The pair must first undergo infertility diagnostic tests before moving forward with the therapy process. As part of a male infertility diagnosis, a male member must do sperm analysis and blood testing. The sperm count, testosterone level, and other male hormones are all assessed in both tests (only if needed). Uterus tests for infertility, ovarian reserve testing, blood test, ultrasound, and hysterosalpingography are among the female tests and nursing diagnoses for infertility.
It is estimated that one out of every ten couples has difficulty conceiving. So, for such a couple, the first step is to seek assistance from fertility specialists, who will analyze their overall reproductive health and do a few tests to uncover any underlying fertility issues or pregnancy delays.
Infertility diagnosis test includes:
1. Ultrasound scan (TVS)
An ultrasound scan examines the lining of the wombs and finds out any conditions that may alter the linings. It further allows analyzing the existence of polyps or fibroids, ovarian cysts, ovary size and the existence of ovarian follicles.
2. Semen Analysis
It measures the number of sperm, its morphology, and motility.
3. Anti-Mullerian Hormone (Egg count test)
It evaluates the blood and offers an indication to ovarian reserve testing. A basic teis st suggested by the fertility specialist to measure the ovarian reserve hormone. This provides a good estimate of the number of eggs present in the ovaries, which is also useful as IVF diagnosis.
5. Blood Test
It investigates the genes which are causing difficulties for conceiving. Experts recommend testing Stag3, FSH receptor (female), AZF (male), MTHFR (female), prolactin, RBC, RBC and Blood Sugar.
6. Biopsy
A simple procedure will be performed under local anesthesia in order to obtain sample tissue.
8. Hysterosalpingography
Hysterosalpingography, also known as uterosalpingography, is a radiologic procedure to investigate the shape of the uterine cavity and the shape and patency of the fallopian tubes.
For people surviving cancer treatment or undergoing various medical therapy, the desire to have a child has become a more realistic choice. With the emergence of fertility preservation, couples have begun to consider the possibility of late pregnancy.
Women seek fertility preservation for a variety of reasons, including ovarian injury or persistent exposure to harmful chemicals, while men seek the treatment in preparation for vasectomy surgeries or other radiation treatments.
As a result, retaining a protective tissue through fertility preservation can help to avoid child-bearing delays and the difficulties that come with it.
Fertility preservation is the process of preserving or storing sperm, eggs, or reproductive tissues in order to use them to generate biological children in the future. Fertility preservation aids in the development of potentiality in adolescents who are at risk of losing their fertility.
Premature Ovarian Insufficiency is a side effect of chemo and radiotherapy (POI). When these treatments are combined with bone marrow transplantation, the results become even more severe. As a result, preserving fertility in cancer patients is critical.
Similarly, a small number of anti-cancer drugs diminish the primordial follicle pool, cause ovarian cortical fibrosis, and ovarian atrophy, and significantly disrupt gonadal vascularization. Premature Ovarian Insufficiency (POI) to a partial decrease of ovarian reserve are all possible outcomes.
For cancer patients, the ASRM Fertility Preservation has a set of guidelines. The treatment, however, is recommended for everyone, including:
Female with Polycystic Ovarian Syndrome (PCOS)
Women suffering from ovarian cysts, uterine fibroids, or endometriosis.
Men living abroad.
Couples that are dealing with a genetic condition.
Preserving fertility in cancer patients.
The couple who has been apart for a long time.
Infected with venereal diseases.
Embryos are frozen and stored in this technique. It is used in the In-Vitro Fertilization procedure to increase the chances of a successful pregnancy or to safeguard embryos before medical treatment. One of the most important aspects of IVF treatment is the collecting and preservation of embryos. As a result, it's highly suggested for people who want to keep their fertility for a variety of reasons, including cancer sufferers.
Hormones are utilized to encourage the production of eggs inside the ovarian reserve during a normal course of infertility treatment. After that, all of the eggs are collected and fertilized in a laboratory. The mixture is then implanted in the female's uterus, with the leftover embryos being preserved.
For more than 40 years, the method has been used to preserve fertility in male cancer patients. This fertility-preserving procedure saves sperm from patients who are receiving any type of treatment and is crucial in the treatment of infertility. These sperm can also be utilized to help infertile couples by donating sperm. The prospect of cryopreserved sperm has no temporal constraints.
Semen collection, freezing, and thawing are all steps in the sperm cryopreservation process. Without undergoing complicated treatments, a guy can easily preserve his fertility. Male fertility preservation, or semen, is, however, influenced by the partner's reproductive status, motility, number of children, and overall health.
Oocyte cryopreservation is a method of preserving a woman's fertility. Eggs are rapidly frozen with this egg freezing procedure, which eliminates the period needed for crystal formation. Newer cryoprotectants with high concentrations are used in the vitrification of eggs.
A substantial degree of skill and expertise is required for successful fertility freezing. Before being preserved, the eggs are first immersed in a lower concentration bath to draw out the water. The oocyte is then exposed to a high-intensity cryoprotectant in order to preserve egg fertility. For the freezing process, the eggs are laid for less than a minute before being immersed in a nitrogen solution.
When a woman is ready to start a family, the cryoprotectants are removed and the eggs are quickly warmed up.
Prenatal care, commonly referred to as antenatal care, is a sort of preventative medicine. Its purpose is to provide regular check-ups that allow doctors to treat and prevent potential health concerns during pregnancy, as well as to promote healthy lifestyles that benefit both the mother and the child. A proper antenatal check-up gives necessary care to the mother and aids in the detection of pregnancy issues such as anemia, pre-eclampsia, and hypertension in the mother, as well as slow/inadequate fetal growth.
Pregnancy Confirmation
Determine any present medical issues that could make the current pregnancy more difficult.
Observe the fetus's normal development and prescribe treatment if there are any anomalies
During the process of determining the predicted delivery date
Provide essential therapies to reduce pain or any difficulties
It can be difficult to start a family on your own. Despite their best efforts, some couples are still unable to conceive naturally and must resort to IVF to continue their family. However, some couples still wish to seek donor treatment, such as using donated eggs or embryos to have a baby. There are several occasions where patients receive therapy with eggs or sperm supplied by relatives or an anonymous donor.
Sneha provides them with a number of options starting with a moderate level of intervention before moving on to more intensive treatment.
Infertility clinics in Nepal provide a variety of reproductive treatments, which are ranked in the degree of difficulty. Donor treatments include donor insemination (DI), and intrauterine insemination (IUI). Similarly, if the simple donor therapy fails, highly medicated IVF with egg donation, Intracytoplasmic Sperm Injection (ICSI), egg sharing, or embryo donation is used.
Several reasons may exist why the patients may get advised to take up donor treatment. The treatment is suggested to people of:
Advanced maternal age
Premature ovarian failure
Low egg quality
Age-related fertility
Infertility is caused due to high radiation of chemotherapy.
Couples with high hereditary or genetic situations.