Infertility means inability to bear their own child. Its incidence is 10-15%. And the cause may be in male or female or in both. If husband and wife have normal sexual life for one year and wife is not able to conceive than this couple comes under definition of infertile couple. Infertility is 40% due to problem in Female and 40% due to Male and 20% due to problem in both.
When all medical treatments fails, following treatment done for infertile couples:
ART- This includes (also called test tube baby)
This is simple technique in which good quality sperms Separated from Husband's Semen Sample with the help of Special Preparation Media are injected into the uterus of Wife at the time of ovulation.
So good sperm and ova meets naturally and pregnancy occurs. IUI is done only when female have cervical mucus in compatibility or sperm are low in count. Success rate of IUI is about 10-15% per cycle and done 6 times (maximum).
This is the most important and advanced technique and is available only at infertility centres which are doing exclusive work in the field of infertility. ART is also called test tube baby technique because here 4-6 embryos are first made outside body means in test tube or four well dish and then transferred to female's uterus.
In this technique female is given hormonal. Injections to stimulate her ovary and several ova are formed. Then those ova are taken out under anesthesia and combined with husband sperm in a carbon dioxide incubator. After fertilization when embryos attain 4-8 cells stage (after 2-3 days of ovum pick up), then 2-3 embryos transferred to wife's uterus and thus pregnancy occurs. IVF is done for many indications including damaged tube, endometriosis, anovulation, PCOS, failed IUI cycles, unexplained infertility etc. Success rate of this procedure is near about 30% - 40%in whole world.
This method is applied when male sperm count is low or Spontaneous fertilization does not occur. Here under high magnification microscope sperm is injected into ova directly so that fertilization can occur. Success rate remains same 30% - 40% here also. Few other methods like assisted laser hatching etc also done in indicated cases but these methods only used when their is any indication. These method do not improve the success rate significantly.
It is a way to have your own genetic baby when female losses her uterus due to congenital cause or have anatomically distorted uterus. Here husband's sperm & wife's ova are taken out, their embryos formed and transferred to a lady who wishes to keep child in her womb for 9 months and after the birth baby is given to genetic mother & father. It is a legal procedure.
In simple terms, IVF means fertilization outside the body. After ovarian stimulation, eggs are collected from women's ovaries and then fertilised by husband's proccessed sperms in a petridish or a test tube in a controlled laboratory environment. The resulting embryos are deposited in to the women's uterus by embryo transfer under ultrasound guidance. If the process is successful, one or more embryos will implant in the lining of the womb and the women will become pregnant.