Infertility

What is infertility?

The World Health Organisation defines infertility as follows

Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse ( excluding other reason, such as breastfeeding ). “

What are the symptoms?

Symptoms of infertility are inability to conceive a child. It can be primary or secondary infertility.
Primary infertility is defined as the absence of a live birth for women who desire a child and have been in a healthy non consanguionous relationship for at least 12 months, during which they have not used any contraceptives. The World Health Organisation also adds that 'women whose pregnancy spontaneously miscarries, or whose pregnancy results in a still born child, without ever having had a live birth would present with primarily infertility'.
Secondary infertility is defined as the absence of a live birth for women who desire a child and have been in a union for at least 12 months since their last live birth, during which they did not use any contraceptives.

When to visit your gynecologist?

Despite regular and unprotected intercourse, after 1 year of cohabiting, if there is inability to conceive, one must visit a gynecologist. We at Queen's Gynecology provide best consultation and infertility treatment in Delhi by top gynecologists.

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Why do you have these symptoms of Infertility?

(What Causes Infertility?)

1) Advancing maternal age

2) Endometriosis

3) Ovulation disorders: The most common disorders impacting ovulation include PCOS, hypogonadotropic hypogonadism and ovarian insufficiency .

4) Tubal occlusion (blockage)

5) Uterine fibroids

6) Endometrial polyps:

7) Pelvic and uterine anomalies

8) Unexplained

Complications of infertility:

Increased risk of breast and endometrial cancer in women who have never conceived.
Psychosocial disorders such as depression, anxiety ,guilt, frustration, hopelessness.

Management

Diagnosis & Treatment

We at Queen’s Gynecology have developed a battery of tests to pinpoint the exact cause of infertility. With utmost sensitivity, we take the detailed history of the patient, recommend tests, and provide the best infertility treatment in Delhi.

Diagnostic Tests:

History and physical examination
Transvaginal ultrasound
Laboratory testing – Day 2 LH, FSH, AMH, Estrogen, Progesterone, TSH, prolactin, free testosterone, fasting insulin .
Hysterosalpingogram (HSG) .
Semen analysis
Diagnostic laparo-hysteroscopy

Treatment for Infertility:

Education and counselling
Medications to induce egg development and ovulation: Clomiphene,gonadotropins.
Insemination: Intrauterine insemination, also known as IUI
In Vitro Fertilization (IVF):
Third party reproduction:
- Sperm donation – a process by which donated sperm is used for insemination in the uterus, or for fertilization of eggs in the IVF process
- Egg or ovum donation – a process by which an egg donor undergoes an IVF cycle in order to obtain her eggs which are then donated and fertilized. The resulting embryos are then transferred into the uterus of the future mother, known as the recipient. Usually no more than 1 – 2 embryos are transferred, and therefore additional embryos can be frozen, or cryopreserved, for future use.
- Embryo donation – a process where a fully developed embryo from another person in combination with donor sperms or eggs are donated to another woman.
- Surrogacy – a process where another woman will undergo an embryo transfer and carry the pregnancy for another person. Your gynecologist will discuss these approaches to having a baby if appropriate to your particular case.
Infertility related Surgeries – After a thorough history, physical examination, and ultrasound are performed, your gynecologist may recommend surgery to correct any abnormality. In reproductive medicine, the most common surgical procedures are laparoscopy and hysteroscopy.