Get Answer on Common Questions on IVF from Dr Shivani Sachdev Gour

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Get Answer on Common Questions on IVF from Dr
Shivani Sachdev Gour

• Get Answer on Common Questions on IVF from Dr
  Shivani Sachdev Gour - The full form of IVF is In
  Vitro Fertilization which means the fertilization
  is carried outside the body. Insemination which
  means meeting of sperm and the egg is done in a
  petri dish of a laboratory.
•  
• Q. What is infertility?
• Q. When should couples go for IVF?
•  
• There are many causes of infertility are due to
  female and male factors.
• Female factors which can be benefitted by IVF
  are
• Blocked fallopian tubes
• Endometriosis
• PCOS (Polycystic ovarian syndrome)
• Premature ovarian failure
• Females over age of 40

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• Male factors which can be benefitted by IVF
• Reduced sperm motility
• Decreased sperm count
• Abnormal sperm structure
• Premature ejaculation
• Retrograde ejaculation
• Q. What is IVF?
• The full form of IVF is In Vitro Fertilization
  which means the fertilization is carried outside
  the body. Insemination which means meeting of
  sperm and the egg is done in a petri dish of a
  laboratory. For this procedure, eggs from the
  female are retrieved and at the same time sperms
  from the male partner are collected. After
  fertilization of the egg and sperm, the embryo is
  formed which is transferred in the womb of the
  female.

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• Q. Is there any age limit for IVF procedure?
• The quality of egg decreases with age declines
  grossly after 35. The maximum age limit for IVF
  is 42 using her own eggs.
•  
• Q. What is the time required for an egg
  retrieval?
• The length of egg retrieval process usually
  depends on the number of follicles matured. Egg
  retrieval procedure can take about 20-30 minutes.
  
•  
• Q. Will I feel any pain when the egg is
  retrieved?
• No, the egg retrieval procedure is carried out
  under anesthesia. Female patient is asleep due to
  the heavy sedatives, given to her by
  anesthetists. You wont feel any pain during egg
  retrieval.
• Q. Can egg retrieval harm my ovaries?
• There is no specific data available implying egg
  retrieval harms the ovaries. Women who underwent
  egg retrieval and after that laparoscopic
  surgery, the ovaries were found to be normal.

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• Q. What is stimulation of ovaries?
• It is the first step in IVF. Fertility
  medications are given in the form of injections
  in the female which stimulates the ovaries to
  develop many follicles. Only one egg is released
  from ovaries normally. Fertility medicines induce
  the ovaries to produce many eggs.
•  
• Q. Is there any vaginal bleeding after egg
  retrieval procedure?
• There is very slight bleeding similar to
  menstrual bleeding or less than that. The
  bleeding results due to the puncture site in the
  vagina. It is minor and need not be worried
  about.
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• Q. How many eggs are retrieved?
• Eggs are retrieved from the most matured
  follicles. After ovulation induction, many
  follicles increase in size, but all of them may
  not carry eggs some might have immature or post
  mature eggs.
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• Q. Will I have pain during embryo transfer?
• It is not painful. The doctor will use a speculum
  to visualize the cervix you will only feel the
  speculum.

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• Q. What is ICSI?
• ICSI stands for intracytoplasmic sperm injection.
  When the sperm is directly injected into the
  female egg, it is called as ICSI. This process is
  done to increase the success of fertilization.
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• Q. Do I need complete bed rest after embryo is
  transferred?
• Embryo swims in the womb for few days before
  actual implantation. Only prophylactic rest is
  advised which means avoid any kind of vigorous
  activities.
•  
• Q. Are all the embryos transferred in the womb?
• Not all the embryos are transferred. If the
  couple wishes them to be preserved for future
  use, they are cry preserved.
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• Q. When should I do a pregnancy test after IVF?
• A pregnancy test will be positive after the
  hormone hCG which finalizes egg maturation comes
  in the urine and blood which in itself takes
  about 9 to 10 days. Hence between 12 to 14 days
  the pregnancy test will be positive.
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• Q. What are the restrictions during an IVF
  procedure?
• Stop smoking and drinking alcohol at least 3
  months before an IVF procedure. Smoking during
  pregnancy is hazardous for the growing fetus. It
  may result in low birth weight baby and
  congenital disabilities. Smoking also affects the
  pregnancy rate.

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• Q. If I become pregnant, what are the steps to
  take?
• Your doctor will advise few blood tests,
  ultrasound to keep a check on successful
  pregnancy. An obstetrician will guide you further
  once the fetal heartbeat is confirmed.
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• Q. Does IVF increase the chance of abortion?
• The abortion rate is same when compared to
  females conceived naturally. Although elder
  females undergone IVF have high risk of
  miscarriage.
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• Q. What affects sperm quality?
• Sperm development takes about 3 months. Hence the
  health during the 3 months has to be monitored.
• Sperm quality is affected by following
  conditions
• High-grade fever hinders in the fertilization
  process. Immediate help from the physician must
  be taken to lower the temperature.
• Alcohol and smoking.

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• Any prescription drugs apart from advised by IVF
  specialist.
• Sitting in hot spas, Jacuzzis, tubs or saunas
• Vigorous workout routine
• Supplements containing testosterone, DHEA
  usually given in gym.
• Genital herpes
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• Q. What is the success rate of IVF?
• There are various factors which influence
  successful IVF
• Age of woman. Higher the age decreases the
  success rate.
• Quality of sperm
• Response to the fertility medicines
• Number of embryos implanted in the womb

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• Q. What are the side-effects of IVF?
• The minor side-effects during the egg retrieval
  process are an infection, bleeding, and pain.
  These are usually mild and are resolved with
  appropriated care and treatment.
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• Hormonal injections give to female may cause
  ovarian hyper stimulation syndrome. There might
  be pain associated with bloated and uncomfortable
  feeling. These are self-limiting symptoms and
  goes away with time.
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• The major risk of IVF are an ectopic pregnancy
  (implantation occurs in fallopian tubes), blood
  pressure disturbances, gestational diabetes and
  multiple pregnancies.

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• SCI IVF HospitalA-1, Ground Floor, Kailash
  ColonyNew Delhi 110048 India
• Website- http//www.sciivf.com