Infertility – Overview
Motherhood is a joy that every woman wants to experience .Some patients spontaneously achieve pregnancy but others at some stage experience difficulty in achieving conception.
These patients need some kind of assistance in getting pregnant. It is estimated that out of 100 couple with female partner’s age less than 35 years, approx.
80-85% will achieve pregnancy within the first year of unprotected intercourse, 90% will conceive within 18 months and about 95% will conceive within two years.
The remaining 5% rarely achieve pregnancy without some form of assistance. Infertility may be defined as an inability to achieve pregnancy within 1 year of having unprotected intercourse.
Women who are more than 35 years should consult an expert after 6 months of contraceptive free sexual intercourse when it has not resulted in pregnancy.
This difference in the time limit is owing to the declining egg quality with increasing age. In some couples the fertility is impaired to some extent but not completely, these patients may conceive in 3rd year or subsequently without any assistance as there is a delay, these patients are called sub fertile.
While, sterility is an absolute state of inability to conceive. The cause of infertility could be in either of the partners (Male factor-35%, Female factor-40%) or in 10-15% both partners may be infertile or sub fertile.
Sometimes each could be individually fertile but as a couple may need assistance to achieve pregnancy the causes could be immunological or genetic, this is called combined infertility.
While in about 10%, the fertility evaluation show no abnormality, these patients are likely to have problems which are not diagnosed by current available investigations, this is termed unexplained infertility.
At Metro Heart Institute with Multispeciality we provide specialized services for management of infertility beginning with investigations.
The infertile couples must undergo a set of advance tests before the commencement of any treatment to select the right kind of fertility treatment for couples based on the initial reports.
Here we perform laparohysteroscopy which enables us to see ovaries, outside of uterus and fallopian tubes inside the abdomen through holes.
Laparoscopy is done to determine the causes of infertility, symptoms like pelvic pain & abdominal pain and to check if there are any scar tissues or blockage in the fallopian tubes.
This technique is used to treat cysts, endometriosis and fibroids. ‘Hysteroscope’ is used to see inside the womb. It can identify growths in the uterus like fibroids & polyps.
During the test, diagnosis and treatment of the problem can be done at the same time. Intra Uterine Insemination (IUI), In vitro fertilization (IVF), Intra Cytoplasmic Sperm Injection (ICSI), Surgical sperm retrieval for Azoospermia, Egg Donation, Embryo Donation, Sperm donation are also performed here.