https://www.jananamfertility.com/journal/ Fertility, explained plainly. Articles from the doctors at Jananam Fertility Centre in Chennai, each reviewed by a clinician. en https://www.jananamfertility.com/journal/two-week-wait-coping-strategies/ https://www.jananamfertility.com/journal/two-week-wait-coping-strategies/ The two week wait (TWW) is the 10–14 day period between embryo transfer or ovulation and a pregnancy test, widely recognised as one of the most psychologically demanding phases of fertility treatment. Managing the two week wait involves structured distraction, mindfulness, limiting symptom-checking, honest partner communication, and professional counselling when anxiety becomes overwhelming. Outcomes vary by age, diagnosis, and cycle type. Fri, 16 Oct 2026 09:00:00 GMT https://www.jananamfertility.com/journal/balancing-work-during-fertility-treatments/ https://www.jananamfertility.com/journal/balancing-work-during-fertility-treatments/ Balancing work during fertility treatments is genuinely demanding: research shows 87% of patients report difficulty managing IVF or other fertility treatment alongside professional commitments. Success depends on proactive scheduling around monitoring appointments, honest communication with a trusted manager or HR contact, planned leave for egg retrieval and transfer days, and consistent emotional support. With the right strategies, most working individuals complete a full IVF cycle without abandoning their careers. Thu, 15 Oct 2026 09:00:00 GMT https://www.jananamfertility.com/journal/sperm-dna-fragmentation-test/ https://www.jananamfertility.com/journal/sperm-dna-fragmentation-test/ A sperm DNA fragmentation test measures the proportion of sperm with broken or damaged DNA strands — damage that a standard semen analysis cannot detect. The result is expressed as a DNA fragmentation index (DFI); a DFI above 30% is associated with reduced fertility, recurrent miscarriage, and IVF failure. The test is recommended when couples face unexplained infertility, repeated pregnancy loss, or failed assisted reproduction cycles. Thu, 15 Oct 2026 09:00:00 GMT https://www.jananamfertility.com/journal/16-things-to-follow-post-iui/ https://www.jananamfertility.com/journal/16-things-to-follow-post-iui/ After IUI, lie down for about 15 minutes, then go back to your normal day: work, housework, stairs and travel are all fine. Bed rest is not needed, and no food raises the chance of pregnancy. At Jananam Fertility Centre, Chennai, we ask you to take your medicines as prescribed and test on the date we give you. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/20-symptoms-of-endometriosis/ https://www.jananamfertility.com/journal/20-symptoms-of-endometriosis/ The commonest symptoms of endometriosis are period pain that stops normal life, pelvic pain between periods, pain during sex, painful bowel movements or urination during periods, heavy bleeding, bloating, tiredness and difficulty getting pregnant. Some women have no pain at all. Jananam Fertility Centre, Chennai starts with a scan and checks both partners. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/add-ons-and-the-evidence/ https://www.jananamfertility.com/journal/add-ons-and-the-evidence/ IVF add-ons are optional extras such as ERA, embryo glue, time-lapse imaging, immune drips and PGT-A. The UK regulator, the HFEA, rates each by its evidence, and none is rated green for raising the chance of a baby. Jananam Fertility Centre, Chennai, uses a few for selected couples and stopped recommending ERA. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/after-treatment/ https://www.jananamfertility.com/journal/after-treatment/ After a failed IVF cycle, look at what the cycle showed: egg numbers, fertilisation, embryo growth and the transfer. Then decide with your doctor to repeat, change the plan or stop. At Jananam, Chennai, the advice is not to drift. As Dr Vani Sundarapandian puts it: "Couples wait too long to resume treatment after a failed cycle." Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/best-age-to-get-pregnant/ https://www.jananamfertility.com/journal/best-age-to-get-pregnant/ Fertility is highest in the twenties and early thirties and falls gradually from the mid thirties, as egg numbers and quality drop. There is no single right age. Age changes how long to try: 12 months under 35, 6 months at 35 or over, and no waiting at 40. Jananam Fertility Centre, Chennai checks both partners. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/bulky-uterus-on-a-scan-report/ https://www.jananamfertility.com/journal/bulky-uterus-on-a-scan-report/ A bulky uterus means the scan found the uterus larger or rounder than average. It is a description of size, not a diagnosis, and after pregnancies it is often normal. The usual causes are adenomyosis and fibroids. At Jananam Fertility Centre, Chennai, the cause, not the size, decides whether anything needs treating before you try. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/carbs-and-fertility/ https://www.jananamfertility.com/journal/carbs-and-fertility/ No single food makes you fertile or infertile. What helps is the everyday pattern: more vegetables, dal and protein, some whole grains and millets in place of white rice and maida, and fewer sweets and sugary drinks, for both partners. At Jananam Fertility Centre, Chennai, food advice fits your plate and your tests, not a chart. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/coping-with-infertility/ https://www.jananamfertility.com/journal/coping-with-infertility/ Grief, anger, guilt and envy are common when a baby does not come, and they are not a sign of weakness. Ordinary stress does not cause infertility or make IVF fail. At Jananam Fertility Centre, Chennai, both partners can talk to our counsellor, and if things feel unbearable, Tele-MANAS on 14416 is free, day and night. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/does-ivf-reduce-ovarian-reserve/ https://www.jananamfertility.com/journal/does-ivf-reduce-ovarian-reserve/ No. Each month a group of follicles starts to grow; one usually releases an egg and the rest are lost naturally. IVF stimulation helps more of that same group mature, so the eggs collected are ones your body would have lost anyway. At Jananam Fertility Centre, Chennai, we explain your AMH and scan count before any stimulation starts. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/endometrial-thickness/ https://www.jananamfertility.com/journal/endometrial-thickness/ A lining under 7 mm on the scan is usually called thin. It lowers the chance of implantation but does not rule out pregnancy, and one reading is not the whole story. At Jananam Fertility Centre, Chennai, we look for the reason, such as scarring, infection or too little oestrogen, and often freeze embryos and prepare the lining again. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/fallopian-tube-function/ https://www.jananamfertility.com/journal/fallopian-tube-function/ The fallopian tube has three jobs: it catches the egg released at ovulation, it is where sperm meets and fertilises the egg, and it carries the embryo to the womb over about five days. Blocked tubes rarely cause symptoms. At Jananam Fertility Centre, Chennai, tubes are checked with HSG or HyCoSy, alongside a semen analysis. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/food-and-lifestyle/ https://www.jananamfertility.com/journal/food-and-lifestyle/ Yes. The things you can change are weight, smoking, alcohol, sleep, stress and folic acid, and getting thyroid, diabetes, blood pressure and vitamin D under control. No single food makes you fertile. At Jananam Fertility Centre, Chennai, lifestyle comes first in every plan, and it applies to both partners. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/frozen-embryo-transfer-steps/ https://www.jananamfertility.com/journal/frozen-embryo-transfer-steps/ At Jananam Fertility Centre, Chennai, a frozen embryo transfer is usually done around day 18 to 22 of your cycle. You come on day 2 of your period for a scan, take oestrogen tablets for about 10 days, have a lining scan and progesterone check, then start progesterone. A blastocyst is transferred on the 6th day of progesterone. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/her-fertility/ https://www.jananamfertility.com/journal/her-fertility/ Usually, yes. PCOS, endometriosis, fibroids, a thin lining or a blocked tube can make pregnancy harder, but most are treatable, and what matters is how the problem affects eggs, tubes or lining. At Jananam Fertility Centre, Chennai, a doctor reads your report with you and checks your partner in the same round. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/his-fertility/ https://www.jananamfertility.com/journal/his-fertility/ Yes. A male factor is part of the reason in about half of couples who struggle to conceive, and a semen analysis is simple, painless and quick. At Jananam Fertility Centre, Chennai, his semen analysis is done in the first round of tests, alongside hers, so she is not treated for months before he is checked. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/how-long-to-try-before-seeing-a-doctor/ https://www.jananamfertility.com/journal/how-long-to-try-before-seeing-a-doctor/ See a fertility doctor after 12 months of trying if she is under 35, after 6 months if she is 35 or over, and straight away at 40 or with irregular periods, endometriosis, PCOS, past pelvic surgery or a known sperm problem. At Jananam Fertility Centre, Chennai, both partners are checked in the first round. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/how-many-ivf-cycles/ https://www.jananamfertility.com/journal/how-many-ivf-cycles/ There is no fixed number of IVF cycles. Some couples conceive after one and others need more, depending mostly on the woman's age, egg reserve, how many eggs fertilise and how the embryos grow. At Jananam Fertility Centre, Chennai, each cycle is reviewed stage by stage, and the plan changes only when the review gives a reason. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/how-natural-conception-works/ https://www.jananamfertility.com/journal/how-natural-conception-works/ Natural conception needs four things each month: an egg released at ovulation, healthy sperm, an open fallopian tube where they meet, and a lining ready for the embryo about a week later. Each step can fail without symptoms. That is why Jananam Fertility Centre, Chennai checks ovulation, tubes, the uterus and a semen analysis together. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/how-to-choose-a-fertility-clinic-in-chennai/ https://www.jananamfertility.com/journal/how-to-choose-a-fertility-clinic-in-chennai/ We won't rank fertility hospitals in Chennai, including ourselves. Check any clinic the same way: its ART registration on the national registry, who does your procedures, how it counts success, a written price, an embryology lab on site, both partners tested, and a plan for when to stop. Jananam Fertility Centre answers all seven in writing. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/how-to-track-ovulation/ https://www.jananamfertility.com/journal/how-to-track-ovulation/ To track ovulation, watch for clear, slippery discharge and use a urine LH kit in the days before you expect it. A temperature chart only confirms ovulation afterwards, and apps only estimate. Sex every 2 to 3 days works almost as well as perfect timing. Jananam Fertility Centre, Chennai, checks ovulation with scans and blood tests. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/iui-vs-ivf/ https://www.jananamfertility.com/journal/iui-vs-ivf/ The difference between IUI and IVF is where fertilisation happens. In IUI, washed sperm are placed in the womb and the egg is fertilised inside the body. In IVF, eggs are collected and fertilised in a lab. At Jananam Fertility Centre, Chennai, both partners are tested first, and the choice rests on tubes, sperm, age and egg reserve. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/ivf-and-iui/ https://www.jananamfertility.com/journal/ivf-and-iui/ IUI suits couples with at least one open tube, adequate sperm and time on their side. IVF is for blocked tubes, low sperm, low egg reserve, rising age, or IUIs that have not worked. At Jananam Fertility Centre, Chennai, an IUI limit is agreed by age before the first cycle, so no one repeats IUI indefinitely. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/ivf-failed-what-next/ https://www.jananamfertility.com/journal/ivf-failed-what-next/ After a failed IVF cycle, find out why before deciding what next: how the ovaries responded, how many eggs were mature, how the embryos grew and how the transfer was prepared. At Jananam Fertility Centre, Chennai, we read the whole file first, then plan without a long gap, because waiting too long is the commonest mistake. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/ivf-myths/ https://www.jananamfertility.com/journal/ivf-myths/ Most IVF myths are either too hopeful or too frightening. IVF does not guarantee a baby, and it is not only for older women. Bed rest after transfer does not help, stress is unlikely to make treatment fail, and studies of children born after IVF are reassuring. Jananam Fertility Centre, Chennai, checks each claim against the evidence. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/ivf-treatment-plan-at-jananam/ https://www.jananamfertility.com/journal/ivf-treatment-plan-at-jananam/ An IVF cycle at Jananam Fertility Centre, Chennai, starts on day 2 of your period with a scan and blood test. Then come about 8 to 12 days of injections with scans, a trigger injection, and egg collection 34 to 36 hours later. Embryos grow in our lab, and most are frozen and transferred in a later cycle. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/lifestyle-before-ivf/ https://www.jananamfertility.com/journal/lifestyle-before-ivf/ Start about three months before trying or IVF, and change it together. A healthy weight comes first, then no smoking or tobacco, little or no alcohol, about seven hours of sleep, a daily folic acid tablet, and thyroid, sugar and blood pressure brought under control. At Jananam Fertility Centre, Chennai, your targets come from your tests, not a chart. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/low-dose-aspirin-conception/ https://www.jananamfertility.com/journal/low-dose-aspirin-conception/ No guideline recommends low-dose aspirin to help you conceive. In a large trial of women trying for a baby, it did not raise live births overall. Aspirin is advised in pregnancy for specific reasons, such as a high risk of pre-eclampsia or antiphospholipid syndrome. At Jananam Fertility Centre, Chennai, take it only if a doctor prescribes it for you. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/low-sperm-count-before-icsi/ https://www.jananamfertility.com/journal/low-sperm-count-before-icsi/ ICSI injects one sperm into each egg, so a low count stops being a barrier to fertilisation. It does not improve the sperm. Some causes, such as a varicocele, infection, hormone problems, smoking or heat, can be treated, and sperm take about 2 to 3 months to form. Jananam Fertility Centre, Chennai checks him first. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/managing-chemical-pregnancy-what-to-expect-with-bleeding-duration-and-emotional-recovery/ https://www.jananamfertility.com/journal/managing-chemical-pregnancy-what-to-expect-with-bleeding-duration-and-emotional-recovery/ A chemical pregnancy is a very early miscarriage: the test turns positive, then the pregnancy stops before a scan can see it. The bleeding is usually like a period and lasts about as long. No treatment is needed. At Jananam Fertility Centre, Chennai, we check that hCG falls, then look for a cause after two losses. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/normal-count-abnormal-sperm/ https://www.jananamfertility.com/journal/normal-count-abnormal-sperm/ Not always. The count is one line of a semen report. Movement, shape, volume, signs of infection and DNA damage can still lower the chance of pregnancy, and a normal report says nothing about her tubes or ovulation. At Jananam Fertility Centre, Chennai, the whole report is read with both partners before anyone decides what comes next. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/ovulation-after-iud-removal/ https://www.jananamfertility.com/journal/ovulation-after-iud-removal/ Fertility returns as soon as an IUD is removed, copper or hormonal (NHS). After a hormonal IUD, periods may take a few months to settle, but you can conceive in the first cycle. Jananam Fertility Centre, Chennai suggests a check if cycles are still irregular after 3 to 4 months. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/pcos-and-trying-to-conceive/ https://www.jananamfertility.com/journal/pcos-and-trying-to-conceive/ Start by confirming it is PCOS and checking both of you: a scan, hormone tests including thyroid and prolactin, a tube check and his semen analysis. Then treatment goes in order: weight and lifestyle, ovulation tablets such as letrozole with scans, low-dose injections, and IVF last. At Jananam Fertility Centre, Chennai, most women begin on the lowest step. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/post-ejaculation-screen/ https://www.jananamfertility.com/journal/post-ejaculation-screen/ A post-ejaculation urine test checks a urine sample passed straight after orgasm for sperm. Finding sperm confirms retrograde ejaculation, where semen flows back into the bladder. At Jananam Fertility Centre, Chennai, it is done when a semen analysis shows low or no volume, and sperm found in urine can sometimes be used for IUI or ICSI. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/post-embryo-transfer-dos-and-donts/ https://www.jananamfertility.com/journal/post-embryo-transfer-dos-and-donts/ After an embryo transfer, lie down for about 20 minutes, empty your bladder and go home. Bed rest is not needed: work, housework, stairs, walking and travel are all safe. At Jananam Fertility Centre, Chennai, we ask you to avoid heavy gym lifting and intercourse, take every prescribed medicine on time, and test on the day we give you. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/questions-to-ask-your-ivf-doctor/ https://www.jananamfertility.com/journal/questions-to-ask-your-ivf-doctor/ Ask for your own numbers at every stage: eggs collected and how many were mature, how many fertilised, how the embryos grew, and how many were frozen. Ask why this plan, what it costs in writing, which add-ons have evidence, and when you would stop. At Jananam Fertility Centre, Chennai, the doctor goes through these numbers with you. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/reading-your-embryo-report/ https://www.jananamfertility.com/journal/reading-your-embryo-report/ An embryo report records how each embryo looked under the microscope on each day. In a blastocyst grade such as 4AA, the number is expansion and the letters rate the inner cell mass and the outer layer. At Jananam Fertility Centre, Chennai, we read reports line by line and explain that a grade ranks embryos but never guarantees pregnancy. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/short-luteal-phase/ https://www.jananamfertility.com/journal/short-luteal-phase/ A short luteal phase is 10 days or less between ovulation and your next period. It can reflect thyroid, prolactin, weight, stress or ovulation problems, and those can be treated. Research has not shown that it causes infertility on its own. At Jananam Fertility Centre, Chennai, we look for the cause before offering progesterone. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/telling-family-about-ivf/ https://www.jananamfertility.com/journal/telling-family-about-ivf/ You do not have to tell anyone about IVF; it is a medical decision for you, your partner and your doctor. If you do tell family, decide together first, say it plainly and say what you want from them. At Jananam Fertility Centre, Chennai, we never discuss a patient with relatives the patient has not authorised. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/trying-to-conceive/ https://www.jananamfertility.com/journal/trying-to-conceive/ See a fertility doctor after 12 months of regular unprotected sex, or after 6 months if she is 35 or over. Go sooner with irregular periods, known endometriosis, a past pelvic infection or a known sperm problem. At Jananam, Chennai, the first check-up tests both partners together, so no months are lost. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/twins-in-ivf/ https://www.jananamfertility.com/journal/twins-in-ivf/ Yes, twins are more common after IVF, mainly because more than one embryo may be transferred. A twin pregnancy carries higher risks for mother and babies, including preterm birth and pre-eclampsia. At Jananam Fertility Centre, Chennai, we never transfer more than two embryos, and one embryo is preferred whenever embryo quality allows. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/unexplained-infertility-is-ivf-the-only-option/ https://www.jananamfertility.com/journal/unexplained-infertility-is-ivf-the-only-option/ No. When every test is normal but pregnancy has not happened, the diagnosis is unexplained infertility, and IVF is one option among several. More time trying, IUI with ovarian stimulation, and IVF are all reasonable. At Jananam Fertility Centre, Chennai, the choice rests on the woman's age, how long you have tried and her egg reserve. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/we-test-him-first/ https://www.jananamfertility.com/journal/we-test-him-first/ Yes. A semen analysis is one sample, painless and quick, and a male factor is part of the reason in about half of couples who struggle to conceive. At Jananam Fertility Centre, Chennai, his test is in the first round, alongside hers, so no woman has invasive tests or months of treatment before his result is known. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/when-to-move-from-iui-to-ivf/ https://www.jananamfertility.com/journal/when-to-move-from-iui-to-ivf/ Move from IUI to IVF once IUI has had a fair but limited try for your age, or straight away if tests show IUI cannot work. At Jananam Fertility Centre, Chennai, the number of IUI cycles is agreed before the first one, by her age and egg reserve, so no couple repeats IUI for a year without a reason. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/when-to-stop-ivf/ https://www.jananamfertility.com/journal/when-to-stop-ivf/ There is no fixed number of cycles after which IVF must stop. The decision rests on what each cycle shows: the eggs, fertilisation, the embryos and the sperm. At Jananam Fertility Centre, Chennai, the doctor agrees with you before cycle one what would make us change plan, pause or recommend stopping, and says so plainly. Tue, 29 Sep 2026 09:00:00 GMT https://www.jananamfertility.com/journal/when-to-take-pregnancy-test-with-irregular-periods/ https://www.jananamfertility.com/journal/when-to-take-pregnancy-test-with-irregular-periods/ With irregular periods or PCOS, count from ovulation, not from a missed period: test 14 days after ovulation. If you cannot tell when you ovulated, test at least 21 days after the last time you had unprotected sex, as the NHS advises. Jananam Fertility Centre, Chennai can confirm with a blood hCG test and a scan. Tue, 29 Sep 2026 09:00:00 GMT