1. What is IVF?
In-Vitro Fertilization (IVF) is a procedure where Eggs are removed from a woman’s ovaries and inseminated outside the body. Any embryo(s) that result are then placed in the woman’s uterus where they may implant and grow.
2. What is ICSI?
It is an acronym to describe Intra cytoplasmic Sperm Injection, the injection of a single sperm directly into the cytoplasm of an oocyte.
3. How to Diagnose Infertility related issues and age Women should try for Natural Pregnancy?
If you have regular periods and are 35 years of age or less, the general recommendation is to attempt pregnancy naturally for one year before exploring fertility treatment options.
Menstrual irregularity, on the other hand, is a clear sign of irregular ovulation and would be one reason not to wait, as most ovulation problems can be corrected with medication.
For women who are over the age of 35, it would be reasonable to do some preliminary fertility testing right away. This would ensure there are no problems that need to be treated immediately, given the limited number of years left for childbearing.
4. Options for Women of Age over 40 years
The physician will do a complete assessment including hormonal blood work to determine if your ovaries are still fertile, and whether they would respond to fertility drugs likely leading to pregnancy.
Fertility decreases as you age. There is also a significantly higher rate of miscarriage and genetic abnormalities (such as Down’s syndrome) occurring in pregnancies with advancing maternal age. Prenatal testing is available at an early stage of the pregnancy to detect the more common abnormalities.
5. Options for Male’s with Low Sperm Count
A careful assessment of your partner will be done including blood work and semen analysis to further evaluate the specific abnormality in the sperm (i.e. low sperm count and/or low motility).
We also work closely with the urologists who may perform further specialized testing in order to present you and your partner with the full range of treatment options available.
6. Information needed prior to setting up an appointment
If you have undertaken treatment previously, any documents relating to your infertility, i.e. operative reports, semen analysis, blood work, hysteron salpingogram reports, previous IVF cycles. Please include your address and phone numbers (home and work) so we may contact you for a consultative appointment.
7. Is IVF related procedures painful? Can I view them?
Our desire is to make your IVF procedure as comfortable as possible. We use adequate pain relief should you require or request it. You will be awake for the procedure but will be in a “partial sedated state.”
8. I am a single Woman/ Man. Do I have access to your services?
Due to recent Indian government’s visa regulations, we can offer only IVF for single Foreign women, and not surrogacy for Foreign single men and women.
However, there are reports in the media that this is going to change in a few months. You can still contact us and we will get back to you when we can offer you a particular treatment/ service.
We have our own sperm bank/ Egg Donor Database and will assist you through the process of making your decision.
9. What happens with extra embryos after I achieve Pregnancy?
We value all our Intended Parents as the most important part of KIC and priorities and concerns of all I.P’s will always be considered when such decisions are made.
Physician will give you a report on the quality and number of Embryos, and will discuss with you a safe number of Embryos to transfer. Any extra Embryos can be frozen for use at a later time. These Frozen Embryos can be thawed at a future date either for another child or to try again without the need for doing the entire process of IVF,
or are destroyed or used for research purpose after obtaining a written consent from I.P..
10. Is it safe to take herbal products along with my fertility medications?
Many herbal medications have powerful biological effects and some may actually inhibit fertility. We suggest you refrain from using any herbal medications during your fertility treatments at the unit.
11. How long does an IVF cycle take? How many days of work will I need to take off?
Generally an IVF cycle takes about 2-3 weeks. You are only required to come to the clinic on some of these days and appointments will be provided to minimize the time you will spend for cycle monitoring (blood test and ultrasound).
However, we recommend for you to be assessed at our center near the end of your cycle.
It would be necessary to be off from work on the day of the retrieval.
12. Can fibroids interfere with IVF?
Fibroids are benign tumours consisting of fibrous tissue and muscle which grow in the uterus. The significance of fibroids relates to not only their size but also their location. Even small fibroids located inside the cavity of the uterus where embryos need to implant, may interface with success and need to be removed. Fibroids that do not encroach on the cavity of the uterus are generally not significant unless they are larger than 5 cm in diameter and also if there are many fibroids causing significant uterine enlargement.
13. I have Endometriosis; does this affect my fertility & also success with IVF?
Endometriosis is a condition where cells that usually remain confined to the cavity of the uterus, grow outside of the uterus usually on or in the ovaries and also on the surface of the pelvic pain and may also decrease the chances of natural conception by about one-third Patients who require IVF who have endometriosis still have the same chances of a successful outcome as patients of the same age without endometriosis as long as immunological factors that may accompany endometriosis are identified and treated appropriately.
14. Does KIC provide Surrogacy Services?
Yes, we provide services for patients requiring a Gestational Carrier for Medical or other related reasons. Please call or write to us to obtain further information.
15. How do I get copies of my medical records?
Patients must complete an Authorization for Release of Information form, and submit to our Center. You will need to be specific about the records you wish. Please note is take 10 business days to complete these requests within 1 Year of completion of your treatment and 20 business days after one year and within 4 Years of completion of your Treatment.
Risks associated with IVF Treatment
Like all medical treatments, IVF carries some risks and your clinic should discuss these with you before you go ahead with treatment. Risks can include reactions to fertility drugs that may be prescribed, and also the risks associated with any pregnancy.
You may experience a mild reaction to fertility drugs such as ovulation-inducing drugs, pituitary stimulation and ovary-stimulating hormones. Discuss these in advance with your doctor, so that you know what a ‘normal’ reaction is. Symptoms can include any of the following: hot flushes, nausea, feeling down or irritable, headaches or restlessness, weight gain and heavy periods.
Ovarian-hyper stimulation syndrome (OHSS)
This is a potentially dangerous over-reaction to fertility drugs used to stimulate egg production before your eggs are collected for IVF treatment. Cysts develop in the ovaries and fluid collects in the stomach. In rare cases, the ovaries become very swollen and fluid can fill the stomach and chest cavities. A fall in the concentration of red blood cells can lead to blood clots. An HFEA report in 2005 found that severe OHSS occurs in approximately 1% of cycles.
Blood flow to the kidneys may also be reduced. Symptoms include a swollen stomach and stomach pains. In severe cases, this is accompanied by vomiting, shortness of breath, faintness and reduced urine. OHSS is potentially very serious, so if you start to experience any of these symptoms, contact your clinic immediately. For more information about OHSS, see page 24 of the HFEA Guide to Infertility.
This is when an embryo develops in your Fallopian tube rather than in the womb, and can happen in a natural pregnancy or when you have become pregnant through fertility treatment. The chances of having an ectopic pregnancy seem to be slightly higher in women having fertility treatment, especially if you have existing problems that affect your Fallopian tubes. Symptoms include vaginal bleeding and low pregnancy hormone levels. If the pregnancy continues, there is a risk of miscarriage and the Fallopian tube bursting.
Report any vaginal bleeding or stomach pain to your clinic. They can do a blood test to check your hormone levels. You should have a scan at six weeks to check for the baby’s heartbeat and to make sure it is growing properly in the womb.