07/24/2019 Fertility treatments are broadly categorised into 3 types: -
1) Ovulation induction with timed intercourse (OI
+ TIC) - medicines are
given to grow the egg and intercourse is timed based on ultrasound evaluation.
Success
rates vary between 5-20%, which further depend on
·
Menstrual
regularity
·
Number
of eggs released
·
fallopian
tube status
·
endometrial
thickness
·
treatment
protocol
·
presence
of any medical conditions
·
Sperm
count, motility etc
2) Intrauterine insemination
(IUI)- After
ovulation induction and ultrasound follicular monitoring, partner’s sperms are
washed to remove dead & non-motile sperms. The most potent sperms are then placed in female partner’s womb with
a small catheter.
Success rates vary between 10-30%.
In addition to the factors mentioned in OI+TIC, success
depends on
·
Sperm washing technique and the media used
·
Technique of IUI
·
Time gap between preparation and insemination of prepared
sample.
·
Use of self/donor sperms
3) In-vitro fertilisation (IVF,
test tube baby procedure) – it is a process where egg and sperm are fertilised outside
the body in an artificial environment. From day 2 of menstrual cycle hormonal
injections are given for 8-10 days after which eggs are collected under
ultrasound guidance for fertilisation. Well fertilised and good quality embryos
are then selected and transferred back to the womb.
Success rates vary between 30-60% which further depends on
·
Age & ovarian reserve of female partner
·
Stimulation protocol
·
Quality of the drugs
·
Clinician’s & embryologist’s expertise
·
Embryology laboratory conditions
·
Presence of fibroids, polyps, hydrosalpinx
·
Use of testicular sperm
·
Use of third-party reproduction like donor eggs, donor
sperms, donor embryos.
·
Use of advanced treatments like PGS/ERA
·
Frozen vs fresh embryo transfer
·
Sperm DNA fragmentation index etc.
Hence, it is very important that the treatment
protocol should be designed depending on the couple’s profile rather than just a
blanket therapy.

Hegde Fertility Center offers the most advanced and efficient infertility treatments with the primary goal of being a center par excellence that is focused on bringing avant-garde facilities, state-of-the-art labs, highly trained experts, and a dedicated caring staff for fulfilling a couple's desire…
Gynaec Issues Answered by Specialist
Fertility Dilemmas Answered by Dr.Durga Vytla
Beat your Age by Smartly Tracking your Ovarian Reserve
Understanding IVF for Successful Pregnancy
How To Increase sucess Rates in IUI
How To Increase sucess Rates in IVF
Recurrent Pregnancy Loss causes & Management
Side effects during IVF treatment and their prevention
Psychological counselling and infertility