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06May/16

How Much Does IVF Cost?

Once they have gone through the tests and investigations and the doctor has determined that IVF is the only option, the first question that most couples ask is: How much does IVF cost?

IVF is expensive, and often the treatment becomes more stressful for patients because there is no guarantee of success —the average success rates of IVF worldwide are under 50%. And for those who fail, it feels like a lot of money is wasted.

 

What is the cost of IVF?

The average cost of IVF varies in different parts of the world as:

  • USA – $18,000 – $20,000
  • U.K. – $8,000 or (£ 5,000)
  • India – $2,200 – $7,000
  • Australia – $8,000
  • South Africa – $3,000 – $5,000
  • Canada – $10,000 – $17,000
  • Europe – $2,500 – $6,000

The costs above are for fresh cycles of IVF (including medication). You will have to extend your budget for embryo freezing, or IVF with donor eggs or sperm.

Most patients cringe at the thought of having to spend so much, which is why it is important that you understand the costs.

Why is IVF so expensive?

The cost of IVF usually includes:

  1. Initial Counselling and Tests – Your doctor will suggest FSH, LH, E2, TSH, Prolactin tests for ovarian functions. HSG, hysteroscopy, etc may also be required for checking the uterine cavity.
  2. Medication – The injections administered for ovulation induction are expensive. Normally, a woman’s ovaries release one egg a month, but for better chances of success with IVF, the doctor will stimulate your ovaries to be able to collect more eggs prior to the fertilization process. Some cheaper versions of these medications may be available but you must ask the doctor to know the pros and cons of each. If opting for the cheapest medication results in a negative outcome, know that even the rest of your money is wasted.
  1. Lab chargesIVF clinics will then charge for the actual process, which is in vitro fertilization of the collected eggs with sperms done in the IVF lab. This could be anywhere between $1,000 (in India) to $5,000 (in the West) and may reflect in your bill as IVF lab charges.
  1. Doctor’s fee – There will be several rounds to the hospital for health check-ups, counseling sessions, follicular monitoring, ultrasounds
  1. Embryologist’s fee – The person who actually performs the IVF procedure in the lab is not a doctor but a specialist called an embryologist. Most IVF centers hire part-time or full time embryologists for the lab procedure.
  1. Media and Disposables – The media used for IVF is sourced from international market, which makes it expensive. And lastly, you have to factor in the cost of all disposables—injections, needles, catheter, test-tubes, Petri-dishes, etc

You need to be careful that some clinics offering suspiciously cheap IVF in India may be compromising on the quality of materials or reusing disposables.

 

 

 

The doctor’s and embryologist’s fee are unlikely to be compromised, and even if someone decides to give it up, it is unlikely to make a significant difference in your IVF package.

Do not hesitate to ask questions if you do not feel confident of the practice. You are paying for everything and you have the right to make an informed choice.

Where can I get low-cost IVF?

IVF in India is much lower priced—primarily because of the low cost of living and the relatively inexpensive medical education here. Unlike in the West, Indian doctors are not burdened with medical loans and thus their savings are passed on to the patients.

But even in India, you will find that IVF costs are quite variable. When choosing an IVF clinic, keep in mind you do not blindly want to go for the cheapest—you want to get the best value for your money.

Look for an IVF clinic where you feel confident of getting quality treatment; ask questions, feel free to ask for referrals of former patients, meet the doctor, and go with the place that feels right.

Nobody can assure success with IVF, but you are only going to take a maximum of 2-3 chances at IVF in your life. Do not compromise on the quality of treatment.

 

What if it fails?

If one cycle of IVF fails, you can go for another one, unless you have already tried up to 3 cycles and have not gotten positive results, in which case a change in treatment plan is advised.

The success rates of IVF are less than 50% and there are many factors that can affect your chances of IVF success.

Multiple cycle IVF plans may turn out to be more economical, especially for women over the age of 35 years.

 

How many cycles of IVF are needed for success?

I wish there was a definite answer to this but nobody can predict success with IVF.

There are many people who conceive in the first chance, and there are also those who are willing to take as many chances as it takes. This lady insisted on trying IVF with donor eggs and finally conceived in her 6th chance. She delivered twins at her retirement.

Considering the average success rates, you may want to try atleast 3 cycles of IVF before opting for surrogacy.

 

Conclusion

There is no denying the fact that the cost of IVF is an important factor towards choosing a fertility clinic and you must:

  1. Ask the clinic about what is included in the IVF package cost
  2. Ask if you are eligible for minimal stimulation IVF, which is relatively cheaper
  3. Ask about the success rate or chance of success— not just general but specifically in your case
  4. Ask about multiple cycle IVF packages or any discounts if your first cycle fails
  5. Consider the doctor’s experience and expertise and the clinic’s devotion to honest practice and not just the price they are offering
For more information on IVF and the cost of IVF in India, get in touch with us through the form on the right or write to me at contact(a)janneeivf.com.
15Apr/16
Infertility treatments cost Chandigarh

Cost of Infertility Treatments

IVF is expensive but the costs should not scare you from trying to have a baby even if the doctor says you cannot conceive without ART.

There are no fixed costs of infertility treatments in India, and you will find that the prices are highly variable; the final cost depends upon an individual’s condition and it is important to determine exactly what treatment is needed in your case.

The costs of IVF in Chandigarh are not standard; the prices vary from clinic to clinic but that shouldn’t confuse you—some clinics offer all-inclusive complete IVF packages while others bill the lab charges, medications, tests, follicular monitoring, and doctor’s fee separately. To be able to make an informed decision you must ask what all is included in the cost of the infertility treatment, which your infertility specialist is offering.
The fees associated with fertility treatments are:

  • Consultations with the doctor
  • The required investigations or tests (e.g. semenanalysis or AMH testing). If you have recently gotten the tests done from somewhere, please email us or bring along the reports.
  • Ultrasounds or physical examination
  • Injections/medications
  • Treatment/lab charges
  • Advanced scientific techniques, if required in your case (e.g. donor eggs or sperms, or pre implantation genetic screening/diagnosis)

Below is the approximate price list:

Cost of IVF   1, 45,000
ICSI   1,70,000
IUI   6,000
Embryo vitrification   30,000
Thawing cycle   20,000
TESA/PESA (Surgical Sperm Extraction)   12,000
Hysterolaparoscopy   35,000
Endometrial biopsy   3,000-5,000 (depending upon the tests required)
Cyropreservation of sperms   20,000 (for first year) and 5,000 per year after that
Embryo donation   50,000
Ovum donation  45,000

 

All prices listed above are in India National Rupee. The clinic reserves the right to change the price of any treatment on its discretion and it may not be updated here immediately.

 

 

 

What is included in Infertility Treatment Fees?

Depending upon the decided treatment, the following may be included in the cost of your infertility treatment:

  • Administration of medications, by our doctors/nursing team
  • Monitoring of your cycle through blood tests and ultrasounds
  • Preparation and management of the entire cycle by the doctor
  • Services/tests post treatment (as deemed right by the doctor)

Infertility treatments can be expensive and for cases that do not bring positive results in the first go, we offer special discounts. Multiple-cycle IVF packages are also quite cost-effective and lessen the financial burden on the patient.

Please get in touch if you have any queries regarding infertility treatments in India and the related costs.
14Apr/16

IVF Chandigarh

When IVF first brought Louise Brown into this world in 1978, the doctors were akin to playing God. It was unbelievable. It was a breakthrough.

More than 35 years later, over 5 million couples have conceived through IVF and according to this CNN report, infertility rates are on the rise and the number of IVF babies is growing each year.

If you are looking for IVF in Chandigarh or Punjab, the first step is to get comfortable in the knowledge that you are not alone. Did you get all overwhelmed at the discovery of your infertility or frustrated at not being able to conceive despite trying? Well, let me assure you millions are looking for IVF treatments everyday and it is possible to have a baby, even if it takes medical intervention.

 

How might we benefit from IVF?

IVF is likely to be recommended for the following fertility problems:

  • If you have been trying to conceive for two years but haven’t been able to find a cause for not getting pregnant
  • If your fallopian tubes are blocked or damaged
  • If you have tried IUI or fertility drugs, but not been successful
  • If your partner has sperm problems (ICSI may be recommended for very low count or motility of sperm)
  • If your eggs are causing the failure (Ovum donation may be the answer)

Please note: IVF does not guarantee pregnancy and the results are usually better in younger women. However, there have been cases of conceiving with IVF in even ladies of upto 70 years of age.

Pregnancy is possible, you have to get the right treatment and know when to look for other alternatives. If you take multiple IVF cycles and are still not able to conceive, you may have to opt for Surrogacy.

 

Tell me more / Book me an appointment

 

How is IVF done?

Before you come to Chandigarh for IVF, learn about the steps involved in the treatment:

1.     Examination

The first step is for the doctor to examine you for general health, uterine the lining, your age, and other factors, and advise you on the chances of IVF success in your case.

2.     Stimulation

Fertility drugs are administered to stimulate the ovaries to develop mature eggs that are ready for fertilization. Normally, a woman releases one egg each month, but with these drugs and hormone injections a higher number of eggs is expected, which improves the chances of IVF success. Usually 12-14 days of drug administration is sufficient.

3.     Egg Retrieval & Sperm Collection

The doctor will perform an ultrasound to determine when your eggs are ready to be collected and the eggs will then be removed with the help of a fine, hollow needle. The procedure is not painful but some patients might experience mild discomfort.

On the same day your partner will be required to provide the semen, which is washed and the best quality sperm is extracted for fertilization of the eggs. Once the two gametes are fused together, they will be kept in an incubator for around 2-5 days.

4.     Embryo Transfer

The embryos formed as a result of fertilization are transferred back into the uterus under ultrasound monitoring.

Unlike in the West, we can transfer 2-3 embryos, thus improving the chances of success. If the doctor determines the quality and number of embryos is good enough for future use, she might propose freezing them for a subsequent cycle.

Pregnancy confirmation will come 14 days later.

Time Needed for IVF Treatment

Plan to be in Chandigarh for 4-6 weeks for completion of one IVF cycle.

 

Cost of IVF in Chandigarh

IVF in Chandigarh costs between INR 1.2L-1.5L. While much cheaper than its price in other parts of India, it is an expensive treatment and all effort is made to see it bring success for you. However, if the treatment fails, the only option is to go for a second cycle.

Some doctors will bill you separately for the lab charges, medication, tests, etc. Feel free to ask all questions and make sure there are no hidden expenses after the doctor has quoted to a certain price for IVF.

 

Success rate of IVF

IVF success rates depend upon many factors including the age, general health, and fertility health of a patient.

  • Around 40 per cent for women under 35
  • Around 25 per cent for women between 35 and 40
  • Around 14 per cent if you are above 40

Please note that you must not deduce any generalizations based on these success rates as each individual has different conditions according to which their chances of success vary.

If you have carried a pregnancy before, you have an increased chance of success with IVF.

 

For more information on IVF in Chandigarh, please get in touch via the form on the right.
04May/15

Surgical Sperm Retrieval

If the cause of infertility in the man is low sperm count or azoospermia (zero sperm count), or he has undergone vasectomy for contraception, surgical sperm retrieval can be done. This is followed by ICSI (intra-cytoplasmic sperm injection) to bring about fertilization of the egg.

 

ICSI has been a breakthrough procedure for male fertility problems as even a single viable sperm is enough to bring about fertilization as compared to the thousands normally required. Now, for cases where there is no sperm in the male ejaculate, infertility specialists have found other sources including the vas deferens, epididymis, and testicles, form where they can extract a sperm using one of the below aspiration techniques.

 

Methods of Sperm Retrieval

 

·         PESA (Percutaneous Epididymal Sperm Aspiration)

A short, almost painless procedure in which sperm is collected by inserting a fine needle into the epididymis through the scrotum. The procedure only takes about 15-20 minutes.

 

·         TESA (Testicular Sperm Aspiration)

If the epididymal fluid does not contain sperm, TESA is performed. In this, the needle is inserted into the testes and some tissue is aspirated and checked for presence of sperm. This is also a very short and painless procedure and requires no surgical incision.

 

·         TESE (Testicular Sperm Extraction) / Testicular Biopsy TESE

If no sperm is aspirated by the above two methods, testicular biopsy is performed. In this procedure a small incision is made in the testis and a small part of the tissue is excised and examined for sperm.

The procedure is done under anesthesia and may cause pain and tenderness for a few days.

 

For ICSI in India with surgical sperm retrieval, get in touch via the form on the right.

 

 

Effectiveness of SSR

ICSI is performed the same day with the freshly taken sperm sample, and if the doctor determines it good enough, the sample can also be frozen for subsequent use. Fertilization potential of the sperm is usually not affected. IVF is usually not advisable in these cases because the sperm count is low.

If the retrieved sperm is non-motile, fertilization rates may be poor because it cannot be determined if it is dead or alive. The best is to ask your fertility doctor for her suggestion after examining the sperm sample and then proceed with ICSI or opt for IVF with donor sperm.

 

 

For more information on ICSI with PESA/TESA in India, contact us via the form on the right.
10Jan/15

PCOS and Infertility

Polycystic ovary syndrome (or PCOS) is caused by the excessive production of hormones which leads to ovulation problems in women. PCOS can be a cause of infertility in women and it affects around 10% women of childbearing age worldwide.

The ovaries of affected women have many small cystic structures, about 2-9 mm in diameter, which are actually swollen follicles. As a result, the ovaries appear enlarged and fail to function normally.

Women with PCOS commonly experience irregular menstrual cycles and difficulty conceiving as a result of ovarian follicles that fail to mature completely and release eggs.

 

Symptoms of Polycystic Ovarian Syndrome

  • Irregular menstrual cycles (oligomenorrhea) or sometimes a total lack of periods (amenorrhea)
  • Heavy bleeding when periods happen
  • Excessive facial and body hair
  • Obesity
  • Type II diabetes
  • High cholesterol
  • Increased levels of male hormones testosterone and androstenedione – resulting in high testosterone levels in the blood

 

Infertility with PCOS

Women with PCOS usually have trouble conceiving, and the chances of pregnancy can be improved with treatment of the hormonal problem.

While in some cases a mature egg is sometimes released, in others, there is no ovulation.

Losing weight and making other lifestyle changes can help improve the symptoms and sometimes reverse the condition enough to improve fertility. Studies have shown that improving health condition can restore ovulation or atleast help the menstrual cycles become more regular.

If however, it doesn’t seem to help, seek treatment from your infertility doctor.

Fertility treatments greatly enhance the chances of getting pregnant with polycystic ovarian syndrome, and majority of women are able to have a baby post treatment. The real question to ask here is: which treatment is for me?

Each case is different and the doctor can suggest a treatment only after considering all factor and your medical reports.

 

PCOS Fertility Treatments

Some of the common medications that help women with PCOS achieve pregnancy are Clomid, Femara, Metformin, but these must be taken only on the advice of your doctor. Your doctor may also suggest injectable gonadotropins for PCOS, or IVF.

Women with PCOS also produce excess of estradiol but low levels of progesterone, which causes increased thickness of uterine lining and a greater risk of endometrial cancer, over time.

There is no definite cure for PCOS but the symptoms can be improved and pregnancy achieved with an individualized treatment that depends upon the goals of each patient.

 

PCOS treatment in Chandigarh

We get hundreds of patients with PCOS and related problems, and have been able to help many of them achieve pregnancy. To request her to examine your case and suggest a possible treatment, get in touch via the form on the right.

 

For more information on PCOS and infertility, send in your details via the form on the right and let us get back to you.

22Nov/14

IVF Success Rate – October 2014

Continuing a streak of successful IVF in Chandigarh, we are happy to announce our latest achievement—4 out of 6 cases turned out positive. That’s 67% of positive cases.

Many factors that determine the success or failure of IVF and a clinic’s standard should not be gauged by the number of cases that come out positive, we are glad to be able to surpass the global standard of 35% by such a vast margin.

 

For a FREE quote and more information on IVF in Chandigarh, India, contact Jannee Fertility Centre via the form on the right.

04Sep/14

Egg Donors in India

Anyone who needs an egg donor wants them to have mental and physical capabilities that match their own. We work with a leading sperm and egg donation agency to provide a vast database of donors to potential parents so their requirements can be closely met.

 

Egg donation, also referred to as “oocyte donation,” makes pregnancy possible for women who have problematic ovaries or other medical issues that impede the formation or function of their eggs.

 

 

A donor egg for invitro fertilization technique often helps improve the chances of success, especially for patients of advanced age whose own egg quality might not be conducive to conceiving. The eggs donated by a professional donor have better chances because she is young, healthy, and has been screened thoroughly by the doctor.

 

Professional egg donors are always anonymous, and the law mandates that they remain so. While we can request the agency to match the attributes you specify, we cannot reveal their pictures or have them meet you.

 

Please do not request the agency to meet the donor. It is illegal.

 

Anonymity is maintained on both ends. Once the donor has provided the egg, she receives her payment and leaves. She does not ever find out in which case her eggs were used and whether or not they resulted in a successful pregnancy.

 

If you have a friend or relative that is willing to provide her eggs for you, ofcourse you know all the details already and we can simply perform the basic screenings and go ahead with the treatment. Cases of known donors however are less frequent because of the possibility of emotional complications, later on.

 

Who needs Donor Eggs?

Women with the following conditions are usually the candidates for ivf with donor eggs:

  • Advanced age and no egg formation
  • Very poor egg quality
  • Ovaries that do not function right
  • Hormonal imbalance
  • Early menopause
  • Premature ovarian failure
  • Genetic disease
  • Cancer

 

Screening of Egg Donors

Before using their eggs for other people, all egg donors at our network agency are screened for:

  • History of inherited diseases
  • Birth defects
  • Medical and social screening
  • Sexually transmitted diseases
  • Psychological issues

 

Besides, a complete physical examination, the donors are also checked for their IQ and mental health.

The use of donor eggs has often been helpful for people who have failed IVFs with their own eggs. If you are considering IVF with donor eggs in India, send us the details of your case and find out how we can help you.

 

Find out more about egg donors for your ivf program by contacting us via the form on the right. 

25Aug/14

5 Tests for Female Fertility

A female, at birth, has over 6 million eggs, but these are reduced to only about 400,000 by the time she reaches puberty. Of these only 300-400 are actually released during the reproductive years.

But it does not mean all females have about 300 perfect chances at conception because fertilization largely depends upon the quality of the eggs. Given a chance, most women I know, would want to get an analysis of their reproductive health and egg quality. However, there is no do-it-yourself kit for that.

Your fertility doctor can run a couple of tests to get an idea of your egg health and your reproductive odds.

 

  1. Ovulation Testing – To test whether ovulation is happening, the doctor will look at your temperature charts. The basal body temperature usually declines a little before ovulation and rises slightly after it. Blood and urine tests are the two other methods of determining ovulation.
  2. Ovarian Function Tests – On day 3 of a woman’s menstrual cycle, blood is drawn to measure Follicle Stimulating Hormone (FSH) and Estradiol levels. An increased FSH indicates poor egg quality and quantity. If FSH is normal but there is an increased Estradiol production, Estradiol could be suppressing the FSH levels.
  3. Anti-Mullerian Hormone (AMH) Levels Test – This hormone is responsible for the production of oocytes and lower than normal levels indicate potential problems with the ovarian reserve.
  4. Clomid Test – While a healthy ovary requires only a small amount of FSH for stimulation, a problematic one may need much higher doses, indicating trouble.
  5. Ultrasound – The number of resting follicles as seen in a transvaginal ultrasound can also indicate the status of ovarian reserve. Each resting follicle contains one egg.

 

Age is a big factor affecting female fertility. At 30 years of age, a woman is believed to have only 12% of her ovarian reserve and at 40 years, she has only 3% of it. Given you have healthy eggs, doctors believe, it is best to try to start your family before 35.

To find out more about your fertility and egg health, consult your fertility doctor today.

29Jul/14

What not to say to the Infertile?

Know someone who is trying to cope with infertility? Reportedly, 1 in 7 couples face problems having a baby and with those numbers most of us likely have someone in our spheres who is sailing the infertile boat.

 

While some do not discuss such problems with even their most intimate people, others seek succor in friends and family. If someone decides to share such sensitive information with you, please do not say:

 

  • Just relax! It happens – Would you be able to relax if you found out 80% of your kidney is damaged? Simply asking someone to relax over what is probably a big issue in their lives can label you rude and inconsiderate.
  • Kids are anyway bad! Why would anybody want them? – No one wants to make their family decisions on what you think is good or bad. Please respect the fact that they are discussing it with you because they DO want kids.
  • Just adopt! – It’s not like an infertile couple is waiting on you to tell them that adoption is an option. Rubbing it in their face is akin to implying adoption is their ONLY option.
  • Maybe you are just not meant to have kids – Really? Maybe you are not meant to have friends.
  • Keep trying, eventually, it will happen – Even though you want to sound positive and reassuring, it is also important to realize the truth. For some people, it just cannot happen. An honest realization is much kinder than a fake reassurance.
  • Have you considered treatments for infertility? – No, the infertile are from another planet where infertility treatments are not heard of. It is unlikely that your friend doesn’t know about IVF, ICSI or surrogacy, but perhaps it is not so simple. The costs of infertility treatments are high and the success can never be guaranteed.

 

Maybe you know of a really good doctor or even some highly successful, low-cost IVF options, but fertility treatments always involve financial as well as an emotional risk. If your friends do not feel it is for them, it not good to press. The best you can do is to offer to accompany them to a difficult appointment, if they are willing to go for it.

 

Different people take things differently and there is nothing quite so right that you say to just anyone suffering from infertility. And, it is not always so important to say something; sometimes, it helps if you just listen, and maybe, directly ask what they need.