International Women's Hospital

Infertility Treatments

The female evaluation may include an examination of the uterus and ovaries (pelvic exam). The doctor also may order:

A blood test to check hormone levels or provide information for genetic testing

The use of basal body temperature charts or ovulation predictor kits

An ultrasound (with or without saline injection into the uterus) to assess the anatomy of the uterus/ovaries

Hysterosalpingography (HSG): This procedure involves the placement of dye into the cervix that then travels up through the fallopian tubes. Then an X-ray is done to reveal if the fallopian tubes are open or blocked.

Laparoscopy: In this procedure, a laparoscope is inserted into the abdomen through a small cut that is made near the belly button. The laparoscope is a thin tube that includes a small camera. It enables the doctor to view the outside of the uterus, ovaries, and fallopian tubes to detect abnormal growths. These would include fibroids and endometriosis. This procedure and HSG may be helpful in finding scar tissue and tubal blockages.

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Understanding what are the reasons / issues preventing you from conceiving is many a times the first step towards positive outcomes. For couples having difficulties in conceiving, we offer a fertility counselling clinic to understand better the factors affecting fertility make plans for tackling these and follow up the outcomes.

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commonly referred to as test tube baby is a process by which the male and female reproductive cells are brought together in a controlled laboratory environment so as to cause formation of a new life. Once of a certain size this life form (embryo) is transferred to the mother’s womb for development and finally delivery.

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Intrauterine insemination this is a process by which the concentrated and purified sample of the semen is directly inserted in the uterus at a particular time of the cycle when the female cell (ovum / egg cell) is also nearby. This increases the chances of fertilisation and subsequently pregnancy

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If due to some causes the fallopian tubes of a lady are blocked or cut previously, these can be recanalised by a surgery called recanalisation. When possible, this removes the need for IVF and assisted reproduction in order to have successful pregnancy

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A condition whereby due to hormonal imbalance there is no ovulation and high estrogen levels in the body. This poses a problem in successful pregnancy. It commonly presents as long cycles and amenorrhea, weight gain, hair growth, difficulty in losing weight, pigmentation and diabetic tendency among others.

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It is important to check if tubes are open as part of fertility work up. This can be done laproscopically by injecting a dye and observing free spill of dye

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This is another method to check for patency of the tubes. Here the spillage of dye is observed under ultrasound or x ray control. This is however not very sensitive and can show normal tubes as blocked due to spasm. It is also perceived as very painful by most women.

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Tubal recanalisation , treatment of ovarian cysts, hyteroscopic surgery , septum resections , metroplasty and various other laproscopic procedures help the woman conceive and reduce the chances of needing IVF

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