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Many people ask us if we need IVF treatment. But there is no other way if the tubes are blocked. IVF is mandatory for this type of condition. If there is a tubal blockage or if you want to have children after tubectomy, then IVF is necessary. If you have tried other methods and still cannot get pregnant due to low sperm count, the doctor may suggest IVF treatment.


They say injections are painful, but that’s not true. If you use recombinant injections for your treatment, the hormone is injected in a very small volume, using a syringe like Insulin syringe, which is very fine. It is injected just beneath your skin and not like most vaccines or pain medications, which are injected deeply into the muscle. For these reasons ,hormone injections are not painful at all.


Many people have doubts about whether there are any side effects from injections. Injections work for 24 hours. That’s why injections should be given again the next day.

So, injections can cause some slight weakness, but there aren’t any significant long term side effects due to the hormone injections.


Ovarian Hyperstimulation Syndrome (OHS) can occur in a few patients who have PCOS (Poly Cystic Ovarian Syndrome)  who are getting these hormone injections.  

However, OHS is a rare complication.

However, we apply protocols with  to avoid this complication in all our patients. If OHS happens, it can cause severe side effects

In these 23 years, we haven’t had a single patient getting OHS at our clinic. It’s a problem that we proactively try to avoid by following the protocols. We identify patients who might be at risk and apply those protocols.

When we collect the eggs, anesthesia injections are given. Conscious sedation is given, which means the patient keeps talking to us but does not feel any pain. The patient recovers immediately. So you have nothing to worry about.

Embryo transfer is not painful at all.  Anesthesia is not required at all.
You will have to lie down for 15 minutes after embryo transfer is done.

 Before starting the actual IVF treatment, a pre-IVF treatment is carried out from one month prior. Actual IVF starts from 2nd day after period starts, till the 12th or 14th day, injections are given. Egg collection happens on the 14th to 16th day after period. After egg  collection, embryo transfer takes place on the 3rd or 5th day. 14 days after embryo transfer, a pregnancy test is done to check if it’s positive.

IVF was first started in the year 1978 in UK. Since then, many studies were done to answer this important question. 

The conclusion as of now is that there are no long-term effects from the hormone injections.

On the other hand, there are benefits to becoming pregnant. Getting pregnant reduces the lifetime risk of ovarian cancer, endometrial and breast cancer. 

 It is not that there are any particular abnormalities which arise because of doing IVF or ICSI. The percentage of abnormalities in the general population is around 2-3%, and that is the same in these IVF/ ICSI babies as well.

The success rates of IVF and ICSI can vary depending on several factors such as age, reason for infertility, and the quality of the eggs and sperm. 

The success rate of IVF ranges from 35-40%. In ICSI, the success rate is 45-50%.

When we started IVF in the year 2000, many people had a lot of doubts. But now usually, after the increase in general awareness, not only because of the media, but also because of the public education, after the increase in awareness, now the public, the people who need it, the couples who need it, are coming forward to undergo IVF.

The common misconceptions are:

1. Whether sperm from husband and egg from wife only are used? Answer: Yes, absolutely.

2. Will the baby grow in the test tube? Answer: The embryo stays in our IVF lab for 3 to 5 days after collecting eggs. After that, the embryo is placed back into your uterus and it grows into a baby, like normally.

Smoking should be completely avoided for 3 months before. Smoking will reduce sperm count and the sperm shapes will not be correct. Because of these two reasons, sperm quality will go down if you smoke and chances of getting pregnant will also go down.

If the husband is overweight (BMI>25), weight reduction will improve your chances.


A woman’s age, 19 to 29 years is the most fertile period.That means then the chances of getting pregnant are high.

From 30 years onwards, the pregnancy rate decreases by 5 percent every year from 33 onwards. So at this age, if you are not able to get pregnant with the usual treatments like, medicines, IUI treatments, laparoscopy treatments, then the next step should be IVF/ ICSI.

BMI (Body Mass Index) is calculated based on your height and weight, if it is more than 30, then weight reduction is compulsory for the female partner.

If you reduce weight, your chances of getting pregnant naturally will increase. 

In studies, about 60% couples in which the female partner lost weight, conceived naturally, provided there are no other factors like problems in sperm quality that are contributing to the infertility.

If there is weight reduction, if (weight) decreases, then we have an increase in egg quality, androgen levels decrease, egg quality increases, receptivity increases.

Because of all these, your chances of getting pregnant after IVF treatment will increase.

5 kg reduction would be good. Atleast, 2-3 kg reduction will also help.

A good diet, i.e. a balanced diet should be taken.

If you have to reduce weight, you should take less calories than your body requirement. If not, you should take the exact requirement.

High protein, low fat and low carbohydrate diet is recommended. 

Vitamins and minerals should be taken through fresh fruits and vegetables. 

You can, but mutton and chicken consumption can be reduced.

Poultry chicken is not so good for gents, and reduction is important.

Coffee should not be taken more than 1 or 2 cups. Do not take more than 30 milligrams per day of Caffeine.

If vitamin D levels are so low, vitamin D supplementation should be done, with prior testing. Vitamin D is very important for fertility.If it is low, we can correct vitamin D levels by using injections or tablets.

If you have a thyroid problem, either hypo or hyper, it should be brought in control.

If prolactin levels are too high, correcting prolactin, is also important.

Usually, we test for all these and also check for infections, so that if there are any problems, we can treat them before starting IVF treatments, so that your chances of success are increased.

As for sleep, we need 7-8 hours of sleep a day. If there is proper sleep, the hormone melatonin is released. This melatonin hormone works on the quality of the egg, so the quality of the egg will be improved.

So there should be a good duration and quality of sleep if you want to increase your chances of success.

We can reduce stress by doing meditation, yoga, daily exercise, then group discussion with friends so as not to feel lonely. Things like, listening to good music, doing all these things can reduce our stress.

Reducing stress and then positive thinking is important for success.