Causes of infertility may be in husband or wife or both or there may not be any cause which is termed as unexplained infertility.

Infertility can be divided into –

• Primary – where the pregnancy never happened.
• Secondary – where the couple have past history of abortion or ectopic pregnancy.

Couple can consult an IVF specialist if they do not become pregnant even after trying for 1 year.
However they have to consult earlier if there is any history of following conditions. For example,

• Wife having irregular cycles.
• Wife having abnormal uterine bleeding.
• Wife suffering from thyroid disorders and PCO problem.
• Wife with the history of pulmonary tuberculosis treated.
• Husband with history of any scrotal surgery, varicocele, diabetes, difficulty in erection.
• Family history of delayed conception.
• Wife age more than 30 years.

Yes, it’s always better to consult together as cause of infertility may be in any one or both.

• Weight
• Age
• Sexually transmitted diseases
• Pelvic inflammatory diseases
• Tubal diseases
• Endometriosis
• PCOD, Fibroids
• Smoking
• Alcohol
• Stress
• Husband surgery like cystectomy, varicocele ligation etc.

Causes of infertility may be in husband or wife or in both. So a basal scan on second or third day of menses, hormone tests and tube test (HSG or SSG) for wife and a detailed semen analysis for husband will help to diagnose the cause of infertility.

• First step: A woman must release an egg from one of her ovary. This is known as Ovulation.
• Second step: The released egg must go through the fallopian tube towards the uterus also known as womb.
• Third step: The man’s sperm should join the egg known as fertilization in the tube.
• Last step: The fertilized egg must attach to the inside of the uterus. This is known as implantation.

Yes, infertility is a common problem as studies all around the world has shown that one in five couple suffers from this problem.

Yes, woman’s age is very important younger the age, more chances of becoming pregnant.

• The ability to produce eggs decreases with increase in age.
• The quality of egg also decreases with increase in age.
• She can suffer from other health disorder of ageing like hypertension, diabetes etc.
• She may also have increased risk of miscarriages and other pregnancy related complications.

No, all couple who visit an IVF centre do not need IVF or test tube baby procedure. The treatment depends on the causes of infertility. E.g.: If the woman has anovulation, medications are given to stimulate ovary to produce and release eggs which may solve the problem. If the semen analysis shows a decreased motility, IUI procedure can be done to increase chances of conception.

• Bilateral tubal block
• Removal of both tubes due to ectopic pregnancies.
• Severe semen abnormality.

Success rates depend on many factors like age of the couple, cause of infertility, type of procedure used.

Yes, it is. But these procedures have helped many couple to fulfill their dream.

Yes, but it can be prevented by giving treatment appropriately by an infertility specialist.

The rate of birth defects in infertile couple compared to general population is slightly more. This is due to the causes of infertility and age of the infertile couple but not due to ART procedures.

No, success rate depends on many factors like the age of the couple, causes of infertility, duration of infertility, quality of gametes like egg and sperm, development of good embryos etc.

It is a normal phenomenon. Sperms in the semen are motile and they move inside the womb. If semen comes out immediately after each intercourse, you can alter position by keeping a pillow below buttocks and to withdraw penis slowly after ejaculation.

Studies have shown that upto 70 to 80% will conceive with 3 to 4 cycles of IUI, if done properly and consecutively. If you do not conceive with 4 cycles of IUI, it is better to go for IVF/ICSI.

You can try any number of IVF cycles.

Yes, you can freeze extra embryos as long as you want at extra cost.

Yes, the donor semen samples are quarantine samples free from HIV, HBsAg, HCV and VDRL. They are procured from government licensed semen banks.

Yes, we can check. It is called as ovarian reserve test which includes day 2 or 3 FSH, basal scan to count AFC in each ovary and AMH level in blood. Along with this husband’s semen analysis is necessary. If these tests are normal and if your cycles are regular and considering your age you may postpone your pregnancy.

It indicates that you have diminished ovarian reserve. You can try one or two cycles of IUI or IVF and can go for donor oocyte program.

Yes, it is better to remove the polyp through hysteroscopy.

You can if you have a good ovarian reserve. Otherwise you have to go for donor oocyte program.