The fertilityworld is the best fertility clinic that offers all kinds of male & female infertility treatments at an affordable cost with first free consultations and online consultations before visiting the clinic.
Infertility treatments offered by the fertilityworld in Siliguri (West Bengal)
The fertilityworld having more than two decades of experience in the fertility field has immensely understood the problems of not getting pregnant. 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)
- Preimplantation Genetic Diagnosis (PGD)
- Surgical Sperm Extractions (PESA/TESA/TESE/MESE etc.)
- Frozen Embryo Transfer (FET)
- Semen Analysis Testing
- Donor Assisted Hatching
- Egg, Sperm, and embryo cryopreservation.
All the available infertility treatments mentioned above are discussed in detail on this page. Couples can directly approach the fertilityworld for any confusion mentioned below.
Infertility Treatments Success Rates in Siliguri (West Bengal)
The bar graph depicts the infertility treatment’s success rates. Except in rare infertility cases and some unexplained infertility, all infertile couples can receive these success rates. However, the duration of receiving the success rates depends on each individual’s infertility conditions such as sperm count, quality and quantity of the eggs and sperm, AMH level, BMI, etc. Therefore, some couples can receive success at a single treatment while some will receive success after the 2nd or the 3rd cycle of treatments.
Now, let’s discuss what causes female infertility, its symptoms and diagnosis, and available treatments.
In the best simple terms, female infertility is defined as not being able to conceive and carry a pregnancy even after having regular unprotected sex for 6 to 12 months. Child miscarriages are also categorized as infertility.
CAUSES OF FEMALE INFERTILITY
Today, 1 in every 10 women of childbearing age, aging women encounters infertile. This infertility is caused by many factors, some of which are discussed here:
- Hormonal Imbalances: The instability of the hormones, and reproductive hormones is caused by PCOS, Obesity, and low Ovarian reserve.
- Blocking of Reproductive tracts: These factors can be caused by endometriosis, ectopic pregnancy, sexually transmitted diseases (STDs), etc. To know more about the fallopian tube read here; blocked fallopian tubes.
- Cervical Conditions: In some women, this condition does not allow the sperms from passing via the cervical canal.
- Uterine Fibroids: This is the most common pelvic tumor in women. However, they’re almost always benign and non-cancerous, it is treatable. And having children is still possible.
- Ovulation Disorders: Ovulation disorders are defined as disturbances in the production of an egg/oocyte/ovum during a woman’s menstrual cycle. It is the most common cause of infertility in women. It can be caused by problems with the regulation of reproductive hormones.
- Pelvic Inflammatory disease: Also called salpingitis which is mainly caused by STDs.
- Lifestyle Factors: Use of abusive intoxication and exposure to certain chemicals increases the risk of infertility.
- Unexplained Infertility: This is when standard infertility testing could not find out a cause for a couple’s or a woman’s inability to get pregnant. About 20% of women’s infertility can be unknown.
SIGNS AND SYMPTOMS OF FEMALE INFERTILITY
Signs of female infertility:
- Hormonal imbalances, low follicle counts, tubal blockages, abnormal hormonal levels, positive STDs screening, blocked fallopian tubes, more than one miscarriage, decreased sex drive, premature aging, early menopause, etc.
Symptoms of female Infertility:
- Sometimes it may not show asymptomatic symptoms.
- Several Abdominal Cramps.
- Heavy bleeding, or very painful periods.
- Irregular (less than 21 days, or more than 35 days) or absent menstrual cycle.
- Unusual Fluid Discharges
- Ovulation Disorders.
- Very Painful During Sex.
Available tests to determine women’s Infertility
Test which can be done from home includes:
- Ovulation Test Kits: This kit helps in detecting the time in the menstrual cycle when getting pregnant is most likely. It detects a rise in luteinizing hormone (LH) from the urine. A rise in this hormone signals the ovary to release the egg. This test is often used by women to help predict when an egg release is likely. This is when pregnancy is most likely to occur.
- LH urine test: This test is not the same as at-home fertility monitors. Fertility monitors are digital handheld devices. They 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.
- Ovarian reserve indication test: These include follicle-stimulating hormone (FSH), estradiol, and anti-Mullerian hormone (AMH). This test determines the number of eggs remaining in the ovary.
- Thyroid-stimulating hormone test: Thyroid problems can contribute to irregular or absent periods and thus problems with infertility, which is why a TSH test is done.
Medical Female Infertility Testing
- Pap Smear test: This test detects abnormal cells around the cervix, cervical cancer and other problems associated with the cervix, or sexually transmitted diseases. Any of these can interfere with getting pregnant. It can also detect changes in your cervical cells that may turn into cancer later. Women between 21-65 years should have a Pap smear test regularly.
- Blood Test: A blood test is done to check the levels of FSH, it triggers the ovaries to prepare an egg to release each month. High FSH can mean lower fertility in women. The FSH blood levels get checked early in your menstrual cycle (often on day 3). It can also check for anti-müllerian hormone (AMH) levels. AMH levels give information on how well the ovaries function. This is called their ovarian reserve. Very low levels can suggest low ovarian reserve.
- Ultrasound testing: It detects ovulation which is very important in the treatment of infertility. It enables us to see the position and size of the uterus, Fallopian tubes, and ovaries, the exclusion of genital anomalies, and the demonstration of physiological changes in these organs during the menstrual cycle.
It demonstrates pelvic organs (uterus, Fallopian tube, ovary) and vascular structures, growing ovarian follicles (Measurement of their numbers and sizes), intrafollicular structures (Cumulus oöphorus, Corpus luteum), and cyclic uterine endometrial changes. Most of the results were first obtained with high-resolution compound scanners, but the new generation of real-time scanners is equally capable.
Now, let’s understand the conditions behind men’s Infertility, its causes, symptoms, and tests.
Male infertility means a man is not able to start a pregnancy with his female partner after having regular unprotected sex for 6-12 months. Also, Male infertility refers to a sexually mature male’s inability to impregnate a fertile female. Male infertility is commonly due to deficiencies in the semen, and semen quality
CAUSES OF MALE INFERTILITY
Male infertility can be caused by many biological, medical and environmental factors. Possible causes of male infertility include the following:
- Azoospermia: Inability to produce sperm cells.
- Oligospermia/What is Oligospermia?: The production of low or poor-quality sperm.
- Genetic diseases: It mainly includes Klinefeflter’s syndrome, myotonic dystrophy, microdeletion, chromosomal disorders, and more which affect man’s infertility.
- Malformed sperm: In some males, the sperm life expectancy is low, they cannot live long enough to fertilize the egg.
- Medical conditions: These include diabetes, autoimmune disorders, cystic fibrosis, and some infections.
- Variococles: This is a condition of swelling or enlarging of the testicles, where the veins on your testicles are larger than normal, causing them to overheat, which affects the shape or number of sperm.
- Cancer treatments: Chemotherapy, radiation, or surgery that removes the testicles (one or both).
- Unhealthy lifestyles: Abusive alcohol use, smoking, illegal drug use, and use of anabolic steroids causes male infertility.
- Hormonal Imbalances: Hormonal disorders that affect the hypothalamus or pituitary glands can affect cause male infertility.
- Other Factors: It includes endocrine disorders, psychological disorders, sexually transmitted infections, exposures of the scrotum to high temperatures, and exposures to hazards like radiation or toxic substances.
SIGNS AND SYMPTOMS OF MALE INFERTILITY
Signs of male infertility
- Abnormal Semen Analysis Test
- Blockage of reproductive tracts
- Hormonal Imbalances.
- Recurrent respiratory infections.
- Inability to smell.
- Abnormal Growth of the breast.
Symptoms of male infertility
- Sometimes Male infertility can show no symptoms.
- Swelling or pain in the testicles or penis.
- Blood is present in the semen.
- Low sperm count or thin semen.
- Erectile or ejaculation dysfunction or painful urination or ejaculation.
- Decrease in sex drive.
- Decreased the growth of facial or body hair.
TESTS TO DETERMINE MALE INFERTILITY
50% chance is borne by men unable to conceive and get pregnant by their female partner. To determine the exact causes of male infertility, certain tests are available in Siliguri (West Bengal) at the fertilityworld fertility clinic. The tests include:
- Semen analysis: Semen Analysis test is probably the first test conducted on men. Semen carries the sperm in fluids that nourish and protects the sperm. A semen sample is usually collected by masturbating into a sterile glass jar. But, if masturbation does not produce a sufficient amount, a special condom is provided to collect semen during intercourse, or if not sufficient then surgical methods like PESA, TESA, TESE, etc are recommended.
The semen analysis will provide information like:
- The quantity and quality of both semen and the sperm it contains.
- 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
- Fructose content in Semen
The test is repeated 2-3 times to have 100% confirmation of either abnormal or Normal results. You’ll probably need to make 2-3 visits to provide samples not more than two weeks apart because samples from the same man can be different at different times.
- Hormone level Test: Reproductive hormones follicle-stimulating hormone (FSH) and testosterone (T) in the body controls sperm production. They also increase the interest in sex and the ability to have sex. Therefore, too much or too little of these hormones can cause problems with sperm production or trouble having sex. Fertilityworld doctor performs blood work to see if you have the right amount of these hormones. If indicated, they may check other hormone levels, including luteinizing hormone (LH), estradiol, and prolactin.
Which test is the most important to check male infertility?
Semen Analysis Testing will assure up to 100% confirmation whether you are fertile or infertile. However, in some exceptional cases, it may not determine. In such cases, different tests can be done. The test included:
- Vital staining test: It determines whether enough alive sperm are present in the semen sample.
- Antisperm antibodies test: It determines whether antibodies have attached to the sperm. The attachment of antibodies makes it hard for the sperm to move properly.
- Peroxidase staining and semen culture: It determines if you have an infection or inflammation that affects the semen.
- Hypo-osmotic swelling test: Determines, If the outer layer of the sperm is broken or intact.
- Computer-assisted semen analysis: whether the sperm are moving in the right way they should move.
- Sperm DNA testing: Determines if too many sperm have broken or fragile DNA.
- Sperm aneuploidy testing: To know if your sperm have the correct number of chromosomes.
- Chromosome analysis and/or Y-chromosome deletion testing: To know if you have a chromosome defect.
- Biopsy of the testicles: It determines if the sperm tubes are intact.
Now let’s discuss all the treatments available for male and female infertility in detail:
With the advancement of medical science in reproductive technology, various alternative reproductive treatments have been made available for those desperate and emotionally infertile couples to achieve their dreams of parenthood like all normal parents. Let’s discuss below the alternative infertility treatments:
1. Reproductive Medications
Most common fertility medication includes
- Clomifene: It enhances the monthly release of an egg in women who do not ovulate regularly or cannot ovulate at all.
- Tamoxifen: It is an alternative to clomifene which can be offered if you have ovulation problems.
- Metformin: Metformin is particularly given to those women suffering from polycystic ovary syndrome (PCOS).
- Gonadotrophins: This medication can help to stimulate ovulation in women, and may also improve fertility in men.
- Gonadotrophin-releasing hormone, dopamine agonists: These types of medicine are prescribed to encourage ovulation in women.
- However, these mentioned medications should not be used without doctors’ recommendations because they may cause side effects, such as nausea, vomiting, headaches, and hot flushes, when your fertility is incompatible. Contact the fertilityworld for more information about the possible side effects of specific medicines. Medicine that stimulates the ovaries is not recommended for women with unexplained infertility because it has not been found to increase their chances of getting pregnant.
2. Surgical procedures
Several types of surgical procedures are available to investigate fertility problems and help with fertility treatments. Some of these includes:
- Fallopian tube surgery: If female fallopian tubes are blocked or scarred, you need surgery to repair them. It can break up the scar tissue in the fallopian tubes, making it easier for eggs to pass through them. However, the success of the surgery may depend on the extent of the damage to your fallopian tubes.
- Laparoscopic surgery: This surgery is often used to treat endometriosis by destroying or removing fluid-filled sacs called cysts. It is also used to remove submucosal fibroids, a small growth in the womb. Also, a minor surgical procedure named laparoscopic ovarian drilling can treat women with polycystic ovary syndrome (PCOS), and ovulation disorder when medicine does not respond to infertility.
This minor surgery involves using either heat or a laser to destroy part of the ovary. Read more about laparoscopic surgery in other cities from here; Laparoscopic surgery in Pune.
3. Assisted Reproductive Technology (ART)
ART reproduction is the most common and approached infertility treatment option for infertile couples today.
- In Vitro Fertilization (IVF): Read here; What is IVF Pregnancy? IVF means fertilization of the egg and the sperm outside the body in the fertility laboratory. Firstly, fertility medicine is given which encourages the ovaries to produce multiple eggs than the normal production of a single egg. The eggs are then retrieved from the ovaries and fertilized with sperm in a laboratory. IVF Implantation Process in India– A fertilized egg known as an embryo is then transferred into the womb to grow and develop into a fetus and continue the pregnancy to term. To know more about the IVF process- IVF Process step by step.
The fertilityworld offers IVF treatments at a reasonable cost in Siliguri (West Bengal) from Rs.1.5 lakhs to Rs. 2.5 lakhs. You can compare the cost of IVF in different cities such as IVF costs in Delhi, Cost of IVF in Pune, IVF cost in Guwahati, IVF cost in Chennai, etc.
Who needs IVF treatment?
IVF is widely applied for the treatment of infertility due to a variety of conditions which includes;
- If both fallopian tubes are blocked
- Having a high risk of genetic disease
- When cryopreserved eggs are used
- Women with the missing uterus, either from birth or removed for medical reasons
- Unexplained infertility.
- Women who cannot use their oocytes due to primary ovarian insufficiency (POI) or age-related decline in oocyte number can now become successfully pregnant utilizing donor oocyte IVF.
Intracytoplasmic Sperm Injection (ICSI)
IntraCytoplasmic Sperm Injection (ICSI) is an extensive and specialized form of in vitro fertilization that is used most commonly in cases of extreme male infertility, after repeated failed fertilization attempts with conventional IVF, or after egg freezing.
ICSI Procedures: The early stages of ICSI and IVF treatment are the same as for conventional IVF. The female partner takes fertility drugs to stimulate her ovaries so that several eggs can be collected. Each egg is injected with a sperm cell so that several embryos will be available for transfer and freeze storage. Each sperm cell is picked up in a very fine suction needle (many times smaller than a human hair) before injection by the specialists. The whole process is visualized through very high magnification microscopes. Which is the best option: IVF VS ICSI?
Who needs to have ICSI?
The doctor recommends ICSI Treatment to a couple:
- Having low sperm count in Males.
- Poor sperm morphology or motility.
- In the case when the couple had already tried IVF Treatment, with very few or no eggs fertilized.
- Using frozen sperm in the treatment is of low quality.
- When an embryo is tested for a genetic condition, the sperm sticks to the outside of the eggs or fails to reach the site of fertilization.
Intrauterine Insemination (IUI)
IUI is a type of artificial insemination for treating infertility. The process involves using specially cleansed as well as concentrated semen that is injected right into the uterus, around the time when a woman begins Ovulating. It is the safest method that can significantly increase the chances of conception.
The hoped-for outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in pregnancy. Depending on the reasons for infertility, IUI can be coordinated with your normal cycle or with fertility medications.
IUI is less invasive and couples are recommended to try IUI before deciding on any further infertility treatments. The fertilityworld offers IUI treatments from Rs.8,000 to Rs.15,000 in Siliguri (west Bengal). To know the IUI cost in other metropolitan cities like Delhi read here: IUI cost in Delhi | IUI treatment in Delhi.
Surgical Sperm Retrieval
There are rare cases of male infertility in which normal sperm production or sperm ejaculation is prevented by an obstruction in the complicated tubal system of the testes. In these cases, provided that motile sperm are being produced, it is possible to retrieve sperm through surgical sperm retrieval which uses a very fine needle to extract sperm directly from the epididymis or the testes. The extraction techniques include TESA, TESE, PESA, PESE, and MESA.
Alternatively, if no live sperm are found, a sample of tissue (testicular biopsy) can be taken from the testes and examined under a microscope for sperm cells. Any surgically retrieved sperm cells can then be used to fertilize eggs using the microinjection technique of ICSI.
The narrowing or shrinking of the testicles (the two male reproductive glands located in the scrotum) is known as testicular atrophy. The scrotum’s main function is to regulate the temperature around the testicles. It does this by contracting when it gets cold and then relaxing when it gets warmer. This can cause your testicles to look smaller or larger than normal.
Testicular atrophy is the narrowing or shrinking of your testicles and not your scrotum. It can occur due to injury, underlying conditions, or exposure. Two types of cells are responsible for the function of the testes: Leydig cells and Germ cells. The Leydig cells produce testosterone, the male sexual hormone. While the germ cells make sperm, the Leydig cells are responsible for their function. These two types of cells are produced in equal amounts during the normal development of the testis. This results in tests that are round, firm, full, and firm. Testicular fluid levels can change if one or both types of cells are reduced, which can cause extremely shrinking testes. These are some possible causes of testicular atrophy. To have deep knowledge read here; Testicular Atrophy.
Testicular Atrophy Treatments
The treatment and early diagnosis can help reverse narrowing. There are several options for treatment which includes:
- Antibiotics might be prescribed in the event of a bacterial infection.
- Lifestyle changes are highly recommended
- Hormone therapy can be used to treat low or imbalanced testosterone production
- Surgery may be required for testicular torsion
Hyperspermia, a condition in which a man produces an abnormally small amount of semen during ejaculation, is a male condition. Hyperspermia is a condition in which less than 1.5ml of semen is produced per ejaculation. This condition can be caused by many conditions and traumas that can cause infertility in men. We will focus more on the symptoms and causes of hyperspermia. Continue reading the hyperspermia (Symptoms, causes, treatments and its impacts, its health issues, risk factors); What is Hyperspermia?
What is Oligospermia? It is a condition that affects male fertility and is characterized by a low number of sperm/low sperm counts. This condition can also affect the sexual health and well-being of men. This condition can also affect the ability to erect and produce ejaculation during orgasm. Your sperm count can fluctuate throughout your lifetime. Fertility is dependent on a healthy level of sperm. The World Health Organization (WHO), considers sperm counts above 15 million sperm/mL of semen to be an average. Any lower than that level is classified as Oligospermia. Read the link given above to know its oligospermia causes, its risk factors, and the available treatments to restore your fertility.
Pre-implantation genetic diagnosis (PGD): PGD is a laboratory procedure that aligns with IVF treatments, which reduce the risk of passing on inherited conditions of the parents to their child.
- PGD is best for specific single-gene conditions
(cystic fibrosis or sickle cell anemia) and structural changes in a parent’s chromosomes. Families may also use PGD when a member of the family needs a bone marrow donor, as a way to have a child who can provide matching stem cells.
Typically, couples in need of these techniques are not infertile but have a family history of a condition and want to reduce the risk of having another child with significant health issues or early death. Through generally available genetic screening, however, occasionally couples who are seeking fertility treatment are found to be at risk of passing on an inherited condition, and PGD may be an option for them.
PGD is available for almost any inherited condition for which the exact mutation is known. A unique test must be developed for each couple, however. This test design may take up to several months to complete before beginning an IVF cycle. PGD uses IVF, in which multiple eggs are matured and retrieved. The oocytes — or primitive egg cells — are inseminated with a single sperm using intracytoplasmic sperm injection.
The resulting embryos are grown in culture until the six-to-eight-cell stage, which is day three of embryo development. At this point, the embryo is biopsied with the removal of one to two cells. This process does not damage the cells remaining within the embryo. The isolated cells are evaluated for specific genetic conditions. Embryos that are found to be unaffected are transferred back to the woman’s uterus on day five of embryo development.
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.
For more information on infertility treatment in Siliguri…
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