We find that most couples will get pregnant within 2 tries. Occasionally, there may be a reason to do a third attempt but that is not common. More than this would really require extenuating circumstances such as a miscarriage due to a non-recurring reason, for example.

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IVF - Frequently Asked Questions - Male & Female Fertility
Treatment in India
1. Are there any restrictions on physical or personal activities during
an IVF cycle?
Smoking: Stop smoking before ovulation induction begins. It is best
to discontinue tobacco at least 3 months prior to an IVF cycle. If you cannot
stop “cold turkey”, seek the care of your primary care physician. By products
of tobacco have been demonstrated to be toxic to the oocyte (egg). We
strongly recommend that all women, especially those undergoing fertility
treatment, cease smoking.

Drinking: Alcohol is a drug, and should be avoided during infertility
treatment and pregnancy. Please do not drink alcohol from the time fertility
medications are initiated until the pregnancy test.

Medications: If you are taking any medication, prescription or overthe-counter, please inform your physician. Some medications may interfere
with the fertility medications prescribed, some are not safe to use before an
operation or medical procedure, and others might interfere with ovulation or
pregnancy implantation.

An IVF cycle can be an emotional and stressful time for you and your
partner. It may be helpful to have supportive personnel to speak to, such as
friends and family, a clergy member, or a psychologist/therapist.

Heavy exercise such as aerobics, jogging, weight lifting etc. are
prohibited during ovarian stimulation and until the pregnancy test results are
known.

Acupuncture is permitted prior, during and after your IVF cycle but
herbal supplements are absolutely prohibited.


2. 2. Is the egg retrieval painful?
We do our egg retrievals under
anesthesia you will be asleep for the
procedure. Our anesthesia specialists use
medications which heavily sedate you. You
will be "asleep" however; you will not
require a breathing tube. The beauty of this
approach is that you will feel absolutely
nothing, remember absolutely nothing,
and will have few of or none of the typical
side effects of anesthesia such as nausea and vomiting.
3. Will the egg retrieval damage my ovaries?
The data we have available tells us that it does not. There have been many
women who have undergone multiple egg retrievals. The fact that they have
responded to stimulation on subsequent occasions and gotten eggs and
pregnancies on these occasions implies that the ovaries are OK after egg
retrieval. There have been some limited studies looking at the appearance of
the ovaries in women who have had egg retrievals and subsequent
laparoscopic surgery. In those patients, the findings were normal.
4. Howlong does it take to get started with IVF?
From the point of your initial
consultation , you may potentially
start an IVF cycle within weeks.
Your physician will determine the
appropriate time frame for your
fertility treatment.

3. IVF treatment into phases:
Phase One involves your initial consult and diagnostic evaluation. This can
take days, but usually takes weeks or even a couple of months (depending
on your menstrual cycle, logistical and financial details such as your travel
schedule, availability, insurance requirements, etc.)
Phase Two is your cycle planning stage, which is heavy on logistical details
such as obtaining IVF medications and learning how to mix and administer
them. There is also blood work to be done, consent forms to be signed,
payment to be made as well as other details to attend to during this phase.
Phase Two can last days, weeks or months, depending on your schedule,
insurance, and availability.
Phase Three is the start of the cycle
and usually lasts about two weeks.
During this time you will be taking
injectable medications and return
every couple of days for monitoring.
Phase Four is egg retrieval and
embryo transfer. There are three to
five days between the time when eggs are retrieved and embryos are put
back into the uterus.
Phase Five is a pregnancy test and beyond.
5. If I am not pregnant, when can we try again?
Usually we ask that patients wait one or two complete menstrual cycles
before beginning another ART cycle. Sometimes tests are required that may
delay subsequent cycles.

4. 6. Are there limitations onthe number of IVF tries per couple?
We find that most couples will get pregnant within 2 tries. Occasionally,
there may be a reason to do a third attempt but that is not common. More
than this would really require extenuating circumstances such as a
miscarriage due to a non-recurring reason, for example.
7. Is there a higher miscarriage rate for ART patients?
The miscarriage rate is about the same for ART as the general population.
Many times older females undergo ART and their miscarriage rates are
naturally higher. Since pregnancy testing is done two weeks after embryo
transfer, we often know about spontaneous miscarriages in the very early
stages of pregnancy. These miscarriages would probably go unnoticed in the
general population.
8. What are my choices if my tubes have been tied?
Basically there are two choices, surgery
to try and repair the tubes or IVF. There
are pros and cons to each choice and
often the best choice depends on your
unique situation. Surgery offers the
option of attempting pregnancy naturally
indefinitely without repeated treatments,
but carries the rare risks of surgery and
in some cases is not successful
depending on the type of tubal ligation or tubal damage done initially. IVF
offers the chance for pregnancy without having to undergo an operation and
maintaining contraception or birth control against future pregnancies after
completion of your family.

5. 9. How do we decide how many embryos to transfer?
Your physician will discuss this with you at the time of consent signing, but
we usually follow the recommendations of The American Society for
Reproductive Medicine guidelines:
Under 34 years old = 1-2 embryos

35-37 years of age = 2-3 embryos

38-40 years of age = 3 embryos
These numbers may vary depending on individual diagnosis and clinical
circumstance.

10.How much does IVF cost?
The cost of IVF depends on the treatment and options selected. For IVF
pricing information,
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