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Low Cost Infertility Treatments in India

VIDEO - INFERTILITY TREATMENT IN INDIA

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Infertility Treatment Cost Comparisons: India VS Other Countries (USA, UK, Thailand, & Singapore)

• The average Cost of Infertility Treatment in India ranges around Rs. 1,20,000 ($1,500) to Rs. 6,40,000 ($8,000). The cost of the surgery depends upon current condition of the patients, choose types of surgeons and hospitals, and class of accommodation.
• India is the most preferable destination for patients who are looking for low cost Infertility treatment. Infertility treatment cost in India is comparatively affordable than in the other countries in the world.
• The healthcare facilities in India and its allied services are available at the most reasonable price. The best surgeons in India boast of super specialty training and academic qualifications from some of the top medical institutions and hospitals in the US, UK and other developed countries.
• Indians, as well as other foreign nationals coming to India for Infertility, can avail it at 20 to 40 percent less of the total cost in the US or UK. The cost of Infertility treatment in India for overseas patients is inclusive of hospital stay, pick up from the airport, medicines, consumables and surgeon fees.

The Cost of the Infertility Treatment based on the type Surgery required in various countries is given in the chart / table below. The price comparison is given in USD.

*The charges mentioned in the above packages are just an estimate and are subject to change, depending on the medical problem and condition of the patient. These are not final packages as post-surgical complications also have a say in the actual bill.

*The final prices offered to the patients is based on their medical reports and is dependent on the current medical condition of the patient, type of room, hospital brand and the surgeons expertise.

Overview

Generally, worldwide it is estimated that one in seven couples have problems conceiving, with the incidence similar in most countries independent of the level of the country's development. Infertility is not always a woman's problem. Both women and men can have problems that cause infertility. About one-third of infertility cases are caused by women's problems. Another one third of fertility problems are due to the man. The other cases are caused by a mixture of male and female problems or by unknown problems.

What is Infertility?

Infertility primarily refers to the biological inability of a person to contribute to conception. A condition in which a couple has problems conceiving, or getting pregnant, after one year of regular sexual intercourse without using any birth control methods. Infertility can be caused by a problem with the man or the woman, or both. Infertility may also refer to the state of a woman who is unable to carry a pregnancy to full term.

What are the causes of Infertility?

The normal reproduction process requires interaction between the female and male reproductive tracts. The woman ovulates and releases an egg from her ovaries to travel through the fallopian tube to her uterus (womb). The male produces sperm. Both egg and sperm normally meet in the woman's fallopian tube, where fertilization occurs. The embryo then implants in the uterus for further development. Infertility occurs when something in this pattern does not happen. The problem could be with the woman, with the man, or with both. Common causes of infertility (both in men and women) are as follows:

• Ovulation problems
• Tubal causes
• Sperm causes
• Unexplained infertility
• Age-related factors

In some cases, both the man and woman may be infertile or sub-fertile, and the couple's infertility arises from the combination of these conditions. In other cases, the cause is suspected to be immunological or genetic; it may be that each partner is independently fertile but the couple cannot conceive together without assistance.

What are the various types of Infertility?

• Primary Infertility: - Primary infertility is a term used to describe a couple that has never been able to conceive a pregnancy after a minimum of one year of attempting to do so through unprotected intercourse.
• Secondary Infertility: - Secondary infertility is usually defined as the inability to conceive or carry a pregnancy to term after successfully and naturally conceiving one or more children. 
  
• Subfertility: - Infertility that is not “absolute', or “complete infertility” that is, there is a chance of pregnancy, but the chance of getting pregnant each month is reduced. A less than normal capacity for reproduction is called as subfertility.
• Male Infertility: - Male infertility refers to infertility in male humans. Being infertile has nothing to do with male sexual prowess (virility), but rather with the absence of healthy sperm in the semen that are capable of traveling to meet the ovum.
• Female Infertility: - Female infertility refers to infertility in female humans. Infertility in a couple that relates to factors associated with the woman rather than the man. For a woman to be fertile, her reproductive organs must be healthy and functional.

How to diagnose Infertillity?

After 12 months of trying to conceive you should consult your GP or gynecologist for a referral to a fertility specialist. You and your partner will undergo a series of tests – sometimes your GP may conduct these tests. The test results will give clues to the type of infertility and ultimately a treatment plan to overcome the problem. Firstly, the specialist will look at the couple's medical history. For the woman, this includes information on any previous pregnancies, the regularity of her periods; and whether she has had painful periods, pelvic pain, infections, or surgery. A specialist will want to know if the man has previously fathered children, suffered a testicular injury; or had any developmental problems, infections, surgery; or if he has been exposed to certain environmental factors. Next there will be a physical examination, which may include:

• Blood Tests: A series of tests will establish if there is a hormonal basis for the couple's infertility – this may be corrected by hormonal supplements. Other tests will check for rubella, blood group, sperm antibodies and sexually transmitted diseases such as HIV, Hepatitis B and C.
• Ultrasound Examination:This gives information on what the ovaries and uterus look like. Your doctor will look at the growth of eggs, the thickness of the lining of the uterus (if thin, it can indicate hormonal problems), the presence of fibroids or polyps on the uterus, as well as signs of endometriosis or ovarian cysts. Surgical laparoscopy may also be used to identify endometriosis or blocked fallopian tubes.
• Semen Analysis:Men need to provide a semen sample this allows specialists to assess the number of sperm, how well they swim (known as 'motility') and the presence of sperm antibodies.

What are the popular treatments used for Infertility?

Infertility treatments can be grouped into three categories:

• Medicines (drugs) that may Improve Fertility
• Surgical Treatments
• Assisted Conception

Each of these is discussed briefly below.

Medicines (drugs) that may Improve Fertility

Medicines are mainly used to help with ovulation. Ovulation is when the ovary makes and releases an egg (ovum). Ovulation should occur about once a month in women up until the menopause. For various reasons, ovulation may not occur at all, or it may occur less often than normal. Ovulation is partly controlled by hormones called gonadotrophins. These are made in the pituitary gland (a gland just under the brain). A gonadotrophin is a hormone that stimulates the activity of the gonads (the ovaries in women, and the testes in men). The main gonadotrophins made by the pituitary gland are called follicle-stimulating hormone (FSH) and luteinising hormone (LH). These pass into the bloodstream and travel to the ovaries.

• Clomifene: is a medicine that has been used to help with fertility for many years. It is taken as a tablet. It works by blocking a 'feedback' mechanism to the pituitary gland.
• Medicines that contain Gonadotrophins: are another type of treatment. These need to be injected and tend to be used when clomifene does not work, or prior to IUI and IVF to cause ovulation.
• Medicines that contain Gonadotrophin-releasing Hormone: are sometimes used. These stimulate the pituitary to release gonadotrophins (which in turn stimulate the ovaries).
• Metformin: may be offered to women with polycystic ovary syndrome who have infertility and who have not responded to clomifene. Metformin is a medicine that is commonly used to treat some people with diabetes.

Make sure you have a full discussion with your doctor before taking any medicine for infertility. This is so that you are aware of success rates, any potential side-effects or risks (see below) and also the latest research and evidence for these medicines.

Surgical Treatments

The situations where surgery may be an option include:

• Fallopian Tube Problems - Surgery to the fallopian tubes may help some women with infertility caused by fallopian tube problems. For example, if your fallopian tubes have been blocked or scarred from a previous disease, infection, or other problem. Some women who have had a 'tubal tie' (sterilisation) in the past for contraception may be able to have their fertility restored by tubal surgery. These days, most surgery to the fallopian tubes is done by 'keyhole' surgery.
• Endometriosis - Surgery may help to improve fertility in  women with endometriosis.
• Polycystic Ovary Syndrome - A special operation on the  ovaries may be suitable for some women with polycystic ovary syndrome. The procedure is sometimes called 'ovarian drilling' or 'ovarian diathermy'. Using keyhole surgery, a heat source (diathermy) is used to destroy some of the follicles (tiny cysts) that develop in the ovaries. It is usually done if other treatments for polycystic ovary syndrome haven't worked.
• Fibroids - For women with fibroids, sometimes surgery to remove the fibroid may be considered if there is no other explanation for the infertility. However, whether fibroids do cause infertility, and therefore whether they should be removed, is still uncertain.
• A Cause of Male Infertility - One cause of infertility is due to sperm being blocked by an abnormality in the epididymis in the testis. This may be treated with surgery.

An operation used to be thought to help men who had a varicocele (like 'varicose veins of the testes') and who were infertile. However, a recent study has concluded that surgery is not likely to help in this situation. See separate leaflet called 'Varicocele' for further details.

Assisted Conception

Current techniques are described briefly below. Your specialist will advise on which techniques are options for your particular cause of infertility, and explain the chance of success.

• Intrauterine Insemination (IUI): This is the process by which sperm is placed in the woman's uterus. It is done by using a fine plastic tube which is passed through the cervix into the uterus. Sperm are passed through the tube. It is a relatively straightforward procedure. It can be timed to coincide with ovulation (about half way through a monthly cycle) in women who are still ovulating. Fertility medicines may also be given beforehand, to maximize the chance of ovulation occurring. Women who have this procedure need to have healthy fallopian tubes to allow the egg to travel from the ovary into the uterus. If successful, fertilization takes place within the uterus.
• In Vitro Fertilization (IVF): In vitro fertilization means fertilization outside of the body. In vitro literally means 'in glass' (that is, in a laboratory dish or test tube). IVF is mainly used in couples whose infertility is caused by blocked fallopian tubes, or unexplained infertility. IVF involves taking fertility medicines to stimulate the ovaries to make more eggs than usual. When the eggs have formed, a small operation is needed to get them ('egg retrieval'). Each egg is mixed with sperm which is obtained in the same way as for IUI (described above). The egg/sperm mixture is left for a few days in a laboratory dish (often referred to as a 'test tube'). The aim is for sperm to fertilise the eggs to form embryos.
• Gamete Intrafallopian Transfer (GIFT): A gamete is an egg or sperm. Eggs and sperm are collected in the same way as for IVF. The eggs are mixed with sperm. The mixture of eggs and sperm are then placed into one of the woman's fallopian tubes. Therefore, unlike IVF, the sperm fertilises the egg 'naturally' inside the woman's fallopian tube or uterus, and not outside the body in a laboratory dish. For this to work, the woman's fallopian tube needs to be healthy. GIFT has been used in cases of 'unexplained fertility' or male factor infertility problems. However, it does not seem to be any more effective than IVF and so is not so commonly used.
• Intracytoplasmic Sperm Injection (ICSI): This technique involves an individual sperm being injected directly into an egg. (It is injected into the cytoplasm - the outer part of the egg.) This method bypasses any natural barriers that may have been preventing fertilisation. For example, some cases of infertility are due to the sperm of a male partner not being able to 'penetrate' the outer part of the egg to fertilise the egg. ICSI can also be used when a male partner has a low sperm count as only one sperm is needed. If needed, a sperm can also be obtained by a small operation to the testis. This may be done when sperm cannot be produced in the usual way (for example, if the male partner has a blocked vas deferens, or has had a vasectomy).
• Egg Donation: This involves stimulating the ovaries of a female donor with fertility medicines, and collecting the eggs which form. The eggs are mixed with and fertilised by sperm of the recipient's partner (similar to IVF). After 2-3 days, embryos are placed in the uterus of the recipient via the cervix. This method is an option for: women who have ovarian failure and cannot produce eggs; who have had their ovaries removed; who have conditions where the ovaries do not work (for example, Turner's syndrome); where there is a high risk of transmitting a genetic disorder to the baby. It is also used in certain cases of IVF failure.
• Embryo Donation: Couples who have had successful IVF treatment may decide to donate any spare embryos to help other infertile couples.
• Treatment for Unexplained Infertility:It tends to include either stimulation of ovulation using clomifene, intrauterine insemination or in vitro fertilisation. A recent study in Scotland looked at treatments for unexplained infertility including treatment with clomifene or treatment with intrauterine insemination. It compared these two treatments to no active treatment (that is, to couples just continuing to try to conceive naturally) over a six month period.

Other Treatments

Some people suggest that supplements including zinc, selenium, and vitamin E supplements may be helpful for men who have abnormal sperm counts due to an unknown cause. However, the evidence to support the use of such supplements is a little weak.

Mrs.Mary Garcia, USA
IVF Treatment

Indian Med Guru was a constant support and guide as we were on the journey to transform our dream to reality. In the year 2006, I was diagnosed with PCOD and for about a year we tried hard, we knocked all doors, and experimented various medicines to turn things right with the only dream to have our baby in our arms. After a year of struggle and hard times with failures in conceiving, one of my friends referred me to Indian Med Guru to us. All we were doing is traveling all roads and meeting all doors in our journey and so did we contact the team Indian Med Guru without any wait. My first communication with the professional was so impressive and engaging that I was convinced to go ahead with one more set of treatment with them. After examining all our reports and multiple recommendations from the best infertility doctors of India, we were advised to go for IUI. We agreed to the same and did around 7 IUI cycles back-to-back but failed. As time was passing, we were becoming more desperate and devastated at the same time. Understanding our emotional state of mind, we were suggested to change the protocol and go for IVF. Here to we agreed and I still remember just one IVF under complete care and guidance from the experts of this group, after a month my pregnancy test was showing positive. Eyes were wet and joys flooding within and it was still a dream until the time when we actually had our son in our arms on 15th July 2014. That’s a dream come true and for this gift of time I and my husband owe our complete lives to Indian Med Guru.

How is life after Infertility treatment?

If you are one of the many couples who have been lucky enough to conceive then congratulations on your pregnancy. The feelings of happiness and excitement will make up for the months or years of heartache and despair.

• There will have been times when you wondered if all of this treatment was worth it but the main thing is that you have become pregnant which has made all of it worthwhile. Even the constant tests, scans and monitoring your monthly cycle!
• This is not the end of it as your next concern is the pregnancy itself. It is entirely normal to worry that things might go wrong but many women experience this and that’s without undergoing any fertility treatment. Most pregnancies run smoothly and there’s no reason why yours shouldn’t be one of these.
• There are risks and complications with pregnancy which apply to all women, but you will be cared for throughout this time by a team of healthcare professionals. Keep it up with your regular antenatal checks and you will be advised about having a healthy diet, taking exercise and avoiding alcohol and cigarettes.

What are the benefits of Infertility treatment?

The benefits of fertility treatment far out way the risks attached to it. Obviously the main benefit is to conceive with a child, and I suppose this all depends on what treatment you need to help you conceive. The benefits include:

• The primary benefit is that this technique allows couples that are infertile to have children
• Availability of more effective therapies and treatment options
• Lessening of social stigma attached to infertility
• The embryos can be stored, thus allowing their use at a later date. This can be very advantageous in certain situations, for example a woman who must undergo radiation treatment of her ovaries, before she has had her children
• Higher success rate of pregnancy

How is Infertility treatment in India?

Infertility treatment in India has become the most promising infertility treatment destination for a wide range of international tourists coming from all the corners of the world. It is not only within their budget, but also is available with high international class surgical facilities with quick medical appointments, plus medical care and service operations at the hands of experienced infertility treatment experts is attracting many patients and infertile couples from, USA, South Africa, Europe, East Asia and Canada.

Indian healthcare and infertility clinics have guided all global patients and childless couples in a fine way to get them cured from various kinds of male and female infertility disorders. The quality of medical treatment and healthcare amenities in India is absolutely fine plus Indian doctors and medical staff set the fulfillment of patient’s expectations as their primary target.

India has one of the most advanced centres for infertility evaluation, establishing reproductive health and assisted fertilization services in the country today "where patients come first”. In a relaxed, caring and supportive environment the patients get customized solutions. Here, they are understood well the sensitive emotions involved in the fertility treatment and ensure complete privacy during and after the treatment.

Our team of internationally trained and experienced fertility specialists, embryologists, gynecologists, anthologists, holistic medicine experts, gynae-oncologists, legal counselors, psychological counselors and other skilled clinical staffs guide the couples facing difficulties in conceiving, and provide comprehensive solutions to help them achieve healthy parenthood. The following are the Indian cities which render high end infertility treatments:

How many International Infertility patients came to India

• The list of TOP 10 Middle Eastern countries from where the Infertility Patients travelled to India is given below.
• Besides South Asian countries (Afghanistan, Bangladesh, Sri Lanka), every year, India gets thousands of medical tourists from African countries like Nigeria, Kenya, Ethiopia, Sudan, Somalia, and Middle Eastern countries like Iraq, Saudi Arabia, Oman, Iran, UAE, Yemen, Kuwait, Bahrain, Turkey, Qatar and many other countries like Australia, USA, Tajikistan, Mauritius, Uzbekistan to name a few.
• Hence, if you are a citizen of any of these countries, there is good likelihood that you will be meeting some fellow citizens or same language speakers in the major hospitals in India. Almost all the top hospitals have translators for people of this region.

Here are the approximate percentage wise distributions of the patients coming from Top 15 Middle Eastern countries to India in for Infertility Treatment.

Some of the common countries from which patients travel to India for surgery are:

Below are the downloadable links that will help you to plan your medical trip to India in a more organized and better way. Attached word and pdf files gives information that will help you to know India more and make your trip to India easy and memorable one.

Click icon to Download Document
About India				Destinations in India
Indian Embassy List				Medical Tourism FAQ
Visa For India

How to find best Infertility treatment, clinic/hospital in India?

There are many good infertility surgeons/clinics in India, but finding the best can be difficult. Email us a query so that we can choose the surgeon most suitable for your health condition.

When is In Vitro Fertilization (IVF) treatment needed?

IVF is considered in case of unexplained infertility in which no medical cause for infertility can be found.

Are the Infertility treatment procedures painful?

During the procedure a needle attached to a vaginal ultrasound probe is passed through the wall of the vagina and into each ovary. A light anaesthetic is administered. After the procedure the patient may feel a little pain.

What is the success rate of IVF treatment?

The success of IVF depends on the quality and survival of the frozen embryos, age of the patient who produced the eggs, and the uterus of the woman receiving the embryos. For details, send us a query to know in detail.

What specific tests would you recommend to diagnose our infertility, and what do they cost?

The diagnostic tests vary from patient to patient, and the cost on kind of treatment. Send us a query to know in detail, or you can visit our website to know more.