Parenthood is the ultimate joy for all couples. But stress due to modernization, busy lifestyle, late marriage, professional commitments, physical and medical conditions have taken a toll on fertility. Consequently, the overall incidence of infertility is on the rise.
In couples seeking fertility treatment, counselling, investigations, diagnosis, treatment and emotional support during IVF treatment is important.
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Both partners are counselled for lifestyle modification, diet, change in work pattern (in cases where failure to conceive is due to one’s professional environment, like exposure to extreme heat, stressful or shift wise job of software professionals), change of medication (in case of infertility due to associated medical conditions like hypertension, diabetes, psychiatric disorders and medications related to them). In case of overweight couples, both partners are guided for weight reduction to improve fertility. Couples are encouraged to get involved in the treatment as a team by the consultant as this approach gives the best result.
All investigations for infertility are available at our hospital and tests are done depending on the need of the couple. We have in house collection facility and samples are sent to suitable local lab as well as SRL and Metropolis Lab.
As per patient’s requirement and reports, treatment is given to enhance ovulation and assess if it is occurring properly. Cause-specific treatment is given in case of endometrial polyps, fibroids, PCOS, tubal blockage, endometriotic cysts which may require laparoscopic intervention.
In case patient requires IVF, proper guidance is offered.
In the case of Male Infertility patients are referred to andrologist and further treatment of infertile couple is done in sync with andrologist.
Primary causes of Inability to conceive range from
Means inability to have normal sexual intercourse after marriage. In such cases, sex counselling is done which includes an explanation about normal human anatomy and normal intercourse. In case of specific non-gynaecological causes, patients are referred to a suitable consultant.
It is a medical condition that causes improper ovulation and is frequently associated with weight gain in majority of the patients along with abnormal hair growth and irregular periods. Although PCOS is responsible for infertility, by a multicentric approach like weight management, diet, proper exercise, counselling to tackle mood changes and suitable medicines, fertility is possible in the desired time.
In present days surgery for PCOS is required for a few patients.
Although fibroids per se do not cause infertility, sometimes just by its location, size and number, the patient can have difficulty in conceiving i.e. if fibroid is growing inside the uterine cavity, or distorting uterine cavity, or intercourse is difficult or painful due its size. The position of the fibroids or the resulting distortion of uterine cavity can cause recurrent abortions or premature delivery in a few cases.
Endometriosis is a condition in which uterine endometrium (innermost lining of uterus) is present in ectopic areas causing collection of menstrual blood at abnormal places like ovaries, abdominal cavity and also in uterine musculature (adenomyosis) which causes extremely painful periods and painful intercourse. It is one of the leading causes of inability to conceive.
Infections like tuberculosis, gonorrhoea, trachomatis cause extensive damage to uterus and fallopian tubes or even recurrent vaginal infection can cause infertility as sex is painful.
Other causes include associated medical disorders, drugs, psychological causes, advanced age, premature ovarian failure. In as many as 20% couples, the precise cause of infertility is still unknown.