface and stroma. It is thought that this intervention destroys androgen-producing tissue, which should lead to decreased androgen levels and also increases the risk of multiple pregnancies besides being effective as medical interventions.
Pharmalogical Approaches :-
- Anti-diabetic agents
- Aromatase inhibitors
- Oral Contraceptives.
- Medroxyprogesterone acetate
Polycystic ovary syndrome is a complex disorder for which multiple treatment approaches are required, depending on the reason a patient seeks treatment.
Clomiphene has shown that the best results in treating infertility, whereas data are limited regarding pharmacological treatment of androgenic symptoms.
Long-term consequences of PCOS, which include Type-2 diabetes and cardiovascular disease can be treated with anti-diabetic drugs and statins.
IVF or The In Vitro Fertilization is the process of fertilization of the egg or eggs outside the body. It’s a fertility treatment in which eggs and sperms are combined in the laboratory. The resulting embryos are assessed for quality and one or more are placed in the uterus through the cervix. The IVF Treatment can be performed by using your own eggs and sperms or the donated eggs and sperms.
Why go for IVF treatment?
IVF can help you get pregnant if you have problems like ovulation, egg quality, blocked fallopian tubes, or if your partner has problems with sperm count or mobility. It helps you get pregnant using a donor egg or sperm. This treatment can also be used if the doctors can’t figure out the exact reason for infertility or if other treatment options have failed.
What is the IVF Process?
IVF has the following treatment procedures:
- Ovary stimulation: in this, 8 to 14 days around your menstrual cycle you will be advised to take a fertility drug such as gonadotropin. This stimulates your ovary to produce multiple eggs for fertilization instead of just one. You will also be advised to take a synthetic hormone to prevent your ovaries from releasing eggs too early.
- Follicle development: the follicles are the fluid-filled sacs where the eggs mature. When you take these medications, you should visit your doctor every 3 to 4 days to have your blood hormone levels checked and to observe your ovaries under ultrasound.
- The trigger shot: when the follicles are ready, you will be given a trigger shot which is a medicine that causes your eggs to mature fully. They are then capable of being fertilized. After 36 hours of the trigger shot, your eggs are ready to be retrieved.
- Gathering the eggs: the doctor inserts an ultrasound probe into your vagina to observe the ovaries and follicles. A needle is then inserted through the vaginal wall to remove the egg from the follicle. About 8 to 15 eggs are obtained.
- Fertilization: the embryologist will check the quality of the eggs before combining it with the sperms. Fertilization takes place during this time. ICSI –intracytoplasmic sperm injection is a technique in which each sperm is directly inserted into the mature eggs.
- Developing embryos: after the retrieval of the eggs, the eggs that are successfully fertilized will form a 6 to 10 celled embryo. By the 5th day, the embryo will become blastocysts with fluid-filled cavity and tissues that will develop into placenta and baby.
- Embryo selection: after the egg retrieval, the embryologist will choose the most viable embryo to place it into the uterus. If there are any extra embryos, it can be preserved for future IVF cycles.
- Planting the embryo: the doctor will place 1 to 5 embryos in your uterus, depending on the diagnosis and your age. It is placed using a catheter. One might feel slight cramping but you’ll not need an anesthesia.
- Successful implantation: if the treatment is successful, then the embryo implants in your uterine wall and grows into a baby. If more than one embryo is transferred the chances of getting pregnant are more. About 20%of IVF cases will give birth to twins, triplets, or more.
You can take a pregnancy test after two or three weeks of the embryo placed into the uterus.
What is the role of men?
Around the time, when your partner’s eggs are collected, you will have to produce the sample of your sperms. The sperms will be washed and prepared so that the active ones are separated from the poor quality ones.
Also read: How would you know you’re ovulating?
How long will IVF take?
The duration is about 6 to 8 weeks to complete one IVF cycle. You will have to wait for a week for the eggs to get mature. Then, consult your doctor to have the eggs retrieved and fertilized. After, 3 to 5 days you will have to again visit the doctor’s clinic to have the embryos inserted into the uterus.
What is the success rate of IVF Treatment?
The success rates highly depend on the couple’s reasons for infertility and their ages. The younger the couples, the greater is the possibility of success rates due to healthier eggs.
The % of IVF cycles resulting in live births is about:
- 40% of women under 34 years of age
- 31% of women between 35-37 years
- 21% of women between 38-40 years
- 11% of women between 41 to 42 years
- 5% of women between above 43 years
What are the pros of IVF?
Advantage of IVF Treatment:
- It has been a successful method of fertilization without causing any harmful effects on the child.
- It has been in existence for years and is a widely preferred method of fertilization when all other methods fail.
- The use of fertility drugs has no connection with ovarian cancer
- Researchers still find a way to refine and improve IVF procedures.
Any treatment procedures come along with its own drawbacks and shortcomings. In that aspect, IVF has its own Disadvantage. Those are:
- Highly expensive
- Time-consuming procedure
- There are changes of miscarriage and other complications
- There are more chances of giving birth to twins & triplets.
- Increased risk of ectopic pregnancy
- Risk of ovarian hyperstimulation syndrome
- Failure of the treatment in some cases
What does IVF cost?
A few decades ago, people thought of IVF procedure as a mysterious procedure used for infertility treatment that produces test tube babies. Later did they realize that it was the most effective method of fertilization by external means.
The cost of IVF treatments in various states excluding the drugs & blood test charges are listed below:
- Mumbai: INR 2,00,000 -3,00,000
- Bangalore: INR 1,60,000-1,75,000
- Chennai: INR 1,45,000-1,60,000
- Delhi: INR 90,000-1,25,000
- Nagpur: INR 75,000-90,000
- Hyderabad: INR 70,000-90,000
- Pune: INR 65,000-85,000
- Kolkata: INR 65,000-80,000
Other factors that affect the IVF cost in India:
A woman under 35 years of age has 32% chance of success at the IVF treatment whereas woman above 39 years of age may need 5 or more treatments in order to get pregnant. The woman’s age is the most important factor in determining the success rate of the treatment. Some clinics also offer multiple-cycle IVF cost plans, which would be much cheaper for the couples.
- ¨ Couples with low fertility levels will require donor sperm or donor eggs. The cost of donor sperm is about INR 8,000 to 12,000 whereas the cost of a donor egg is INR 28,000 to 42,000.
- ¨ Donor embryos are preferred by couples where one or both the partners are likely to have a serious health condition which could be inherited by the children. The cost donor embryos for IVF treatment may range from INR 36,000 to 52,000.
- ¨ Some couples prefer to go with frozen embryo transfer so that they can be thawed and transferred into women’s uterus at a later date and as per the couple’s convenience. The cost of frozen embryo transplant can be anywhere between 20,000 to 30,000
- ¨ The Testicular Sperm Aspiration (T.E.S.A) is a sperm extraction procedure which is done in men who has a vasectomy but still desires to have a child. It is a simple procedure which takes about 30 minutes that involves local anesthesia. A small needle is used to extract sperm directly from the testicle. The cost of this procedure is generally about INR 12,000 to 18,000.
- ¨ Intracytoplasmic Sperm Injection (ICSI) is a technique in which each sperm is directly inserted into the mature eggs. This is preferred by couples who face male fertility issues such as low sperm count and poor sperm quality. The cost of ICSI procedure from 20,000 to 45,000
Also Read: Womb on sale: Surrogacy in India
Freezing embryo for IVF treatments
This technique is becoming a popular choice among women who wish to pursue their career during their 20s & 30s and then raise children when they are in their 40s. The cost of embryo prevention is the combination of cost of the initial procedure and annual charges to keep the embryos frozen. The initial procedure will cost about INR 20,000 to 30,000 and you will have to pay an additional INR 4,000 to 6,000 each year to preserve them.
Don’t narrow down your choice only on the basis of the cost. The cost of various IVF treatments will differ from city to city and from clinic to clinic. Look for the best hospitals and surgeons that provide the best IVF treatments in India.
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Top 10 IVF treatment hospitals:
- Max healthcare- New Delhi
- L.H Hiranandani Hospital-Mumbai
- Infertility India- Mumbai
- Virk center for human reproduction- Punjab
- Bloom fertility center- Maharashtra
- Nova IVI fertility- Gujarat
- BLK Super specialty hospital-New Delhi
- Apollo hospital center for assisted reproduction- Bangalore
- Indira infertility clinic & research center- Udaipur
- Shivani fertility & mother care- Rajasthan
The Indian government has not laid any laws based on surrogacy or IVF treatments but has scheduled guidelines for the visa purposes. Foreigners have to be aware of those guidelines if they wish to take up treatment in India.
While IVF treatments may seem expensive, they are fairly reasonable considering the sophisticated medical technology used and the expertise of the doctors. Besides, when it comes to children, as any couple who has undergone the treatment will tell you, it’s certainly worth it.
For more details about IVF and get yourself treated by best gynaecologists of India, you may contact Free Doctor Helpline at +918010555444
What is medical tourism?
It can be defined as the process of traveling outside the country of residence for the purpose of receiving medical care. Initially, it referred to the travel of patients from less-developing countries to the developed nations for the purpose of undergoing treatments that are not available in their homeland. Nowadays people traveling from richer to less-developed countries are becoming more common in order to access health services. This is often combined with relatively low-cost of treatments, inexpensive flight rates, increased marketing and online consumer information about the availability of medical services.
The quality of care In India:
There are 2 main components for the quality of service in the healthcare sector. They are:
- Technical or mechanical quality
- Serviceable or functional quality
The technical quality is based on the patient’s diagnostic algorithm while the functional quality is based on the services offered by the healthcare centers. The functional or service quality plays a vital role in attracting consumers to the medical industry.
One of the strongest barriers of medical tourism is the perception of poor quality. This barrier can be overcome by promoting the marketing strategies and accreditation from a recognized institution. Such accreditation will also strengthen the confidence in the quality of healthcare. This confidence can be even more developed if the accreditation is followed by an affiliation with a reputable hospital or healthcare center.
India has about 28 JCI accredited hospitals. The hospitals provide a wide range of options for the patients. The patients can decide for themselves whether to stay at the hospital during the course of treatment or to stay at a paid accommodation nearby. Some hospitals or healthcare centers also provide an option of continuing the treatment through telemedicine.
Healthcare capital of India:
Chennai is popularly known as the healthcare capital of India. It has many multi & super specialty hospitals spread all across the city. This attracts about 45% of the international patients and about 30% of the domestic patients every day. There are various other factors that attract the tourists. Those include low-cost treatments & little or no waiting periods.
Most of the multi-specialty and super specialty hospitals in Chennai have about 12000 beds for the patients. Out of this count, only half of it is shared by domestic patients. The rest is shared by people from other states or countries. Dental clinics have attracted the most population from other countries. This has helped the dental care tourism in Chennai to a great extent.
The ease of travel for medical tourism:
The government has removed visa restrictions for tourists who visit other countries for the sake of medical treatments. They have also removed restrictions on visas that require 2 months gap between consecutive visits for people from gulf countries. These countries are more likely to boost the medical tourism. There is a new scheme established by the Indian government which allows the foreign nationals to stay in India for about 30 days for medical reasons. This is known as visa-on-arrival scheme. The citizens from Bangladesh, Afghanistan, Maldives, republic of Korea & Nigeria availed the most visas.
The different types of treatments and their availability also act as an important factor in the decision to engage in a medical tourism. The most common treatment procedures that patients undergo during the medical tourism include dentistry, organ transplantation, elective cosmetic surgery, cardiac surgery and orthopedic surgery.
Reproductive tourism and reproductive outsourcing are growing in the field of medical tourism. It refers to the patients who travel abroad to engage in treatments that help resolve problems related to reproduction.
Apart from its cost, another factor which attracts medical tourism is its accessibility. The lack of unavailability of the technology or prohibition in the home country will subsequently lead to medical tourism. Some common examples are stem cell therapy and cytoplasmic transfer.
India being a diverse nation has a huge diversity of languages. This might act as a barrier for the international tourists. To avoid this barrier, English is often considered as the official language. It is widely spoken by many individuals and is universally accepted by medical professionals. Many health centers or hospitals which emerge as the hotspot of medical tourism have hired many language translators to overcome this obstacle. This has made many foreign nationals feel more comfortable while at the same time helping in facilitating the treatments.
Major healthcare providers in India:
There are a number of private hospitals in India which provide medical tourism services to the people out there. Some of the major groups are listed below:
- Apollo hospitals
- Aster Medicity
- Care hospitals
- Fortis healthcare
- Medantha hospital
- Narayana health hospital
- Tata memorial hospital, Mumbai
- Max hospital, new Delhi
- Continental hospital, Hyderabad
- CHL hospital, Indore
Some facts & statistics about medical tourism which you may not know!
- Medical tourism has been in existence for over 1000 years.
- There are about 485 JCI accredited hospitals around the world.
- One may spend more time at the hotel than at the hospital during the medical trip.
- 64% of the patients who do travel abroad do not have a health insurance.
- About 33% of the medical tourism patients travel for cosmetic surgery.
- About 70% of the medical tourism cases are rated as excellent.
Top hospitals in India that tourist prefers to visit:
FEHI specializes in cardiovascular care. It performs major operations like open heart surgery, heart transplants, etc. it is consistently ranked as one of the top heart centers all over India. Its other specialties include bone/joint health, liver treatments, etc.
- Rockland hospital: New Delhi
The rock land hospital is located in India’s capital of New Delhi, is one of the premier healthcare centers in India. It is popularly known for its cosmetic surgeries and ENT procedures.
- Apollo hospital: Banglore:
It provides a full spectrum of healthcare services using latest medical advancements such as nuclear medicine, cosmetology, dermatology, etc. It also has international representatives to help arrange for medical vacations.
- Global hospital: Chennai
Global hospitals are widely spread throughout India and Asia. There are about 22 hospitals in Asia. It has 13 different health disciplines. Some of them are breast oncology, liver procedures, dentistry, bariatric surgery, dermatology, etc.
It is considered as the “temple of cure”, is the most established healthcare center in Chennai. It has about 800 beds and 200 ICU units. This multi-specialty hospital provides various treatments such as gastroenterology, neurology and organ transplants. Their goal is to provide services to people of all economic levels.
To know more about these health care centers and also about those which aren’t mentioned here, you can seek the help of our doctors at Free Doctor Helpline or call us at +918010555444. The free doctor helpline will help in facilitating the international patients with the best doctors at best hospitals.
Risks of medical tourism:
Medical tourism can increase the risk of hospital acquired or healthcare infections. These are also known as nosocomial infections. For instance, if the same injection is used between two patients there are greater chances for spreading infections such as HIV or hepatitis. Infections with the multiresistant organism, the spread of noroviruses, and mycobacterial infections are the commonly cited cases of medical tourism risks. People who accompany the patients are also at risks of being infected.
A new terminology called “transplant tourism” which accounts for the tissue rejection and critical infectious complications4 after the transplants. These infections are more common among the medical tourists compared to other transplant patients.
Another dangerous thing about medical tourism is the blood supply. Most cases, blood is obtained from paid donors and may not be adequately screened to check for any contamination.
Traveling back to their home country after the surgical procedure may also cause risk of infection. It can be reduced by drinking plenty of water, stretching your legs when seated, or going for a small walk every 2 to 3 hours on a long trip.
Advantages of medical tourism:
Some of the advantages include:
- ¨ Provides low-cost treatments
- ¨ Accessibility to hi-tech equipment and trained doctors
- ¨ Availability of latest medical instruments
- ¨ There is no language barrier as English is considered as the official language. Also, many hospitals hire language translators to ease this problem
- ¨ Availability of low-cost generic medicines
- ¨ Relaxed visa rules
Medical tourism packages in India:
The below are the lists of a broad category of medical tourism packages provided by the tourism companies in India:
- Dental care
- Eye care
- Heart surgery
- Cosmetic surgery
- Ayurveda therapies
- Yoga & meditation
- Orthopedic surgery
- ENT care
- Health check up
The cost of various medical tourism packages In India are listed below:
- Heart bypass– INR 3,34,000
- Angioplasty-INR 2,12,000
- Face lift-INR 2,57,000
- Liposuction- INR 1,80,000
- Breast implants– INR 2,25,000
- LASIK (both eyes)-INR 3,00,000
- Retina- INR 54,000
- Cataract surgery-INR 1,80,000
- IVF treatment– INR 1,60,000
- Knee replacements-INR 4,42,000
- Hip replacements-INR 4,62,000
- Heart valve replacement-INR 6,10,000
- Dental implant-INR 5,78,000
- Spinal fusion-INR 6,62,000
Now it is very clear why India is often chosen as the best medical tourist spot in the world. A large number of excellent healthcare centers in India, it has become the premier location to travel and receive the best medical treatments. The various unique treatment packages offered at affordable rates helps in a great way to run the medical tourism industry. This is the reason behind the drastic establishment of the medical tourism industry.
If you would like to get more details regarding the medical tourism packages and the famous healthcare consultants please do log on to our website Free Doctor Helpline or call us and Ask A Doctor at +918010555444.
What is In Vitro Fertilization or IVF? and how IVF Process work?
In Vitro Fertilization (IVF) is an Assisted Reproduction Technique that helps parents to have kids which are genetically identified with them.It includes the evacuation of a woman’s eggs and preparation with a sperm in a liquid medium outside the bodies. The prepared egg is then exchanged back to the woman’s uterus, in this way setting up a fruitful pregnancy. Youngsters brought about by this strategy are in some cases alluded to as unnaturally conceived children.
Various steps are included in-vitro treatment:
- Ovarian Hyper stimulation – It is done by infusing GnRH analogs or gonadotropins for a period of about 10 days.
- Egg Retrieval – Transvaginal oocyte recovery includes acquiring the eggs from the developed follicles.
- Egg and sperm planning – The eggs and the sperms are separated from the dormant cells and henceforth arranged for preparation.
- Fertilization – Sperm is to egg proportion of 75000:1 is utilized for brooding in culture media for roughly 18 hours.
- Embryo culture – In Canada and America, the embryos are cultured for 5 days while in Europe the perfect time is 2 days. Fetuses are cultured with the end goal that they achieve the 6-8 cell stage preceding recovery.
- Embryo determination – Screening for hereditary illnesses is done before implantation.
- Embryo Transfer – The quantity of fetuses exchanged relies on upon various variables like age, strength of the guardians, and so on.
Is In Vitro Fertilization (IVF) Right for You?
In vitro preparation might be valuable for women confronting the accompanying issues:
- Tubal blockage
- Failed tubal inversion
- Pelvic bond
- Male infertility
- Unexplained infertility
Although it is a moderately safe system, various dangers and complexities might be related with the strategy, which the mothers must be completely mindful of, at the onset of in vitro preparation procedure.
- Multiple births
- Premature birth
- Depression or tension
- Swollen, excruciating ovaries
- Ectopic pregnancy
Why should you choose India for In Vitro Fertilisation?
- The principle factor attracting medical travelers to India is the decreased cost.
- In vitro preparation (IVF) treatment cost in India could be as less as 30 percent of its incentive in the West, even in the wake of considering the travel and everyday costs in India.
- Globalization and the advancement of the private sector has prompted the foundation of various high caliber in vitro preparation (IVF) facilities in India.
- Healthcare facilities in India are furnished with the most recent infrastructure and demonstrative innovation.
- They are affirmed by associations, for example, JCI, ISO and NABH and are intermittently checked to guarantee that they fulfill global measures of social insurance and cleanliness.
- Health experts in India, particularly the specialists, are a devoted, very gifted gathering, large portions of whom have gotten universal affirmations, which guarantees a level of therapeutic ability tantamount to that found in the West.
- The best IVF centers in India help suffering couples from over the world achieve the dreams of having a kid under the most safe conditions.
- The minimal cost of IVF in India together with prevalent therapeutic care has made India the primary destination favouring medical tourism on the planet.
IVF (In vitro fertilisation) a technique used to fascilitate fertilisation of ova and sperm artificially in laboratory condition to treat infertility. It helps to those parent who are incapable to produce their young once by natural method of reproduction due to infertility problem of either for both parent or for one of the parent.
This infertility problem can be occurring either both parents are not able to produce gametes or one of them is not able to produce gamete or may be both are able to produce gametes but one of the gamete is not s strong these are the condition of gametes if both parents produces healthy gametes fertilisation occurs but the fertilized egg may trap in to fallopian tube means it started growing in the tube due to blockage in tube or other reason instead of uterus and the third condition is when the zygote is not transplanted to the uterus due to some hormonal misbalance.
In such cases one of the following methods are used as per requirements
In the 1st method of IVF both male and female gametes are collected from other couple and then allow them for fertilization in test tube after fertilisation 2n cell (Zygote) is transferred to the fallopian tube. When one of the parent is incapable to produce gamete so one gamete can be burrowed form other.
In 2nd case when fallopian tube is blocked proper medicines are provided to the female to unblock the fallopian tube or directly zygote is transferred to the mother womb (Uterus).
In the last and third case some hormonal treatment is given to mother so that a zygote can transplant. Now a days so many IVF center are in India.
Dr. Sachin Damodar Kulkarni is an Infertility Specialist, Gynecologist and Obstetrician in Shahupuri, Kolhapur and has an experience of 22 years in these fields. Dr. Sachin Damodar Kulkarni practices at Pristen Woman Hospital in Shahupuri, Kolhapur. He completed MBBS from MUMBAI UNIVERSITY in 1987 and MD – Obstetrics & Gynaecology from MUMBAI UNIVERSITY in 1992.
He is a member of Federation of Obstetrics and Gynaecological Societies of India (FOGSI) and European Society of Human Reproduction and Embryology (ESHRE). Some of the services provided by the doctor are: Intracytoplasmic Sperm Injection (ICSI), Tubectomy/Tubal Ligation, Vaginal Hysterectomy, Laparoscopy and Infertility treatment etc.
- In Vitro Fertilization (Test Tube Baby)
- Caesarean Section (C Section)
- Hysterectomy (Abdominal/Vaginal)
- Oophorectomy / Ovariectomy / Ovarian Ablation
- Dilatation and Curettage (D & C) Tubectomy/Tubal Ligation
- Laparoscopic Surgery
- Infertility Evaluation / Treatment
- Normal Vaginal Delivery (NVD)
- Intracytoplasmic Sperm Injection (ICSI)
- Natural Cycle IVF
- Ultrasound Scan
- Intra-Uterine Insemination (IUI)
- Cervical Cerclage
You can get the book an instant appointment with Dr. Sachin Damodar Kulkarni on freedoctorhelpline.com
Dr. Yuthika Sharma is a Reproductive medicine and IVF specialist at Regency hospital, Sarvodaya Nagar, Kanpur. She has an experience of 11 years in the fields of Obstetric, Gynecology and Reproductive medicine. Dr. Yuthika Sharma completed her MD in Obstetrics & Gynecology from All India Institute of Medical Sciences (AIIMS), New Delhi in 2004. She was senior Resident at the High risk Pregnancy and Fetal medicine unit of Department of Obstetrics and Gynecology at AIIMS till 2005. She did a Fellowship in Pediatric and Adolescent Gynecology from the Royal children’s Hospital, Melbourne, Australia from 2006-2008. She also did a Fellowship in Reproductive Medicine and IVF technology from the Royal Women’s Hospital, Melbourne, Australia. She is currently the Consultant and Head of department of Reproductive medicine and IVF at Regency Hospital from 2008 till date.
She is a member of Medical Council of India (MCI), Federation of Obstetric and Gynaecological Societies of India (FOGSI) and European Society of Human Reproduction and Embryology (ESHRE). Some of the services provided by the doctor are: Evaluation of Infertility, Laparoscopic and Hysteroscopic Surgeries, IVF, ICSI, Frozen embryo transfer, Egg Donation IVF , High risk pregnancies, Polycystic Ovary Syndrome, Endometriosis etc.
You can request an appointment with Dr. Yuthika Sharma on Practo.com You can get the phone number of Dr. Yuthika Bajpai on freedoctorhelpline.com