Fertility

People to Parents

Fertility

Couples are increasingly being affected by infertility. It is estimated that about 10% of reproductive-age couples are infertile in India! This is a staggering number considering the population of our country. To address this growing concern, Apollo Clinic has set up a Specialty Clinic for Fertility that provides world-class treatment with advanced procedures and equipment.

What is Infertility?
When a couple is unable to conceive after having 12 months of unprotected sexual relationship, they are said to be infertile. There are two types of infertility - primary and secondary. Primary infertility means that the couple has never been able to conceive. Secondary infertility means that the couple has had pregnancy earlier and is unable to conceive later.

What are the causes of Infertility?
It is untrue that infertility is always a ‘woman's problem'. Half of the infertility cases are due to issues with the man’s reproductive system. Causes of infertility in men include problems with the sperm such as low motility, abnormal form or fewer numbers. Causes of infertility in women include ovulation, fallopian tube, cervix or womb problems.

How can we help you?

Apollo Clinic’s Specialty Fertility Clinic is considered to be one of the best fertility clinics in the country today. We offer specialised investigative procedures for both men and women. During the first visit, both partners are expected to attend. A detailed review is done of medical history and previous reports. Depending on the findings, further investigations may be conducted.

Investigative procedures for men - In addition to basic blood and urine exam, semen analysis is also done.

Investigative procedures for women - As a first step, we conduct routine examinations such as CBC, TSH/FSH/LH/Prolactin VDRL, HIV and blood grouping, Hepatitis B, Rubella IgG and urine test. Additional tests that may be conducted based on doctor recommendations are:

  • Serum tests - Serum FSH/ LH/ PRL/ TSH tests may be done on day 2 or 3 of the menstrual cycle
  • HSG (Hysterosalpingogram) - In this procedure, an x-ray of the Hysteria (uterus) and Salpingo (fallopian tubes) are taken. A dye is injected into the uterus and pictures are taken to identify any irregularities in the uterine cavity and tubes. Alternatively, an ultrasound may be taken.   
  • Trans-vaginal ultrasonogram - This procedure helps check abnormalities in the uterus, tubes and ovaries. It is best to get this done around the 13th day of the cycle. For those who are already undergoing treatment with ovulation-inducing drugs, follicular tracking and monitoring of follicle development is also done via a transvaginal scan.
  • Laparoscopic hysteroscopy - An endoscope is used to visualise the interior aspects of the uterus. This assists in identifying the pathology in the uterine cavity, releasing adhesions inside the uterus, resection of fibroid/polyp that protrudes into the uterine cavity, cannulation of the uterine end of the tube if blocked and resection of a uterine septum.
  • Laparoscopy - An endoscope is used for direct visualisation of the peritoneal cavity. This helps in visualising the uterus, tubes, ovaries and structures adjacent to it; performing dye test to check tubal patency and operative interventions if required.

Depending on the results of the investigations, the cause will be determined, and accordingly, treatment would be initialised. Assistive Reproductive Technology (ART) is the term used for the treatment of infertility. These treatments are designed to increase the number of sperms or eggs and to bring them together, thus improving the chances of pregnancy.

Infertility treatments could range from simple lifestyle changes to extensive medical procedures, depending on the cause of the problem. Initial measures include awareness of the fertile period, relaxation therapy, quitting smoking or alcohol. Further treatments can be categorised as:

Medication to improve fertility - Tablets such as clomifene or injectable medications that contain gonadotrophins.

Surgical treatment - This method is used when the cause of infertility can be treated with surgical intervention such as fallopian tube problems, endometriosis, PCOS, fibroids in women and epididymis or varicoceles in men.

Assisted conception - This includes IVF treatment (in vitro fertilisation), IUI (intrauterine insemination), ICSI (intracytoplasmic sperm injection), GIFT (gamete intrafallopian transfer), TESA (testicular sperm aspiration), embryo freezing excess, sperm/semen freezing and assisted hatching.

 

Apollo Support

Over the years, Apollo Clinic's Specialty Fertility Clinic has become one of the best fertility treatment centres in the country. Today, we are synonymous with excellence, integrity and successful outcomes. Our eminent team consists of expert doctors specialised in reproductive medicine, nurse-counsellors, ultrasonographers, andrologists and embryologists. We are committed to offering the best course of treatment to ensure better outcomes in a comfortable, private environment.   

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