JOURNAL · IVF AND IUI
IUI or IVF: which one is for us?
It depends on her tubes, his sperm, her age and egg reserve, and how long you have been trying. Not on which one sounds more hopeful.
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IUI or IVF: which one is for us?
What each one does, what must be true first, and who each one suits.
How many IUIs before IVF? Our limits by age
The limits we agree before the first IUI, so no one repeats it for a year without a reason.
All tests normal. Is IVF the only option?
Waiting, IUI or IVF when nothing has been found: what decides the order.
Things your aunty told you about IVF, checked
Test tube babies, bed rest, 'IVF babies are weaker': the common myths, with the facts.
Questions to ask any IVF doctor, including us
The questions that tell you how a clinic decides, and what good answers sound like.
How to check any fertility clinic in Chennai, including us
We won't rank clinics. Here is what to ask, what to look for and what to be wary of.
YOUR IVF CYCLEYour IVF plan at Jananam, day by day
From the first injection to the pregnancy test: what happens on which day, and where.
Will IVF use up my eggs?
Why stimulation rescues eggs that would have been lost that month anyway.
What the grades on your embryo report mean
Numbers and letters explained in plain words, and why a grade is not a guarantee.
Which IVF add-ons have evidence, and which we decline
ERA, PGT-A, assisted hatching and more: who each one is for, and what we stopped using.
Why we never transfer more than two embryos
Twins sound like a bonus. Here is why one embryo at a time is often safer.
How many IVF cycles does it usually take?
What changes the answer, and why we agree a point to review or stop before you start.
AFTER IUI OR TRANSFERFrozen embryo transfer, step by step
Natural or medicated cycle, which day the transfer happens, and what it feels like.
After transfer: bed rest, food, work, symptoms
What actually matters in the days after transfer, and what you can stop worrying about.
After IUI: what actually matters in the two-week wait
Food, rest, work and symptoms after IUI, and when to test.
IUI
A simple first step, with a limit agreed first.
IVF
What IVF can and cannot fix, and the cycle step by step.
ICSI and PICSI
The right fertilisation method for his sperm, not a default.
Frozen embryo transfer
Why most of our transfers are frozen.
ERA, and why we stopped
We used it in more than 750 patients, then stopped recommending it.
How Dr Vani decides
IUI to IVF, how many embryos, when to stop: her positions in her words.
Questions couples ask us.
Still unsure? Ask us on WhatsApp — a real person replies.
How many IUIs should we try before IVF?
It depends on her age and egg reserve, and we agree the limit before the first cycle. Dr Vani Sundarapandian's limits: "Under 35 with good reserve: 3 to 4 IUI cycles. 35 to 37: 2 to 3. 38 and over: 1 to 2 if reserve is satisfactory. Sooner to IVF if reserve is low or endometriosis is advanced."
How many embryos do you transfer in IVF?
Never more than two, and often one. In Dr Vani Sundarapandian's words: "We do not transfer more than two embryos under any circumstance. Single embryo transfer is preferred for tested euploid embryos at any age, and usually under 38 with a good blastocyst."
Are IVF add-ons worth it?
Some are, for selected couples, and many are not backed by good evidence. On ERA, Dr Vani Sundarapandian says: "We have used ERA in more than 750 patients in the past, but in our experience it did not improve live birth rates sufficiently for us to continue recommending it."
What should I do about severe pain or bleeding after egg collection or transfer?
Severe tummy pain, a swollen tummy, breathlessness or heavy bleeding needs same-day care: call 108 or go to the nearest emergency department. Then call us on +91 89399 94244.
IUI or IVF? Ask before you choose.
Tell us her age, how long you've been trying and any treatment so far. We'll tell you honestly which route fits, and what the limit would be.
Sex selection is prohibited in India under the PCPNDT Act, 1994 and the ART Act, 2021.