Frequently Asked Questions

Frequently Asked Questions

How common is infertility?

Today even people who have first baby face infertility problem when try for second baby. It has been estimated that at some time in their reproductive lives at least a quarter of couples experience a period of infertility for many year and more then 20% visit hospital for cure and help. In many cases it is always assessed that couples do not need treatment, just more time with regular sex. Others may require some form of treatment to assist with conception.

The most well known treatment is IVF, and there are some more options that also require life style modification, certain drugs, surgery etc.

Timing is key to successful conception

Infertility is only actually considered as a medical diagnosis when you’ve been having unprotected intercourse for up to two years without falling pregnant. Statistics show that up to 95% of couples are able to get pregnant within this time. More often than not, if there’s no underlying medical reason, not conceiving is simply down to timing. Knowing when ovulation occurs is crucial as the egg doesn’t survive for very long once it’s been released. Don’t always assume it happens exactly in the middle of your cycle.

Fertility isn’t just a woman’s problem

Did you know that in up to a third of cases, the reason for not falling pregnant lies with the man? Male factor infertility – issues such as sperm disorders – are more common than you might think. If you’re having difficulty conceiving, make sure you both get the appropriate testing done by your GP to find out where the issue may be.

Lifestyle can affect fertility

Various studies have shown that certain lifestyle factors can affect fertility, such as smoking, alcohol intake and weight. If you’re trying to get pregnant, it makes sense to ensure both you and your partner is in good physical health to maximize your chances of conception.

Having a second baby isn’t always simple

It’s natural to assume that if you’ve already had one child without difficulty, then having another should be just as easy. But for some couples it’s not that simple. Secondary infertility – the inability to have a second or third child – is fairly common. The good news is that if you’re struggling to get pregnant again, this doesn’t necessarily mean you need infertility treatment. It could just be taking longer than before to get pregnant. However, it’s important to consider that your age could also be a factor. If you’ve waited a few years before trying to add to your family, your age could make it harder to conceive this time.

What is tubal reversal?

It is a procedure that restores blocked or tied fallopian tubes to restore fertility in a woman. The procedure is called tubal reversal because it is performed to reserve the effects of a tubal ligation, a procedure which involves blocking the fallopian tubes to prevent pregnancy.

Do all infertility treatment is high-tech procedures?

No, many couples are successful in their attempts to conceive using simple and “low-tech” procedure. ~10-20% couples seeking infertility treatment will undergo ART procedure. All ART procedures are established medical treatment.

How successful are infertility treatments?

Improvements in medication, surgery and ART make pregnancy possible for a majority of the couples pursuing treatments. Success rates have drastically improved for couples taking treatment under ART.

How does natural conception occur?

Conception occurs when the male’s sperm meet the woman’s egg and successfully penetrates it. This typically takes place in one of the woman’s fallopian tube and the fertilized egg then travels to the uterus and implants in the uterine lining. For pregnancy to take place, fertilization of the egg must be followed by a successful impanation. Only one egg is released for fertilization in each menstrual cycle. If this egg is not fertilized, conception will not be possible again until the next cycle.

How does age affect woman’s fertility ?

  • The quality of eggs in the ovaries decline with age
  • The ability of an egg to become fertilized may also be decreasing over time, lowering the odds of conception
  • There are fewer eggs with time
  • Overtime, changes in hormones can cause difficulties with ovulation
  • Miscarriage rates increase with age

What is Surrogacy?

The word surrogate originates from Latin word surrogatus (substitution) – to act in the place of. Surrogacy is an arrangement between women (the surrogate mother) and a couple or individual (The Intended Parents) to carry and deliver a baby. When the baby is born, the woman carrying the baby will not parent the child; the intended parents who contracted the surrogacy arrangement will be the legal parents of the child.

  • The social parents (that is, those that intend to raise the child) may arrange a surrogate pregnancy because of homosexuality, female infertility, such as repeated IVF failure, repeated miscarriage, absent uterus, pelvic disorder or some medical disorder which may make the pregnancy or delivery impossible, risky or otherwise undesirable. Surrogacy is the solution for these couples.
  • Surrogacy involves the implantation of an embryo created using the eggs and sperm of the intended parents or a donated egg fertilized with sperm from the intended father, through in vitro fertilization (IVF).
  • The advantage of gestational surrogacy to the parents is that the embryo is created from the woman’s egg and the man’s sperm, so it is biologically theirs.
  • If a donated egg is fertilized with a sperm from intended parents, in that case also, genetically the baby has part of intended parents.
  • The surrogacy arrangement is sometimes made through an agency and other times contracted privately. The couple pays for the legal fees and a fee to the carrier.

We at Mannat Fertility Centre offer surrogacy programs to people of all nationalities. We focus on fertility not Infertility. We believe in making babies possible for everybody including lesbian and gay couples and even single men and single women. We also help you in legal contracts, making sure that you take your baby to your home after birth.

FAQ : INFERTILITY – ART

How long should a couple attempt to conceive before seeking advice from an Infertility Specialist?

For couples who have recently discontinued contraception, the average monthly pregnancy rate approximates 20%. For a typical couple, this means that 50% conceive within 6months and another 30-40% conceivein the subsequent 6months. It becomes increasingly difficult to conceive spontaneously after 12 months of unsuccessful attempt. Therefore, infertility specialists recommend evaluation after 12 months of attempted conception. We also recommend evaluation after 6months inpatients over 35 due to concerns related to an age-related decline in fertility.

How can I tell if I am infertile & how can I determine the cause of infertility?

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By definition, infertility is the inability to conceive after 12 months of unprotected intercourse. Primarily there are three tests necessary to determine the cause. Initially, the husband has a semen analysis to make certain that there is adequate number of sperm.
The second test is to document ovulation is occurring in the woman by an Endometrial Biopsy or having a simple hormone test, progesterone done one week prior to the next anticipated menses.
Provided both of these are normal, the next test involves an X-Ray. A hysterosalpingogram (HSG) is performed to document that the fallopian tubes are open & to make sure the uterine lining is compatible for embryo attachment. Dye is injected through the cervix into the uterine cavity.
Eventually the dye goes into the fallopian tubes & should flow out through the end of the tubes. This documents that sperm are able to get to the fallopian tubes where fertilization normally occurs & that the egg can be captured by the fallopian tube. These three tests are the cornerstones to infertility evaluation.

What other diagnostic tests can be carried out?

Besides the three basic tests – a Vaginal Sonographyis carried out to check the ovaries & the endometrial lining & any fibroids in uterus or cysts in the ovary are seen. Hormonal Analysis (Day 2 FSH, LH, Prolactin, TSH, E2 ) are also done. Laparoscopy & hysteroscopy are also done where indicated.

What is the role of Endoscopy in Infertility?

A Laparoscopy is particularly helpful in diagnosing & effectively treating endometriosis or pelvic adhesions(scar issue). The incisions for the procedures are small one fourth or half an inch & full recovery is often achievedin a day or two. Most importantly , in individuals with either of these conditions, a laparoscopy can dramatically improved the chances of conception.
Hysteroscopy is used to inspect the cavity of uterus via cervix using a fine telescope called a hysteroscope. Hysteroscopy is an investigation to assess the conditionof the endometrium( Lining of the uterus) before IVF.

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Any measures to be adopted to improve the chances of a successful pregnancy?

Avoid extra stress from overwork mental or physical. Both Smoking and alcohol can be harmful to eggs & sperm. Even exposure to passive smoking results in more problems with Infertility. Men can also stay away from heat emitting areas, wear loose under garments& avoid chemical exposure.

Are miscarriages common following Infertility Treatment?

No, Infertile women who conceive after fertility treatment have a similar risk of miscarriage when compared to fertile couples. The overall risk of miscarriage is approximately 20% among the general population.
Women who experience bleeding in the first three months of pregnancy however, may be at increased risk of miscarriage. Despite this ,at least two- thirds of patients with bleeding will deliver normally.

Is it possible to get pregnant if I’ve had a tubal sterilization?

While this is considered a ‘permanent ‘ form of contraception, patients do have the option of surgically reuniting the fallopian tubes through a process called a microscopic tubalreanastomosis. An alternative to the procedure would be In Vitro Fertilisation (IVF), where the eggs are fertilised outsidethe body with the resulting conception placed into the uterus.
The choice for an individual would require a consultation to consider all other fertility factors.

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