On 16th August 2018, Cloudnine conducted a live Tweetinar on Understanding IVF on its Twitter handle @CloudnineCare. It was helmed by Dr. Radhika Sheth, Fertility Specialist at Cloudnine Hospital, Malad, Mumbai. The Tweetinar drew spirited participation from Twitter users and swept across a gamut of in vitro fertilisation-related topics.
Book an Appoinement with Dr. Radhika Sheth for fertility concerns
Specialist Details: Dr. Radhika Sheth
Specialty: Reproductive Endocrinology
Clinical Focus and Expertise: Infertility evaluation, infertility treatment, reproductive medicine, intracytoplasmic sperm injection (ICSI), in vitro fertilisation (IVF), intrauterine insemination (IUI), polycystic ovarian syndrome (PCOS) management
IVF success hinges on multiple factors, age being the foremost. The average IVF success rate is about 40-45% per cycle.
Yes, age plays a vital role in determining IVF success.
The quality of the sperm and egg, the receptivity of the uterus, and the ages of the partners are some important factors.
IVF is a suitable option for tubal blockages and losses, and may be your next best option.
The chances of IVF success decline as AMH lowers. However, IVF can still be attempted with an AMH of 0.38.
Consult a fertility specialist for further evaluation and seek appropriate treatment, if necessary.
This is a misperception. Most couples that seek IVF have an advanced maternal age or low sperm count. As a result, they have a higher propensity to produce embryos with defects. The chances of defects for such couples are just the same as they would be, if they were to conceive naturally.
In your case, there may be factors other than fibroids that are posing as hurdles to conception. Consult a fertility specialist to have your fertility profile assessed.
Women with PCOS generally respond well to IVF programmes.
There is no 'right' age for IVF. The lower the age, the better the success rate.
IVF poses a slight risk of ovarian hyperstimulation syndrome, which causes the formation of multiple eggs. This, in turn, can lead to a multiple pregnancy. However, on Cloudnine, we minimise this risk by tailoring conservative, custom-made protocols.
Common scenarios include extremely low sperm count, low egg reserves, bilateral tubal blockage, premature ovarian failure, multiple failed IUI cycles, severe endometriosis and third-party donor programmes (egg or sperm).
Yes, as long as it includes only light exercises that don't put pressure on the abdomen.
The odds of a multiple pregnancy are higher with IVF. Higher order pregnancies can present complications like prematurity and low birth weight.
There is no age limit, although outcomes are usually inversely proportional to age.
Here are some.
Myth: IVF is usually advised only when the female partner has problems. Fact: IVF is equally suited for problems with the male or female partner.
Myth: IVF has a 100% success rate . Fact: IVF success rates vary between 40-45%. The lower the age, the higher the success rate.
Myth: IVF requires hospitalisation. Fact: IVF requires only a few hours at the hospital each time for egg collection and embryo transfer.
Myth: IVF is painful. Fact: Contemporary IVF routines are less painful than earlier, thanks to minimal-pain injections. Myth: IVF requires complete bed rest. Fact: IVF does not require a change in your daily routine.
No, IVF does not increase the risk of health problems in the fetus.
IVF does increase the chances of twins. However, this risk can be minimised through a single embryo transfer protocol.
It is possible depending on why IVF was needed the first time around.
It is a relatively expensive procedure due to the technology involved. There is no standard pricing for IVF. The price of a cycle pivots on the exact protocols employed.
Tubal blockages can be opened via laparoscopy.
IVF is not painful. The egg retrieval procedure is done under anaesthesia, and is therefore, painless.
No, they don't.
An IVF cycle takes between 18-20 days from initiation to completion.
An IVF outcome is known about 12-14 days after embryo transfer.
It is definitely worth attempting a new cycle after a previously failed one. The cumulative success rate of 3 IVF cycles stands at roughly 50-55%.
Yes it does, although this risk can be minimised.
In total, about 4-5 visits are needed for an IVF cycle.
A couple should try for 12 months on their own before seeking help. A fertility specialist can then gauge which fertility treatment they are best suited for after performing diagnostic tests.
IVF suitability is case-dependent. A fertility specialist can recommend the most viable treatment based on careful evaluation.
A good diet and optimal hydration are necessary precursors to IVF. Also, it is important to have your thyroid and haemoglobin levels checked before embarking on a cycle. In some cases, a hysteroscopy may be advised before IVF for correction of certain uterine problems.
To go ahead with a cycle, blood pressure and blood sugar must be in the normal range.
Yes. This is why polyps must be removed prior to embryo transfer.
A fertility specialist will be able to give you answers only after gauging your suitability based on a diagnostic routine.
While a few visits to the hospital may be required, none require more than a few hours each. The egg retrieval routine may require admission of a few hours; nothing more.
Pre-IVF tests can shine a light on whether a woman is suited for IVF. Apart from this, overall health should be optimal in order to qualify for IVF.
IVF is considered a relatively safe treatment procedure. Contemporary treatment protocols have brought the risk associated with IVF down to a negligible level.
Yes, obesity can have an adverse effect on IVF outcomes.
Yes, it can hinder implantation.
IVF in India is currently governed by IPMR guidelines.
Every case is different, and you may be advised a fourth cycle by your fertility specialist after a careful review.
There is no standard pricing for IVF. The price of a cycle pivots on the medical conditions involved and the exact protocols employed.
In an IVF cycle, 9-10 days of injections are generally needed for egg development.
Not everybody has symptoms in the early days. Only a beta HCG test on the prescribed date can confirm whether you are pregnant or not.
IVF entails the following steps:
Depending on AMH reserves, the likelihood is about 15-25%. However, age also plays a critical role in IVF success.
You can! You can have your embryo transferred to a gestational surrogate via IVF. Consult a fertility specialist to discuss this in detail.
Your fertility treatment plan will depend on factors like age, duration of infertility and sperm count. Speak to your fertility specialist to know more.
A laparoscopy can shed light on whether a particular blockage can be removed. Alternatively, IVF is a preferred choice for conception among women with tubal blockages.
Any illness can adversely impact IVF success.
IUI is not a suitable treatment for low sperm count. Your fertility specialist may perform a detailed fertility assessment before suggesting a further course of action.
IVF presents a slightly increased risk of preterm birth compared to natural conception.
This depends on the severity of endometriosis.
Yes!
Unexplained infertility is a distressing thing. IUI is generally recommended in such cases.
Must read - Superfoods That Help Your Success Rate In IVF.