Best Fertility Clinic In Tripura

The fertilityworld is considered the best fertility clinic in Tripura as thousands of infertile couples receive all sorts of infertility treatments at an affordable cost. Before that couples can also get an online free consultation before visiting the fertilityworld clinic.

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• Call/W +91 9311850412 Email: info@fertilityworld.in

Know the available infertility treatments in Tripura

The fertilityworld with its vast experiences in the fertility fields understands the problems and needs of the couples in receiving their parenthood dreams. Therefore, the fertilityworld has brought forward all types of infertility treatments making them available in Tripura. Some of our most trusted and approached infertility treatments include:

• Intrauterine Insemination (IUI) fertility treatments.
• Invitro fertilization (IVF) fertility treatments.
• Intracytoplasmic sperm injection (ICSI) 
• Preimplantation Genetic Testing (PGT)
• Surgical Sperm Extractions
• Frozen Embryo Transfer (FET)
• Semen Analysis Testing
• Donor Assisted Hatching
• Egg, Sperm, and embryo cryopreservation.

All the available infertility treatments are explained in detail on this page. Couples can directly approach the fertilityworld for any confusion mentioned below.

What are the infertility success rates in Tripura?

The bar graph below depicts the fertility treatment success rates in Tripura. 

However, not all infertile couples receive success rates at the same time because it depends on the individual’s infertility factors. Therefore, some will receive success from a single cycle of treatments while some couples will receive success rates after having 2nd or 3rd cycle of treatments.

First, we will make you understand female infertility, its causes, symptoms, diagnosis, and its available treatments.

Female Infertility means when a female is unable to get pregnant for about 6 months to 12 months or has continuous miscarriages. These difficulties are sometimes borne in nature while some of them are due to lifestyles and exposure to the infertility condition environment.

What causes female infertility?

Female infertility can be caused by different possible reasons. But it may be difficult to pinpoint all the exact causes. Also, some couples can have unexplained infertility or multifactorial infertility. Below mentioned are some of the possible causes of female infertility:

• Uterus/Uterine/cervical problems: Caused by polyps, fibroids, septum, or adhesions inside the cavity of the uterus. Polyps and fibroids may form on their own at any time, while abnormalities like a septum are present at birth. Adhesions form after a surgery like dilation and curettage.
• Fallopian tube problems: Pelvic inflammatory disease is the most common cause of tubal factors (chlamydia and gonorrhea).
• Ovulation/Ovarian problems: Some women may not ovulate regularly due to hormonal imbalances, a past eating disorder, substance abuse, thyroid conditions, severe stress, and pituitary tumors are examples that will affect ovulation.
• Poor quantity and quality of eggs: Abnormally women’s eggs can run out early before menopause. Also, some eggs will have the wrong number of chromosomes and cannot fertilize or grow into a healthy fetus. Premature ovarian failure, diminished ovarian reserve, endocrine disorders such as PCOS, and aging are the major causes. As a woman gets older the quality and quantity of their eggs declines.

What are the symptoms of female Infertility?

• Sometimes women’s infertility can be present without any symptom that is asymptomatic.
• Some women will experience heavy, long, or painful periods.
• Some women will have irregular or absent periods.
• Obesity
• Formation of ovarian cysts (fibroids).
• Pain during intercourse
• Hormonal imbalances

What are the signs of female Infertility? 

• Women with abnormal hormone levels
• Blocked fallopian tubes
• Low follicle counts
• Positive STDs screening
• Decreased sex drives
• Premature aging
• Hair loss

Which tests determine women’s infertility?

Various kinds of female infertility tests can be performed either at home or from the clinic. Some of the most common and successful tests are discussed here: 

Ovulation Testing: This test helps in determining the time in the menstrual cycle when getting pregnant is most likely. This test determines the rise of luteinizing hormone (LH) in the urine. The rising of LH tells the ovary to release the egg. This test can be purchased as a kit and can be performed from home. This is when pregnancy is most likely to occur.

LH urine tests: This test is not the same as an ovulation testing kit. LH uterine fertility monitors are digital and handheld devices. They will predict ovulation based on electrolyte levels in saliva, LH levels in urine, or basal body temperature. These devices can store ovulation information for several menstrual cycles.

The ovulation testing test kit comes with 5-7 sticks. It may need to do the test for several days to detect a surge in LH. This test is done during the initial menstrual cycle, depending on the length of the period’s cycles. The best is to talk to your health care provider about the timing of the test. In general, you should begin testing 3 to 5 days before the expected date of ovulation. The testing process involves the following steps:

• Urinate on the test stick, or place the stick into the urine in a sterile container. Certain colors display determines a positive sign if a surge is detected.
• Positive result: You should ovulate in the next 24 to 36 hours, but this may not be the case for all women. The booklet that is included in the kit will tell you how to read the results. You may miss your surge if you miss a day of testing. You may also not be able to detect a surge if you have an irregular menstrual cycle.

Hysterosalpingography (HSG) Test: HSG test views the inside of the uterus and the fallopian tubes using the help of an X-ray. It can detect if the fallopian tubes are partly or fully blocked. It also can show if the inside of the uterus is a normal size and shape.

The test is done because scarring or abnormalities in the uterus or fallopian tubes can lead to infertility and pregnancy problems. HSG is also performed after a few months of tubal sterilization procedures to make sure that the fallopian tubes have been completely blocked. HSG test is done in a clinic or the office of your ob-gyn. It is best to have HSG done in the first half of the menstrual cycle (days 1 to 14). This timing reduces the chance that you may be pregnant.

Laparoscopy Testing: The laparoscopy test is a minimally invasive surgical procedure that uses a laparoscope (a fiber-optic tube with a light and video camera) inserted via two or more minor key-hole incisions, often in the belly button. The surgeon can then visually examines the pelvic reproductive organs and the pelvic cavity. The test allows the surgeon to determine many possible causes of infertility. They include the following:

• Abnormalities of the uterus and ovaries
• Blocked fallopian tubes
• Scar tissue
• Fibroid tumors
• Endometriosis: It can only be confirmed via laparoscopy.

The surgeon may decide to correct the problems detected. Read here, about how laparoscopic surgery is done in other cities: Laparoscopic surgery in Pune.

Ovarian Reserve Testing: The test determines whether your viable number of eggs is typical for women of your age. It can also determine any hormonal imbalances that affect the menstrual cycle or that may indicate a possible poor response to fertility treatment. The tests measure certain hormones involved in ovulation and evaluate the number of follicles on the ovaries. This test also provides helpful information about how soon you should start trying to conceive. This test is advised for women:

• Beyond 35 years unable to conceive for six months or more.  

Ovarian reserve tests can be done in a few ways. One test usually done on the third day of a woman’s cycle measures the amount of follicle-stimulating hormone (FSH), in the bloodstream. Another blood test measures antimullerian hormone (AMH). The ovarian reserve can also be measured via a transvaginal ultrasound which permits a specialist to count the number of follicles in the ovaries. For any type of test, the best option is to talk to an expert about what tests are right for you and what steps you should take after you get your results. Contact the fertilityworld in Tripura.

Hormone Testing: Hormones are chemical messengers that regulate different functions of the human body. Imbalance hormones (too much or too little) can impact well-being. Hormone testing helps to evaluate hormone imbalances. As you advance in age your hormone levels changes. hormone testing is often carried out using a blood sample, but some tests require urine or saliva samples. This hormone testing detects different hormone levels such as: 

• Estrogen and testosterone
• Adrenal gland hormones (cortisol, growth hormone, prolactin, and other pituitary gland hormones).
• Thyroid hormones (thyroxine).

Can women’s infertility be treated?

Women’s Infertility may or may not be cured but it can be treated. In many cases, factors that lead to female infertility can be restored with treatments. Know that current problems with conception cannot necessarily stop you from starting a family in the future. Many females with infertility issues can have successful pregnancies. Following are the advanced forms of female infertility treatments:

• Fertility drugs: Fertility drugs work as a stimulant of the hormones responsible for the maturing and release of the egg, it restores ovarian disorders. Following are the fertility drugs used in restoring female infertility Clomiphene citrate, Gonadotropins, Ovidrel & Pregnyl, Metformin, Letrozole/Femara, and Bromocriptine/Cycloset/Parlodel.
• Surgical procedures: These surgeries correct abnormalities or blockages in the uterus and fallopian tubes. Surgical procedures are now rarely used because of the high success rate of other infertility treatments.
  • Laparoscopic or hysteroscopic surgery: It can correct the infertility problems dealing with uterine anatomy, remove endometrial polyps and some types of fibroids that misshape the uterine cavity, or removes pelvic or uterine adhesions.
  • Tubal surgeries: If the fallopian tubes are blocked or filled with fluid, tubal surgery can be performed to remove adhesions, dilate a tube or create a new tubal opening. 
• Intrauterine Insemination (IUI): Fertility specialists can also suggest IUI treatment. Here millions of healthy sperm are injected into the woman’s uterus at the time of ovulation. 

• In-Vitro Fertilization (IVF): The most effective assisted reproductive technology (ART) is IVF treatment. A mature egg is taken from the mother and fertilized with the sperm in a fertility laboratory. The fertilized egg is then placed back into the uterus to continue carrying the pregnancy like all fertile mothers.

Now, let us discuss male infertility, its causes, symptoms, tests, and available male infertility treatments.

Generally, male infertility is a disease of the reproductive system. Meaning a male’s inability to impregnate her woman after having regular unprotected sex for about 6 to 12 months.

What causes male infertility?

Normally a fertile man is a male individual who;

• Makes healthy sperm that fertilizes the female egg
• Have a smooth erection and ejaculate and the sperm reaches the egg.

However, an infertile male will have problems with either of these normal functions. There are multiple causes of male infertility, which can be broadly classified due to their general underlying etiology. Below are some of the main and most common causes of male infertility:

Sperm disorders/structural defects: One of the most common causes of male infertility is the problem of making healthy sperm. Their inability to produce healthy sperm is because of immature sperm, abnormally shaped (poor morphology), or unable to swim (weak motility of the sperm). Some males may not have enough sperm, or they may not make any sperm because of Infections or inflammatory conditions (like mumps virus infection after puberty).

Congenital urogenital abnormalities cause Absent, dysfunctional, or obstructed epididymis, congenital abnormalities of the vas deferens, undescended testes, and ejaculatory duct disorders (cysts).

Sexual dysfunction causes: It is caused by premature ejaculation, anejaculation, infrequent sexual intercourse, and erectile dysfunction.

Treatable causes of male infertility: Male with obstructive azoospermia, ejaculatory duct, and prostatic midline cysts, gonadotropin deficiency, sexual function disorders, sperm autoimmunity, varicoceles, and reversible toxin effects are treatable.

Hormone or pituitary gland problems (Imbalances):

Sometimes immune problems involve making antibodies against your sperm, making it difficult for the sperm to function.

• Environmental and lifestyle causes: These include tobacco use, heavy alcohol use, use of marijuana or steroids, or exposure to toxins.
• The genetic disease causes: Genetic disease such as cystic fibrosis or hemochromatosis causes male infertility.
• Structural problems cause: Anything that blocks the genital tract can stop the flow of semen. This could be a genetic or birth defect. Infection or inflammation from a sexually transmitted disease can also block semen. Other causes include scar tissue from surgery or twisted, swollen veins in the scrotum.
• Other factors cause: Other factors can include erectile dysfunction or premature ejaculation. Liver or kidney disease, or treatment for seizure disorders are examples of problems that can cause infertility.

What are the signs and symptoms of male infertility?

Male infertility sometimes can have no symptoms, read this link very carefully to understand more about male infertility; What are the signs of Infertility in Males?

Let us see below some main signs and symptoms of male infertility:

Signs of male Infertility;

• Having Abnormal Semen Analysis Testing.
• Having Hormonal Imbalances
• Having the blockage in Reproductive tracts.

Symptoms of male infertility;

• Very often a male can be asymptomatic.
• Experiences erectile or ejaculation problems.
• Rarely experiencing swelling, or pain in testicular or penis.
• Pain during urination or ejaculation.
• Lower in semen volume or finding it thin semen.
• Having decreased sex drive.
• A decrease in the growth of facial hair or body hair.
• Suffering from respiratory infections.

Available tests and diagnoses for male infertility?

To determine specific male infertility, the fertilityworld in Tripura provides all the available tests and diagnoses to try. Before going further tests, the fertilityworld specialists always examined both the partner’s fertility to find the causes of infertility. They will review their health history and do a physical exam. Other tests for male infertility include:

• Semen analysis testing: The sperm analysis testing determines the sperm count, Motility and viability of the sperm, Morphology of the sperm, Liquefaction time of the sperm, The quantity and quality of semen, and sperm, The color of the sperm, The pH of the sperm, The viscosity of the sperm, and Fructose content in Semen. To know the sperm count, 2 semen samples are collected on separate days and analyzed.

• Blood tests: Blood tests are done to check hormone levels and rule out other problems.
• Imaging tests like an ultrasound may be used to look at the testicles, blood vessels, and structures inside the scrotum.
• Testicular biopsy: If semen analysis shows that you have only a few sperm or no sperm, then a small piece of tissue (biopsy) is removed from each testicle. The sample is checked under a microscope.

Now, let’s discuss in detail male and female infertility treatments available in Tripura.

Both Male and Female infertility can be treated with the following assisted reproductive technology ART. There are several types of ART:

1. In vitro fertilization (IVF): The sperm and stimulated eggs are collected/retrieved and brought together in a laboratory and allowed to fertilize under the culture medium. The fertilized eggs are allowed to develop for 3 to 5 days. After that, a mature developed fertilized egg known as the embryo is transferred to the woman’s uterus, or into the surrogate mother known as Surrogacy. Know more about; what is surrogacy. Complete Surrogacy process in India.

To understand the complete IVF procedures read here: IVF Process step by step or What is IVF Technology? IVF Cost in Kohima Nagaland.

2. Gamete Intrafallopian Transfer (GIFT) and zygote intrafallopian transfer (ZIFT): The sperm and the egg are collected and quickly placed in a fallopian tube. With GIFT, both the sperm and eggs are placed into the fallopian tube. With ZIFT, the sperm and eggs are combined in a laboratory and fertilized and then a fertilized egg is placed into the tube for 24 hours.  

Can I have a Healthy Baby if I have Genetic Problems?

Yes, there are two kinds of treatments available for couples having genetic problems and hoping to receive a healthy child. It involves selecting the free genetic disease embryo before transferring it into the uterus via IVF treatments. Let us discuss below:

Preimplantation genetic testing (PGT): PGT is a cutting-edge procedure that identifies genetic abnormalities in embryos created with IVF. PGT techniques allow the physician to pick the embryos that are freed from a selected genetic condition or chromosome abnormalities for transfer. PGT proceeds with careful patient counseling. If patients are candidates and therefore desire to proceed, an IVF cycle is initiated. Embryos that are formed by IVF can have one or more cells examined for the condition in question. 1 to 3 embryos not affected by the conditions are transferred into the uterus.

Available treatments for male infertility

The fertilityworld best fertility clinic in Tripura provides the best male infertility treatments. However, before proceeding, any of these treatments are decided based on the individual infertility factors:

1. Intrauterine Insemination (IUI): IUI treatment involves placing healthy sperm directly at the entrance of the cervix or right into the partner’s uterus by injection. Then the sperm makes their way into the fallopian tubes bypassing all the barriers to reaching the uterus and getting assistance to fertilization. 

Sperm is collected and placed directly inside the woman’s uterus while ovulating. IUI bypasses sperm motility and the thickness of the fluid present in the cervix. IUI is a less invasive procedure and the fertilityworld offers the lowest cost of IUI in Tripura. Also, know the cost of IUI in big cities and the treatments like IUI cost in Delhi | IUI treatment in Delhi.

2. IVF, GIFT, and other techniques: In vitro fertilization (IVF) and gamete intra-fallopian transfer (GIFT) work like artificial insemination. Male sperm are collected, then mixed with the retrieved female partner’s eggs in the fertility laboratory or the partner’s fallopian tubes. The fertilized egg is then transferred into the female uterus and conceived in pregnancy.

3. Fertility Medicine to restore male infertility: Fertility drugs such as hormone treatment may help if you have a hormone disorder. Hormone imbalances can affect how sperm develop. They may be caused by a problem in how the hypothalamus, pituitary gland, and testes interact. Hormonal drugs include gonadotropin therapy or antibiotics.

4. Intracytoplasmic sperm injection (ICSI): In ICSI the specialists will inject a single sperm into the middle of the egg. The fertilization then takes place and is observed under a microscope. The fertilized egg is then implanted into the partner’s uterus for pregnancy.
5. Surgical treatment for male infertility: A surgery can be performed to fix problems that prevent sperm from being made, matured, or ejaculated. Surgery to remove twisted, swollen veins in the scrotum (varicocele) can sometimes improve the quality of sperm.

How do male sperm are collected surgically?

There are various surgical methods for sperm collection when the male suffers from infertility that is having low sperm count, and poor motility but they are viable to fertilize the egg. Let’s see and understand them below:

• Testicular sperm aspiration (TESA): This surgical procedure is performed on men for IVF/ICSI process or Semen Cryopreservation. The procedure is done under local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval. A needle is inserted in the testicle and tissue/sperm are aspirated. TESA is performed for men with obstructive azoospermia (vasectomy). Occasionally, TESA doesn’t provide enough tissue/sperm and an open testis biopsy is needed.

• Percutaneous Epididymal Sperm Aspiration (PESA): PESA is performed for men for IVF/ICSI. PESA is the best option for men with obstructive azoospermia from either a prior vasectomy or infection. It is done under local anesthesia in the operating room or office and is coordinated with their female partner’s egg retrieval. The urologist sticks a needle attached to a syringe into the epididymis, then gently withdraws the fluid

• Testicular sperm extraction (TESE): TESE is a common technique to diagnose the cause of azoospermia, and also extract enough tissues for sperm extraction. The process involves making a small incision in the testis, then examining the tubules for the presence of the sperm. It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. TESE is performed with sedation but can be performed in the office with local anesthesia alone. Patients usually cryopreserve sperm during this procedure for future IVF/ICSI. MicroTESE is a more refined form of the TESE procedure.

• Microepididymal Sperm Aspiration (MESA): MESA procedure also retrieved sperm from the epididymal tubes utilizing a surgical microscope, it yields high amounts of motile sperm. MESA is the best option for men who have vasal or epididymal obstruction (s/p vasectomy, congenital bilateral absence of the vas deferens). It is either done as a scheduled procedure or is coordinated with their female partner’s egg retrieval. MESA is done with general anesthesia. Patients can usually cryopreserve sperm during this procedure for future IVF/ICSI.

• Microdissection TESE (microTESE): MicroTESE is the best procedure for sperm extraction for those men who have a sperm production problem and are azoospermic. MicroTESE is performed with general anesthesia using a surgical microscope. MicroTESE is carefully coordinated with the female partner’s egg retrieval and is performed the day before egg retrieval. MicroTESE has significantly improved sperm retrieval rates in azoospermic men and is a safer procedure since less testicular tissue is removed. Patients can cryopreserve sperm during this procedure for future IVF/ICSI and build their families.

For more information…

If you want to know more information relating to any fertility treatments such as Surrogacy, IVF, ICSI, IUI, FET, PGT, Surgical extractions, Donor assistance (egg/sperm/embryo), cryopreservation, surrogate mother arrangements, best lawyers, and any other male and female infertility causes, symptoms, diagnosis, and available treatments or services in Tripura please feel free and write to us at  support@fertilityworld.in. we’re right away to answer and solve your problems with free consultations. 

To directly discuss the cost of any fertility treatments such as Surrogacy, IVF, ICSI, IUI, FET, PGT, Surgical extractions, Donor assistance (egg/sperm/embryo), cryopreservation, surrogate mother arrangements, best lawyers, and any other male and female infertility treatments or services or any fertility-related treatment cost, and discount discussed in this page for Tripura. Please feel free and write to us at  finance@fertilityworld.in. We provide free consultations and no charges for your query.

Dr PSR Murthy