1) How do I get started?
For International And Out Of Station Patients:
Go to GETTING STARTED Section and have a look at our NEW PATIENT FORMS. Please, fill in the questionnaires and send them back to us together with the tests
we need for the introductory interview. You also find our treatment guides on this page.
If you are in doubt what treatment you will need, send the questionnaire and an e-mail firstname.lastname@example.org. We are happy to help you further.
If you are from Pune, India
2) What Is Definition of infertility?
When a couple has had regular unprotected intercourse 2-3 times a week for a year without obtaining a pregnancy, it is reasonable to start looking for an explanation for the reduced fertility in the man and the woman.
During the first year, 84 % of all fertile couples will obtain a pregnancy. Waiting for another year, about 92 % will become pregnant.
3) What is the reason for infertility
damage to the fallopian tubes
ovulatory problems (PCOS)
conditions affecting the uterus
the age of the woman (and her oocytes)
life style factors
low sperm quality
problems with the tubes carrying sperm
problems getting an erection
life style factors
the age of the man
In 20 % of all couples there is no identifiable reason
4) What is the chance of becoming pregnant without fertility treatment?
A healthy women 25 years old will become pregnant every 4th month.
A healthy women 35 years old will become pregnant every 8th month.
Have you tried more than 12 months there is good reason to start examinations.
5) When do I call the clinic for treatment start?
Please, call us when your period starts. The secretary will inform you when you need to
come for the first ultrasound scan. It might already be on your 2nd day of menses.
6) Is there a long waiting time for treatment?
No. Once you have been to the introductory interview and we have all necessary test results, you can start treatment.
7) How much alcohol I am allowed to drink during my treatment?
New scientific investigations have shown, that even small amounts of alcohol influence on the chances of becoming pregnant.
After a positive pregnancy test, the woman should not drink any alcohol at all.
In the man, large quantities of alcohol also influence on semen quality.
8) Am I allowed to smoke cigarettes during treatment?
Smoking increases the hormone doses necessary for ovarian stimulation. Therefore, we recommend stopping
smoking before you start fertility treatment. Smoking also reduces the weight of the newborn child.
9) Does smoking affect the semen quality?
Yes. It has been shown, that sperm cells from smokers contain more DNA-injuries than sperm cells from non-smokers.
Especially men with severely reduced semen quality can improve the chances by stopping or reducing the number of cigarettes.
10) What is ICSI?
ICSI means IntraCytoplasmic Sperm Injection. By gently introducing a single sperm cell into each oocyte,
the chance of fertilisation is increased when only few sperm cells or sperms with decreased motility are present.
11) What is IVF?
IVF means In Vitro Fertilisation (fertilisation in a glass tube). IVF is used when
The fallopian tubes are damaged
The woman has severe endometriosis
The man has low semen quality
You cannot find a cause, but you have not succeeded with insemination treatment (unexplained infertility)
At IVF the eggs are aspirated from the ovaries and fertilised in the laboratory.
Two days later the fertilised egg is transferred into the womb.
12) Does the hormonal treatment increase my risk of cancer?
No. So far, no investigations have demonstrated an increased risk of cancer.
On the contrary, women who have given birth to a child seem to have a reduced
risk of ovarian cancer compared to women who have never been pregnant.
It is the pregnancy itself that decreases the risk.
13) Why do I need hormones for IVF?
For IVF, we aim at having 6-8 follicles for oocyte pick-up. We do not necessarily obtain oocytes from all follicles, and not all
oocytes are fertilised correctly. By having 6-8 follicles we feel pretty sure that there will also be 1-2 good embryos for replacement.
14) How many women will have twins?
In women less than 35 years with two top-quality embryos replaced, about 50 % will have a positive pregnancy test and 25 % will have a twin pregnancy.
With single embryo transfer, about 40% will become pregnant and the risk of monozygotic twins is very small.
In elder women, the risk of twins is decreasing. In our clinic, about 15% of all pregnant women have a twin pregnancy.
15) When do I need to come for the early pregnancy ultrasound?
You must come 3 weeks after the positive pregnancy test. At this time point we expect to be able to see a foetus with a heartbeat.