Treatment to cure Infertility

admin March 15, 2012 0
Treatment to cure Infertility


About 10 percent of reproductive-age couples in the Pakistan will have difficulty getting pregnant. About 30 percent of cases are due to problems in the woman, 30 percent to problems in the man, and the rest to unexplained causes or multiple factors involving both partners.

 

 

 

 

 

 

 

 

 

 

If you’ve had regular, unprotected sex for more than a year (or six months if you’re over 35) without conceiving, see your doctor. Nearly 90 percent of couples with infertility problems can be successfully treated.

Read on to learn about the common causes of infertility, treatments, and how many couples become pregnant with treatment. Keep in mind that success rates may vary, since one couple can have multiple problems.

 

Fertility Drugs

Fertility drugs, such as clomiphene and gonadotropins, regulate your reproductive hormones and trigger the release of one or more of your eggs per ovulation cycle. Most women use them for three to six months before conceiving or trying a different kind of treatment.

Clomiphene can cause headaches, visual symptoms, hot flashes, cramping, bloating, and vaginal dryness. Gonadotropins can cause soreness, bloating, and rashes. Both can increase your odds of having twins or more.

About 20 to 60 percent of women who use fertility drugs (often with artificial insemination) get pregnant.

Clomiphene pills cost at least 3,000 PKR a month (not including the cost of doctors’ visits, ultrasounds of your ovaries, or follow-up procedures such as artificial insemination). Gonadotropin injections can cost more than one Lac rupees.

 

 

 

 

 

 

 

Surgery

Surgery may help fix genetic defects or blocked fallopian tubes, or remove endometriosis, fibroids, or ovarian cysts.

After a laparoscopy you may feel temporary discomfort in your chest and shoulders from the carbon dioxide used during surgery. You may also feel soreness in your abdominal area for a few days.

Success rates of women treated for endometriosis and scar tissue, to conceive, is about 40 to 60 percent. Between 10 and 90 percent of women who have their tubes cleared conceive. Surgery can cost anywhere from 2.5 Lac to 8 Lac.

 

 

 

 

 

 

Artificial Insemination

During artificial insemination, a concentrated dose of sperm (from your partner or a donor) is injected into your uterus with a catheter.

After the sperm is injected into your uterus, you may feel cramping for a day or so. Also, you may need to take fertility drugs before the procedure, which will raise your risk of having multiples and developing ovarian hyperstimulation syndrome (OHSS). Plus, if you use your partner’s sperm, he’ll have to provide a sample on demand.

About 5 to 25 percent of women who undergo artificial insemination conceive. The procedure costs about 20,000 PKR to 50,000 PKR.

 

 

 

 

 

 

In Vitro Fertilization (IVF)

During in vitro fertilization (IVF), eggs removed from your ovaries are fertilized with sperm (from your partner or a donor) in a laboratory. The resulting embryos are placed in your uterus.

You may need to take fertility drugs before the procedure, which will raise your risk of having multiples and of developing ovarian hyperstimulation syndrome (OHSS). Plus, if you use your partner’s sperm, he’ll have to provide a sample on demand.

Between 28 and 35 percent of women who try in vitro fertilization are likely to conceive. This procedure usually costs between 6 Lac 10 Lac.

 

 

 

 

 

 

 

Gamete Intrafallopian Transfer (GIFT)

During gamete intrafallopian transfer (GIFT), your eggs are mixed with sperm (from your partner or a donor) in a lab, and the mixture is surgically injected into your fallopian tubes so fertilization can occur naturally inside your body.

Side effects: This procedure has a longer recovery time than IVF. You may feel temporary discomfort in your chest and shoulders from the carbon dioxide used during surgery. Also, you may need to take fertility drugs before the procedure, which will raise your risk of having multiples and of developing ovarian hyperstimulation syndrome (OHSS). Plus, if you use your partner’s sperm, he’ll have to provide a sample on demand.

About 25 to 30 percent of women who try GIFT conceive. This procedure usually costs between 6 Lac 10 Lac.

 

 

 

 

 

 

Zygote Intrafallopian Transfer (ZIFT)

As with GIFT, your eggs and sperm are mixed together in a lab. But during zygote intrafallopian transfer (ZIFT), your doctor makes sure your eggs are fertilized before surgically placing them in your fallopian tubes.

Side effects: This procedure is similar to a cycle of GIFT, but you’ll spend more time waiting on the lab. You may feel temporary discomfort in your chest and shoulders from the carbon dioxide used during surgery. Also, you may need to take fertility drugs before the procedure, which will raise your risk of having multiples and of developing ovarian hyperstimulation syndrome (OHSS). Plus, if you use your partner’s sperm, he’ll have to provide a sample on demand.

About 25 to 30 percent of women who try ZIFT conceive. This procedure usually costs between 6 Lac 10 Lac.

 

Intracytoplasmic Sperm Injection (ICSI)

During intracytoplasmic sperm injection (ICSI), a single sperm is injected into a single egg and the resulting embryo is placed in your uterus.

Side effects: Your partner’s sperm may need to be drawn from his testicle with a microscopic needle or surgical biopsy — but it’s less painful than it sounds.

About 35 percent of couples who try ICSI conceive. ICSI can cost anywhere from 8 Lac to 15 Lac.

 

Donor Eggs And Embryos

Using IVF techniques, an egg (or embryo) donated by another woman is mixed with your partner’s sperm and implanted in your uterus.

You’ll need to choose the donor of the egg (or embryo) — which can be a long process. Plus, you may feel a sense of loss at not having a baby with complete genetic ties.

Around 43 percent of women who try IVF using donor eggs or embryos conceive. You should expect to pay 8 Lac to 15 Lac for IVF with a donor egg or embryo (including compensation for the donor)

 

Gestational Carriers (also known as surrogate mothers)

A gestational carrier (or a surrogate mother) carries your embryo, or a donor’s embryo, to term, and then signs away all her parental rights.

You may feel like you don’t have control over the pregnancy — from what the carrier eats to how she handles stress. Carefully choose someone you can communicate with. This procedure may cost anywhere from 12 Lac to 25 Lac. (About 10 Lac goes to the surrogate mother. The rest goes to legal fees set by lawyers and agencies.)

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