Infertility Treatments can be grouped into three categories:
1. Medicines to Improve Fertility:These are sometimes used alone but can also be used in addition to assisted conception.
2. Surgical Treatments:These may be used when the cause of the infertility is found that may be helped by an operation.
3. Assisted Conception: This type of infertility treatment includes several techniques such as:
a- Intrauterine insemination (IUI)
b- Donor Sperm
c- In vitro fertilization (IVF)
d- Intracytoplasmic sperm injection (ICSI)
e- Donor Eggs
g- Donor Embryos
h- Gamete intrafallopian transfer (GIFT)
i- Zygote Intrafallopian Transfer (ZIFT)
Let us deep dive in each of them & understand them in detail:
1. Fertility Drugs: Drugs are injected or taken in the form of a pill, the drugs release hormones that trigger ovulation to boost egg production and make the uterus more receptive to embryo implantation. Women who don't ovulate regularly or who have partners with very poor sperm quality are given fertility drugs.
Fertility drugs should be avoided if you have damaged or blocked fallopian tubes or any damage from endometriosis (they require IVF).
2. Surgical Treatments: The situations where an operation may be an option include:
a- Fallopian Tube Problems: Surgery may help some women with infertility caused by Fallopian tube problems. For example, if your fallopian tubes are damaged due to a previous disease, infection, or other problem. Some women who have got sterilization or tubal tie done in the past for contraception may be able to get their fertility restored by tubal surgery. These days, most fallopian tube surgeries are done by keyhole surgery.
b- Endometriosis: This is a condition that occurs when cells from the lining of the womb (uterus) grow in other areas of the body. Surgery may help in improving fertility in women with endometriosis.
c- Polycystic Ovary Syndrome (PCOS):An operation on the ovaries may be suitable for some women with PCOS. The procedure is sometimes called ovarian drilling or ovarian diathermy. Again keyhole surgery is used. The tiny cysts in the ovaries can be removed or destroyed with the help of a heat source (diathermy). It may be done if other treatments for PCOS haven't worked.
d- Fibroids: For women with fibroids, surgery (to remove the fibroid) may be considered if there is no other explanation for infertility. However, small fibroids may not cause infertility.
e- Male Infertility: When sperm are blocked by an abnormality in the tube inside the scrotum that is used to store sperm (epididymis) in the testicle (testis), surgery may help.
A condition where there are varicose veins of the testes (varicocele) in men who have an abnormal sperm count may occasionally be repaired. However, whether it actually improves fertility is still unknown.
3. Assisted Conception: Current infertility treatment techniques are described briefly below. Your specialist will advise on which are options for your particular cause of infertility and will explain the chance of success.
a- Intrauterine Insemination (IUI): Specially processed ("washed") sperm is inserted into the uterus, directly through a thin, flexible catheter during IUI, the most common fertility method. If you opt for this method, your doctor might recommend that you start on fertility drugs as well, to increase the chances of fertilization. This method is used for cases in which men have slow-moving or lower quality sperm or a low sperm count. Also for women who have produced antibodies to their partner's sperm or whose cervical mucus is too scant, acidic, or thick to transport the sperm to the egg.
b- Donor Sperm: Sperm from a man other than the intended father is used during IUI or IVF. This method is used for couples experiencing male infertility issues, men with genetic disorders they don't want to pass on to their children, single women, or lesbian couples.
c- In Vitro Fertilization (IVF): IVF involves a multistep process or in which a woman's eggs are extracted and fertilized with sperm in a lab. After the embryos are developed, one or two are implanted in the uterus and the rest are stored for later use. This method is used for Older women or women with blocked or severely damaged fallopian tubes or scarring from endometriosis; men with very poor sperm quality; couples with unexplained infertility.
d- Intracytoplasmic Sperm Injection (ICSI): In ICSI, an embryologist selects a healthy-looking, single sperm from the male's semen and injects it directly into the egg with a microscopic needle. After the development of an embryo, it's transferred into the uterus through IVF. This method is used for couples in which the man has a very low sperm count or poor sperm quality.
e- Donor Eggs: Eggs are extracted from the ovaries of another woman (usually younger) and fertilized by infusing with a sperm extracted from the recipient's partner. Resulting embryos are then transferred into the recipient's uterus. This method is used when the ovaries of a woman are damaged or prematurely failing, or for women who have undergone chemotherapy and/or radiation; older women with poor egg quality; as well as women with genetic disorders who do not want to pass it along.
f- Surrogacy: The surrogate carries a baby for another woman. Artificial insemination is used to get a surrogate pregnant, using the man's sperm or through IVF with the couple's embryo. Donor eggs and sperm may also be used.
This method is used for women who can't carry a baby because of disease, hysterectomy, or infertility. In rare instances, both partners are infertile.
g- Donor Embryos: Some couples undergoing IVF, who become pregnant and no longer need unused fertilized eggs, donate their embryos. The embryo, which is donated, is then transferred into the recipient. This method is used for couples in which both woman and man are infertile but want to experience a pregnancy.
h- Gamete Intrafallopian Transfer (GIFT): Eggs from the woman are collected, fused with sperm from the man in a petri dish, and then placed directly into the fallopian tubes, where fertilization can occur. This method is used for couples in which the woman has at least one functioning fallopian tube and/or the man has a low sperm count or sperm with poor motility, and couples who are suffering from unexplained fertility or who consider IVF anti-moral or anti-religious
i- Zygote Intrafallopian Transfer (ZIFT): Like IVF, but in this case, the embryo is inserted into the fallopian tube, not the uterus. This method is used for couples who have unexplained infertility or those in which the man has a low sperm count, the woman has at least one tube open, and/or there are ovulation problems.
IVF (In Vitro Fertilization) is an infertility treatment, which comes under Assisted Reproductive Technology (ART). In IVF treatment, the mothers eggs from her ovaries are fertilized in a laboratory with the fathers sperm to create an embryo. Later on the conceived embryo is attached to the mothers uterus for normal development.
Test tube baby is a generic name for a baby who is conceived through ART (Assisted Reproductive Technology) procedure such as IVF (In vitro fertilization) or IVF with ICSI. Under IVF procedure, the mothers eggs from her ovaries are retrieved and then fertilized in a laboratory by the fathers sperm. After that, the conceived embryo is attached to the mothers uterus for the normal development of the baby.
IUI costs in Pune rangesfromINR 8,000 to INR 12,000 including medicines and disposables. The variation in IUI cost depends upon the type of IUI, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Bharati Dhorepatil from Pune Fertility Centre and Dr. Parag Hitnalikar from Orion Hospital are among the top IUI specialists in Pune.
IUI costs in Hyderabad ranges from INR 10,000 to INR 18,000 including medicines and disposables. The cost of IUI treatment varies depending upon the type of IUI used, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. K Prameela Sekhar from Apollo Fertility and Dr. Sweta Agarwal from Southern Gem Hospital are among the top IUI specialists in Hyderabad.
IUI costs in Chennai rangesfrom INR 10,000 to INR 12,000 inclusive of all medicines and disposables. The IUI cost varies depending on the type of IUI, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Dakshayani from Apollo Fertility and Dr. Rajalakshmi R from Morpheus Meenakshi International IVF Center are among the top IUI specialists in Chennai.
IUI costs in Bangalore ranges from INR 10,000 to INR 17,000 including medicines and disposables. The variation in IUI cost dependsupon the type of IUI, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Haritha Rao from Morpheus Ayaansh Fertility Center and Dr. Asha S Vijay from GarbhaGudi IVF Center are among the top IUI specialists in Bangalore.
IUI costs in Mumbai ranges from INR 10,000 to INR 12,000 including medicines and disposables. The IUI cost variation depends upon the type of IUI, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Anjali Deval from IVF Spring Fertility Center and Dr. Pinky Ronak Shah from Morpheus Fertility Center are among the top IUI specialists in Mumbai.
IUI costs in Gurgaon ranges from INR 8,000 to INR 16,000 inclusive of all medicines and disposables. Cost of IUI also depends upon the type of IUI, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Neeru Thakral from Morpheus International Center and Dr. Poonam Jhamb are among the top IUI specialists in Gurgaon.
IUI costs in Noida ranges from INR 10,000 to INR 20,000 including medicines and disposables. Cost of IUI also depends on the IUI type, whether its a natural cycle IUI or its an Induced Cycle IUI. Dr. Shivani Sachdev Gour from SCI Healthcare Hospitals and Dr. Tulika Sinha are among the top IUI specialists in Noida.
Surrogacy is an agreement and method where a woman agrees to carry the pregnancy for other couple who will be biological parents of a newborn child. In the process of surrogacy, an embryo is transferred to the surrogate mother and she carries the baby till the birth.
Traditional Surrogacy is where the surrogate mother is the biological mother of the child because she uses her own egg that is fertilized by the intended fathers sperm. While in Gestational Surrogacy the woman carries the embryo of the intended couple through IVF process and is not biologically related to the child. She just acts as a carrier.
IUI costs in Delhi with highest success rates starts from Rs.10000 and goes up to Rs. 35000. The costs vary on the basis of the quality of treatment provided and thus have a direct implication on the success rates of the treatment. However, it is to keep in mind that, IUI costs in Rupees in Delhi may vary as per the type of IUI performed. For natural cycle IUI, the cost is minimum, however, for Induced Cycle IUI (medicine induced), IUI costs in rupees in Delhi starts from Rs. 18000and goes up to Rs.35000.