Intrauterine insemination (IUI) is widely used as the treatment method for mild male factor and unexplained infertilities. Conversely, assisted reproductive technology (ART) has made it possible to conceive without coitus. Moreover, without insertion of penis into the vagina and/or no ejection of semen in the vagina, the sperm cannot be inseminated into the woman's reproductive organ, which causes infertility. Epidemiological studies reveal that male sexual dysfunction has a prevalence of 5%-30%, 1- 3 which shows that sexual conditions present not only medical but also social problems. Male sexual dysfunction such as low libido, erectile dysfunction (ED), and premature or inhibited ejection, and female dysfunction such as inhibited sexual desire, inability to become aroused, anorgasmia, vaginismus, and dyspareunia, can result in unsatisfied sex or sexless situation. Sexual dysfunction is a serious problem resulting in both sexual and reproductive issues. Since IVI appears to be a simple, noninvasive, and inexpensive way for couples with sexual dysfunction, it can be attempted before ART application. The authors can propose the following inclusion IVI criteria for couples with sexual dysfunction: (a) younger husband (36 years old or less) which may be most important, (b) infertility duration of 3 years or less, (c) normal sperm condition, and (d) IVI trial for 3 times (maximum of 6 times). Among the 57 successful cases who underwent IVI treatment, 38 (66.7%) patients became pregnant within 3 times of the procedure, while 48 (84.2%) patients conceived within 6 times. The husbands who could not impregnate had a significantly higher ratio of sperm abnormalities ( P = .0048). Between the pregnant and non-pregnant cases, the husband's age and infertility period were significantly higher ( P = .0104) and longer ( P = .0027) in the unsuccessful cases than the successful ones. Of 144 patients, 58 women conceived successfully (40.3% pregnancy rate). The profiles of pregnant and non-pregnant patients were compared. MethodsĪmong 208 couples who presented sexual dysfunction, 144 couples underwent IVI procedures. The IVF pregnancy success rates are in par with international success rates.The centre treats patients from all over Andhra Pradesh and Telangana.To analyze the usefulness of intravaginal insemination (IVI) for the infertility treatment in couples with sexual dysfunction before applying assisted reproductive technology (ART). Fertility consultants also perform TESA / PESA for severe male infertility conditions.The IVF treatment cost is affordable and transparent. The donor program is stringent and follows a set of strict protocols. The fertility specialists, one of the best in Vijayawada can perform laparoscopic surgeries and tests like the Endometrial Receptivity Array to treat female infertility. The lab at this centre performs diagnostic tests to measure hormones, identify structural issues in male and female. The centre handles the IVF process in a seamless way - treatment, collection of ovum, freezing, transfer post processing. The IVF centre is capable of performing simple to the complex of fertility treatments that includes medical management, IUI (Intrauterine Insemination), basic IVF (In Vitro Fertilisation) to advanced treatments such as Intracytoplasmic Sperm Injection (ICSI).With a vision to provide best-in-class fertility treatment Nova IVF Fertility is equipped with state-of-the-art infrastructure and labs which follow international guidelines on maintaining standards in delivering high quality fertility treatment.The centre has one of the best infertility specialists, embryologists and counsellors who play a key role in the fertility treatment of a patient. The fertility specialists start by performing a fertility assessment of the couple to identify the root cause of the problem. The centre was launched to cater to the demands of infertility in the state of Andhra Pradesh. Hormonal imbalance, obesity and advanced maternal age are the reasons why infertility is on the rise.Nova IVF Fertility, Vijaywada is one of the best and leading centres in South India, which treats all kinds of fertility issues. This can be attributed to the increase in awareness levels of infertility. The number of couples suffering from infertility has seen a steep rise in Vijayawada from 1 in 10 to 1 in 3.
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