Showing posts with label male infertility treatment. Show all posts
Showing posts with label male infertility treatment. Show all posts

Tuesday, 25 July 2023

Male Infertility Treatment in India: Advancements, Options, and Hope

 Male infertility is a widespread issue affecting couples worldwide. In recent years, advancements in medical technology and research have led to various treatment options that offer hope to those struggling to conceive. India, as a rapidly emerging hub for healthcare, has made remarkable progress in the field of male infertility treatment. This blog aims to explore the current state of male infertility treatment in India, highlighting the advancements, available options, and the hope it brings to couples facing fertility challenges.

  1. Understanding Male Infertility:

Male infertility is characterized by the inability of a man to contribute to conception despite regular, unprotected sexual intercourse with his partner. There are several factors that can contribute to male infertility, including low sperm count, poor sperm motility, abnormal sperm shape, hormonal imbalances, genetic issues, and lifestyle factors like smoking and excessive alcohol consumption.

  1. Advancements in Male Infertility Treatment:

a) Assisted Reproductive Techniques (ART): ART has revolutionized infertility treatment in India. Techniques such as Intrauterine Insemination (IUI) and In Vitro Fertilization (IVF) have shown promising results in helping couples achieve parenthood. These procedures involve the collection and processing of sperm to enhance their chances of fertilizing an egg.

b) Intracytoplasmic Sperm Injection (ICSI): ICSI is a breakthrough procedure where a single sperm is directly injected into an egg, bypassing any barriers that might hinder fertilization. This technique is highly effective in cases of severe male infertility.

c) Testicular Sperm Aspiration (TESA) and Percutaneous Epididymal Sperm Aspiration (PESA): These procedures are used to retrieve sperm directly from the testicles or epididymis in cases where sperm is not present in the ejaculate due to blockages or other issues.

d) Cryopreservation of Sperm: Sperm freezing, or cryopreservation, allows men to store their sperm for future use, providing a viable option for those undergoing treatments that might compromise their fertility, such as cancer therapy.

  1. Lifestyle Changes and Counseling:

In many cases, male infertility can be improved or even reversed through lifestyle modifications. Fertility clinics in India emphasize the significance of a healthy diet, regular exercise, stress reduction, and avoiding harmful habits like smoking and excessive alcohol consumption. Moreover, couples often receive counseling to cope with the emotional challenges of infertility, fostering a supportive environment for the treatment process.

  1. Accessibility and Affordability:

One of the advantages of seeking male infertility treatment in India is the accessibility and affordability of procedures. The cost of fertility treatments in India is comparatively lower than in many Western countries, making it an attractive destination for medical tourism.

  1. Success Rates:

India's fertility centers have witnessed remarkable success rates in male infertility treatments. The expertise of medical professionals, coupled with cutting-edge technology, has resulted in numerous success stories, offering hope to couples who had previously lost faith in their ability to conceive.

  1. Conclusion:

Male infertility can be a distressing and emotionally challenging condition for couples hoping to start a family. However, with the advancements in male infertility treatment and the proliferation of specialized fertility clinics in India, there is newfound hope for those facing fertility challenges. The accessibility, affordability, and success rates of these treatments in India have made it a preferred destination for couples from around the world seeking effective solutions to their infertility woes. As technology and research continue to progress, the future looks brighter than ever for individuals and couples seeking to embrace the joys of parenthood.

Monday, 4 April 2016

The science of Infertility Treatment is constantly evolving and new technology and expertise is being constantly developed at our advanced IVF Centre in India with the result that the Pregnancy and live birth rates have significantly improved over the past few years.

At India's leading IVF Clinics we have a scientific approach to diagnose the cause for infertility. Our IVF center has state-of-the-art facilities for (IVF), In Vitro Fertilization and fully functional laboratory for diagnostic and therapeutic tests. The world class facilities along with competent staff have enabled us to achieve an outstanding success rate. We provide everything under one roof and make best possible efforts to help infertile couples achieve their dreams of parenthood.

Hundreds of International Patients who travelled long distance to India have benefitted from the expertise of renowned Indian doctors.


Why come to India for IVF / Infertility Treatment

One of the world's leading destinations for IVF procedures
Success rate in excess of 50% for women in some age groups
International protocols. Safe procedures
Latest World class technology
IVF specialists of great skill and experience
Significant Cost Savings with very affordable treatment packages
Specialized Modern hospitals with highly competent and experienced IVF doctors


Treatments Options available in India to treat Infertility
IVF India has complete range of services to handle any kind of infertility with the best of professionals to back the best in class technology at work.

In Vitro Fertilization (IVF)
Intra Uterine Insemination (IUI)
Intra Cytoplasmic Sperm Injection (ICSI)
Blastocyst Culture
Sperm Aspiration) PESA (Percutaneous Epididymal Sperm Aspiration)
Advanced Treatment Options like TESE (Testicular Sperm Extraction) MESA (Microsurgical Epididymal )
Cryopreservation
Laser Assisted Hatching
Embryo Transfer

0. Ovulation Induction
1. Egg Donation/Egg Sharing
2. Zona free Embryo Transfer
3. Semen Bank


Infertility in Women
Infertility in women is conventionally defined as failure to conceive despite regular sexual intercourse for a year, without using any contraceptive. There are many reasons for female infertility. Some of the most common reasons are as follows.

Irregular or absent periods
Hormone imbalance
Smoking or alcohol use
Endometriosis
Fibroids
History of infertility

In-Vitro Fertilization (IVF) :

In Vitro Fertilisation refers to the medical technique through which the female's egg cells are fertilised by male sperm outside of the body. Hormones are used to control the female's ovulatory process in order to ensure the generation of a sufficient number of eggs. The procedure is completed with the removal of the eggs from the ovary of the female and allowing the union of the egg and the sperm in a controlled fluid. Once the egg is fertilised, it is transferred to the female uterus. IVF treatment is preceded by a range of screening tests for both the male and the female. Screening tests can be done in the patients' home country. The female should arrive in India a day or two prior to commencement of her monthly cycle and will be required to stay in India for two to three weeks. The male partner is required only for retrieval of the sperm, if he is otherwise normal from the fertility point of view.


IVF Treatment Cyclee

Step 1: Suppressing the natural monthly cycle
The lady is given a drug to suppress the natural monthly cycle either as an injection or a tablet for about two weeks.

Step 2: Boosting the egg supply
Once the natural cycle is suppressed, fertility hormone called FSH (follicle stimulating hormone) is given to the lady as an injection for about 12-15 days. The hormone increases the number of eggs that the ovaries produce, thus increasing the number of eggs that that can be collected and fertilised. With more fertilised eggs, the doctor has a greater choice of embryos that can be used during the treatment.

Step 3: Monitoring the progress
Your treating doctor would monitor the progress after the drugs are given. Blood test and vaginal ultrasound scan is done to check the ovaries and about 36 hours before the eggs are to be collected, the last hormone injection is given to help the egg get mature.

IStep 4: Egg collection 
You would be sedated and your eggs would be collected under ultrasound guidance. A needle is inserted and through vagina to each ovary and the eggs are collected.

Step 5: Egg fertilisation and embryo transfer
The collected eggs are mixed with your partner's or the donor's sperm in the laboratory and checked after 20 hours to see if they have fertilised. If the sperms are few or weak, each egg may need to be injected individually with a single sperm. This is called intra-cytoplasmic sperm injection or ICSI.

The fertilised eggs are allowed to grow in the laboratory for 1-5 days and best embryo is then transferred to the lady's womb.

The woman is given medicines, either progesterone or hCG (chorionic gonadotrophin), to help prepare the lining of the womb to receive the embryo. The number of embryos to be transferred should be discussed between the doctor and the patient before starting the treatment, because multiple embryo placements carry the risk of multiple pregnancy and multiple births. Suitable embryos can otherwise be frozen for future attempts.


Infertility in Men
More than 90% of male infertility cases are due to low sperm counts, poor sperm quality, or both. In 30% to 40% of cases of sperm abnormalities, the cause is unknown. It may be the end result of one or a combination of factors that include chronic illness, malnutrition, genetic defects, structural abnormalities, and environmental factors. Some of the common factors causing male infertility are:

Prostate infections
Varicocele
A history of sexually transmitted disease
Low sperm or no sperm count
Poor sperm motility
Abnormally-shaped sperm

Research studies indicate close to 10% of infertile men have immune reactions to sperm, which cause them to produce antibodies that kill sperm cells. Varicocele (enlarged veins in the testes) is another cause in men where the veins draining the testes get enlarged causing decreased oxygenation to the testes affecting sperm quality. Male tube blockage can also be due to obstructions in the tubes that transport fertile sperm. Sexually transmitted diseases are also linked to tube blockage problems. The fertilizing potential of sperm depends on the shape of spermatozoa, their motility and their ability to perform the functions necessary for fertilizing an egg and finally, the transfer of an intact genetic material (DNA) to the egg at the time of fertilization.

Male Infertility Treatments

  • Intracytoplasmic Sperm Injection (ICSI)
  • PESA (Percutaneous Epididymal Sperm Aspiration)
  • MESA (Microsurgical Epididymal Sperm Aspiration)
  • TESE (Testicular Sperm Extraction) Surgical Sperm Retrieval


WIntra Uterine Insemination
Intrauterine insemination (IUI) is a procedure that allows the physician to deposit specially washed and prepared sperm directly into the uterus via a small flexible catheter. IUI allows the sperm to bypass the cervix; therefore more are available to fertilize the egg(s). Unwashed sperm should never be placed into the uterus as serious, even fatal, allergic reactions can occur.

It is most commonly used for infertility associated with endometriosis, unexplained infertility, anovulatory infertility, very mild degrees of male factor infertility, cervical infertility and for some couples with immunological abnormalities. It is a reasonable initial treatment that should be utilized for a maximum of about 3-6 months in women who are ovulating (releasing eggs) on their own. It can be reasonable to use it for somewhat longer than this in women with an ovulation that has been stimulated to ovulate.

IUI is responsible for most high order multiple births discussed by the mass media. This is because the exact number of eggs ovulated cannot be precisely controlled. In IVF, a known number of embryos are placed in the uterus, thus limiting high order multiple births (>=3). FSH stimulated cycles should only be managed by a physician thoroughly trained in the use of fertility medications.

Saturday, 11 July 2015

The most innovational technologies for successful male infertility treatment in India



Most often the reason for male infertility lies in the changes in sperm cells quality and its amount. It is the consequence of inflammation processes in reproductive organs. Contagious and chronic diseases, as well as the influence of chemicals on body can also lead to infertility.
Patients with deferent duct obturation have also the indications for infertility treatment. Such condition implies the existence of obstructions inside the deferent duct or secretion disorders.
The most innovational technologies for successful male infertility treatment, including:
  • Minimally invasive laparoscopy
  • Laser therapy
  • Measurement station for urodynamic examinations
  • Shock-wave therapy
  • Performing surgeries using the new-generation da Vinci® SI HD. This technology makes surgical intervention less painful, leaving less noticeable incisions.

The treatment of different male infertility forms in the India

The secretory form of male infertility implies that testes do not produce enough number of sperm cells. This leads to inability to fertilize the egg. Sperm motility or malformation disorders also belong to the secretory male infertility form.
Fertility problems can also appear after so called varicocele (varicosis) that complicates the blood flow and leads to the depression of testes function. It affects the left testis first, and then the right one. The treatment on the initial stages, including surgical intervention, helps to prevent the development of male infertility.
Other possible reasons for fertility problems include:
  • Hydrocele - the collection of liquid that constricts the testis from the inside and leads to the release of defective sperm cells.
  • Inguinal hernia.
  • Cryptorchidism - the testis do not descend fully into the scrotum. If this defect hasn’t been removed by 7 years old age, the risk of male infertility rises significantly.
  • Parotitis - the grandular tissue is affected by virus that damages the reproductive system first.
  • Orchitis - the inflammation of some reproductive organs. Without urgent treatment 50% of cases end up with fertility problems.
  • Mechanical traumas and radioactive exposure can damage the seminiferous epithelium (cover) and lead to male infertility.
  • The prolonged exposure to high temperatures (sauna). If it is impossible to avoid such procedure, it should end up with cold water rinse in order to normalize the testis temperature.
  • Syphilis - in rare cases it leads to male infertility development.
  • Steady stress, the lack of proteins in the body, hypovitaminosis and bad habits also affect fertility in combination with other factors.
In obstructive form of the disease there are pathologies in the structure of both deferent canals. The inability of sperm cells to pass through the canals is caused by the canal obstruction. It appears as a result of inflammations in vascular cones. The treatment begins with diagnosing the size and possible reasons of obstruction or adhesion of canal walls.
Immunogenetic disparity is one of the rarest reasons of male infertility. In this case a man can have children from another woman. Hypersensitive reaction of female body to sperm is also possible, but such cases are also rare.

Diagnostics and treatment of male infertility

 First of all the doctors remove all concomitant conditions. Such measures include normalizing resting time rules, elimination of stress factors, etc. The next step in treatment is vitamin therapy, normalizing the diet, sedative drug therapy.
On the third step the patient goes through the treatment of various infections and correction of endocrine pathologies, especially if there are some spermatogenesis disorders. In spite of the schematic character of the treatment, specific procedures and medications are prescribed individually in each case.
The treatment of such diseases has its own peculiarities. If a man has inflammatory processes, a partner should also undergo the treatment. Sometimes doctors offer artificial insemination with further therapy.