Facts You Must Know for IVF in Nepal

2024-05-21 1858

Facts you must know while IVF in Nepal

The history of IVF in Nepal dates back to 2004, where the first IVF Clinic in Nepal started. It was 26 years after the birth of the world's first test tube baby, Louise Brown in England.

Although fertility care achieved much advancement in recent 2 decades, Nepalese society is still engulfed with social stigma and orthodox beliefs like - children are gifts of God, women are responsible for being infertile, sexual problems shouldn't be discussed, etc.

Hence, embarking on the journey to overcome infertility becomes complex, laden with societal expectations and myths. In this context, it's crucial to debunk this myth and acknowledge that infertility is a shared responsibility between male and female partners.

In the context of Nepal's evolving landscape in reproductive healthcare, particularly in In Vitro Fertilization (IVF), this article aims to explore essential facets such as success rates, procedural details, duration, hospital stays, costs, and nuanced considerations like gender selection and surrogacy.

Social Scenario, Myths, and Struggles of Infertility

As most of the Nepalese dwell into Joint Family, social values hold a greater importance. To own good fame in the society, people abide by social norms. As conceiving a child just few years after marriage is looked upon with high regards, the societal implications of infertility get profound, affecting the social status of couples within their communities. Specially women, who get several remarks each day from family and society start questioning their ability out of shame, guilt and low-esteem and often fall prey to depression, anxiety, distress and poor quality of life.

Dispelling myths surrounding infertility is imperative, with an emphasis on correcting the perception that women bear the sole burden. The narrative needs to shift towards recognizing that both partners contribute equally to the challenges of conception and with modern treatment options like IVF, IUI, Ovulation Induction, restructural surgeries, couples can traverse the path of parenthood.

IVF Development in Nepal

Introduction of cutting-edge technologies, state-of-the-art infrastructure and a pool of skilled professionals make Nepal an increasingly viable option for couples navigating fertility challenges.

Up to 2015, only four to five ivf centers were providing IVF services in Nepal. Most of the people preferred going to neighboring countries for such treatment usually due to social stigma. With the development of economy, literacy rate and exposure to outer world, people started seeking treatment for infertility issues. Many infertile couples were able to afford ART treatment leading to an increase in the number of clinics providing fertility care in the capital Kathmandu and in regional areas. Now, about 30 IVF clinics have gained registration from the Ministry of Health.

Due to lower cost of overall treatment of ivf in Nepal, it has emerged as a hub for advanced reproductive technologies and IVF treatments for Nepalese residing within or outside Nepal.

Success Rate of IVF in Nepal

While success rate of IVF ranges from 3-35% internationally, it is not the same everywhere in Nepal. It varies from clinic to clinic. Vatsalya Natural IVF has been continuously achieving the success rate of 65-80% which is one of the highest ivf success rate in Nepal.

Understanding the success rates of IVF treatments is pivotal for couples contemplating this reproductive journey as it depends upon several factors like age, quality of embryo, overall health of couple etc. Although IVF follows a set procedure, the success rate is not same for every couple. Hence, it rules out the possibility of IVF being 100% successful, which is the major concern of several couple planning to undergo this process.

However, encouraging IVF success rate in Nepal offers hope to couples striving to realize their dream of parenthood. A closer look at these success rates, tailored to individual circumstances, can be obtained through consultations with experienced fertility specialists.

Process of IVF in Nepal

The In Vitro Fertilization (IVF) process is a multi-step fertility treatment that involves combining an egg and sperm outside the body to create an embryo, which is then implanted in the uterus. IVF is typically recommended for couples struggling with infertility due to various reasons, such as blocked fallopian tubes, male fertility issues, endometriosis, or unexplained infertility. Below is a detailed explanation of the IVF process:

  1. Ovulation Stimulation:

    When: The IVF process typically starts on the second or third day of the menstrual cycle.
    Description: Fertility medications are administered to stimulate the ovaries to produce multiple eggs. The progress is monitored through blood tests and ultrasounds.
  2. Egg Retrieval (Ovum Pickup):

    When: Approximately 34-36 hours after the final injection of ovulation-inducing medication.
    Description: A minor surgical procedure, egg retrieval involves using a thin needle to aspirate the mature eggs from the ovaries. The procedure is usually done under sedation or anesthesia. It is a day procedure and you are allowed to go home within few hours of egg retrieval.
  3. Sperm Collection:

    When: On the same day as egg retrieval.
    Description: The male partner provides a sperm sample, which is processed in the laboratory to obtain high-quality sperm.
  4. Fertilization:

    When: On the day of egg retrieval.
    Description: The collected eggs and sperm are combined in a laboratory petri-dish for fertilization in normal process. For most of the cases in Nepal, fertilization is done through Intracytoplasmic Sperm Injection (ICSI) process. This ensures that the best sperm meets the best embryo, leading to higher IVF success rate in Nepal.  The fertilized eggs, now embryos, are monitored for development over the next few days.
  5. Embryo Culture:

    When: Over the next 3-5 days.
    Description: The embryos are cultured in a special incubator, and their development is closely monitored. The goal is to allow the embryos to reach a certain stage before transfer.
  6. Embryo Transfer:

    When: Typically, 3 to 5 days after egg retrieval.
    Description: One or more healthy embryos are selected and transferred into the woman's uterus using a thin catheter. This is a relatively simple and painless procedure. For women who are not ready for fresh transfer, the embryo transfer is carried in next ovulatory cycle.
  7. Luteal Phase Support:

    When: After embryo transfer.
    Description: Hormonal medications, such as progesterone, are administered to support the uterine lining and enhance the chances of successful embryo implantation.
  8. Pregnancy Test:

    When: Approximately 10-14 days after embryo transfer.
    Description: A blood test is conducted to determine if the IVF cycle has resulted in pregnancy.

Throughout the process, regular monitoring through blood tests and ultrasounds is conducted to assess the response to medications and ensure the optimal timing for egg retrieval and embryo transfer. The entire IVF process is highly individualized, and the specific protocols may vary based on the patient's medical history, age, and other factors.

How Long Does IVF Process take in Nepal?

The duration of an IVF cycle is a significant consideration for planning and managing expectations. Couples need to be prepared for the emotional and physical demands of the process, necessitating a realistic timeframe for each stage of the treatment cycle.

In Nepal one cycle of IVF generally takes 1.5 months to 2 months depending upon the individual. Couples residing outside Nepal who plan to visit Nepal for IVF Process, should at least manage a holiday of 1.5 months to 2 months to complete the cycle. The fresh transfer, however, can take lesser days so talk to our specialists before planning your visit for ivf in Nepal.

How Long Should One Stay in the Hospital?

The hospital stay during an IVF cycle is typically minimal (usually few hours of the day), with most procedures designed as outpatient treatments. However, frequent visits are required to keep a track of the progress. Clear communication with the healthcare team ensures that patients are well-informed about post-procedure care and recovery, minimizing any potential concerns.

Although you don't need to be admitted a quick reach to clinic up to 2 months will ease the burden of the ivf procedure ensuring better ivf experience.

Cost of IVF in Nepal

Cost considerations are pivotal in the decision-making process for IVF treatments. Nepal offers competitive pricing for IVF procedures, positioning itself as an attractive option for couples seeking both affordability and high-quality reproductive healthcare.

Tentative IVF Cost at Vatsalya IVF in Nepal are as below:

Once Cycle of IVF NPR 3,10,000/-
(includes stimulation, ovum pickup and embryo transfer)
Donor IVF (Ovum) NPR 3,60,000/-
Donor IVF (Embryo) NPR 3,60,000/-
Donor IVF (Sperm) NPR 3,20,000/-
Natural Cycle IVF NPR 1,90,000/-
(it is done without stimulation)

 

Besides, Vatsalya also offers its clients the option of preserving embryos and ova for future use. Cost of Ovum Cryopreservation is NPR 30,000/- per month for 6 months and 50,000/- for 1 month. Similarly, the cost of freezing an embryo for 6 months is NPR 30,000/- per month and NPR 50,000/- for 1 month, and NPR 1,00,000/- for 2-5 years.

 

Is Gender Selection Available for IVF in Nepal?

Gender selection, while a sensitive topic, is a consideration for some couples. The gender selection service is not available in Nepal as per local regulations and ethical implications.

 

Surrogacy with IVF in Nepal

For couples facing challenges in carrying a pregnancy to term, surrogacy combined with IVF can be a viable and compassionate option. However, Nepal is not open to surrogacy as part of its reproductive healthcare offerings for couples struggling with infertility.

 

Tips to Choose the Best Clinic for IVF in Nepal:

Choosing the best IVF clinic is a crucial decision for couples embarking on the fertility journey. Here are key points to consider when selecting an IVF clinic:

  1. Reputation and Success Rates:
    1. Research the clinic's reputation within the medical community and through patient reviews.
    2. Review the clinic's success rates, specifically for your age group and fertility condition.
  2. Expertise of the Medical Team:
    • Evaluate the qualifications and experience of the fertility specialists and embryologists.
    • Ensure the clinic has a team of skilled professionals who specialize in reproductive medicine.
  3. Facility and Technology:
    • Visit the clinic to assess its facilities, cleanliness, and adherence to medical standards.
    • Ensure the clinic is equipped with the latest reproductive technologies and state-of-the-art laboratory facilities.
  4. Range of Services:
    • Confirm that the clinic offers a comprehensive range of fertility services beyond basic IVF, including genetic testing, egg freezing, and other advanced procedures.
  5. Personalized Treatment Plans:
    • Look for a clinic that tailors treatment plans to individual needs, considering the unique circumstances of each patient.
    • Personalized care enhances the chances of a successful outcome.
  6. Communication and Support:
    • Assess the communication style of the clinic, including the accessibility of doctors and staff.
    • Choose a clinic that provides emotional support and guidance throughout the entire process.
  7. Cost Transparency:
    • Seek a clinic with transparent pricing and a clear breakdown of costs.
    • Inquire about any additional fees or hidden expenses that may arise during the course of treatment.
  8. Patient Reviews and Testimonials:
    • Read patient reviews and testimonials to gain insights into the experiences of others who have undergone treatment at the clinic.
    • Pay attention to reviews that discuss the clinic's communication, success rates, and overall patient satisfaction.
  9. Location and Convenience:
    • Consider the location of the clinic and whether it is convenient for regular visits during the treatment cycle.
    • Factor in travel time, especially if the clinic is located in another city or country.
  10. Legal and Ethical Practices:
    • Ensure the clinic adheres to legal and ethical guidelines for fertility treatments.
    • Clarify the clinic's stance on practices such as gender selection and surrogacy, ensuring they align with your values.
  11. Counseling Services:
    • Confirm that the clinic offers counseling services to help couples navigate the emotional aspects of infertility and the IVF process.
  12. Follow-up Care:
    • Inquire about the clinic's post-treatment care and follow-up procedures to ensure ongoing support and monitoring.

Don't fall prey to advertising and Guaranteed IVF Plans as IVF is not 100% Successful. If you are eligible for Guaranteed IVF Plan, you might be paying more than actually you require to by opting such Guaranteed IVF Plans.

Take a second opinion before selecting the clinic offering such plan.

After carefully considering these factors, you can make an informed decision when selecting the best IVF clinic for your unique needs and circumstances.

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Conclusion

Embarking on the IVF journey in Nepal requires a meticulous understanding of various factors. From societal perspectives and success rates to cost management and ethical considerations, couples can navigate the path to parenthood confidently.

At Vatsalya, we provide highest IVF success rate and unmatched experience to couples undergoing infertility treatment due to our state-of-the-art facilities, best embryology lab, team of fertility experts and trained support staffs. If you are looking for IVF treatment in Nepal, look no further than Vatsalya Natural IVF.

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