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What effect does age have on a woman's infertility? 

The perfect age for a woman to have children is between twenty-five and thirty years of age. But today, many couples decide to plan parenthood later in life, owing to changes in lifestyle. After the age of thirty-five, a woman's fertility drops noticeably and after forty-five, the possibility of pregnancy exists only in exceptional cases.

When should you seek medical help for infertility? 

If you are a woman and less than 35 years of age, and have no previously diagnosed clinical condition, we advise you to adopt a 'wait and watch' approach for 6- 12 months and then, seek medical help.

Note:
• For patients of Indian origin, we recommend this approach for women under 30 years.
• If you are a woman and above 35 years of age, we advise you to seek medical help at the earliest.
• If you or your spouse suspect an infertility issue, you should consult our infertility experts at the nearest Nova IVI Fertility Center.

Is there currently a drop in fertility rates? 

Male fertility has dropped due to lower sperm counts and lessened sperm motility (mobility). There are also more cases of older women seeking to become mothers or men who have had a vasectomy earlier, wanting to regain their fertility. Lifestyle and environmental pollution is playing an important role in the observed higher incidences of infertility.

When is IVF needed? 

IVF was originally developed for women with blocked tubes or missing fallopian tubes and it is still the procedure of choice for these situations. It is also used when other conditions are present, including endometriosis, male factor infertility and unexplained infertility in which no medical cause for infertility can be found. Our experts will review your history and help to guide you to the treatment and diagnostic procedures that are most appropriate for you.

Are the procedures painful? 

The only procedure that could be considered a minor surgery in the IVF process is the retrieval or harvest of the eggs from the ovary. During this procedure, a needle attached to a vaginal ultrasound probe is passed through the wall of the vagina and into each ovary.

If you did not have any anesthetic for this procedure, it would likely be quite painful. In the modern world of IVF, we can take advantage of an array of excellent anesthetic medication that are administered through an intravenous line, are rapid in onset of anesthetic effect, and wear off quickly when the procedure is over. A patient breathes without assistance during the 10–20 minutes or so of the procedure, but sleeps deeply enough to be completely unaware of any discomfort. After the procedure, the patient wakes up relatively quickly and, at most, may feel some minor cramping in the ovaries that can also be treated with very safe medications. Most patients will be able to go home in two hours and will be capable of their normal routine from the very next day.

Will my baby suffer birth defects? 

It is important to recognize that the rate of birth defects in humans in the general population is about 3% of all births for major malformations and 6% if minor defects are included. Fortunately, 20-plus years following Louise Brown's birth (the first IVF baby), we now have ample data that children conceived through IVF have no increase in these rates of birth defects due to the technique itself. Minor rise in abnormalities is ascribed to the infertility and age factor of the intending parents. Further follow-up on older children indicates that IVF children have done as well or better than their peers in academic achievement (probably a social bias) and have no higher rates of behavioral or psychological difficulties.

What if my husband or I get sick during an IVF cycle? 

Please contact your doctor/ co-ordinator for instructions. Most colds or upper respiratory infections will not be a problem. Most over-the-counter medication and antibiotics are safe to use with the fertility medications, but check with your doctor/co-ordinator first.

What is the average number of embryos transferred? 

The doctor will make the decision after discussing this with you. Generally, one or two, rarely three embryos will be transferred, but the number may vary slightly depending on the quality of the embryos and the age of the female partner

When do I need an egg donor? 

Women who are suffering from premature menopause or are unable to produce healthy eggs, but have a healthy uterus are candidates for egg donation with IVF. This procedure is the same as for IVF except the doctors will select a healthy anonymous donor and use the donor's egg to create the embryo. Patients may seek egg donation services at Nova IVI Fertility centers or through an outside agency.

Under what circumstances is a gestational carrier (surrogate) appropriate? 

A woman who accepts to bear (or be pregnant with) the child of another woman who is incapable of becoming pregnant using her own uterus is called a gestational carrier. Women who need gestational carriers with IVF include those who do not have a uterus, have an abnormal uterine cavity, have had several recurrent miscarriages or have had recurrent, failed IVF cycles. "Surrogate" is an older term for what we now refer to as a "gestational carrier".

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