When Should We Opt For IVF

When Should We Opt For IVF -

IVF is the most refined treatment but not the first line of treatment.It has to be done as per the indication only.Sometimes delay in taking decisions may end up in opting for third party measures so what one need is correct and guided approach.

As patient we have many queries as why IVF only so here are the reasons as to when your clinician will advise you for same-

1)Fallopian tube damage or pathology-

Tubal block on X RAY(HSG) doesn’t always mean opt for IVF directly.In that case decision is taken as per level and grade of block ,age of female and married years besides cofactors

• If tubal surgery is not  possible then, IVF is method of choice.

• In case of impaired tubal function but no occlusion is present, or following tubal surgery, IVF is method of choice after an infertility duration of 2 years or longer. Depending on the female age IVF can be done after a shorter duration of infertility.

2) Unexplained infertility (idiopathic)-

When exact obvious cause cannot be diagnosed after all basic work up of couple

•   IVF is indicated if the duration is 3 years or longer.

  If the woman is older than 36 years, IVF may be

   considered earlier.

3. Male infertility-

• Total motile sperm count   < 1 million: first treatment of choice is ICSI

• TMC > 1 and < 10 million: IVF can be performed if infertility duration is 2 years or longer

• TMC > 10 million: treat as unexplained infertility

4. Endometriosis

• In case of mild or moderate endometriosis treat as unexplained infertility.

• In case of severe endometriosis policy treat as tubal pathology

5) Cervical factor / immunological infertility-

• After an infertility duration of 2 years, IVF is indicated. This may be considered sooner if the woman is over 36 years of age.

6. Hormonal disturbances-

Like in PCOS if after multiple ovulation induction cycles patient fails to get pregnant then one has to plan IVF.No of cycles of Ovulation induction vary as per female age partner but shouldn’t exceed 4 cycles as after that there is no benefit of doing so