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

When and where to start the IVF treatment?

Patients are confused about the time to start the IVF treatment. Should the age be considered as the parameter or the duration of the treatment? In Indian female, age beyond 35, IVF will be a better option. More than 5 years of infertility period again strongly indicates IVF treatment . At any point, if AMH is less than 2.0, IVF is strongly indicated. In the era of IVF treatments, 3 IUI attempts are enough. Due to lack of regulations, patients are confused where to start the IVF treatment. There are no set parameters to indicate which is the best centre for IVF treatments. But according to me, the following criteria is important in a IVF centre: • More than 5 years of specialty infertility experience of the doctor. • Most latest technology with 0.3 micron clean air modular lab. • In-house and more than 5 years experience of embryology team. • Atleast one triple gas bench incubator. • Day 5 embryo transfer & freeze more strategy for all. Advanc...

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

What are the latest trends in infertility management?

The most important and critical advancement is “only day 5 embryo transfer with freeze more strategy” • As at WINGS, we promote own egg pregnancy in any difficult situation through latest trends in infertility. As mentioned earlier, embryo freezing in advance maternal age (>35y) is the answer. We have to decide clinically whether we do it with or without PGT which is another current advancement option to increase the results. • Currently, egg freezing has also passed the experimental stage. Egg freezing is a good option specially in women detected with any cancer and also for young unmarried women with endometriosis and women who want to plan pregnancy at advance age. • Ovarian Tissue cryo preservation will be also possible in the near future. • Before going for surrogacy option, platelets rich plasma(PRP) and stem cell therapy are possible treatments in very thin uterine lining with multiple ivf failures. • We offer a Kid's embryo scoring software that h...

Wings Hospitals

Search This Blog