Infertility Treatment
We provide all types of infertility treatment from basic evolution to advance procedure. In addition to providing treatment, we have counselling service for infertile couple.
Dr. Dipesh J Sorathiya is senior Infertility & IVF Specialist with 16+ years of experience . Currently he is working as director and head of department of IVF at KD Hospital and Director of Khushi IVF, Ahmedabad and Anjar.
We Provide
In Vitro Fertilization, or IVF is a kind of fertilization where the eggs combine with sperm for fertilization outside the body. This IVF procedure takes place in glass (in vitro). The process involves removing an ovum (egg or eggs) from the ovaries and letting the sperm fertilize them in a liquid.
This process involves stimulating and monitoring in a laboratory. For the next 2-6 days, the fertilized eggs undergo embryo culture also. Later on, it is implantation that takes place in the same or another woman’s uterus. This process intends to establish a successful pregnancy.
Who is suitable for IVF Treatment?
If a couple is having infertility issues for them IVF is suitable. Some of the issues are:
Polycystic Ovarian Syndrome (PCOS)
The hormonal disorder can cause infrequent and prolonged menstruation, which can also result in Polycystic Ovarian Syndrome or PCOS. In the case of PCOS, there is a development of a number of follicles in the ovaries and also results in releasing eggs regularly.
In the case of PCOS, IVF is resulting to be very successful as well.
Endometriosis
Endometriosis causes the lining of the uterus to grow outside the uterus, resulting in a painful condition. The lining involves that of the ovaries, pelvis, and fallopian tube. In some cases, it also spread beyond the pelvis.
IVF is also a better choice for women with endometriosis scarring.
Tubal factor infertility
Difficulty in pregnancy can also occur from scarred, damaged, missing, or even blocked Fallopian tubes. In the process of IVF, the implantation bypasses the Fallopian tube. Therefore, women with tubal factor infertility can opt for IVF. It therefore far better than surgical solutions.
Male factor infertility
Low sperm count, no sperm count or even decreased motility of sperm are also some of the reasons for male factor infertility. Most of the infertility cases are due to this reason as well. IVF can help couples conceive with these factors also.
Steps involved in IVF Treatment
IVF is complex procedure involves multiple steps. It involves:
- Ovarian stimulation
- Egg retrieval
- Sperm retrieval
- Fertilization
- Embryo transfer
- Pregnancy test
IUI, medically known as Intrauterine Insemination, is a simple form of fertility treatment. The doctor can perform it either with or without medication. The procedure involves transferring semen to the uterus through a thin catheter after washing and concentrate on the semen.
This way, it will be much more effective and powerful.
When is IUI used?
The doctor can use IUI to subdue the symptoms or treat various types of infertility issues. In most cases, he/she will perform the same for 3-4 cycles IUI is primary treatment. The following are some of the situations where doctors tend to opt for IUI.
- Unexplained Infertility: Even after running several diagnostic tests, the doctor might not be able to determine the actual cause of infertility. So, in that case, he/she will opt for IUI alongside injecting the ovulation-inducing drugs.
- Donor Sperm: Most physicians usually use IUI for those women who do require the sperm of a donor. During the procedure, the frozen sperm is obtained from semen bank.
- Cervix-related Infertility: During the period of ovulation, the cervix tends to create a high amount of mucus to prepare a proper environment for egg production. However, due to some medical reason, the cervix of some women cannot produce the mucus at all. This, in turn, leads to infertility. So, in this aspect, the doctor will need to find the underlying disease and treat it before moving onto IUI.
- Semen Allergy: In rare cases, a woman can suddenly become allergic to a specific type of protein available in semen. Thus, in this aspect, ejaculating into the vagina of women could cause redness and itching in the area. The usage of a condom might help you to prevent this issue.
However, this way, you cannot have a child as well. Thus, if your sensitivity to this allergic reaction is excessive, then it would be better for you to choose IUI. During this procedure, the doctor would remove many components from the semen. So, it should be safer for you.
Azoospermia is a condition in men where the sperm count in their ejaculation is non-existent. It occurs in 15% of all men, and among the infertile men, the average percentage of affected is 1%. This happens for many reasons, like hormonal problems, blockage in the reproductive tract, testicular malfunction, or ejaculation issues.
Symptoms of Azoospermia
This condition does not have specific symptoms only associated with it. The only surefire indication is infertility that the male partner has, that you would notice after trying to get pregnant for long. However, some particular reasons cause Azoospermia, and you would see symptoms of these causes occasionally. They are as follows:.
- Little or no semen
- Painful urination
- Pain in the pelvic area
- Cloudy urine after you have sex
- Smaller or swollen testicles
- Delayed puberty
- The penis is smaller than normal
- Cannot get erect easily
- Low hair growth near male genitalia
- Bigger breasts
- Reduced sex drive
- Loss of muscular strength
Azoospermia diagnosis
The main diagnostic plan that would work with checking your sperm count is semen analysis. Your doctor will hold repeated tests between months of the interval if your first test shows zero semen. Usually, there are only two tests in total they judge.
After the initial testing, the doctors would do further testing to find the cause and prescribe a treatment plan accordingly.
Some of these steps include the following:
- Physical examination of the testicles.
- Checking your medical history in detail to see if you had STIs before or severe illnesses like mumps during your younger years.
- Blood tests to see testosterone and FSH levels, and also visibility of estrogen or prolactin levels.
- Biopsy of the testicles (only necessary in case the other tests are not successful).
- TRUS (transrectal ultrasound) to see abnormalities or blockages in the tract.
- Genetic testing and karyotype testing in case of inheritable diseases.
For the sake of a fuller evaluation, the female partner also needs an examination to rule out female infertility. Plus, this would help the doctors plan a cohesive treatment plan.
Treatment for azoospermia
Some treatment plans do work well in terms of treating No Sperm Count in male patients. In case of any obstructions in the tracts, surgery is the best treatment plan available.
Sperm retrieval is another treatment method for Azoospermia, or getting pregnant despite that. Doctors use a small needle to take out sperm from the testicle and freeze it for later use through IVF/ICSI. This reduces the chances of a second surgery.
Medications can treat Azoospermia in some cases, and common hormonal drugs include Letrozole, Clomid, hCG injections, and FSH injections.
Infertility assessments include various examinations as well as tests to find out the underlying reasons behind infertility. You and your partner must take infertility assessment tests to find out if there are any serious infertility issues.
Infertility Assessment - Men
Contrary to many myths, infertility is not restricted to women. Issues with sperm quality and sperm production are a rising cause of infertility amongst couples. It is also likely that there is more than one cause of infertility. Thus, when a couple finds it difficult to conceive, both partners are advised to undergo fertility testing.
There are different tests that may be used to diagnose infertility and identify a cause for the same. It is important to remember that even with these tests, it is possible to not identify a reason for infertility in men. However, the most common tests administered are:
Medical history
Medical history is one of the most important reasons behind male infertility. Doctors will ask about your partner’s sexual habits. For example, knowledge about the correct timing of intercourse, usage of lubricants, etc.
Apart from that, childhood history like precocious puberty, STDs, urinary tract infections, etc. If your partner has diabetes or pulmonary infections, then he must talk about it with the doctor.
Most infertility specialists ask to take tests in case you are suffering from failed pregnancies. The test is useful in detecting whether you have any infertility issues. These tests will help you to determine the underlying issues.
Medical history
Women having hormonal imbalances or pre-existing diseases can lead to infertility. Due to this reason, most infertility doctors ask to take infertility tests. These are useful in detecting problems like hypothyroidism, PCOD, and endometriosis, which are common reasons behind infertility.
In Vitro Fertilization, or IVF is a kind of fertilization where the eggs combine with sperm for fertilization outside the body. This IVF procedure takes place in glass (in vitro). The process involves removing an ovum (egg or eggs) from the ovaries and letting the sperm fertilize them in a liquid.
This process involves stimulating and monitoring in a laboratory. For the next 2-6 days, the fertilized eggs undergo embryo culture also. Later on, it is implantation that takes place in the same or another woman’s uterus. This process intends to establish a successful pregnancy.
Who is suitable for IVF Treatment?
If a couple is having infertility issues for them IVF is suitable. Some of the issues are:
Polycystic Ovarian Syndrome (PCOS)
In the case of PCOS, IVF is resulting to be very successful as well.
Endometriosis
Endometriosis causes the lining of the uterus to grow outside the uterus, resulting in a painful condition. The lining involves that of the ovaries, pelvis, and fallopian tube. In some cases, it also spread beyond the pelvis.IVF is also a better choice for women with endometriosis scarring.
Tubal factor infertility
Difficulty in pregnancy can also occur from scarred, damaged, missing, or even blocked Fallopian tubes. In the process of IVF, the implantation bypasses the Fallopian tube. Therefore, women with tubal factor infertility can opt for IVF. It therefore far better than surgical solutions.Male factor infertility
Low sperm count, no sperm count or even decreased motility of sperm are also some of the reasons for male factor infertility. Most of the infertility cases are due to this reason as well. IVF can help couples conceive with these factors also.
Steps involved in IVF Treatment
IVF is complex procedure involves multiple steps. It involves:
- Ovarian stimulation
- Egg retrieval
- Sperm retrieval
- Fertilization
- Embryo transfer
- Pregnancy test
IUI, medically known as Intrauterine Insemination, is a simple form of fertility treatment. The doctor can perform it either with or without medication. The procedure involves transferring semen to the uterus through a thin catheter after washing and concentrate on the semen.
This way, it will be much more effective and powerful.
When is IUI used?
The doctor can use IUI to subdue the symptoms or treat various types of infertility issues. In most cases, he/she will perform the same for 3-4 cycles IUI is primary treatment. The following are some of the situations where doctors tend to opt for IUI.
- Unexplained Infertility: Even after running several diagnostic tests, the doctor might not be able to determine the actual cause of infertility. So, in that case, he/she will opt for IUI alongside injecting the ovulation-inducing drugs.
- Donor Sperm: Most physicians usually use IUI for those women who do require the sperm of a donor. During the procedure, the frozen sperm is obtained from semen bank.
- Cervix-related Infertility: During the period of ovulation, the cervix tends to create a high amount of mucus to prepare a proper environment for egg production. However, due to some medical reason, the cervix of some women cannot produce the mucus at all. This, in turn, leads to infertility. So, in this aspect, the doctor will need to find the underlying disease and treat it before moving onto IUI.
- Semen Allergy: In rare cases, a woman can suddenly become allergic to a specific type of protein available in semen. Thus, in this aspect, ejaculating into the vagina of women could cause redness and itching in the area. The usage of a condom might help you to prevent this issue.
However, this way, you cannot have a child as well. Thus, if your sensitivity to this allergic reaction is excessive, then it would be better for you to choose IUI. During this procedure, the doctor would remove many components from the semen. So, it should be safer for you.
Azoospermia is a condition in men where the sperm count in their ejaculation is non-existent. It occurs in 15% of all men, and among the infertile men, the average percentage of affected is 1%. This happens for many reasons, like hormonal problems, blockage in the reproductive tract, testicular malfunction, or ejaculation issues.
Symptoms of Azoospermia
This condition does not have specific symptoms only associated with it. The only surefire indication is infertility that the male partner has, that you would notice after trying to get pregnant for long. However, some particular reasons cause Azoospermia, and you would see symptoms of these causes occasionally. They are as follows:.
- Little or no semen
- Painful urination
- Pain in the pelvic area
- Cloudy urine after you have sex
- Smaller or swollen testicles
- Delayed puberty
- The penis is smaller than normal
- Cannot get erect easily
- Low hair growth near male genitalia
- Bigger breasts
- Reduced sex drive
- Loss of muscular strength
Azoospermia diagnosis
The main diagnostic plan that would work with checking your sperm count is semen analysis. Your doctor will hold repeated tests between months of the interval if your first test shows zero semen. Usually, there are only two tests in total they judge.
After the initial testing, the doctors would do further testing to find the cause and prescribe a treatment plan accordingly.
Some of these steps include the following:
- Physical examination of the testicles.
- Checking your medical history in detail to see if you had STIs before or severe illnesses like mumps during your younger years.
- Blood tests to see testosterone and FSH levels, and also visibility of estrogen or prolactin levels.
- Biopsy of the testicles (only necessary in case the other tests are not successful).
- TRUS (transrectal ultrasound) to see abnormalities or blockages in the tract.
- Genetic testing and karyotype testing in case of inheritable diseases.
For the sake of a fuller evaluation, the female partner also needs an examination to rule out female infertility. Plus, this would help the doctors plan a cohesive treatment plan.
Treatment for azoospermia
Some treatment plans do work well in terms of treating No Sperm Count in male patients. In case of any obstructions in the tracts, surgery is the best treatment plan available.
Sperm retrieval is another treatment method for Azoospermia, or getting pregnant despite that. Doctors use a small needle to take out sperm from the testicle and freeze it for later use through IVF/ICSI. This reduces the chances of a second surgery.
Medications can treat Azoospermia in some cases, and common hormonal drugs include Letrozole, Clomid, hCG injections, and FSH injections.
Infertility assessments include various examinations as well as tests to find out the underlying reasons behind infertility. You and your partner must take infertility assessment tests to find out if there are any serious infertility issues.
Infertility Assessment – Men
Contrary to many myths, infertility is not restricted to women. Issues with sperm quality and sperm production are a rising cause of infertility amongst couples. It is also likely that there is more than one cause of infertility. Thus, when a couple finds it difficult to conceive, both partners are advised to undergo fertility testing.
There are different tests that may be used to diagnose infertility and identify a cause for the same. It is important to remember that even with these tests, it is possible to not identify a reason for infertility in men. However, the most common tests administered are:
Medical history
Medical history is one of the most important reasons behind male infertility. Doctors will ask about your partner’s sexual habits. For example, knowledge about the correct timing of intercourse, usage of lubricants, etc.
Apart from that, childhood history like precocious puberty, STDs, urinary tract infections, etc. If your partner has diabetes or pulmonary infections, then he must talk about it with the doctor.
Most infertility specialists ask to take tests in case you are suffering from failed pregnancies. The test is useful in detecting whether you have any infertility issues. These tests will help you to determine the underlying issues.
Medical history
Women having hormonal imbalances or pre-existing diseases can lead to infertility. Due to this reason, most infertility doctors ask to take infertility tests. These are useful in detecting problems like hypothyroidism, PCOD, and endometriosis, which are common reasons behind infertility.