Gender dynamics in IVF: uncovering male and female factors for IVF at a tertiary care hospital

Authors

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20251248

Keywords:

In vitro fertilization (IVF), Female factor infertility, Infertility patterns, IVF

Abstract

Background: In spite of the global burden of subfertility affecting 8 to 12% of reproductive aged couples worldwide, not all sub fertile couples require in vitro fertilization (IVF). The decision to pursue IVF is typically based on a thorough assessment of the couple’s fertility challenges. Initially developed as a way to bypass irreparable tubal disease, IVF is now widely applied for treatment of infertility due to a variety of other causes. Latest achievements in the field of assisted reproduction have led to a rapid expansion in the indications of IVF. The objective of the study is to ascertain the various indications for which IVF was offered in the ART Centre of a public sector hospital, where such facilities are offered free of cost.

Methods: This cross-sectional retrospective study was carried out over a period of 3 years in a tertiary care public sector hospital. Medical records including the infertility data of 1934 couples who underwent IVF cycles during the study period was analysed.

Results: Of the 1934 couples taken up for IVF, 379 (19.6%) couples were for male factor only, 14.7% underwent IVF for chronic anovulation and 478 (24.7%) couples underwent IVF for combined male and female factors while 14.6% for idiopathic infertility.

Conclusions: Both male and female factors contribute vividly to the burden of infertility and result in IVF to attain a successful pregnancy. In our study combined factors was the commonest indication for IVF.

Metrics

Metrics Loading ...

Author Biographies

Nikita Naredi, Assisted Reproductive Techniques Centre, Army Hospital, Research and Referral, New Delhi, India

Dr Nikita Naredi is a senior gynaecologist , Infertility specialist and head of the department at Assisted reproductive technology centre at army Hospital Research and referral.  She is an undergraduate and post graduate teacher  at MUHS and Delhi university. She has multiple publications in national and international journals and contributed chapters in books also. She has authored a book named AM I JUST A BAY VENDING MACHINE? INFERTILITY THROUGH THE EYES OF AN INFERTILITY SPECIALIST WHCH IS ABOUT SOCIAL STIGAM ASSOCIATED with childlessness. In addition to her professional work she is volunteers for an NGO and participated in social work too.

Vipin Kumar Prajapati, Military Hospital, Jabalpur, Madhya Pradesh, India

A young and vibrant Obs & Gynae specialist and active researcher.

Antara Agrawal, Government Medical College, Nagpur, Maharashtra, India

Undergraduate MBBS Student pursuing Final year. An enthusiast researcher and brilliant scholar.

Prasad R. lele, Department of Obstetrics and Gynaecology, Army Hospital, Research and Referral, New Delhi, India

A senior gynecologist and consultatnt of reproductive medicine, presently HoD of Dept of Obstetrics & gynecology at the prestigious Army Hospital, Research & Referral, New Delhi, Pune. 

Ipsita Sahoo, Assisted Reproductive Techniques Centre, Army Hospital, Research and Referral, New Delhi, India

Dr Ipsita Sahoo is a experienced Gynecologist practicing on Obs & Gynae since 2017 and presently pursuing working as Senior Resident in Assited Reproductive Centre at prestigious Army Hospital, Research & Referral, New Delhi. 

References

Brinsden PR. Thirty years of IVF: the legacy of Patrick Steptoe and Robert Edwards. Hum. Fertil. (Camb.). 2009;12:137–43. DOI: https://doi.org/10.1080/14647270903176773

Sullivan EA, Zegers-Hochschild F, Mansour R, Ishihara O, de Mouzon J, Nygren KG, et al. International Com- mittee for Monitoring Assisted Reproductive Technologies (ICMART) world report: Assisted Reproductive Technology 2004. Hum. Reprod. 2013;28:1375–90. DOI: https://doi.org/10.1093/humrep/det036

Huang LN, Justin Tan J, Jason Hitkari J, Michael H, Dahan MH. Should IVF be used as first-line treatment or as a last resort? A debate presented at the 2013 Canadian Fertility and Andrology society meeting. Reproductive BioMedicine Online. 2015;30:128–36. DOI: https://doi.org/10.1016/j.rbmo.2014.10.004

Ombelet W, Cooke I, Dyer S, Serour G, Devroey P. Infertility and the provision of infertility medical services in developing countries. Human Reprod Update. 2008a;14:605–21. DOI: https://doi.org/10.1093/humupd/dmn042

Primary interviewers with KOLs and leading pharmaceutical companies, consensus of India 2001 & 2011, EY analysis.

Are we overusing IVF? BMJ 2014;348:15-7. DOI: https://doi.org/10.1136/bmj.g252

Centola GM. Determination of male infertility: is the 2010 WHO reference range helpful or confusing? Fertil Steril. 2012;98(6):1416-7. DOI: https://doi.org/10.1016/j.fertnstert.2012.08.029

Sadock BJ, Sadock VA. 9th ed. Philadelphia: Lippincott Williams and Wilkins; 2003. Kaplans and Sadocks Symptoms of Psychiatry Behavioral Sciences Clinical Psychiatry; pp. 872–4.

World Health Organization. Towards more objectivity in diagnosis and management of male infertility. Int J Androl. 1987;7:1–53.

Zargar AH, Wani AI, Masoodi SR, Laway BA, Salahuddin M. Epidemiologic and etiologic aspects of primary infertility in the Kashmir region of India. Fertil Steril. 1997;68(4):637‐43.

European Society of Human Reproduction and Embryology. "More than 8 million babies born from IVF since the world's first in 1978: European IVF pregnancy rates now steady at around 36 percent, according to ESHRE monitoring." ScienceDaily. ScienceDaily, 3 July 2018. .

Polisseni F, Carvalho MAG, Pannain GD, de Souza LC,de Oliveira VAT. The search for assisted reproduction: profile of patients seen in the fertility outpatient clinic of a public hospital. JBRA Assist Reprod. 2020;24(3):305–9. DOI: https://doi.org/10.5935/1518-0557.20200008

Talwar PP, Go OP, Murali IN. New Delhi: National Institute of Health and Family Welfare and Indian Council of Medical Research; 1986. Prevalence of infertility in different population groups in India and its determinants. Statistics and Demography; 1986.

Unisa S. Childlessness in Andhra Pradesh, India: Treatment-seeking and consequences. Reprod Health Matters. 1999;7:54–64. DOI: https://doi.org/10.1016/S0968-8080(99)90112-X

Zargar AH, Wani AI, Masoodi SR, Laway BA, Salahuddin M. Epidemiologic and etiologic aspects of primary infertility in the Kashmir region of India. Fertil Steril. 1997;68:637–43. DOI: https://doi.org/10.1016/S0015-0282(97)00269-0

Downloads

Published

2025-04-28

How to Cite

Naredi, N., Prajapati, V. K., Agrawal, A., lele, P. R., & Sahoo, I. (2025). Gender dynamics in IVF: uncovering male and female factors for IVF at a tertiary care hospital. International Journal of Reproduction, Contraception, Obstetrics and Gynecology, 14(5), 1601–1605. https://doi.org/10.18203/2320-1770.ijrcog20251248

Issue

Section

Original Research Articles