FAQ
Frequently Asked Questions
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How is ICSI different from IVF?
IVF (In Vitro Fertilisation) is a general term used for the fertilisation of an ovum by sperm outside the body.
The sperm and ovum are kept together in vitro and allowed to fertilise on their own. Meanwhile, ICSI (Intra-Cytoplasmic Sperm Injection) involves directly injecting a sperm into the egg to achieve fertilisation.
**Advantages of ICSI:**
– Fertilisation rate is higher.
– In couples with severe male factor infertility, sperm may not have the potential to enter
the egg on its own.
– In women above 35, the egg shell becomes thicker, making it harder for sperm to
penetrate naturally.
Do always IVF treatments result in twins?
Twins are more common in IVF due to the transfer of more than one embryo. It is not aimed at creating twins, but to increase the success rate by transferring two
embryos at a time.
If a couple does not want twins, they can opt for a **single embryo transfer**. Sometimes, a single embryo transfer is chosen for medical reasons, especially for women
who cannot bear twins.
Is absolute bed rest necessary after embryo transfer?
No, absolute bed rest is **not needed**. The woman may continue her personal activities as usual.
**Precautions:**
– Avoid exertion, constipation, and lifting heavy weights.
– If working, she can work from home; however, long travels should be avoided.
What food can be taken after embryo transfer?
As the woman will be on hormonal medications and less active, easily digestible foods are recommended.
**Diet Tips:**
– Include a good amount of fruits and fibre-rich foods like oats.
– Drink plenty of fluids to avoid constipation.
– Avoid fast food and sodas.
– Limit meat to prevent acidity issues.
– Egg white can be a good source of protein.
which couples will need IUI?
IUI (Intrauterine Insemination) involves depositing processed sperm into the uterine cavity around ovulation.
**Indications:**
1. **Mild Male Factor:** When total sperm count or motility is borderline. Sperm can swim
better in IUI media than in thick semen.
2. **Unexplained Infertility:** When the couple has no identifiable cause of infertility. IUI
success rate is around 20% per cycle.
Who are not benefitted from IUI?
– Women with both fallopian tubes blocked.
– Severe male factor infertility very low or no motile sperm ( count<5 mill/ml)
– Men with high DNA fragmentation index.
– Previous more than 6 IUI .
Such cases require more advanced techniques like IVF or ICSI.
What is Azoospermia and how can it be treated?
Azoospermia is the condition where there are **no sperm in the semen**.
**Causes:**
– Reduced or absent sperm production.
– Obstruction in the transport of sperm from the testis to the ejaculate.
**Treatment:**
– If hormonal evaluation shows low hormones → treat with hormone injections.
– If hormones are normal → it might be due to obstruction; surgical retrieval of sperm from testis is recommended.
– If hormones are high → sperm production is failing; again, surgical sperm retrieval is suggested.
