What are different Sperm retrieval techniques in cases of Azoospermia?

  •  TESA
  •  PESA
  •  MESA
  •  TESE

How long should one wait before repeating a Surgical Sperm retrieval?

At least six months period

What is the most common cause of Male Infertility?

Although there are many causes of Male Infertility, Varicocele is the most common. A clinically significant varicocele can be identified is nearly 40 % of the man with primary Infertility and up to 80% of men with secondary infertility.

Which is better, boxers or brief?

Numerous studies have demonstrated that the type of underwear has no significant effect on sperm counts, Motility or Pregnancy rates.

How significant is a childhood mumps infection for future fertility?

Prepubertal mumps doesn’t affect the testes. Of the disease that occurs postpubertally (after the age of 11 – 12 ), Unilateral mumps orchitis may develop in 30 % and bilateral orchitis in 10%. The testicular damage may be severe and result in testicular atrophy

How do fibroids affect fertility?

Fibroids rarely are the sole cause of infertility. They are more commonly associated with difficult implantation of fertilized eggs and re-current spontaneous miscarriages. Leiomyomata can also be caused Infertility by obstructing the patency of fallopian tubes .

What is an Ovarian Reserve?

The ability of an Ovary to respond to the stimulation during Ovulation induction or IN-VITRO FERTILIZATION.

Clinical status of Ovarian failure

Type of Ovarian failure Normal and no response to FSH therapy Menstrual Cycle Fertility
Occult Insufficiency Normal and no response to FSH therapy Normal Reduced
Overt Primary Ovarian Insufficiency High Abnormal Reduced
Premature Ovarian Failure High Absent Zero

Who is more likely to have a problem with infertility -the Man or Woman?

Although traditionally considered a female problem, Infertility(male infertility or female infertility) is typically Multifactorial and many involve both partners. Approximately 40 % of cases involve a female factor, 30 % a malefactor; and 20% combined male and female factors. Approximately 10 -15 % of cases remain unexplained.

How common is Infertility? When should an evaluation be performed?

Up to 15% of all couples attempting conception are unsuccessful within the first year. However, this number increases with the age of the couple. Thus, Infertility should be evaluated by best Gynaecologist in Dilsukhnagar, Hyderabad on request by the couple rather than wasting until a full year has elapsed.

Hello madam, my name is Ramya. We are trying for pregnancy from 5 years. I have undergone 6 IUI’s at different hospitals in the last 3 years. My AMH is 2ng/ml, my tubes are normal and my husband sperm count is normal. Can I go for IVF?

Hi Ramya, you have already tried maximum IUI cycles. Since your egg reserve is also borderline (AMH), it is better to go for IVF. Success in IVF depends on the egg reserve and the age of the female partner. Hence, the sooner the better.

Hi madam, I am Shilpa 34 years old. I have 6 years old child, tubectomy was done 4 years back. Now we are planning to have second child. My husband sperm count is 7 million. Can I go for tubal repair to conceive naturally?

Hello Shilpa, tubal re-anastomosis may not be the right treatment for you. Since your age is 34 and your husband sperm count is also low, you will have better success rates with IVF.

Hello doctor, I had 3 miscarriages, during the last miscarriage fetal tissue was tested which revealed Turner syndrome. How can I overcome this problem and prevent miscarriage?

Hello! firstly get a karyotype test done for both of you. You can opt for pre-implantation genetic screening, where after IVF, embryos are tested for genetic abnormalities and only normal ones are transferred back to your womb. This will prevent miscarriages and ensure healthy babies.

How long does IVF procedure take?

IVF can last anywhere from 2-4 weeks prior to egg retrieval. The embryos are then transferred between 3-5 days after egg retrieval and you will be tested for pregnancy 15 days after the embryo transfer. Overall it takes 5-6 weeks for complete procedure.

Hello doctor, I am diagnosed with PCOS and I am overweight. Will i be able to conceive in future??

Hi, PCOS is usually associated with irregular periods as ovulation doesn’t happen on time. Some patients may have difficulty in conception. If u fail to conceive, you can consult a fertility specialist so that they can plan follicular tracking and timed intercourse which helps to conceive earlier. Weight reduction however remains important.

Hi doctor, we are married for 2 years and trying for pregnancy from 1 year. Should we go for IVF treatment?

It is better to consult a fertility expert since you are trying for almost 1 year. After evaluation, you will be advised treatment based on the reports. Not all couples need IVF. IVF is advised for very few couples who have major problems like:

  •  Both tubal blocks
  •  Severe endometriosis (stage 3 & 4)
  •  > 3-6 failed IUI Cycles
  •  Hydrosalpinx
  •  Male Partner having very Low Sperm Counts.

Low even after using medicines for 6 months. It is 2 million/ml. we are trying for pregnancy from 2 years. What is best treatment for me to have a child?

Hello, your sperm count is quite low. Moreover, you have not responded well for medicines. Chances of conceiving with simple treatments are less. Intra cytoplasmic sperm injection- ICSI (test tube baby) is the best treatment for you with good success rates.

Hi doctor, my name is Sravya, we have been planning for pregnancy from 1 year, but due to different work shifts we are unable to try appropriately. What do you advice?

Hi Sravya, husband and wife working in different shifts not only reduces sexual frequency but also leads to fluctuations in hormonal rhythm which ultimately leads to infertility. It is better to choose the same work shifts. After ovulation female egg’s life is around 24hrs. So, timed intercourse with follicular scans done under a trained fertility specialist will reduce the time to pregnancy.

Hi madam, I am Anil, a software professional. I have lot of stress at work, will that affect my fertility?

Hi Anil, Exact link between stress and infertility has not been established but, we see a lot of patients having fertility issues with severe workloads, especially from the software industry. Compromised sexual life may be one of the reasons. We have seen good results with various treatments after changing jobs/ work shifts.

Hi doctor, I am 27year old, I have gained a lot of weight after i finished studies and joined work. My periods also have become irregular. We are planning for pregnancy since 2 years but with no success. Please help.

Hello… Most of the jobs nowadays being sedentary along with faulty dietary habits and lack of physical activity are known to increase weight. Obesity causes hormonal imbalance which leads to irregular periods. It is advisable to maintain a healthy life with a balanced diet, regular exercise and also gets evaluated by a fertility specialist to identify problems like PCOS. This will help in taking appropriate treatment and achieve pregnancy soon.

Hello doctor, we have been trying for pregnancy from 3 years. Our doctor told that my smoking could be a reason for not conceiving. How does my smoking stop from conception in spite of having normal semen report?

Hi… Smoking can increase DNA fragmentation index even with normal semen parameters is associated with decreased pregnancy rates and increased miscarriage rates. So it will definitely help in achieving pregnancy soon if you can quit smoking.

Hi doctor. My name is priya, one of my friend was discussing with me on the bad effects of plastic on fertility. Is it true?

Hello priya, most of the plastics which we use on a daily basis contain various toxic chemicals specially BPA (Bisphenol A) which are known to have negative effects on endocrine and immune system. These chemicals interfere with development of uterine cells and the way they change in preparation for possible pregnancy.

These are known to reduce pregnancy rates even with assisted reproductive techniques. So, it is advisable to minimize plastic usage as much as possible.

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