Q. How many people suffer from infertility related problems in India ?
Ans. In India, it is estimated that approximately between 15-20% of all couples of fertile Age suffer from infertile. This figure is on the increase because of increased urbanization and pollution, stress, a competitive work environment and a hectic and fast paced lifestyle.

Q. What is infertility ?

Infertility, whether male or female, can be defined as 'the inability of a couple to achieve conception a year or more of regular, unprotected coital Exposure.

Q. What % of couples are infertile worldwide ?

The World Health Organization (WHO) estimates that approximately 8-10% of couples experience some form of infertility problem. On a worldwide scale, this means that 50-80 million people suffer from infertility. However, the incidence of infertility may vary from region to region.

Q. My husband and I have an active sex life for 2 year, we are both healthy, and my periods are regular. However, we have still not conceived?

It's not possible to determine the reason for your infertility until you undergo tests to find out. the reasons. You can do following. A) You can try timed intercourse for few months b) After no results you need to go for tests to determine the underlying couse of your problem which will include:
1) Detailed Seamen analysis
2) Ovulation Study
3) A HSG to find the status of your tubes.

Q. What is timed sexual intercourse?

To increase the chance of getting pregnant spontaneously, timed sexual intercourse is recommended. This means that sexual intercourse, or coitus, has to be taken place around the time of ovulation, which is the most fertile period of a woman. To detect the approximate time of ovulation a temperature curve of several menstrual cycles can be made. The woman takes her body temperature each morning before getting out of bed, starting on the first day of the menstruation until the start of a new period. The body temperature rises around 0.5 degree Celsius after the ovulation. This is mostly about 14 days after the first day of the period and when no pregnancy occurs the temperature drops to normal again; with pregnancy the temperature stays high. One can also use urine or saliva tests to detect the ovulation. The time of ovulation can sometimes vary a few days each month, even in a regular menstrual cycle. Also, if the circumstances are right, sperm can live inside the women for a few days and sperm quality can decrease with high sexual activity. Therefore it is best to have intercourse 3-4 days before the expected ovulation and every other day until 2-3 days after the expected ovulation with no necessity for higher frequency. When tests are used to detect ovulation it is advised to have sexual intercourse on the day of a positive test.

Q. What are the main causes of infertility?
Ans. The main causes:

Due to Female factors Due to Male Factors Due to combined factors No cause found

In females, the causes could be:

• Irregular ovulation or egg production, hormonal imbalance 30%

• Tubal block 30%

• Problems in uterus like fibroids, adhesions, synechae congenital anomalies, chocolate cyst of ovaries 30%

• Unexplained 10%

Male contribute almost 40% to infertility.
The common reasons are:

• Low motility of sperms with normal or low count

• Varicococele, congenital absence of Vas deferens, Testicular dysfunction and hormonal imbalance

• A zoosperm is Obstructive & non obstructive.

Q. What are the main factors that hinder pregnancy?
Ans. The main factors are :

• Hormonal imbalance

• Intercourse during infertile phase of cycle

• Insufficient number of rapid, liner, progressive, motile sperms

• Mucous in the cervix is unfavorable and/or hostile to sperms

• Mechanical barriers preventing fertilization like blocked fallopian tubes, adhesions around the ovaries, disturbed tubo-ovarian relationship (preventing the age from gaining access into the tube.)

• Mental stress

Considering all the above, we suggest a suitable procedure keeping the age of the patient in mind.

Q. When and why was the Delhi IVF & Fertility Research Centre set up?
Ans. The Delhi IVF & Fertility Research Centre, a super specially center, was set up in 1994 with the sole objective of addressing all issues related to infertility and childlessness, and for fulfilling the need for specialized treatment in India. We employ state-of-the-art techniques, a team of highly experienced specialists and equipment comparable to the best in the world, all under one roof. Our aim is to meet the demand for world class facilities at a fraction of the cost of similar treatment abroad.

Q. What is the degree of attention given to couples?
Ans. No effort is spared to identify the specific cause of infertility in each and every case, and to overcome it. We understand that no two individuals are alike and therefore specific causes of infertility vary from couple to couple. We provide customized attention to each couple-from group consultation to specific diagnostic procedures to individual treatment. Diagnosis and treatment at the Clinic are based on the latest medical procedures, with close attention paid to individual requirement of the couples.

Q. At the Delhi IVF & Fertility Research Centre, who will we be treated by?
Ans. Infertility management is a multi specially & super specially treatment. Our panel of doctors include Gynecologists, Embryologists, Ultra sinologists, Urologists, Anthologists, and visiting specialists from abroad. Each number of the team is highly qualified and experienced. In addition to bring affiliated with ESHRE-European Society of Human Reproduction & Embryology - the Clinic maintain constant interaction with well known IVF and Research Centres abroad to constantly update skill and techniques.

Q. Is female to be blamed  all the times for infertility?

Not at all. The incidence of infertility in men and women is almost identical. Infertility is exclusively a female problem in 30-40% of the cases and exclusively a male problem in 10-30% of the cases. Problems common to both partners are diagnosed in 15-30% of infertile couples. After thorough medical investigations, the causes of the fertility problem remain unexplained in only a minority of infertile couples (5-10%).

Q. What is "fertile" period ?
Your fertile period is the time during which having unprotected sex could make you pregnant. This is the period when ovulation ( release of a mature egg from the ovary) take place.  Usually it is the middle of normally menstrual  cycle +  2 days before after e.g If you have 28 days cycle then D12 to D16 will be  your fertile period.

Q. Do painful periods cause infertility ?
Painful periods do not affect fertility. In fact, for most patients, regular painful periods usually signal ovulatory cycles. However, progressively worsening pain during periods (especially when this is accompanied by pain during sex) may mean you have endometriosis.  

Q. What treatment options do infertile couples have ?
The main treatment options:
1) Yimed Intercourse
2) I.U.I (With husband Sperms)
3) I.U.I (With Doners Sperms)
4) IVF
5) IVF ICSI
6) Egg Donation
7) Surrogacy
8) Surgery
9) Hormonal Treatment