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How is Infertility Diagnosed?

The doctor will obtain a detailed history and conduct a physical examination of both partners to determine their general state of health and to evaluate physical disorders that may be causing infertility. Usually both partners are interviewed about their sexual habits in order to determine whether intercourse is taking place properly for conception. If no cause can be determined at this point, more specific tests may be recommended. For women, these include an assessment of ovulation, hormone tests for egg reserve, x-ray of the fallopian tubes and uterus, and laparoscopy and dye test. For men, initial tests focus on semen analysis.

How is Infertility Treated?

Most infertility cases (85% to 90%) -- are treated with conventional therapies, such as drug treatment or surgical repair of reproductive organs or Assisted Reproductive Technology procedures (IVF, GIFT, ZIFT, and combination procedures).

Can you please explain more about ART services?

Assisted reproductive technology is the treatment or procedure that involves the in vitro handling of human Oocyte and sperm or embryos for the purpose of establishing a pregnancy. Some of the ART services include Donor Insemination or Donor IUI (DI or DIUI), Intra-Cytoplasmic Sperm Injection (ICSI), Intra-Uterine Insemination (IUI), In Vitro Fertilization (IVF), and Embryo donation.

Do Insurance Plans Cover Infertility Treatment?

No. Fertility treatments such as IVF, ICSI etc are not covered by insurance companies. However, certain baseline pre-treatment surgeries for associated co-morbidities might be covered, e.g. surgery for pelvic pain, adhesions associated with endometriosis or pelvic inflammatory disease which also subsequently result in infertility.

What is 'In Vitro Fertilization (IVF)'?

IVF is also popularly known as test tube baby. In infertile couples where women have blocked or absent fallopian tubes, all basic infertility treatments have failed to help achieve a pregnancy or where men have low sperm counts or no sperm, in vitro fertilization (IVF) offers a chance at parenthood to couples who until recently would have had no hope of having a "biologically related" child. IVF accounts for more than 80% of ART procedures in India. IVF is not just an infertility treatment but also a diagnostic test as it helps identify couples where there is problem in sperm- egg interaction.

How does IVF work?

In IVF, the ovaries are stimulated to grow more than one egg with the help of hormone injections initially. The egg growth through this phase is monitored with the help of ultrasound scans and blood tests. Once the eggs grow, they are surgically removed from the ovary and mixed with sperm outside the body in a Petri dish ("in vitro" is Latin for "in glass"). After about 17- 20 hours, the eggs are examined to see if they have become fertilized by the sperm and are dividing into cells. These fertilized eggs (embryos), generally 1 or 2 are then placed in the women's uterus at the correct time to achieve a pregnancy. This procedure thus helps bypass the fallopian tubes.

Is surgery necessary for fibroids?

Surgical removal of fibroids is termed as "Myomectomy". This procedure can be performed either through open abdominal surgical technique or endoscopically (via either the hysteroscope or laparoscope). Surgery for fibroids is indicated if the presenting complaints are: Menorrhagia (heavy menstrual periods) Significant dysmenorrhea (very painful periods) Pressure symptoms (fibroids pressing on bladder or bowels leading to frequent urination or constipation and painful opening of bowels) Infertility (Recurrent) pregnancy loss Preterm labour Trials have indicated that surgery for fibroids is effective irrespective of the route of surgery (open/ laparoscopic). The operating times and pregnancy rates following surgery are comparable with both techniques; the only difference being a slight reduction in the length of stay in the hospital with keyhole (laparoscopic) surgery.

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  • Patient Perspective on Egg Donation

    "TAKES A LITTLE MORE THAN BELIEF TO CREATE A DREAM" Thank you Dr. Manisha Singh for helping us keep the 'BELIEF' alive.
  • Mrs. P Rajan (Endometriosis)

    In spite of having visited many doctors, only Dr. Manisha Singh could diagnose that I have the condition called Endometriosis.
  • Mrs. Shilpa (Fertility)

    With deep happiness and heartfelt thanks, I am writing this testimony for the treatment that I am currently undergoing at CREATION.
  • Mrs. D Kumari (Hysterectomy)

    We would like to thank Dr. Manisha Singh and Dr. Lakshmi for conducting my hysterectomy done in view of abnormal cells in the uterus .
  • Mrs. Paramita Burman

    Paramita (patient) & I have been trying for a baby for last 1 year but due to some medical reasons our efforts were not fruitful.
  • Dr. Manisha P Singh,

    I would like to say thanks to you for the care and best treatment you gave to my wife Ms. Veena .K.S, while she was admitted at your hospital in month of December 2012 as per your advice. Thank you! Thank you! Thank you!