When to consult an IVF specialist about infertility?

When a couple is unable to conceive a baby after trying for more than a year of unprotected intercourse, they should go to the doctor and had advice from the doctor about getting pregnant. The doctor might even give some list of test for male and women to find the actual reason for not having a pregnancy.

What will the consultant doctor ask you?

The doctor will analyze the mental and physical conditions. They can ask about your and your partner's medical histories such as any chronic type illnesses, any surgeries, and other problems you might face during sex.

The doctor will also like to know about your caffeine intakes, your food habits, and any harmful addiction like excessive alcohol, cigarettes, and taking drugs. And your current medicine course or any chemicals that can you may have gained by the direct or indirect way.

The doctor will also ask you about your sexual relationships, your habits, both of your sexual history, any sexual diseases, or sexually transmitted diseases you have faced. Also ask you about your undergarment choices.

List of top 10 test for infertility:

1. Blood tests for hormone check-up:

The doctor will give you advice for a blood check up to know about your hormone system. They will check progesterone hormone to know about your ovulation timings. This test will give a result about your menstruation cycling and periodic malfunction. If you do not have it regularly, they will also ask you to experiment specific hormone such as gonadotrophins, which plays a vital role in stimulating the ovaries for producing healthy eggs.

2. Urine test for infection. A doctor can analyze the sampled urine and check for any such as sexually transmitted infections, hyper sperm infection, donor sperm infection, infected egg, and other infections.

3. Chlamydia trachomatis (chlamydia test):

It is one kind of STI that can directly affect the fertility of a woman. A swab is one kind of cotton rolled rounded bud which is a small sized softball. It is used to collect cells from the cervix to examine the disease. Doctors usually provide a different kind of antibiotics if they have a positive result of a chlamydia test.

4. Ultrasound scan for fallopian tube, ovary, and womb:

Doctors to an ultrasound scan to get to know about the reason which is preventing the pregnancy. He will check for conditions where the endometriosis as well fibroid is creating the problem.

The doctor will use this method to diagnose the fallopian tubes that connected to the ovaries and the womb. These tubes could be trapped by a blockage, which will not allow the donor egg to travel through the tunnels and to reach the uterus.

If the doctor had found any obstruction he will suggest laparoscopy as a solution.

4. X-ray to detect blockage:

X-Ray of a womb and fallopian tube will examine. They will first they will inject a particular type of dying ingredient.it will find any obstruction between fallopian tube or in the womb.

5. Ovulation testing for hormone.

Ovulation test can also perform at home. As there are several types of testing kit is available in the market. This test examines the luteinizing hormone (LH). That is eventually developed at the time of ovulation. Also we can consider prolactin level by this test.

6. Ovarian reserve testing for quality and quantity of eggs:

Doctors mostly suggest this test to the women who are older than 35. It can help to find depleted egg supply from donor sperm or donor ivf.

7. Laparoscopy. Laparoscopy is one of the tests which only performed by the top fertility specialist.in this method IVF Specialist makes a small incision in your naval and then they will insert a small device which can show the view of the inside womb to the screen and examine the blockage or the problematic area. The examinable area is a fallopian tube, endometriosis, and uterus.

8. Genetic testing for a defect in genetic codes:

Genetic testing is also a test which is on performed by top ivf specialist. As it is very complex to read and found the mistake in genetic codes.

9. Semen test to check sperm-related problems:

Semen test is performed on man to get the sperm count, sperm motility, semen thickness, smell of semen, and other things.

By doing this check, the doctor can find infertility problems cause. And also when anyone wants to be a sperm donor, this test is conducted to check the above things.

10. Post-ejaculation urine analysis test to check sperm in urine:

After the ejaculation, this test is performed to check if the sperm is traveling in a backward direction into the penis.

Unexplained infertility and its causes

What is infertility?

Fertility means the capability to conceive a baby. When a couple has unprotected sex practice for almost a year to conceive a baby, but they don't get expected result there can be a chance that one of them has the inability of conceiving a baby is known as infertility.

There are major two types of infertility, such as primary infertility and secondary infertility. In primary infertility, they cannot conceive a baby after at least one year of having unprotected intercourse in secondary infertility. In secondary infertility, the couple has been able to conceive baby once, but now they are unable to get pregnant. There are other several types of infertility. Unexplained infertility is one completed infertility among them.

What is unexplained infertility?

There are so many ways fertility specialists and researchers use to find out the cause of infertility. When they have tried every possible condition, and the reason for infertility remains unmatched, then that type of infertility is used known as unexplained infertility. In this condition, doctors can't find the actual reason for the couple's inability to conceive a baby.

Diagnosis process of this type of infertility is done using elementary kind of check-ups. As specialists check all possible causes of infertility and no match of reason will give result as unexplained infertility.it can be diagnosed indeed only after making complete complex evaluation record of fertility for both male and female.

Unexplained infertility doesn't mean that there is no hope for a couple to get pregnant. In average, 20 % of couple diagnosed with an unexplained fertility problem as the stress and unhealthy diet habits and other such factor have a significant effect on fertility issues. There are several fertility treatments as given below, are methods to fight against this inability, which is highly used by expert fertility specialists.

Let us understand how to diagnose unexplained infertility fertility specialists use exclusion method. However, there are several factors which are analyzed by the specialist.

1. Age of female: as women's get older, their possibility to conceive a baby will decrease accordingly. Women fertility is high in their 20's, and after 30 to 35, their hormonal changes affect the quality of egg that can get fertilized after 40 and elder than that women face significant difficulty to get pregnant. Sperms can face problems to reach the fallopian tube.

2. Lifestyle and eating habits can also affect

Smoking: direct and indirect both type of tobacco can harm the possibility of getting pregnant. It can affect ovarian reserve and tubal functioning and also harm the uterine surrounded environment. If the man is smoking, then the adverse effects can be on DNA.

3. Weight: weight plays a vital role in pregnancy. Obesity and underweight both can affect the regular ovulating in women. Obesity in man also can have adverse effects as possible damage sperm to DNA.

4. Excessive alcohol: drinking more alcohol can make the sperm quantity lesser, and quality can also become corrupt. In women, it can be one of the primary cause of infertility, and in also its treatment it can affect the donor sperm. While doing the ivf treatment donor sperm can be effected inside the fallopian tube as the male or female have the habit of drinking alcohol in more quantity.

5. Ovarian reserve: it is the size of follicle pool inside ovary at a particular given time. According to the effect of menstruation cycle or because the ivf treatments its size can be varied. During "In Vitro Fertilisation" (IVF) if oocyte is poor and donor sperm cant produces the fertility, this treatment should be canceled.age of women play a vital role. Egg donor's age is considered to be the number one priority to check in ivf treatments.

6. Defects in tubal function: tubal function is vital to have a healthy pregnancy. Proper ciliary motion and muscle activities can optimize tubal functionality. Donor sperm or donor egg can have oocyte interact and transported to the embryo. According to donor ivf, the sperm will have the effect of ivf, and healthy donor sperm will reach the uterine cavity for successful implantation.

The unbalanced tubal function can create other than the expected and good impact on donor sperm and lead to unexpected infertility.

7. Abnormal egg:  when the fertility specialist takes the donor sperm sample, he can have low sperm count even in big quantity donor sperm. As in this condition, the egg will have poor motility to travel and reach the fallopian tube. This kind of donor's eggs is known as abnormal eggs. The donor egg this type can also vary in their shapes sometimes.

8. Blocked Fallopian tube: while trying to conceive a baby using ivf treatments the egg is generating and growth of donor egg is also positive in the check-ups. However, it ends up by making the luteum. It cannot travel effectively as the broken corpus luteum effect it diversely. So it is also known as luteinized unruptured follicle (LUF) syndrome. As the donor egg is trapped from going further, it is also called traped fallopian tube syndrome

9. Infections:

Infections are complicated to treat, as they are of many types, and finding the right solution can be difficult. In female Bilateral.

Tubal occlusion (BTO) is the most common infection among them. One of sexually transmitted infection is Pelvic inflammatory disease (PID). In this infection, bacteria spread out from vagina to fallopian tube or ovaries through the uterus.

10. Uterine factor infertility:

When the egg is fertilized by donor sperm, it becomes an embryo. The embryo will implant to either in the womb or the endometrium.

The uterus is responsible for the stimulated growth of the fetus. While the development process uterus also takes care of the severe damages or infection that can happen to the fertile donor egg. Such damage can cause miscarriages or even produce infertility in female. This condition is very rear and uncommon mostly occur when there is an anatomic abnormality already existed inside the uterus.

If defects exist, it can cause infertility or miscarriage. Although rare, uterine factor infertility can occur when there is an anatomic abnormality of the uterus.

Let's understand what donor IVF is and how it works with male or female infertility problem

Donor IVF is one kind of fertility treatment in which the patient who is unable to conceive a baby with their egg can be capable of getting pregnant using a donor egg or sperm. In this ivf treatment, fertile women will donate egg or oocyte to the patient women to help for conceiving a baby.

Donor IVF treatment is a portion of assisted reproductive technology. Donor IVF with donation off egg is known as egg donor IVF treatment, and when the male partner does the same process with their contribution of sperm is known as Sperm Donor IVF.

IVF specialist doctor will do the process of retrieving eggs from the donor then fertilize them in the laboratory. When the egg gets fertilized, it will become the embryo. This embryo will then implanted inside the uterus of the patient. Doctors use the implantation process of in vitro fertilization.

When the problematic person in conceiving a baby is male in the couple, doctors will collect the sperm from the sperm donor. And the egg of couple or from other egg donors will get fertilized using IVF treatment in the laboratory, and then the embryo is implanted in the women uterus by the IVF doctor.

Egg donor IVF:

Egg donor IVF is a treatment to cope with infertility problem for those who can't use their own eggs, to conceive a baby. When this treatment is done with a screened egg donor, other people not from the family members nor the friend circle. The success rates increase for the donor IVF treatment. Couples who use donor for fertility have higher chances of getting pregnant than the couple who don’t use the egg donor.

This treatment is given when the women can’t generates healthy egg for pregnancy because of any particular reason. The above statement means the woman who is getting pregnant by the egg donor IVF is genetically don’t relate to the child, but the intended father will connect them genetically as his own sperm fertilizes the egg.

If the sperm is also taken from the donor, then the mother-father both won't relate genetically to the child. As because of this reason, it becomes more engaging of an idea than embryo donor IVF. By an embryo donor, none of the expected parents will genetically link to the baby.

Here comes a sense of Egg Donation which is a process by which women who have determined qualities for donating an egg, and is available to provide egg or oocyte to other women who are facing the problem of infertility and conceive a healthy bay using egg donor IVF.

Conditions when the IVF specialist recommends the Egg Donor IVF:

Those women who are having premature menopause and whose ovarian reserve is decreased drastically will have doctors’ advice as to the treatment suggestion of egg donor IVF. Also women who are more than 40 will be advised to follow egg donor IVF treatment. If any women who have been trying to conceive with donor sperm and unsuccessful for more than two times, IVF specialist will recommend the for the egg donor IVF.

The success rate of Egg Donor IVF treatment:

The Center for Disease Control has accumulated some surveys. Based on the study, they gave some data for the success ratio of donor IVF treatment. When a fresh embryo is implanted to the uterus, the live rate of giving birth to a baby using the egg donor IVF is 55.9 %. The eggs which are collected and frozen for next use have decreased percentage to conceive a baby as 40.2 % success rate. This survey was reported nationally in the year of 2013, so the success rate may vary according to different sites and even from clinic to clinic, it may vary. As after one major thing is noticed that success ratio is much more increased after using such handful technological equipment.

Egg donor IVF treatment pricing:

This IVF treatment is one of the costliest infertility treatments. Pricing will vary per the source of the donor.

The patient has to pay between $ 20,000 - 35,000 fees per cycle until the favorable result.

Sperm Donor IVF:

When the male partner is having some issue related infertility, then the couple is adviced by the IVF Specialist to conceive a baby using Sperm donor IVF treatment. In Sperm Donor Ivf sperm is obtained from a known donor like from friend or family member, or any unknown sperm donor. In Vitro Fertilization treatment requires sperm to be collected from the donor at the time of IVF treatment, which is called fresh sperm or the clinic have already received sperm, and have frozen it for future use.

Sperm is placed nearby the accumulated eggs or directly injected inside the chosen egg for fertilization. Sperm Donor IVF treatment is taken by Single ladies or Lesbian couples or by the Couples whose male partner has infertility problem and difficulty to conceive a baby using their own sperm.

Choosing a Donor for Sperm Donor IVF treatment:

When the IVF doctor has recommended having this treatment after the consultation. The ivf clinic will provide you options to select the sperm donor as the couple or person who has the desire to get pregnant using sperm donor IVF, will have the legal rights to choose the donor. IVF clinic will provide information related to the donor such as the physical characteristics, ethnic background, career, health history, educational background, mental nature, personality related particular things. IVF clinic may have tied up with several donor banks. Many of the banks provide donors full profile to the patient for selecting a specific donor.

The success rate of Sperm Donor IVF treatment:

Women who have no fertility related problem and having age under 35 will get the highest standards for conceiving a healthy bay. Even after the age of 35 or above, women may face complication to get pregnant. The success rate is decreased according to infertility related problem any problem or health-related complications in women who want to have this treatment. The success rate can vary from 60 to 80 percent.

Pricing for the sperm donor ivf treatment:

This treatment is cheaper than the egg donor IVF treatment. The coasting price may vary from $300 to $4,000, which depends on the use of either partner's sperm with a particular medication or by using unknown donor’s sperm.

Many hospitals provide IVF refund as similar to the insurance programs. In which if the Donor IVF treatment don’t give the desired outcome then a specific amount of money will be given back to the patient.

Let’s understand embryo transfer process in IVF treatment

What is Embryo?

Either naturally or by any treatment, the egg is fertilized by the sperm. Then it will be known as Embryo. The first stage of development for a baby is Embryo.

What do you mean by Embryo Transfer?

Once the egg is fertilized, it will be implanted inside of the uterus of a woman. This process a part of In Vitro Fertilization treatment for infertility. Embryo transfer is the last step into the ivf treatment. During the IVF treatment, a particular type of medications is prescribed to the patient by ivf doctor to stimulate the ovaries to release high-quality eggs which have better chances to get fertilized easily.

In IVF treatment eggs are detached from ovaries and fertilized in a laboratory. After the fertilization of the egg, it will multiply it, and the development of the baby starts quickly. Then these multiplied embryos are transferred inside women's uterus. For having a healthy pregnancy Embryo must attach itself to the uterus or the womb.

Why is embryo Transfer needed?

Embryo transfer is required in the following conditions:

Embryo transfer is used in IVF treatment where the natural fertilization is not possible.

1) Ovulation Dysfunction: when there is dysfunction in the ovulation cycle, ovulation time is infrequent, and egg is low in quantity. When there are fewer eggs that can be fertilized by the donor sperm, there will be a complication for getting pregnant. Ovulation disorder affects the menstruation cycle and alters the possibility of conceiving a healthy baby.

2) Damaged Fallopian Tubes: Fallopian tubes are the gateway, the Embryo will travel from it to reach the uterus. When the fallopian pipes are damaged, blocked, or scarred, it becomes difficult for Embryo to enter the womb safely.

3) Complicated Endometriosis: when implanted the tissue of the uterus starts growing outside of the blastula. It can cause the dysfunction in the female reproductive system.

4) Unanticipated ovarian failure: When the ovaries fail, it effects on the standard estrogen projection. As a result, the regular egg releasing process got malfunctioned.

5) Uterine fibroids for egg implantation in the uterus: fibroid are small in size, and they are kind of benign tumors available on the side wall of the uterus. These fibroids can cause a problem in the plantation of the egg inside it. The uterus itself does process of the estate of the egg. Which prevent the pregnancy process.

6) Hereditary complications: some genetic disorder are the cause which prevents pregnancy. When it comes to a genetic disease, doctors first ask you about the family history if any of them can harm or prevent you from getting pregnant.

7) Damaged sperm generation: Low sperm production and poor motility of the sperm or such damaged sperm to the test, or having any particular semen anomalies can cause infertility in men.

When the IVF doctor analysis any of these conditions, they will prescribe you to take such treatment as In Vitro Fertilization.

Types of the Embryo transfer process:

To receive and fertilize the egg in IVF treatment IVF doctors or IVF specialist generally follow the same process on every cycle. When the donor sperm fertilized the egg in the laboratory. There are several ways to implant it in the uterus. This technique depends on the type of Embryo is selected.

1) Transference of fresh Embryo:

Once eggs are fertilized, they will be cultivated for one to two days. The best embryos will be selected to transfer directly inside the uterus. The embryos which are in good condition will be chosen; those chosen embryos will move to woman's womb by the IVF specialist.

2) Frozen embryo transfer: all other embryones other the fresh Embryo will be stored and frozen for the next usage. These embryos are fused and then transferred to the uterus whenever in future needed.

3) Blastocyst embryo transfer:

After the fertilization process if more Embryos are healthy. And challenging to choose the best, then they will wait to see if embryos develop itself in blastocysts. According to the result of some surveys, it is determined that the blastocyst embryo substitution has a higher progress allowance than the regular embryo transfer done after three days. However, it is believed that there is more risk during pregnancy in later, so it is not always recommended to follow.

Assisted hatching: as a consequence of a study performed by a reproductive biomedical foundation that the method of Assisted Hatching-which reducing the outer layer of the Embryo before its transferal manner to the uterus may get the adverse influence. it can cause some particular problems during and after the pregnancy.

Top 10 tips for a successful embryo transfer process in IVF treatment:

1). Consult to the most experienced IVF doctor or IVF specialist:

IVF clinic may tell you that embryo transfer is one of the most common treatment they give in routine. However, as you are patient and you are paying its fees, you should be careful about such things. Experience matters the most as this process is done with a sharp eye on the implantation. If specialist misses a simple regular step, this can cause the whole process unsuccessful.

2) Take trial first, then execute for the goal:

An embryo transfer procedure is to follow very quickly and easily. You can ask ivf doctor for mock transfer of the real transformation process. In this trial, the doctor will try to do such process but to check all the required environment if the somehow see them self near to the goal they will do the actual process to conceive a baby.

3) Keep away from hydrosalpinx: A hydrosalpinx is one kind of fluid which is available inside one or both fallopian tubes, it can usually be associated with a previous sexually-transmitted infection or Endometriosis. Because of it the healthy pregnancy is not possible with having it inside the fallopian tube.

It also had a terrible effect on the ivf other infertility treatment. The annoying fluid can drool into the uterus, interrupt with your womb filling, and make devastation with the embryos which are just transferred.

4) Have more test to see the development process:

The specific test should be taken before after and during the period of pregnancy.

5) Have more Folic acid: while trying for conceiving a baby, you need to have food and multivitamins which are rich in the folic acid.

6) Transferring two embryos: if your age is above 40, consider moving two embryo transfer at once. As the grows the capacity of the fallopian tube to produce egg is decreased.

7) Have some rest but do not go to bed after embryo transfer:

After the implantation of the Embryo, don’t take too much rest it is suggested to be active during this period, few things are prohibited such as you should not lift heavy weight, or trampolining, also hot baths are not suitable in this period. Those embryos need for you to be active, calm dry.

8) Try to avoid things that can cause cough or sneeze: cough or sneeze can directly harm the development process of the Embryo. And there are also chances that cough a make you sicker.

9) Be happy, stay positive:

A Positive attitude will bring peace and calmness. Which is very important to keep during this process as the results are not quick, so you have to have patience and calm.

10) Avoid things that are prohibited:

You have to keep yourself up and have control over bad habits such as drinking alcohol, smoking, and decrease caffeine intake. Have foo that helps through this. You need to take care of yourself.