What to do IUI or IVF?

IUI is a low success treatment which usually kills precious time, fertility power of the body,money and leads to psychological distress to the couple.

So couples who have time on their hands, more fertility power and psychologically not ready could be offered IUI treatment to start with in the following case:

• Young age < 30 years • PCO( AMH > 2.5) • But stop IUI beyond 3 attempts because it doesn't increase the success rates. • By killing fertility power through IUI, it decreases chances of pregnancy through IVF treatment as well. • Gynaecologists can refrain from overcommitting IUI results which will eventually benefits the patients through IVF.

Don't go for IUI if:

• More than 35 years age • AMH less than 2 • Husband semen count is less than 10 million

• Both tubes are bad with grade 3-4 endometriosis.

So the question that arises is that when to and where to start IVF?

Comments

How can we treat zero sperm count...???

Male Infertility increased day by day in which out of 50-100 percent of patients can get pregnancy by their own sperm. 2 variety can be seen in the population : 1) problem in production 2) travelling obstruction Maximum result and confidence can be explained to those who are having obstruction.which means there will be a obstruction from testis to ejaculation in the travelling component. So Doctor can obtain sperm by small needle aspiration. In difficult condition we can do Micro Tessa to retrieve best sperm.The most difficult scenario is problem in production. Our strong belief is to give minimum two month medical management on the basis of testosterone and estrogen. 25-30 percent can retrieve healthy sperm by a technique MicroTessa if required.we offer only Day 5 transfer and PGS & ERA in a recurrent failure and previous two abortion cases. Best Infertility Treatment in Ahmedabad - Wings Hospitals

The prevalence and management of Endometriosis.

Endometriosis is the disease in which endometrium, i. e. the tissue that normally lines the uterus or womb, happens to grow outside of the uterus and on other areas in the body where it doesn’t belong. Total incidence is 1-2%. Usually the patients with endometriosis tend to have a very strong mental constitution, high achiever and usually very competitive with themselves. Common signs and symptoms are painful periods, pain with intercourse, pain during urination and defecation, infertility and excessive bleeding. In short, endometriosis is a chronic disease that causes severe pain and fertility problems. Endometriosis is of minimal, mild, moderate and severe stages. The most common sites affected are the pelvic peritoneum and ovaries. Diagnosis is through transvaginal ultrasound, rectal endoscopical ultrasound, 3 D ultrasound or by MRI. Surgery is required only in patients with more than 4 to 6 cm lesions accompanied by severe pain....

True Facts of IVF treatment in today’s era.

I m sharing my personal experience today that to make sure that certain wrong things are not implemented in IVF treatments . Polycystic ovary patient with one time ovarian hyper stimulation should not happen in today’s era. Because of the previous hyper stimulation patient should not accept egg donation.Early move towards IVF treatment is a future in PCOS patients. Limit number of IUI to not more than 3 attempts.When patient is having 0 count in semen analysis, they should not accept sperm donation straight forward without biopsy. 50 percent men can retrieve sperm. Micro Tesa and Micro Pesa is the latest advancement in technology. Transferring embryos repeatedly will not improve pregnancy rate. Repeated trials is not the way forward. Money binding scheme are non scientific and will promote more of unnecessary egg donation. Don’t accept egg donation quickly at any low AMH levels. It is challenging to give pregnancy at any low AMH but it requires experience and tech...

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