IVF Treatment

Polycystic Ovary Syndrome (PCOS) is a common hormonal issue that affects women of childbearing age. It often causes hormonal imbalance, making it difficult for a woman to conceive. This blog explains how PCOS can impact fertility and explores available treatment options. 1. What is PCOS? Definition of PCOS: PCOS is a condition where the ovaries produce excess of male hormones . It affects 5-10% of women of reproductive age worldwide. Common Symptoms and Characteristics: Irregular Periods: Menstrual cycles that are infrequent or prolonged. High Androgen Levels: Excess male hormones leading to acne, unwanted hair growth, and hair thinning. Polycystic Ovaries: Ovaries may be enlarged with small cysts, which can prevent eggs from being released regularly. Impact on Menstrual Cycle, Hormones, and Ovaries: PCOS causes a hormonal imbalance that disrupts the menstrual cycle. This can lead to irregular periods and may prevent the ovaries from releasing eggs regularly, making it harder to get pregnant. 2. What is Infertility? Infertility is when a couple cannot conceive after trying for one year without birth control. It can be due to problems in either partner or both. In women, conditions like PCOS can make it difficult to conceive. 3. PCOS and Infertility:- Statistics on PCOS and Infertility: Around 70-80% of women with PCOS experience difficulties with getting pregnant due to irregular ovulation. However, many can conceive with right guidance and treatment. What are the odds of getting pregnant with PCOS? The impact of PCOS on fertility varies. Women with milder symptoms and a healthy lifestyle may have an easier time conceiving, while others may require medical intervention. 4. How Does PCOS Cause Infertility? Hormonal Imbalances Affecting Ovulation:PCOS alters hormone levels, making it harder for the ovaries to release a mature egg, which is necessary for pregnancy. Impact on Egg Quality and Irregular Menstrual Cycles:Irregular periods mean less frequent ovulation and, potentially, lower-quality eggs, complicating efforts to conceive. Insulin Resistance and Its Role in Fertility:Many Women with PCOS have insulin resistance and higher levels of male hormones, as a result the ovaries fails to ovulate. Implantation issues: In many women with PCOS,there is disordered growth of endometrium(lining of uterus), due to unopposed action of only estrogen hormone and absence of progesterone hormone in the endometrium.This causes failure of implantation of the embryos. Chronic Inflammation: Ongoing low-level inflammation can also impact fertility. 5. What Are the Treatment Options for PCOS-Related Infertility? Lifestyle Changes: Diet, Exercise, and Weight Management: Diet: Eating a balanced diet low in refined sugars can help manage insulin levels. Exercise: Regular activity helps improve overall health and hormonal balance. Weight Management: Loosing 5-10% of body weight can improve ovulation in overweight women with PCOS Hormonal Treatments: Clomiphene (Clomid): Helps stimulate ovulation. Letrozole: Another medication that can help with ovulation. Metformin: Improves insulin sensitivity, which can help restore regular cycles. Gonadotropins: Hormonal injections that causes follicular development in the ovaries. Assisted Reproductive Technologies (ART): In Vitro Fertilization (IVF): Eggs are fertilized outside the body and then implanted in the uterus. Surgical Options: Ovarian Drilling, if Necessary: A laparoscopic surgery that can help some women with PCOS to ovulate by reducing the number of cysts in the ovaries. Holistic Approaches: Yoga, Acupuncture, and Mental Well-Being: Yoga and Acupuncture : Can help reduce stress and improve hormonal balance. Mental Well-Being : Managing stress and anxiety can improve overall fertility health. Although PCOS can make it harder to get pregnant, it is possible to have a baby with the right treatment and support. Understanding PCOS and its impact on fertility is key to finding effective solutions. With lifestyle changes, medical treatment, and sometimes assisted reproductive technologies, many women with PCOS can successfully conceive. Dr. Sharmistha Sarkar MBBS, MS (Obstetrics & Gynaecology), MCh(Reproductive Medicine and Surgery),  CMC, Vellore Contact Us Today

The journey to parenthood can be exciting but also challenging for some couples. While it’s common to face minor delays in conceiving, certain signs might indicate that it’s time to seek professional help. Knowing when to consult a fertility doctor can make a significant difference in your chances of successful conception. Here are some signs your body gives you that it’s time to see a fertility doctor. 1. Irregular Menstrual Cycles A regular menstrual cycle is a key indicator of ovulation, which is crucial for conception. If your periods are unpredictable, too short (less than 21 days), or too long (more than 35 days), it might suggest ovulation problems. Conditions like Polycystic Ovary Syndrome (PCOS) can cause irregular cycles and affect fertility. 2. No Periods (Amenorrhea) Missing periods for several months, even if you are not pregnant, is a red flag. Amenorrhea can result from various factors, including stress, significant weight loss or gain, excessive exercise, or underlying health conditions. A fertility doctor can help diagnose and treat the underlying cause. 3. Painful Periods Experiencing severe menstrual cramps or pain that interferes with your daily life may indicate conditions like endometriosis or fibroids. Both conditions can impact fertility and might require medical intervention. 4. Age Factor Age plays a critical role in fertility. Women over 35 should consider seeing a fertility doctor if they haven’t conceived after six months of trying. As women age, the quantity and quality of their eggs decline, making it harder to conceive. 5. Recurrent Miscarriages If you’ve experienced two or more consecutive miscarriages, it’s essential to consult a fertility specialist. Recurrent miscarriages can result from various issues, including genetic problems, hormonal imbalances, or anatomical abnormalities. 6. Chronic Health Conditions Certain chronic health conditions, such as diabetes, thyroid disorders, and autoimmune diseases, can affect fertility. Managing these conditions with the help of a specialist can improve your chances of conceiving. 7. History of Pelvic Infections or STIs Sexually transmitted infections (STIs) and pelvic inflammatory disease (PID) can cause scarring and blockages in the fallopian tubes, preventing the sperm from reaching the egg. If you have a history of these conditions, it’s wise to seek a fertility evaluation. 8. Previous Cancer Treatments Cancer treatments, including chemotherapy and radiation, can impact fertility. If you have a history of cancer treatment, it’s crucial to discuss your fertility options with a specialist. 9. Problems with Sexual Function For men, issues like erectile dysfunction or difficulty ejaculating can impact fertility. These problems might result from underlying health conditions, hormonal imbalances, or psychological factors. A fertility doctor can help address these issues. 10. Family History of Infertility If there is a history of infertility in your family, it might indicate a genetic predisposition to fertility issues. Consulting a fertility specialist can help identify potential genetic factors and provide appropriate treatment options. Recognizing the signs that indicate it’s time to see a fertility doctor can help you take proactive steps toward achieving your dream of parenthood. Early intervention and professional guidance can significantly improve your chances of conceiving. At Dr. Sharmistha’s clinic, we are dedicated to providing comprehensive and compassionate care

For many couples, the journey to parenthood can be filled with challenges and uncertainties. Fertility treatments offer hope and solutions for those struggling to conceive. Understanding the various options and what to expect can empower you to make informed decisions. Here’s everything you need to know about fertility treatment. Understanding Fertility Fertility is the natural capability to conceive a child. While many couples conceive without difficulty, about 10-15% experience infertility, which is defined as not being able to conceive after one year of regular, unprotected intercourse. Various factors, including age, lifestyle, and underlying medical conditions, can affect fertility in both men and women. When to Consult a Fertility Specialist in Siliguri If you are under 35 and have been trying to conceive for a year without success, it’s time to consult a fertility specialist. If you are over 35, seek help after six months of trying. Early evaluation and intervention can improve your chances of successful treatment. Common Causes of Infertility In Women ● Ovulation Disorders: Issues with the release of eggs from the ovaries. ● Fallopian Tube Damage: Blockage or damage can prevent eggs from reaching the uterus. ● Endometriosis: Tissue similar to the uterine lining grows outside the uterus, affecting fertility. ● Age: Fertility decreases with age, especially after 35. In Men ● Low Sperm Count: Fewer sperm reduce the chances of fertilizing an egg. ● Sperm Motility Issues: Sperm that cannot swim effectively may not reach the egg. ● Hormonal Imbalances: Affect sperm production and function. ● Genetic Factors: Certain genetic conditions can impact fertility. Types of Fertility Treatments 1. Medications Fertility drugs are often the first line of treatment and can help regulate or induce ovulation. Common medications include: Clomiphene Citrate: Stimulates ovulation. Gonadotropins: Hormones that directly stimulate the ovaries. Metformin: Used for women with insulin resistance or PCOS. 2. Intrauterine Insemination (IUI) IUI involves placing specially prepared sperm directly into the uterus during ovulation. This procedure can increase the chances of sperm reaching the egg and is often used when there are issues with sperm motility or unexplained infertility. 3. In Vitro Fertilization (IVF) IVF is a complex process where eggs are retrieved from the ovaries and fertilized with sperm in a lab. The resulting embryos are then implanted into the uterus. IVF is recommended for various infertility issues, including blocked fallopian tubes. 4. Intracytoplasmic Sperm Injection (ICSI) ICSI is a specialized form of IVF where a single sperm is injected directly into an egg. This technique is particularly useful for severe male infertility. 5. Assisted Hatching This technique involves creating a small hole in the outer shell of the embryo to facilitate implantation in the uterus. Assisted hatching is often used for older women or those with previous failed IVF cycles. 6. Donor Eggs or Sperm Using donor eggs or sperm can be an option for couples where one partner has a significant fertility issue. Donor eggs are typically used for women with poor egg quality, while donor sperm can be used for severe male infertility. 7. Surrogacy Surrogacy involves another woman carrying and delivering a baby for a couple. This option is considered when a woman cannot carry a pregnancy due to medical reasons. Preparing for Fertility Treatment Emotional Readiness Fertility treatment can be emotionally taxing. It’s essential to have a support system and consider counseling to manage stress and emotions during the process. Physical Health Maintaining a healthy lifestyle can improve your chances of success. Eat a balanced diet, exercise regularly, and avoid smoking and excessive alcohol consumption. Financial Considerations Fertility treatments can be expensive, and not all procedures are covered by insurance. Research your options, understand the costs involved, and explore financing or insurance coverage possibilities. What to Expect from an IVF Specialist Fertility treatments often involve a series of steps and may require several cycles to achieve success. Patience and perseverance are crucial. Your fertility specialist will guide you through the process, from initial evaluation to choosing the appropriate treatment plan. Fertility treatments offer hope to many couples facing infertility. Understanding your options and being prepared can make the journey smoother and more manageable. At Dr. Sharmistha’s clinic, we are dedicated to providing compassionate and personalized care to help you achieve your dream of parenthood.