Starting your fertility journey can feel overwhelming, especially if you are new to assisted reproductive treatments. If you are considering treatment, consulting an experienced fertility expert, such as Dr. Bhavana Mittal, widely regarded as the best IVF specialist in Delhi, can help you receive personalized guidance and clarity tailored to your medical condition.
1. Time-Based Guidelines
Under 35 years: After 12 months of trying.
Over 35 years: After 6 months of trying.
Over 40 years: Immediate consultation recommended.
2. Medical Conditions Requiring Early Consultation
Irregular or absent periods.
Recurrent miscarriages.
Low sperm count.
Previous pelvic surgeries.
An experienced fertility doctor like Dr. Bhavana Mittal evaluates both partners before recommending IVF.
1. Female Fertility Tests
Hormonal blood tests (AMH, FSH, LH).
Pelvic ultrasound.
Thyroid and prolactin levels.
HSG test for fallopian tubes.
2. Male Fertility Tests
Semen analysis.
Hormonal profile (if needed).
Genetic testing (in specific cases).
3. Diagnosis and Treatment Planning
Identify the root cause of infertility.
Decide if IVF, ICSI, or another treatment is required.
Create a personalized protocol.
1. Ovarian Stimulation
Fertility injections stimulate the ovaries to produce multiple eggs.
Monitoring through blood tests and ultrasounds.
Duration: 8–12 days.
2. Trigger Shot
Final injection matures eggs.
Egg retrieval scheduled 34–36 hours later.
3. Egg Retrieval
Minor procedure under mild anesthesia.
Eggs were collected using an ultrasound-guided needle.
Takes about 20–30 minutes.
4. Sperm Collection
Fresh semen sample collected.
In special cases, surgical sperm retrieval is done.
5. Fertilization
IVF: Eggs and sperm are combined naturally in a lab.
ICSI: A single sperm is injected into an egg.
6. Embryo Culture
Embryos monitored for 3–5 days.
Blastocyst stage transfer is often preferred.
7. Embryo Transfer
Painless procedure.
The embryo is placed into the uterus using a thin catheter.
No anesthesia required.
8. Pregnancy Test
Blood test done 10–14 days after transfer.
Confirms pregnancy.
1. Conventional IVF
Standard fertilization method.
2. ICSI (Intracytoplasmic Sperm Injection)
Used for severe male infertility.
3. Frozen Embryo Transfer (FET)
Frozen embryos transferred in a later cycle.
4. Donor IVF
Donor eggs or sperm are used when required.
5. Preimplantation Genetic Testing (PGT)
Screens embryos for genetic disorders.
1. Factors Affecting Success
Age of the woman.
Egg quality.
Sperm health.
Uterine condition.
Lifestyle habits.
2. Age-Based Success Trends
Under 35: Higher success rates.
35–40: Moderate success.
Over 40: Lower success, may require donor eggs.
An experienced and best IVF specialist like Dr. Bhavana Mittal customizes protocols to maximize chances.
1. Common Side Effects
Mild bloating.
Mood swings.
Injection site pain.
2. Ovarian Hyperstimulation Syndrome (OHSS)
Rare but manageable complication.
Prevented through careful monitoring.
3. Multiple Pregnancy
Twins or triplets are possible if multiple embryos are transferred.
1. Lifestyle Changes
Quit smoking and alcohol.
Maintain a healthy weight.
A balanced diet rich in protein and antioxidants.
2. Emotional Preparation
Stay informed.
Join support groups.
Practice stress management.
3. Medical Preparation
Follow the medication schedule strictly.
Attend all monitoring appointments.
Maintain open communication with your doctor.
1. Early Monitoring
Blood tests for hormone levels.
Ultrasound at 6–7 weeks.
2. Hormonal Support
Progesterone supplementation.
Continued monitoring.
3. Transition to Obstetric Care
Once stable, routine pregnancy care begins.
1. Understanding Failure
Not every cycle succeeds.
Multiple attempts may be required.
2. Review and Reassessment
Analyze embryo quality.
Evaluate the uterine lining.
Consider advanced techniques.
3. Emotional Support
Counseling recommended.
Discuss the next plan calmly.
1. Qualifications to Look For
Expertise in reproductive medicine.
Years of clinical experience.
Strong laboratory support.
2. Important Questions to Ask
What is your clinic’s success rate?
How many embryos do you transfer?
What is your approach to failed cycles?
3. Importance of Personalization
Every patient needs tailored treatment.
Avoid one-size-fits-all protocols.
Specialists like Dr. Bhavana Mittal are known for personalized care, transparent communication, and ethical fertility practices.