IVF Treatment in India

 

In Vitro Fertilization or IVF is known as test tube baby. This process was first used in England in 1978. In this treatment, the eggs of the woman and the sperm of the man are fertilized in the lab when the embryo is formed and then placed back in the woman’s womb. IVF is one of the most efficient and effective ways for an infertile couple to have a child. IVF has proved to be a safe method for conceiving. IVF works for all Infertility problems like blocked fallopian tubes, PCOS, endometriosis, premature ovarian failure or menopause among women and unusual sperm size, low sperm count, and inadequate sperm mobility among men.

This process is completed in several steps, which include ovarian stimulation, egg retrieval from the woman’s ovary, sperm collection from the man, fertilization, and placement of the embryo in the woman’s womb. One cycle of IVF can take two to three weeks. This process is quite complicated and expensive, but this process is a boon for those couples who have been trying to conceive for many years but not getting successful.

• Why is IVF suggested?

IVF is not advised for very simple health concerns. Doctors recommend IVF when couples have 5 infertility problems.

1. Blockage in fallopian tubes– when a woman has a blockage in her fallopian tubes.
2. Male Infertility– Often, male infertility is also the reason for not conceiving. In this situation also IVF can prove to be a better option.
3. Suffering from PCOS– If a woman is suffering from PCOS and wants to become a mother, she can go for IVF.
4. Genetic disease– Genetic disease is also the reason for infertility.
5. Unexplained infertility– There are many cases in which the exact cause of infertility is not known. For this reason, IVF is also done to find out the cause of infertility.

• IVF treatment cost in India

Today, the average cost of IVF treatment in India ranges from Rs.1 to 1.5 lakh. Now every income group can take a step towards the IVF procedure at less cost. Although the cost of IVF may vary from case to case and clinic to clinic. Variation in cost is also depending on the selection of the doctor.

The cost of IVF treatment includes treatment procedure, consultation fee, lab examination of both husband and wife to know the cause of infertility, fees for ultrasound, embryologist and gynecologist, embryology lab, OT, media, ward, and hospital expenses, etc.

Asha IVF & Fertility center is India’s leading best fertility center in Faridabad. We provide all kinds of Infertility Treatments such as Gynecologist treatment, IVF, IUI, ICSI, Laparoscopic surgery, and male infertility treatment at an affordable rate.

Source Link : https://ashaivf.com/blog/ivf-treatment-in-india/

Diagnose your PCOS

 PCOS is very common in one in five women in India now. Many of them do not know the symptoms of PCOS. They deal with it differently.  Polycystic Ovary Syndrome (PCOS) affects women causes various problems such as weight gain, hormonal imbalance, irregular cycles, unwanted hair growth, acne, painful cramps, etc. commonly, women got to know they have PCOS when they have trouble getting pregnant, but it often begins after the first menstrual period, at the age of 11 or 12. It can also develop in the 20s or 30s. Women during their childbearing years.

When to see a doctor

Most of the women do not know the symptoms of PCOS. The visible symptoms of PCOs are include weight gain, hair growth on your face or body, acne, etc. they take these symptoms as the symbol of some other diseased. Diagnosis of PCOS is very important on the time. Many patients get aware about it when the try to conceive and it stop them to conceive. See your doctor if you are dealing with any symptoms or if you’ve been trying to get pregnant for a year or more without success. Doctors typically diagnose PCOS in women who have at least two of these three symptoms:

1. high androgen levels
2. irregular menstrual cycles
3. cysts in the ovaries

Treatment plan

If you have PCOS and you’re obese, losing weight and eating a healthy, balanced diet can make some symptoms better. Generally, women need a combination of lifestyle changes and medications to treat PCOS. Your doctor will create a treatment plan for you tailored to treat your symptoms.  The purpose of PCOS treatment is to control symptoms. If you are preparing for conception and medication and lifestyle changes do not fulfill the purpose then there are some additional treatments are to be perform.

1. Surgery: A procedure called ovarian laparoscopy might make your ovaries work better when ovulation medications don’t. The doctor makes a small cut in your belly and uses a tool called a laparoscope with a needle to poke your ovary and wreck a small part of it. The procedure changes your hormone levels and may make it easier for you to ovulate.
2. In vitro fertilization or IVF: With this procedure, your egg is fertilized outside of your body and then placed back inside your uterus. This is considered as the best way to get pregnant when you have PCOS, but it can be expensive.

 

If you’re concerned about your PCOS and don’t already have a gynecologist, you can visit the Best Gynaecologist in Faridabad. The specialist at the Best Infertility Centre in Faridabad helps restore hormonal balance, reduces cyst formation, gets a natural period on time every month, and boosts fertility. Diagnose your PCOS.

Source Link : https://ashaivf.com/blog/diagnose-your-pcos/

Junk food effects on fertility

 

Are you a junk food lover? Well, everyone like junk food to eat because of its rich taste and aroma. Whether it is a child, teenager, adult, or old, they all love to eat junk food occasionally or randomly. But have you ever think what harm it possess to our health? The known side-effects of junk food are high cholesterol, blood pressure, diabetes, digestive problems, etc. but it has another bad effect on our fertility. Diet plays an important role in your whole body system as well as your reproductive system. If you are a junk food lover and trying for baby then this is a bad news for you. Let’s see how it affect your fertility?

How junk food affects our fertility?

Junk foods not only have a bad effect on our health, but their consumption also reduces the chances of getting pregnant. Fast food contains chemicals that interfere with the reproduction system. Because of junk food, hormones start to produce more and also weight starts increasing. Hormonal problems for a long time can have a bad effect on women’s fertility (ability to have children). Fatty food and junk food lead to rapid weight gain. Excessive fat increases the amount of estrogen hormone, which is responsible for the formation of cysts in the ovaries, which can make you vulnerable to diseases like PCOS. Not only in women’s but men’s fertility, semen quality, including higher sperm count, concentration and motility are associated with diet.

Expert’s advise

IVF specialist in Faridabad Dr. Astha Chakrvarty says, ‘Nowadays infertility is increasing due to the trend of junk food. There are many cases of problems like PCOS coming to the fore. Parents should abide their children from junk food to avoid diseases. It is important to keep this in mind, by managing your lifestyle properly and controlling obesity, this problem can be avoided. To take special care of the health of the baby and the mother during pregnancy, there is a special need for a nutritious diet. Women/men should ignore junk food. Instead, they should include berries, green leafy vegetables, nuts, figs, beans, etc. in their diet. Antioxidants are found in these things, which increase fertility and reduce pregnancy problems.

By consulting your gynecologist as soon as you notice the symptoms of infertility, you can improve your future life. If you need any advice related to your fertility booster diet feel free to book an appointment with Dr. Astha Chakravarty. She has aim to provide the highest level of treatment and service standards to her patients.

Source Link : https://ashaivf.com/blog/junk-food-effects-on-fertility/

ICSI: The Solution for Extremely Low Sperm Count

 

Now sperm count is a sexual disorder called male infertility. the semen ejaculated during intercourse contains less amount of sperm in them than normal. If you have less than 15 million sperm per milliliter of semen, the doctor will consider your sperm count lower than average. Low sperm count shows that your sperm are less to fertilize your partner’s egg.Various factors can reduce sperm count. Some of the factors include:

1. Smoking
2. Drinking alcohol
3. Certain medication
4. The long-term underlying health condition

Why ICSI?

The first step to treating infertility is finding out the reason. If you are unsuccessful in your attempts to make your partner conceive. Now there are different treatments and steps that men can take to increase their sperm count before they consider ART (Artificial Reproductive Instrument). Your doctor may recommend ICSI if:

1. You have a very low sperm count.
2. Your sperm are abnormally shaped (poor morphology)
3. They don’t move normally (poor motility)
4. You’ve had IVF previously and none or very few of the eggs fertilized.

Benefits:

1. ICSI benefits include helping you get pregnant even if you are dealing with one or more of the conditions:
2. ICSI gives you a chance of conceiving your genetic child when other fertility treatment options are not working.
3. If the male is unable to ejaculate for standard IVF, doctors can extract sperm for ICSI.
4. ICSI can also be used with unexplained infertility.
5. ICSI and IVF pregnancy rates are very similar and ICSI is a less complex treatment.
6. ICSI doesn’t have any effect on child’s mental or physical development.
7. ICSI takes shorter time than IVF.

Procedure

ICSI is collecting a sperm sample and cleaning it to find the healthiest, strongest sperm. The egg is then injected with a single sperm to complete fertilisation. The best course of treatment for men with low sperm counts is usually IVF with ICSI. For males with poor sperm counts, we can significantly improve the success rate by combining IVF with ICSI, or intracytoplasmic sperm injection.

Conclusion

Low sperm count does not mean you cannot be a father- there are many possible treatments for men considering parenthood.  If you are a victim of poor sperm health or male infertility, it is time to work with a fertility clinic near you.  Asha IVF and fertility center in Faridabad itself has a high success rate. Contact Dr. Astha Chakravarty and book your appointment now for infertility treatment.

Source Link : https://ashaivf.com/blog/icsi-the-solution-for-extremely-low-sperm-count/

IVF: Stages and Procedure

 

Some women face a lot of difficulties in conceiving. According to a survey, about 6.7 percent of women suffer from fertility problems. There are many different reasons for fertility. Infertility can happen not only in women but also in men and it makes it difficult to conceive.

Medical science has introduced the IVF procedure to give the happiness of a child to an infertile couple. In this procedure, the egg is removed from the woman’s ovary and fertilized in the lab with the man’s sperm. After fertilization, the prepared embryo is transferred to the woman’s uterus. There are many steps involved in the process of IVF, so let us understand IVF Treatment Step by Step in detail.

Injections for excessive egg development

Initially, when a couple goes for IVF, the specialist starts with retrieving the eggs. They stimulate egg development by Injections (stimulating drugs) in women’s ovaries for maximum development of eggs. More eggs increase the chances of IVF being successful.

Egg hatching process

After 10 to 12 days of the injection, the developed egg is retrieved with the help of a special suction mechanism. During this procedure, the woman is given anesthesia so that she does not feel pain. Then eggs are placed in a test tube. Then after 20 hours, it is checked whether the process was successful or not. The best eggs are selected for transfer.

Sperm or semen sample

After the egg is retrieved, a sample of the male’s sperm is taken. This sample is sent to the lab for testing. After testing the sperms, the best and healthy sperm are selected for fertilization.

Fertilization of egg and sperm

Fertilization is done after the eggs and sperm have been obtained. There are two ways to fertilize an egg, in vitro fertilization (IVF), where the egg and sperm are placed in a Petri dish for fertilization; or intracytoplasmic sperm injection (ICSI) in which a single sperm is injected into the cytoplasm of an egg.

Embryo Culture

After fertilization of the egg and sperm, the embryo is placed in the incubator, where the embryo gets the proper environment to develop and grow. The embryo develops into the blastocyst stage on the fifth day after fertilization and till then it remains under the supervision of an embryologist.

Embryo Transfer

Once the embryo develops to the blastocyst stage, it is transferred to the uterus with the help of a catheter. After the embryo is transferred to the uterus, it gets implanted in the lining of the uterus.

Confirmation of pregnancy

And after two weeks, the beta-HCG (human chorionic gonadotropin) hormone is checked by a blood test to see whether the fetus is stable or not. If the fetus is stable and all reports are good then your IVF is successful.

Are you seeking help for IVF or fertility treatment, plan your visit to Best IVF Clinic in Faridabad, Asha IVF, and the fertility center. We are committed to providing compassionate and ethical fertility treatment.

Source Link: https://drasthachakravarty.com/ivf-stages-and-procedure/

The Rare Aspect Of IVF : Risk Factors

 

Why IVF?

Women who are unable to conceive naturally can become a mother with the help of IVF treatment. IVF ie In Vitro Fertilization is a reproductive technology. In this process, an egg is fertilized with sperm in a lab under the observation of an embryologist. When the embryo forms it transfers to the ovary.

Everyone knows about IVF and its advantages. In this blog, we will go through its rare aspect that no one discusses which is the risk factors of IVF.  Yes, there are some risk factors associated with IVF treatment, which are being discussed here.  We just want to be aware you from every aspect of IVF.

Ectopic pregnancy

In IVF, the embryo is directly inserted inside the uterus. In rare cases, ie 2 to 5 percent of cases, there can be an ectopic pregnancy. When the embryo does not attach to the uterine lining and develops into other parts of the reproductive system, it is called an ectopic pregnancy.

Premature birth

In some rare cases of IVF, a woman can give birth to a child before nine months. The baby may have a low birth weight. Delivery before nine months or premature labour can cause many problems for the baby.

Mental and physical stress

Fertility treatment like IVF puts physical and mental pressure on women. Injections of hormones for treatment cause a lot of pressure and stress on the body. This treatment is also very difficult for couples emotionally.

Multiple pregnancies

In IVF procedure,there can be more than one fetus growing. You may have twins or triplets with IVF. Multiple births can lead to many complications and there is a risk of pregnancy as well. In multiple births, there is a risk of complications like C-section, gestational diabetes, high blood pressure, pre-eclampsia, and premature birth.

Miscarriage

Although there is no evidence to link miscarriage with IVF treatment, there is still a risk of miscarriage in the early months of normal pregnancy. The chances of miscarriage also depend on the age of the mother.

Side effects of drugs

Injection site pain, mood swings, hot flashes, vaginal dryness, flatulence, breast pain, headache, weight gain, nausea, dizziness, bleeding, fatigue, trouble sleeping, and acne side effects may appear due to hormonal injection for short period.

The problem due to egg retrieval

In this procedure, after the egg is removed from the ovary and fertilized, the embryo is inserted into the uterus. There may be mild cramping, vaginal discharge, pain when touching the breast, and constipation.

According to our specialist at Fertility Clinic in Faridabad

These side effects are very rare.There are very less chances of infection and other complications after IVF. Every treatment has its pros and cons. IVF is a boon for childless couples. Your eagerness for a child is greater than these side effects.

Consult with your specialist or visit at the Best Infertility Centre in Faridabad, if you are on the way to an IVF procedure.

Source Link: https://drasthachakravarty.com/the-rare-aspect-of-ivf-risk-factors/

What is Preimplantation Genetic Screening?

 

The couple who opt for IVF for a child generally wonders if their child would be genetically fit. This stress may be more when intended couples are genetically challenged and think that their child should not have these genetic issues. So in this blog, we are going to reveal the new advanced technique to ensure your child will be genetically fit.

PGS or Preimplantation Genetic Screening is a genetic test that has made IVF most successful than ever! Assisted reproductive treatments can now show infertility and genetic conditions more effectively than before. Couples and individuals affected by a genetic disorder can conceive a biological child. Couples or individuals at increased risk for having embryos with abnormal chromosomes are the best candidates for PGS. These include:

1. Advanced maternal age above 35
2. Recurrent miscarriages, or
3. Previous failed IVF attempts

In a normal person, there are 23 pairs or 46 chromosomes present. Aneuploidy is the condition in which an embryo contains one more or one less chromosome. That means, there are 45 or 47 chromosomes present instead of the normal 46. PGS (Preimplantation Genetic Screening) screens embryos for chromosomal abnormalities (aneuploidy).

Process

PGS test for chromosomal abnormalities. On day 3 or day 5 of embryo development, a few cells are removed from embryos created with IVF. The DNA of these cells will be evaluated for chromosomal defects. At this stage, the embryologist can determine the gender (sex) of the embryos. If parents are interested in family balancing, then only embryos of the desired sex will be transferred to the mother’s uterus.

It diagnoses single gene mutations associated with genetically inherited diseases, e.g. sickle cell anemia, muscular dystrophy, Huntington’s Disease, Fragile X syndrome, cystic fibrosisand many more.

The success rate of PGS

The chance of a successful outcome with PGS in joint with IVF treatment depends on whether any and how many of the embryos produced in an IVF cycle have a normal PGS result. According to the reports a live birth rate is high 60% to 80% when an elective single frozen embryo is transferred in a subsequent cycle. These success rates are very encouraging as most couples who undergo PGS and IVF are at higher risk of producing chromosomally abnormal embryos such as advanced maternal age, previous IVF failures, or recurrent pregnancy losses.

So, from all the above context, we can ensure you if you are worried about any means for IVF and procedures. You can visit the renowned Asha IVF and Fertility Centre, PGS clinic in Faridabad.

Source Link: https://drasthachakravarty.com/what-is-preimplantation-genetic-screening/

Unexplained Infertility | Dr. Astha Chakravarty

Unexplained” does not mean a couple is never going to get pregnant, it just means it's taking longer than it should and we don't know why. #UnexplainedInfertility #DrAsthaChakravarty #ashaivfandfertilitycentre

Where to Go For Surrogacy Options?

 

Infertility is like skipping out on some special occasion of parents as baby showers and kid’s parties. An infertile couple is  questioned by relatives, friends, and colleague at work as to why they dont have not a baby. It is  stressful for a couple to answer these questions.

But you shouldnt  get  stressed as there are many  treatment options available.  One of them is surrogacy. For many parents, finding that kind of solution can be a daunting task, but we provide  a more affordable surrogacy for you as intended parents.

The best way to find a surrogate is by consulting an infertility professional  such as Asha Infertility clinic which is the  Best Surrogacy clinic in Faridabad. When you choose this clinic, most of the process is taken care of by Best Infertility Specialist in Faridabad. The Best Fertility Clinic in Delhi, India is proud to introduce its surrogacy support team who is there to assist surrogate mothers. The physical and emotional well-being of surrogates is our topmost priority. Our staff is dedicated solely to surrogate mothers’ physical and emotional health, also their happiness and comfort.

We advise you to meet the surrogate before the procedure and once the pregnancy test is positive. We always take care of your wishes on the choice of your surrogate but we suggest you don’t select the surrogate-based on her physical characteristics besides vegetarian or non-vegetarian. Because the surrogate's physical attributes have no impact on the child’s features as we use your sperm and ova.

You can also schedule a visit with our IVF Specialist in Faridabad Dr. Astha Chakravarty, to know about surrogates’ progress after conception.  We select the surrogate as per the ICMR guidelines. Before choosing a surrogate for a particular couple’s child, we must ensure that the woman satisfies all the physical and medical criteria to go through a successful full-term pregnancy.

Asha Fertility Clinic Helps You get a healthy baby

 

ASHA FERTILITY CLINIC provides the treatment that helps childless couples conceive a child of their own. IVF was introduced in India in the early 80s and has found acceptance since,  IVF centers have played an important role in spreading awareness about infertility treatments. These treatments are a boon for those who are not able to have a child through sexual intercourse alone.   

Here the Best infertility specialist in Faridabad Dr Astha Chakravarty discusses that how her IVF centre helps you get a healthy baby. 

·  Females dealing with PCOD or PCOS i.e. imbalance in the level of hormones due to delay or irregular flow of menstrual cycles, through IVF treatment they can achieve motherhood dream. 

·  IVF treatment helps to tackle the miscarriage issue, and recurrent pregnancy loss. 

·  It provides the option to freeze eggs to working women or women with cancer as they can delay pregnancy and childbirth at their will. 

·  At Asha fertility clinic in Faridabad, IVF treatment will provide an answer to unsolved problem after a detailed check-up or treatment and consultation with doctor. 

·  The centers also provides the treatment for Fallopian tubes blockage, endometriosis with complications and any other fertility problems of the  women as it helps in increasing the chances of conception. 

·  If female is unable to carry a pregnancy  then the couple have an option to go for surrogacy at ASHA FERTILITY in Faridabad. 

·  Also Infertility issues in male like nil or low sperm counts or presence of only testicular sperm can be cured with the help of ICSI treatment. 
 
·  At the Best fertility clinic in Delhi NCR, Infertile couple can go for frozen embryo replacement, if they don’t succeed in first attempt, as it will increase the chances of having a healthy baby. 
 
·  Here couples have an option to use  donated eggs or sperm if there is issue of less production of fertilized eggs or the quality of the eggs or sperm is poor or unhealthy. 
 

Can Covid-19 Vaccine Cause Infertility in Men or Women?

 

Vaccination is going to start to control the coronavirus, which has killed more than one and a half lakh people in the country. But in the meantime, many kinds of confusion and rumours about corona vaccines are also being spread. Dilemmas are arising in the minds of people. There are many questions about the vaccine: whether it can affect fertility for those who are trying to conceive, or considering pregnancy /or in vitro fertilization (IVF): Does it lead to infertility? Should women trying to get pregnant receive the vaccine? What about those getting IVF (in vitro fertilization)? Does it lead to a fetal loss? 

Social media is playing a big role in this rumours outburst that the vaccine should not be given to women considering conception.  But, now you think, how can a vaccine which prevents a respiratory illness lead to infertility? Well, it won’t, but several falsely-claiming social media posts purported a link between the vaccine and infertility. 

The best infertility specialist in Faridabad,  Dr Astha Chakravarty says ‘there is no scientific data has shown that Vaccine could cause infertility in either men or women. COVID-19 vaccines cannot lead to infertility or miscarriage in women who may be expecting or the ones who may be planning to. So there is not need to take stress about your fertility or pregnancy. Stay calm and take precaution only’. 

Women trying to get pregnant have questions about getting the COVID-19 vaccine. This point also came to light that women who participated in the COVID-19 vaccine clinical trials became pregnant after getting the vaccine. 

The specialist from Best IVF Centre in Faridabad adds that pregnant women who get COVID-19 are at risk of having serious infections. But the good thing is that the infection doesn’t seem to cause problems with the pregnancy.  Also, women who are planning to get pregnant or getting fertility treatments may benefit from getting the COVID-19 vaccine. You can talk to your Specialist or can visit IVF Clinic in Faridabad to know what’s best for you. 

 

 

Get your bundle of joy

 

There is no greater pain than not being able to become a parent. Only couples who are infertile can tell you how much there are disturbed. Infertility affects every aspect of their life. It can strain one's marriage, cause social isolation, & drain them emotionally & financially.

It's a natural urge to have babies & when the body doesn’t cooperate, it crushes person. Most people take fertility for granted. After marriage, having baby is quit natural but for few unfortunate people it's not so. For an infertile couple, life is shrouded with guilt, grief & shame. People around you give unhelpful advice. Many couples consider it difficult to share with anyone.

The problem of infertility is very common these days not only in India but across the world. Couples are unable to bear a child, due to some problem with the man or women or both.

Causes of infertility: Reasons behind Infertility are unhealthy lifestyle, alcohol consumption, smoking & nicotine products. Certain diseases can also affect fertility like diabetes, celiac disease, certain auto immune diseases like lupus, or genetic defects.

Male infertility can be due to:

·         Infections

·          Polycystic ovaries

·          Polyps in the uterus

·         Chronic medical  illness

·         Malformation in uterus

·         Endometriosis or fibroids

·         Pelvic inflammatory disease

·         A  previous ectopic(tubal) pregnancy

 

Scar tissue or adhesions leading to tubal blockage Male infertility can be due to:

•Infections

 • Polycystic ovaries

• Polyps in the uterus

• Chronic medical illness

• Malformation in uterus

• Endometriosis or fibroids

• Pelvic inflammatory disease

• A previous ectopic (tubal) pregnancy

 • Scar tissue or adhesions leading to tubal blockage

•Poor motility/morphology of sperm

• Low sperm count

•Genital problem

• Erection problem

• Ejaculation problem

 

Many Factors contribute to the growing rate of infertility:

1. Age is a major factor. Fertility starts declining in women after the age 30 & a bigger decline the age 35.

2. Unhealthy food or adulterated food that is high in oestrogen leads to a drop in sperm count in men.

3. Polycystic ovarian syndrome in women accounts for 40% of infertility cases, Hormonal imbalance due to poor lifestyle & stress may cause major problems.

4. Sedentary lifestyle, increase lifestyle, increases in smoking & drinking habits among youngsters.

5. Couple keep delaying childbearing it becomes harder to achieve pregnancy & the percentage of infertility in the society increases.

6. Obesity, lack of physical exercise, excessive caffeine consumption accompanied by medical disorders like diabetes.

7. Reluctance among Indians to approach the doctor in good time.

8. Excessive to pollutants & other chemicals in air & food & water. Confirmation of' infertility: If you have a hard time getting pregnant or staying pregnant or if you don't get pregnant after 1 year or more of trying, or  if you have multiple miscarriages, You should consult a fertility specialist. Treatment of' Infertility: There are multiple treatment options available. Your doctor will recommend you the right treatment as per your infertility

1. Medications

Medications help stimulate the ovary to develop mature eggs for ovulation. These Medicines are generally taken from menstrual cycle days 3-7.They stimulate the ovary to grow & release an egg.

 

2. Insemination Intrauterine:-

 insemination, also known as IUI, is a process by which sperm is washed & I prepared for placement into the uterine cavity.

 

3. In  Vitro Fertilization (IVF)   :-

 IVF is a process  whereby  eggs are  collected & then fertilized by sperm outside the body, in a laboratory. The use of IVF has grown dramatically in India. Having the experience of running the Best IVF Centre in Delhi, I suggest you see a fertility specialist together, &m follow the guidelines they give you. They can also check male for sperm health, count, & motility, & they can check females for   health of  the  eggs. Time is an important factor in infertility cases, & once you consider something, you must not delay medical care.

Women who desire to delay their pregnancy for any reason including education, work or other reasons can consider the option of freezing their eggs for future use