Fertility Dilemmas Answered by Dr.Durga Vytla
1) Hi doctor, I got married 2 years ago and have been trying for pregnancy with no luck. What should I do?
- A) Hello. we usually call a couple sub-fertile when they fail to conceive within 12 months of unprotected intercourse. It is advisable to visit infertility consultant so that they can perform basic tests like ultrasound, tubal patency test, semen analysis. Doctor can decide the treatment based on the reports.
2) Hi madam, I am 36 years old and married for 4 years. we have undergone 6 cycles of IUI, my husband sperm count is 11 million. Can I still try IUI?
- A) Hi. your husband sperm count is on lower side and since have already tried multiple cycles of IUI, it is advisable to go for IVF. Moreover, you are 36years old, egg number & quality decreases with age, for better success plan IVF at the earliest.
3) Hello doctor, we are going for IVF treatment next month. How painful is the procedure and should I be taking best rest?
- A) Hi. IVF used to be a painful deal earlier. Most of the newer injections have thin needles and are pen based which have no or very little pain making IVF almost pain free. Even the egg pick up is done under anesthesia. And multiple studies have shown that bed rest is not mandatory and doesn’t affect success.
4) My name is Ramesh, my semen analysis shows Azoospermia. Is there any way I can father a child?
- A) Hello Mr. Ramesh. You can get scrotal scan, hormonal assay and few genetic tests. Based on the reports we can predict the possibility of sperm retrieval in testicular aspiration. You can go for ICSI ( advanced IVF) even if you get few sperms.
5) Hello madam, I conceived twice and miscarried. On consulting my gynecologist, she told I have septate uterus and needs to be operated. Is it compulsory to operate?
A) Hi. Septate uterus is known to increase miscarriage and preterm delivery rates. It is advisable to get septum resection done before planning next pregnancy to minimize miscarriage rate & deliver a healthy baby.
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