An insight into IVF treatment in India
In vitro fertilization is a highly sophisticated, meticulously timed procedure, which involves ripened egg removal from the female’s ovary and fertilizing it with semen that incubate the dividing cells in a laboratory dish, then replacing the developing embryo in to the uterus at the suitable time.
India is one of the pioneering countries of IVF treatment and over the past decade, it has also become the most preferred destination for IVF because of its affordable and yet credible technological advancement and resource of acclaimed doctors. There are many cities in India which offer state of the art medical facilities for IVF treatments.
Mumbai, Delhi, Bangalore, Chennai and Kolkata have good treatment facilities. IVF treatment in Pune, Visakhapatnam and Ahmadabad have great recognition in India and abroad as well.
The success and availability of IVF has raised the hopes of many infertile couples who have not been athble to conceive because of infertility associated with not only blocked or absent fallopian tubes but also male infertility and many other causes.
What is the procedure?
The process includes these steps which I am explaining in shortest possible form.
1. The lady is tested for basal FSH (a hormone) levels on the 2nd or 3rd day of the menstrual cycle.
2. If the levels are normal and do not show signs of any deviation to the standards , she is given ovulation stimulating drugs and exogenous FSH so that an ovum is produced. This usually leads to the maturation of more than 1 ovum.
3. Follicular imaging is done on the 10th day or the 12th day. It sometimes may require multiple sessions to view the size of the matured follicle or ovum.
4. As soon as the size of ovum is 18-20 micro meter, the ovum is extracted. Usually more than 1 ova mature which can increase the chances of success of IVF. All matured ova are extracted.
5. During all this while , the husband/the male partner has been asked to undergo a semen analysis. If everything is normal, he is asked to provide a semen specimen which means he is asked to ejaculate.
6. This ejaculate is washed, analysed and the sperm grown in a nutrient media. The best sperms are chosen.
7. When both ovum and sperm are ready, then both the ovum and the sperm are put together in a media along with chemicals which are used to enhance the capacity to fuse. Multiple ova lead to multiple zygotes on fusion.
8. When the zygote is formed, it is inserted in the uterus of the same lady/woman who contributed the ovum. Usually in this process multiple zygotes are chosen.
9. These zygotes are then implant into the uterine lining which is also known as the musculature. There is a 20-30% chance of implantation. That is why multiple zygotes are used.
10. Once implanted, the pregnancy goes on normally.
What is the cost of IVF treatment?
The location you chose is a key factor in determining the IVF cost in India as the IVF cost in Mumbai is quite different from the IVF cost in Delhi. Similarly, the cost of IVF in Chennai could be very different from the rates in Hyderabad or Bangalore. Some couples prefer travelling to other cities with more affordable treatment plans because of the cost fluctuation. However IVF treatment will cost between Rs 1, 25,000($1750 approx) to Rs 3, 00,000($4500 approx).
The factors influencing IVF treatment cost
1 The women’s age & number of IVF cycles
2 Cost of donor eggs/sperms
3 Price of donor embryos
4 Cost of frozen embryo transfer
5 Cost of T.E.S.A.
6 Cost of ICSI (Intracytoplasmic Sperm Injection)
7 Freezing Embryos
It is important to note that even though the IVF cost in India varies from one city to the other and from one clinic to another, you should not base your choice only on the basis of cot alone. While you do your research for IVF, select only those specialists with good testimonials and a steady success record track. You can also check out the reviews of available fertility clinics and discuss with couples who have already opted for the treatment to make your mind clear.
Understanding IVF success rates
Understanding of cumulative success rates which is based on the overall possibility of having a baby from all embryos that result from one stimulated cycle. Cumulative success rates include pregnancies that occurred immediately following (fresh embryo transfer) and in subsequent months following (transfer of thawed embryos), including cycles where all embryos had been electively frozen. The ‘live birth rate per started treatment cycle’ figure is lower than the ‘cumulative success rate’ figure because it includes the added chance of having a baby from any frozen embryos resulting from the commencement of a treatment cycle.
What you can do to improve your chance of success?
Some lifestyle factors affect the chance of IVF success. To improve the probability of success, men and women are encouraged to:
- try to be in the healthy weight range
- smoking is strictly not allowed
- reduce alcohol consumption
- eat a healthy nutritious diet
- exercise regularly
- take folate supplement (women only)
- avoid direct engagement with toxic chemicals in the work and home environments
- have a thorough preconception health check to identify other factors that may affect the chances of success.
Although IVF may appear to be a costly treatment, it is rather reasonable taking into consideration the refined medical expertise used, and the proficiency of the doctors. It’s certainly worth when it is about children, as any couple who have undergone IVF will tell you.