IVF in Nepal- what you need to know?

IVF treatment process in Nepal

IVF or In-vitro Fertilization is procedure where eggs are fertilized with sperm in laboratory condition inside a dish. In this procedure, the eggs and sperm are places in the dish along with special culture that allows the gametes to survive even outside human body. The dish, then is kept in an incubator and is observed closely by the lab technician or embryologist for the fertilization and cell division. When the eggs develop to 2-8 cell embryos, the embryos can be then transferred back into the mother’s womb.

The process usually takes 3-5 days at Angel Fertility Solution in Nepal.

 

Reasons to have IVF

IVF is usually the advanced treatment for infertile couples. Before we go for an IVF, doctor might try other procedure such as fertility medications or Intra-Uterine Insemination (IUI). IVF in Nepal or anywhere else is usually prescribed if couples suffer from following conditions;

Endometriosis

Ovulation complications

Damaged or blocked fallopian tubes

Problems with the uterus

Low sperm count or sperm motility problems/ Azoospermia

Unexplained infertility

 

What should you do if you think you need IVF?

Majority of couples will conceive on their own within 12 months simply through regular intercourse. It is always important to visit a doctor or gynecologist prior to start planning for pregnancy. Discussing infertility problems, medical history, your concerns and referring to fertility specialist will assure a good start. Since the age factor plays vital role in conception, if you are below 35 and having difficulties conceiving even after 6 months of trying, your general gynecologist will refer to you to fertility specialist.

Tests that are done before IVF:

Our doctors will advise some tests to you before resorting to IVF to rule our the cause of your infertility issues. Some test results required commonly before IVF are:

  • HIV & hepatitis test: (for safety reasons you and your partner’s blood will need to be tested prior to having IVF)
  • Female fertility tests: Before having IVF, you may be required to have blood testing done to check your hormone levels, determine egg quality, and verify whether or not you are ovulating. Your doctor may also want to check the structure of your uterine cavity and check for any blockage of your fallopian tubes. You may be given a test called an HSG, or hysterosalpingogram, which is a special x-ray of the uterus and fallopian tubes. It allows your doctor to see any abnormalities in the uterus or if your tubes are blocked.
  • Male fertility tests: Your partner may be required to have a semen analysis done before having IVF. A sample of your partner’s semen may be sent off for analysis to check his sperm count, sperm motility, and sperm quality.
  • Mock Transfer: Some clinics will do a mock transfer before doing IVF. During a mock transfer, your doctor will insert a catheter into your uterus, much like he would during a real transfer. This mock transfer allows him to measure the depth of your uterus and to determine the best way to insert the catheter during the real transfer.

 

IVF Treatment: What to expect

IVF involves fertilizing your eggs in a laboratory dish and then transferring them back into your body. In order for IVF to be successful, you will need to ovulate and produce multiple eggs for fertilization. To make this happen, your doctor will give you fertility medication at the start of your cycle that will stimulate your ovaries to produce several mature eggs for fertilization. Your doctor will have you come in for blood work and an ultrasound to check the development of your eggs. Once your eggs are mature, your eggs can be retrieved for fertilization.

 

You may be sedated or given local anesthesia for the egg retrieval procedure. The eggs are removed from your ovaries by inserting a thin needle through the back of the vagina. Using an ultrasound to guide him, your doctor will gentle suction the eggs and follicular fluid into test tubes. You may feel some cramping on the day of the procedure. Your doctor may prescribe pain medication to relieve discomfort.

 

Your partner will provide a semen specimen the day of the procedure. This semen will be used to fertilize your retrieved eggs. If your partner has a low sperm count, a procedure called intracytoplasmic sperm injection may be performed in combination with IVF. This procedure takes a single sperm and injects it directly into the egg to fertilize it.

 

Your partner’s sperm and your eggs will then be placed inside a laboratory dish and monitored for up to five days. Each of your eggs will be watched until they develop into a group of cells called an embryo. Once your embryos are ready, they can be transferred into your uterus. Your doctor will place up to four embryos inside your uterus during the transfer. To transfer the embryos, he will insert a thin catheter through your cervix and into your uterus, releasing the embryos at the top of your uterus. After the embryos are transferred, you will need to rest. You may stay in bed for several hours following the transfer before you are discharged. If the transfer was successful, you should know within a couple weeks.

 

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Why is IVF done?

Fallopian Tube Obstruction

 

 

IVF Success Rates

 

IVF success rates vary. Certain fertility problems are more challenging to treat than others. Your age is also a big factor in the success rate of IVF. Likewise, some clinics have higher success rates than others.  According to the most recent report from 2005, the percentage of cycles resulting in live births is approximately.

 

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