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Dr. Ajay Murdia's Profile
Blastocyst Embryo Implant
Blastocyst embryo transfer (BET) is a new assisted reproductive technology that has been incorporated with in vitro fertilization (IVF) treatment to increase pregnancy rates while simultaneously decreasing the risk of multiple pregnancies. In vitro fertilisation usually involves the transfer of embryos two to three days after they have been successfully fertilised. Blastocyst Culture and Transfer is a technique in which an embryo is developed in the laboratory for 4-6 days after fertilisation before being placed in womb. The embryo gains many cells as a result of being developed for so many days. The embryos developed for 4-6 days are much more advanced than the ones developed for just three days. These Embryos are called blastocysts. BET helps reduce the incidence of multiple gestation pregnancies by transferring fewer embryos.

What is Blastocyst culture?

Until recently, successfully culturing embryos to the blastocyst stage was difficult. This term describes the process when the embryos grow for longer in the laboratory, and undergo critical developmental changes before being returned to the womb. Scientific advances have led to the development of culture media that mimic the changing environment of the reproductive tract and meet the unique requirements of the embryo as it travels from the fallopian tubes. This now allows up to 60% of embryos to successfully grow to the blastocyst stage in the laboratory environment. This period of extended culture helps experts to select the most competent embryo (s) for transfer to your womb. Therefore, blastocyst culture maximises the chance of you achieving a viable pregnancy. During the additional two days of in vitro culture (day 3 to 5), the embryologists have an opportunity to observe embryonic development and to select those embryos which appear to have the best potential for continued growth and implantation. Although this period of extended culture doesnít necessarily improve the quality of the embryos, or guarantee that they reach the blastocyst stage, there are impressive success rates available for this treatment.

Learn from the experts in IVF field about Blastocyst Embryo Transfer, its advantages, disadvantages and risk associated with the treatment at http://indiraivf.com/services/blastocyst-culture-and-transfer/

What is the procedure involved into Blastocyst embryo transfer?

During IVF treatment with blastocyst transfer, unfertilized eggs (oocytes) are retrieved from the ovary. They are then fertilized in an IVF laboratory setting, creating an embryo. Instead of being transferred to the uterus after three days, which is the case during traditional IVF treatment, the embryos are allowed to progress to the blastocyst stage over a period of five to six days. During unassisted fertilization, the embryo must reach the blastocyst stage in order to attach to the uterine wall. Because, during blastocyst transfer IVF, the embryos are implanted in the uterus during this same stage of development, some consider this to be a more natural implantation method. Blastocyst transfer mimics natural conception in which the embryo travels down the fallopian tube and reaches the uterine cavity five days after fertilisation. This synchronises the development of the embryo and the lining of the womb to increase the chance of implantation. Only healthy embryos are selected for transfer.

For whom is Blastocyst Embryo Transfer Recommended?

Blastocyst transfer is not suitable for everyone. It is a laboratory selection process to identify the best embryo. Couples who have had unsuccessful prior attempts with IVF or IVF and ICSI treatment despite having many good quality eggs retrieved are being offered Blastocyst Culture as an alternative treatment. Couples with multiple good quality embryos on day 3 are also good candidates for Blastocyst Culture. The ability to select the most viable embryos for transfer and implantation should improve their chance of achieving a pregnancy. Blastocyst transfer is not an option for all IVF patients. The technique is most successful with patients who are younger and have a large number of eggs available at retrieval. On average, patients with six or more high quality embryos on day three are the best candidates for blastocyst culture because there is a better chance of more embryos growing successfully till day five.

Frozen Blastocyst Transfer (FBT)

There is a chance that you may have some blastocysts (advanced five to six day embryos) available for freezing (using a process called vitrification) after you have had your best embryo (s) transferred. Freezing and warming can cause damage to the cells of blastocysts, particularly those which are not good quality. For these reason only very good quality blastocysts embryos are selected for freezing. Having blastocysts frozen means that you can undergo future cycles of IVF without having to stimulate your ovaries, collect and fertilise your eggs. Instead we can warm the frozen blastocyst (s) and transfer them to your womb in a much more simplified frozen blastocyst warming cycle. Your chance of becoming pregnant following replacement of frozen warmed blastocysts is comparable to that following replacement of fresh embryos. There is no evidence that any babies resulting from warmed blastocysts have an increased risk of abnormality.

Advantages of blastocyst transfer

Although you can choose to have the embryos transferred on the third day after fertilization, a blastocyst transfer has many obvious. The first is that it makes it easy to weed out the healthy embryos from the abnormal ones without spending for expensive screening procedures. Studies show that embryos that do not reach the blastocyst stage are more likely to have abnormal chromosome numbers, which means they would have eventually miscarried. Doctors observed that as much as 40% of embryos fail to make it to the blastocyst stage. Thus, waiting for the embryos to reach the blastocyst stage decreases the number of abnormal embryos, leaving you with the ones that are most likely to develop into a healthy baby. The fact that the embryo has already hatched out of its shell also gives it an improved implantation rate. In fact, blastocyst embryos have a 50 % chance of implantation. This means you will only need to have one or two blastocysts transferred, leaving you with a few back up embryos just in case this cycle fails. Spare blastocyst embryos may be cryopreserved until they are needed in the future. Another advantage of developing all embryos to the blastocyst stage is that it makes embryo cryopreservation (freezing) more efficient, since embryos without the capacity for full development are not frozen. Blastocyst transfer also allows the option of single embryo transfer.

Solution to all infertility related treatments including IVF, ICSI, IUI and others and the newly introduced technique Blastocyst Transfer can be obtained at https://indiraivf.wordpress.com/category/blastocyst-embryo-implant

What are the disadvantages of blastocyst transfer?

Although blastocyst embryo transfer increases your chance of getting pregnant, it also increases the risk of multiple births. It is more difficult for an embryo to develop into a blastocyst. Therefore, there is the possibility that an IVF cycle will not result in a transfer of any embryos if none of the three day old embryos develop into blastocysts. The other disadvantage of the procedure has to do with cryopreserving the remaining embryos. Blastocysts cannot survive the freezing and thawing process as well as day 3 embryos do, and you might end up losing most or all of the embryos in the process.

Risks of IVF blastocyst transfer

The primary risk of attempting blastocyst transfer is that some embryos will die in the laboratory. Therefore, the total number of embryos available for transfer and freezing will be less. Unfortunately, some couples undergoing blastocyst ivf treatment will have all their embryos die in the laboratory and will not have any embryos available for transfer. BET does not guarantee a normal pregnancy. It is expected that some pregnancies will miscarry and some babies will develop birth defects similar to that which occurs in couples that are able to achieve pregnancy naturally. Excess blastocysts may be frozen and some of them will not survive the freeze-thaw process when utilized for a later attempt at achieving pregnancy. This is a similar risk to transferring embryos at earlier stages.

In this field of medicine, continued refinements and change offer greater opportunity for infertile couples. Blastocyst culture is one important step and one at which specialists at Indira Infertility Clinic has expertise. We offer our patients this promising state-of-the-art technique, as it provides us the ability to balance the success versus risk in favour of couples, when we assist them in their pursuit of parenthood says Dr. Ajay Murdia, Scientific director at Indira IVF Clinic. Our doctors and embryologists will advise on whether blastocyst transfer is possible and this will depend on the number and quality of embryos available on day 3. Otherwise normal IVF is recommended. Whether day 5 or 6 transfer is recommended for you, it is a decision made by the experienced and expert clinical and laboratory teams aligned to give you the best individualized advice for a safe and successful outcome. Let us help you decide your journey of parenthood.

You can contact the team of experts at Indira IVF at http://indiraivf.com/ or you can fix up an appointment with us at 0 766 500 9965

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IVF for elderly women at Indira IVF, Udaipur
Women are born with all the eggs they will ever have. As a woman ages, her eggs age with her, diminish in quantity and quality. Age is the most important factor in female infertility. After puberty, female fertility increases and then decreases, with advanced maternal age causing an increased risk of female infertility. In humans, a woman's fertility peaks in the early and mid-20s, after which it starts to decline slowly, with a more dramatic drop at around 35. The relationship between age and female fertility is popularly referred to as a woman's "biological clock". However, the exact estimates of the chances of a woman to conceive after a certain age are not clear, and are subject to debate.

Late pregnancy is becoming more common in our society.

There are several reasons why many couples choose to have baby after establishing strong relationships and achieving financial stability. Also, a growing number of late and second marriages are playing a major role in delayed pregnancy. Wide availability of contraceptives adds to it. Furthermore, there may be a delay in the search for a suitable partner, or partner may have a health problem that should be solved first. The shift in motherhood period can be attributed to the current generation of women who are more career and education oriented. Most of them prefer to settle down with a family once they have secure job and financial stability.

Impact of age on female fertility:

In very few rare cases pregnancy in women aged 50 years and above is recorded naturally or with advanced fertility treatments, the fact remains that fertility decreases with age. Reduction occurs gradually throughout the womanís reproductive life, and it becomes faster apparently over the age of 30 years and it accelerates between 35 and 40 years so that fertility to 45 years is very close to zero. Most women can conceive and give birth to a healthy child in due time with nature, but the number of women who will suffer from infertility, miscarriages, or the development of fetal abnormalities increases rapidly after a certain age.

Learn from the specialists in assisted reproductive technology about different ART related treatment options at http://indiraivf.com/#service-plans

The risk of miscarriage also increases with age, that is, the risk of miscarriage at the age of 40-44 years is 35%. Moreover, mature maternal age is associated with increased risk of chromosomal abnormalities in children. Older women are also at risk of gynecological complications during pregnancy. From a purely biological perspective, it's best to try to start a family before you're 35 years old. Men can remain fertile for much longer than women. Even though male fertility also declines with age, it tends to happen gradually for men. The fatherís age can also impact on chance of conception, time to pregnancy, risk of miscarriage and the health of the child.

Why does fertility decrease with age?

Itís well known that fertility in women reduces with age. Itís the egg, its quantity and quality reduces with aging in women.
Following contributes to the decrease in fertility in women.
1. The aging of the ovaries
2. Gynecological problems
3. Sexual function

Identification of infertility in older women

Read in detail about the influence of age on female fertility, its outcome and treatment options at https://indiraivf.wordpress.com/category/advanced-age-infertility

The treatment options for infertility in mature women

Assisted Reproductive Technologies play a major role in achieving parenthood for elderly womenís.

Ovarian hyperstimulation
In vitro fertilization (IVF):
Intracytoplasmic sperm injection (ICSI):
Egg/Ooctye donation:

To improve the performance of IVF among older women, some clinics recommend assisted hatching, embryo transplant in the embryonic bladder, pre-implantation genetic diagnosis and transplant of high quality embryos. The best option for elderly women is to use donor eggs from a young donor. The option of Embryo donation and the help of surrogate mothers using sperm of the biological father and donor eggs can also be considered.

In todayís lightning-fast lifestyle, where many couples are career-oriented and could barely manage spare time, the cases of infertility are on the rise due to excessive work-related stress, irregular eating habits and various other reasons. There are host of factors responsible for infertility. There are millions of couples whoíre facing the prickly issue called infertility. Since almost three decades, Indira Infertility Clinic Specialists have helped infertile couples navigate smoothly through the often complicated process of infertility to the journey of parenthood. Indira IVF centre is the pioneer in providing affordable yet creditable infertility curation to the common people for the first time in India. We are armed with the state-of-the-art infrastructure, advanced equipments and a pool of renowned physicians. The service provided under one roof includes infertility workup, ICSI, IUI, In vitro fertilisation (IVF), Laser Assisted Hatching, Cryopreservation, Donor Program, Blastocyst Culture and Transfer, Pre Genetic Diagnosis and Screening (PGD and PGS), Sonography, Laproscopy & Hysteroscopy and Karyotyping and Chromosomal Disorders Screening.

For age related infertility information in men and women you can consult Indira Infertility Clinic Specialists at http://indiraivf.com or seek an appointment at 0 766 500 9965 to speak to us.

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Learn more about endometriosis at Indira IVF
Endometriosis is a painful, chronic disease that affects more than 176 million women (and their families) worldwide. It occurs when tissue like that which lines the uterus (tissue called the endometrium) is found outside the uterus -- usually in the abdomen on the ovaries, fallopian tubes, and ligaments that support the uterus; the area between the vagina and rectum; the outer surface of the uterus; and the lining of the pelvic cavity. Other sites for these endometrial growths may include the bladder, bowel, vagina, cervix, vulva, and in abdominal surgical scars. Less commonly they are found in the lung, arm, thigh, and other locations.

Endometriosis can cause painful periods, persistent pain in the pelvic area, infertility, and other symptoms. The symptoms can range from mild to severe. Treatment options include painkillers, hormone treatments, and surgery with laparoscope.

Learn in detail about the laparoscopic surgery treatment of endometriosis at http://indiraivf.com/services/laproscopy-hysteroscopy/

Endometriosis is difficult to understand and there are no specific causes which lead to endometriosis. Doctors do not know what causes endometriosis Ė there may be several causes. From a womanís perspective, endometriosis is a disease surrounded by taboos, myths, delayed diagnosis, hit-and-miss treatments, and a lack of awareness, overlaid on a wide variety of symptoms that embody a stubborn, frustrating and for many, painfully chronic condition. It affects these women during the prime of their lives and through no personal failing in lifestyle choices. These womenís physical, mental, and social well-being is impacted by the disease, potentially affecting their ability to finish an education, maintain a career, with a consequent effect on their relationships, social activities, and in some cases fertility. About half of women with endometriosis will also suffer from pain associated with sexual intercourse.

These womenís access to timely diagnosis and treatment should not be impacted by the myths and misconceptions that are, unfortunately, prevailing at large.
Letís discuss here the Myths, Misconceptions and the Facts about endometriosis.

1. Severe pain during period is normal. MYTH

The nature and intensity of the pain associated with endometriosis can vary. Pain might be intermittent or continuous in nature, usually occurring before and during menstruation, and during or after sexual activity. The location and level of pain may not always directly relate to the extent of visible endometrial growths. Some women with extensive visible endometrial growths may be entirely pain free, while others with a few small growths experience severe pain.
Even though attitudes towards women improved during the twentieth century, some of the old beliefs still linger unconsciously, and affect the medical professionís attitudes towards womenís complaints, including period pain. As a result, while seeking help for their period pain, many women with endometriosis are told that their (severe) period pain is normal and is part of being a woman or it is in their head. Others are told that they have a low pain threshold, or are psychologically inadequate. Many women and girls do experience pain at the time of their period. However, severe pain that interferes with daily life is not normal, and is often due to the presence of an underlying condition, such as endometriosis. Any girl or woman with severe period pain should be investigated to determine the cause of her pain.

2. Endometriosis occurs exclusively in women of reproductive age. MYTH

3. Hormonal treatments cure endometriosis MYTH

4. Pregnancy cures endometriosis MYTH

5. Endometriosis means infertility MYTH

6. Hysterectomy cure endometriosis MYTH

Read the detailed article on Myths and Misconceptions prevailing in the society about endometriosis and educate yourself about the same at https://indiraivf.wordpress.com/2015/03/18/myths-about-endometriosis

No one is certain what causes endometriosis, although researchers believe that genetics, a dysfunctional immune system, hormones, and environmental factors may all play a part in it. According to the Endometriosis Foundation, a woman (or girl) with a mother who has endometriosis is seven times more likely to have the disease herself.

If youíve suffered with endometriosis for any length of time, chances are youíve had plenty of advice from people, and chances are that only few of them were helpful. One of the many problems with being an endometriosis sufferer is that people keep on giving opinions which they feel need to share with you despite the fact that at times they also does not know what they talk. At this point it is necessary to keep all old wives tales aside and seek the intervention of Endometriosis specialist. Educating yourself and others about endometriosis is an empowering endeavour and, if you suffer from endometriosis, a necessity. The more you know, the stronger you are, know the evidence, uncover the truth, and ignore the bullshit.

Indira IVF centre is the pioneer in providing affordable yet creditable infertility treatment to the common people for the first time in India. The clinic has the latest state-of-the-art infrastructure, advanced equipments and a pool of renowned physicians. We are deeply committed to provide all the primary and ancillary services related to your treatment under the same roof because we understand the significance of a concerted, meticulous and well-oiled network for your pregnancy success. With the advent of the cutting edge technology our OB-GYN specialists carry out Laparoscopy and Hysteroscopy surgeries which are used to diagnose and cure certain female infertility conditions. Laparoscopy is done to determine the causes of infertility, symptoms like pelvic pain & abdominal pain and to check if there are any scar tissues or blockage in the fallopian tubes. The doctors use this technique to treat cysts, endometriosis and fibroids.

You can contact our team of fertility and infertility specialist at http://indiraivf.com or fix up an appointment to meet at 0 766 500 9965

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Fertility treatments and the chance of having multiple pregnancies
Assisted reproduction technology is a safe and effective way to build a family. Having a multiple birth (twins, triplets or more) is the single greatest health risk associated with assisted reproductive fertility treatment. Females are delaying their motherhood nowadays. The number of women giving birth after turning 40 has risen steadily in recent years, with multiple births most likely amongst the over-45s. As per the office of the National Statistics, the number of multiple births to women over 40 has risen sharply in the last 30 years. These change is because of the fact that more and more women are becoming carrier oriented, they want to be emotionally and financially strong, have not found their perfect partner or are facing treatments for cancer or ovarian failure.

The aging of the egg supply has a powerful effect on the chances that an assisted reproductive technology (ART) procedure will result in pregnancy and a healthy baby. Women aged 40 or older may face problems in conceiving for the first time or after their previous delivery. Obvious reason is the quality of the egg and the number of eggs. As women gets older the number and quality of egg cells that are produced by the ovaries declines. As women wait longer to have children, more couples have fertility problems due to declining egg quality, and other issues that are more common in older women. Many couples end up needing advanced treatments such as IVF, in vitro fertilization to overcome this age related decline. Age related infertility and difficulty in conceiving can cause great emotional distress to couples.

In Vitro Fertilization treatment an option Available for Age Related Fertility Problems

IVF comes to the rescue of infertile couples facing age related problems. Many fertility doctors recommend that women over about the age of 38 that are infertile should have aggressive fertility treatments and proceed to in vitro fertilization sooner before fertility potential in her is lost. Older women often prefer to move on to IVF after a few IUI (Intra Uterine Insemination)s have failed.
Age Limit for In Vitro Fertilization

All clinics have an upper age limit after which they will not do IVF with the woman's own eggs. Most IVF centers will attempt IVF using the female partner's eggs until about age 43-45. There is not a substantial decline in success by age of the recipient woman with donor egg IVF. Donor Egg IVF in womenís up to 48 years is successful.

To know more about impact of age on motherhood, age related infertility treatments and the possibility of multiple pregnancies and its side effects on mother read the whole article at http://indiraivf.wordpress.com/2015/01/02/fertility-treatment-pregnancy-after-40/

Assisted reproduction can only partly compensate for age and age-related decline in fertility, thus a good fertility education and monitoring program would facilitate the early referral of people seeking help to conceive to fertility specialists. Indira Infertility Clinic based in Udaipur and Pune has helped countless couples navigate the often complicated journey of infertility and ultimately realize their dream of parenthood. We provide a wide range of assisted reproduction services to help people build families, including drug treatments to induce or regulate ovulation, surgery to clear blocked tubes or remove fibroids from the uterus, intrauterine insemination, in vitro fertilization, technologies like egg retrieval that help people preserve their fertility and counseling for infertility treatment. The team of infertility specialist at Indira IVf including young talented and aspiring Gynaecologist, Sonologist, Embryologist and Clinical staff is highly trained in all aspects of Reproductive technology. Our team believes in providing fertility education to infertile couples before starting the treatment. We educate and inform all pregnant women and those planning pregnancy, regardless of age, about the treatment and pros and cons of delaying motherhood. Doctors at Indira IVf take care that patients receive optimal care and support and the appropriate medical attention required to meet any needs that arise from becoming a mother.

You can contact the team of doctors for any help in conceiving with the help of assisted reproductive technology especially in vitro fertilisation (IVF) at http://www.indiraivf.com or at http://www.indiraivf.com/services2.html#ac

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Toiletry chemicals linked to male infertility
Know all about Male infertility - Male reproductive system -Male fertility - Male infertility causes - Male reproductive system and infertility - Causes of male infertility & Male fertility test - Male infertility symptoms and Male infertility treatment - Male infertility - male fertility supplements - male fertility drugs - How to increase male fertility - Male sterility - Male factor infertility

Causes of infertility or reproductive problems include disease and aging. Male infertility is as common as female infertility. Infertility or reproductive problems are often treatable with infertility drugs and high-tech procedures. A third of all cases of infertility involve problems solely with the male partner. Infertility in a man may be the sole reason that a couple can't conceive, or it may simply add to the difficulties caused by infertility in his partner. Early testing for male fertility can spare their partners a great deal of unnecessary discomfort and expense. It's also a good way to quickly narrow down potential problems.

Men can remain fertile for much longer than women. Even though male fertility also declines with age, it tends to happen gradually for men. While many men remain fertile into their 50s and beyond, the proportion of men with sperm disorders increases with age. The decline in male fertility is more gradual for men than women. The decline in male fertility can affect the health of the children they may go on to have.

While female age is well known to have negative effects on fertility, reproductive success and the health of offspring, the influence of male age on a couple's fertility has been largely neglected all over the world. It is well recognised that reduced sperm performance can affect pregnancy success, but it is less well known that the quality of the sperm, particularly DNA quality, could affect the development and health of the offspring. The consistency in its findings suggests that further awareness of the potential consequences of male age on reproductive outcomes is needed. The study also establishes that older males contribute to increased risk of obstetric complications, miscarriage, and offspring disorders such as autism, Down syndrome, epilepsy, and schizophrenia.

Male infertility is due to low sperm production, abnormal sperm function or blockages that prevent the delivery of sperm. Illnesses, injuries, chronic health problems, lifestyle choices and other factors can play a role in causing male infertility.

Lifestyle factors affect fertility. As most lifestyle factors can be modified, providing advice and support in making healthy lifestyle changes can promote fertility. The evidence relating to the effects on fertility of caffeine, alcohol consumption and smoking are discussed here. Recent Male Infertility study suggests some new facts which are must read and interesting for anyone trying to get pregnant or start creating family.

A prospective dad must consider his health as important in the journey of parenthood. The biggest cause of infertility in men is abnormal sperm. Sperm can be affected by lifestyle factors such as smoking, drinking alcohol and taking drugs.

1) Caffeine Consumption: Drinking too much coffee can radically reduce a manís ability to father children, a study has found. Men who drank two or more cups of strong coffee a day had just a one in five chance of becoming fathers through IVF. However, for those who drank less than a cup, the chance of having a child rose to nearly 52%.

2) Alcohol: The studies also showed that men who drink around a pint and a half of beer a night could improve their fertility. The research found that men, who drank at least 22g of alcohol per day, or three units, were more than twice as likely to have children through IVF as those who abstained. Health experts say that moderate amounts of alcohol may reduce stress levels and that in turn help conception. The researchers say no definitive conclusions can be drawn about cause and effect, but young men should be advised that habitual high alcohol intake may affect their reproductive health.

High male caffeine consumption appears to reduce couplesí chance of achieving a clinical pregnancy, while male alcohol consumption appears to enhance their chances.

3) Smoking: Smoking tobacco decreases sperm size and movement and can damage the genetic makeup of sperm cells. It may also have a negative effect on seminal fluid (the fluid that is ejaculated along with sperm). It may take longer for your partner to become pregnant, particularly if you smoke heavily.

4,5,6,7 and more details...........

To Read Complete article,please visit our blow at http://indiraivf.wordpress.com/male-infertility

Going to a doctor will help you determine the cause of any fertility problems you may have and give you a chance to talk to the doctor about what you can do to increase your chances of conceiving. Your doctor may refer you to a fertility specialist at a fertility clinic. Couples that are having difficulty getting pregnant may benefit from changing some lifestyle habits and taking help of fertility specialist in ascertaining the real cause of infertility.

Indira Infertility Clinic in Udaipur, has helped countless couples in achieving parenthood. As Indira IVF's Medical Director, Dr. Ajay is a highly skilled fertility specialist committed to patient advocacy with proven expertise in andrology. He brings extensive experience in assisted reproduction treatments like IVF, IUI, ICSI, MESA, TESA to the care of his patients. Apart from this team of doctors at Indira IVf also takes care of other factors contributing to infertility like unexplained infertility, increased age in men and women, lifestyle habits like alcohol, smoking, caffeine, overweight or underweight, sexually transmitted diseases, occupational or environmental factors and stress.

If you are experiencing infertility problems either due to PCOS, endometriosis, varicocele, abnormal sperm count, shape or motility, blocked fallopian tubes or increasing age or secondary infertility you can contact the doctors of Indira IVf at http://www.indiraivf.com/ or at http://www.indiraivf.com/services.html

Read and know more of IVF fertility treatments, IVF & Fertility Success Stories and your options for starting family at http://indiraivf.wordpress.com

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