1 How is infertility diagnosed ?

A complete medical history and a physical exam are the first step in diagnosing with fertility problem. Both partners need to be evaluated. The couple may also need blood tests, semen analysis and ultrasound exams or exploratory surgery for the woman.

2How is infertility in a woman treated ?

Once the cause for infertility is determined, treatment can be planned. Some times, a simple instruction or few medication will solve the problem. Instructions like when produce a pregnancy is given. In many cases medications are indicated. In some cases surgery is required.

3How is infertility in a man treated ?

Problems in the male reproductive organs can often be resolved with medicine and if required with surgery.

4 What increases a man’s risks of infertility ?

Sperm quality and quantity can be affected by overall health and life style. Some things that may reduce sperm number and quality includes alcohol, drugs, stress, environmental toxins, smoking, health problems, certain medicines, radio or chemotherapy and age.

5 What things increases a woman’s risk of infertility ?

Things that affect woman’s fertility includes age, stress, poor diet, obesity, underweight, smoking, STD, hormonal problems and health problems.

6 Can a vasectomized man be a father again ? If yes what is the procedure?

For person who wants to be a father again after vasectomy operation is vasectomy reversal operation should be the first choice. In skilled hands, reversals are successful 70-80%. The other procedure is extraction of sperm from testes or from epidydymis. These sperms are used to inject a ovum through a procedure called ICSI [Intra Cytoplasmic Sperm Injection].

7 How many couples are affected by infertility ?

One in six couples are affected by some degree of infertility.

8 If a couple has trouble conceiving, when they should visit a fertility specialist ?

Couple who have been having intercourse during ovulation for one year without protection and wants to have baby soon can consult a doctor.

9 Is Infertility Hereditary ?

Most infertility problems are not hereditary. If your grand mother, mother or sister conceives late or had difficult in conceiving, it is not a rule that you will not conceive.

10 Do painful periods cause infertility ?

Painful periods do not affect fertility, infact it is a signal of ovulatory cycles. But if one have consistant pain doctor consultation is advised.

11 What is tubal reversal ?

It is a procedure that restores blocked or tied fallopian tubes to restore fertility in a woman. The procedure is called tubal reversal because it is performed to reserve the effects of a tubal ligation, a procedure which involves blocking the fallopian tubes to prevent pregnancy.

12 Do all infertility treatment is high-tech procedures ?

No, many couples are successful in their attempts to conceive using simple and “low-tech” procedure. ~10-20% couples seeking infertility treatment will undergo ART procedure. All ART procedures are established medical treatment.

13 How successful are infertility treatments ?

Improvements in medication, surgery and ART make pregnancy possible for a majority of the couples pursuing treatments. Success rates have drastically improved for couples taking treatment under ART.

14 How does natural conception occur ?

Conception occurs when the male’s sperm meet the woman’s egg and successfully penetrates it. This typically takes place in one of the woman’s fallopian tube and the fertilized egg then travels to the uterus and implants in the uterine lining. For pregnancy to take place, fertilization of the egg must be followed by a successful impanation. Only one egg is released for fertilization in each menstrual cycle. If this egg is not fertilized, conception will not be possible again until the next cycle.

15 How does age affect woman’s fertility ?
For Woman
  • The quality of eggs in the ovaries decline with age.
  • The ability of an egg to become fertilized may also be decreasing over time, lowering the odds of conception.
  • There are fewer eggs with time.
  • Overtime, changes in hormones can cause difficulties with ovulation.
  • Miscarriage rates increase with age.
16 What is surrogacy ?

The current & more accurate term for surrogate is “carrier”. A surrogate is a woman who agrees to carry a pregnancy for another person or couple, called the intended parent(s).

17 What kind of woman become surrogates ?

The typical surrogate is a woman in her mid 20’s to early 35’s married & the mother of her own children. Although compensated, surrogates generally provide their services to help other loving, committed couples experience the same joy they have as parents.

18 What will be the situation to become a surrogate ?
To become a surrogate the woman should fulfill the following criteria:
  • Age between 21 & 35 years old.
  • A non smoker, on drug user who maintained a healthy life style.
  • Must have successfully carried at least one child of your own term.
  • In a stable living situation.
  • If married, have a spouse who’s supportive of your decision to become a surrogate mother.
  • Have a healthy, weight/height ratio.
  • Willing to give up caffeine, alcohol for the duration of the pregnancy.
19 What is the purpose of a surrogacy agreement ?

Surrogacy agreements are the first stage in a two step process. The purpose of the surrogacy agreement is to allow each party to state their intentions & their responsibilities to one another .The agreement will clearly state that the surrogate does not intend on parenting any resulting children & does not wish to have physical or legal custody of any children.The surrogacy agreement will also define the right & responsibilities of the assisted parents.

20 What is the difference between gestational surrogacy & traditional surrogacy ?

In gestational surrogacy, the surrogate is not biologically related to any resulting children. This type of surrogacy requires the use of a third party egg donor (either anonymous or known),and the procedure to establish the pregnancy is called ”In Vitro Fertilization”. In traditional surrogacy, the surrogates own eggs are used to conceive the child, so she is biologically related to the resulting children. The procedure used to establish the pregnancy is generally referred to as “artificial insemination”.

21 What are the tests that a surrogate needs to undergo ?
The tests that a surrogate needs to undergo are as following:
  • The complete medical & family history.
  • A test through physical & psychological examination & evaluation.
  • Blood test for HIV, hepatitis B & C & other sexually transmitted disease.
  • Cervical cultures organisms such as Chlamydia urea plasma.
  • An evaluation of the uterus by hysteroscopy.
  • Blood test for prolactin & thyroid stimulation hormone.
22 What is the reason for opting surrogate parenting ?
The reason for going towards surrogacy includes:
  • Woman without uterus- by birth or by hysterectomy.
  • Woman with some uterine disease (adenomyosis, multiple fibroids, endometrial damage).
  • Woman with chronic ill health (uncontrolled diabetes & hypertension, heart disease, seizer’s disorders, physical disability etc).
  • The prospective parent may be a single man or a male couple who would like to become parents.