Best IVF Clinic in Kathmandu, Nepal: Expert Fertility Care | Vatsalya
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Vatsalya Natural IVF

Nepal's NO.1 IVF clinic with for over 15 years of excellence, delivering advanced fertility care.

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 " Every couple is unique, and so is their journey to parenthood. At Vatsalya, we are dedicated to transforming the hope of parenthood within you into life. Rooted in the meaning of our nameVatsalya, the pure love of parents for their childrenwe provide compassionate, personalized, and world-class infertility care in Nepal. With over 15 years of global experience and a highly specialized team, we offer advanced infertility solutions under one roof, combining advanced technology with a cost-effective approach. "  

Who are we

Turning hope into Happiness

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We are more than just a fertility center—we are a beacon of hope for families longing to grow. With cutting-edge technology and compassionate care, we guide you through every step of your fertility journey, ensuring unwavering support and expert medical attention.

From fertility consultations to advanced treatments like IVF and IUI, we provide personalized care tailored to your journey. With cutting-edge technology and a team that truly cares, we turn possibilities into parenthood, one success story at a time.

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WHAT DO WE DO

Creating paths to parenthood

What we Offer

Comprehensive Fertility Care, Tailored for You

Antenatal Checkup

Antenatal Checkup

Prenatal care, also known as antenatal care, is a type of preventive healthcare. Its goal is to provide regular check-ups that allow doctors to treat and prevent potential health problems throughout the course of the pregnancy and to promote healthy lifestyles that benefit both mother and child. A proper antenatal check-up provides necessary care to the mother and helps identify any complications of pregnancy such as anemia, pre-eclampsia and hypertension etc. in the mother and slow/inadequate growth of the fetus.

Donor Treatment

Donor Treatment

Starting your own family sometimes is challenging. Despite trying to conceive in natural form, there are couples who still fail and choose IVF for family progression. However, there are couples who still want to consider donor treatment by using donor eggs or donor embryos for donor pregnancy. There are certain cases where patients embark on treatment using eggs or sperm donated either by their relatives or anonymous person. 

Vatsalya offers several options to them from the moderate level of intervention before proceeding with further treatment. 

Fertility Preservation

Fertility Preservation

The desire to give birth to your child has become an increasing real option for the patients surviving cancer treatment or under-going different medical therapies. With the introduction of fertility preservation, the couple today have started taking up the decision of late pregnancy.

While on the other hand, women go for fertility preservation for several reasons including damage to ovaries or due to constant exposure to toxic chemicals, while men take the treatment if wanting to go for vasectomy procedures or any other radiated treatment. 

Hence, preserving a protective tissue through fertility preservation can prevent the scenario of child-bearing delays and its associated complications. 

Infertility Treatment

Infertility Treatment

Finding out that you and your partner are unable to carry the family legacy can be upsetting, daunting and agonizing. But remember you are not alone, as plenty of Nepalese couple faces the situation of infertility despite frequent unprotected intercourse for years.

Infertility may result when a woman is unable to conceive or carry a pregnancy for long-term or when a male member fails to produce quality sperms. Fortunately, several safe and effective therapies improve the chances of getting pregnant and building your family. Followed by a few investigations and tests, the infertility specialist can provide appropriate recommendation for the male and female infertility treatment. It might be regulating hormones with certain drugs or choosing from some Assisted Reproductive Technologies (ART). IUI, IVF, IVF with ICSI are few common fertility treatments provided to infertile couples.

Infertility Diagnosis

Infertility Diagnosis

Infertility generally occurs when the couple fail to conceive despite regular inter course of more than 12 months without using any birth controls. It may be that one partner who is unable to hold pregnancy for 9 months or the other one who cannot contribute to conception.

Among the 60 million couple diagnosed with infertility, the majority are from the developing countries. Negative causes of secondary infertility and reproductive outcomes are basically from an unhealthy lifestyle such as obesity, poor diet, excessive stress, late marriage, frequent abortion, drinking and smoking.

How we work

Guiding You Through Every Step with Compassion & Care

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Book Your Appointment
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Book Your Appointment

Kickstart your journey by setting up an appointment with our fertility experts. We’ll listen to your story, understand your concerns, and plan the best way forward for you.

Get Checked & Understand Your Options
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Get Checked & Understand Your Options

We do important health checkups and tests to get a clear picture of your fertility. Our experts will explain everything in simple terms, so you know what’s next and feel confident moving forward.

Start Your Treatment with Care
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Start Your Treatment with Care

Based on your results, we’ll start the best treatment for you—whether it’s a natural approach or an advanced fertility option. Our focus is on making the process smooth, safe, and as stress-free as possible.

Stay Supported Every Step of the Way
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Stay Supported Every Step of the Way

Your journey doesn’t stop after treatment. We’ll be with you for follow-ups, emotional support, and guidance for the future, making sure you feel cared for at every stage.

WHEN TO VISIT

Signs You Should See a Fertility Specialist

  • Couples who cannot conceive naturally
  • Couples with recurrent pregnancy losses
  • Couples carrying genetically inherited disorders
  • Men with fertility issues
  • Women having problems conceiving due to ovarian causes
  • Couple suffering from STDs
  • Cancer patients who want to preserve their eggs
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MEET OUR EXPERTS

World-Class Doctors, Dedicated to Your Care

Dr. Akriti Bharati

Dr. Akriti Bharati

Senior Fertility Specialist


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Dr. Nija Rajbhandari

Dr. Nija Rajbhandari

Senior Fertility Specialist


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Dr. Pratikshya Pandey

Dr. Pratikshya Pandey

Senior Fertility Specialist

Dr. Pratikshya Pandey is a leading fertility specialist with over 15 years of experience in treating infertility and reproductive health conditions. She specializes in IVF, IUI, egg freezing, and advanced fertility treatments, helping countless couples achieve their dream of parenthood.

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Dr. Upama Basnet

Dr. Upama Basnet

Fertility Specialist


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Dr. Lata Shrestha

Dr. Lata Shrestha

Senior Fertility Specialist


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Dr. Husneyara Haque

Dr. Husneyara Haque

Senior Fertility Specialist


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Dr. Asmita Pandey

Dr. Asmita Pandey

Fertility Specialist


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Dr. Dipti Das

Dr. Dipti Das

Senior Fertility Specialist


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Mr. Suresh Yadav

Mr. Suresh Yadav

Senior Clinical Embryologist


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Dr.Tika Gurung

Dr.Tika Gurung

Senior Fertility Specialist

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Dr.Bidhya Mahto

Dr.Bidhya Mahto

Fertility Specialist

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Dr.Pratigyan Gautam

Dr.Pratigyan Gautam

Fertility Specialist

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Dr.Benju Pandit

Dr.Benju Pandit

Fertility Specialist

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Dr.Upasana Koirala

Dr.Upasana Koirala

Fertility Specialist

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Dr.Ruby Rasaily

Dr.Ruby Rasaily

Fertility Specialist

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Dr.Babita Thapa

Dr.Babita Thapa

Fertility Specialist

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15Years

Caring for Families

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5000+

Successful IVF Treatments

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30+

Expert Specialists

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15,000+ Miracles

Bringing hope, joy, and new beginnings—Vatsalya has helped 15,000+ families with successful natural IVF. Your journey to parenthood starts here

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Testimonial

Voices of Our Valued Patients

Video testimonial by A Journey Filled with Hope and Success!

After being diagnosed with low sperm count, we felt hopeless and emotionally drained. Then we found Vatsalya IVF and met Dr. Nija Rajbhandari. Her confidence and clarity gave us new hope. The entire team was supportive, professional, and genuinely caring. Thanks to their expertise and encouragement, we welcomed our baby boy after a successful IVF cycle. Vatsalya is truly the best IVF center in Nepal – our lives are forever changed!

Sujan & Manju Karki

Video testimonial by From Disappointment to Parenthood – Thank You, Vatsalya IVF!

We struggled with infertility for years due to my husband's low sperm count. We had almost given up until we came to Vatsalya IVF. Dr. Nija Rajbhandari listened to us with compassion, explained every step, and designed a treatment plan tailored to our situation. The entire process—from IVF to embryo transfer—was handled with such care and precision. Today, we are holding our little miracle in our arms. We’re forever grateful to Dr. Nija and her amazing team for making our dream come true!

Anita & Rabin Shrestha

Video testimonial by Miracle After Male Infertility – Grateful to Vatsalya IVF!

After being diagnosed with low sperm count, we felt hopeless and defeated. Many people told us IVF might not work, but then we found Vatsalya IVF and Dr. Nija Rajbhandari. From the very first consultation, she gave us hope and confidence. The care, professionalism, and advanced techniques used by the team were outstanding. Thanks to Dr. Nija and the skilled embryologists, we are now proud parents of a healthy baby boy. Vatsalya truly lives up to its name – it gave us a new life. Highly recommended to any couple struggling with infertility!

Sagar & Meera Thapa

Video testimonial by After years of uncertainty, Vatsalya gave us hope—and now we hold our little miracle in our arms.

For five years, we faced heartbreak after heartbreak, trying every possible treatment without success. The emotional and physical toll was overwhelming, and we were close to giving up. Then we found Vatsalya. From the very first consultation, we felt a renewed sense of hope. The doctors were not only experts in fertility care but also compassionate guides who truly understood our pain. Every step of the journey was personalized, and the unwavering support we received made all the difference. Today, as we hold our little one in our arms, we know that choosing Vatsalya was the best decision we ever made.

Ramesh & Sita

Video testimonial by Nirmal Karki

After experiencing several miscarriages caused me a lot of anxiety. Vatsalya takes care of you like family. They never let miss an appointment and make you feel really supported and comfortable. All these years of hopping from one clinic to another, finally I did find my solution in Vatsalya.

Nirmal Karki

Video testimonial by Umesh Shrestha

If I have to describe Vatsalya, I would choose transparent and efficient. Incredible management and friendly atmosphere, exactly what an infertility agents needs, and that's what Vatsalya provides. The staff make you feel so welcome and develop complete faith in the treatment and yourself.

Umesh Shrestha

FAQs

Answers to Your Fertility Questions

What is infertility?

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It is a condition of the reproductive system in which the couples are unable to conceive even after trying for more than a year without the use of any type of contraceptives.

Is infertility primarily a woman's problem?

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It is a common assumption that infertility is primarily related to the woman. In reality, only one-third of infertility cases are related to the woman alone. Statistically, one-third of infertility problems are related to men and the remaining one-third is a combination of fertility factors involving both partners or due to unknown causes. Unknown causes account for approximately twenty percent of infertility cases.

Does age have any role on infertility?

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Age affects the ability to conceive and have a healthy baby. Age is the single biggest factor affecting a woman’s fertility. For men, age-related fertility decline is more subtle but does happen. A woman’s fertility starts to decline in her early 30s, with the decline speeding up after 35.

What is IUI process?

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IUI stands for intrauterine insemination. It is one of the common techniques of ART (Assisted Reproductive Technology). In this process, the processed (washed) sperm is used and put directly to the female’s uterus. This process is matched with natural ovulating cycle.

बाँझोपन भनेको के हो?

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कुनै पनि गर्भरोधक साधनको प्रयोगबिना १ वर्षभन्दा बढी समय सम्म गर्भधारण गर्न नसकिएको अवस्था बाँझोपन हो ।

Blogs

Latest News & Articles

Video testimonial by IVF Cost in Nepal: Full Breakdown & What to Expect

9 Jul 2025

IVF Cost in Nepal: Full Breakdown & What to Expect

Nepal is becoming a key spot for fertility treatments. It draws both local and international patients. This is because of its low prices and better success rates.

The affordable IVF cost in Nepal is a big reason why people choose it. It's a great option for those looking for fertility help without the high costs found elsewhere.

Nepal's medical tourism is growing fast. This shows its growing fame in the medical world, mainly for IVF treatments.

Key Takeaways

  • Nepal offers competitive pricing for IVF treatments.
  • The country is experiencing a rise in medical tourism.
  • Success rates for IVF treatments in Nepal are improving.
  • IVF cost in Nepal is affordable for both locals and international patients.
  • Nepal is becoming a preferred destination for fertility treatments.

The Current State of IVF Treatment in Nepal

Nepal is becoming a top choice for fertility treatments. It's known for being affordable and having good success rates. This mix of quality and cost makes it appealing to many.

Nepal's Growing Reputation for Affordable Fertility Treatment

Nepal's fertility clinics are known for their quality IVF services at good prices. This is because they offer advanced treatments at lower costs than many other places.

Accessibility for Locals and International Patients

IVF services in Nepal are open to everyone. Clinics serve patients from all over, speaking many languages and meeting cultural needs.

Appeal to South Asians and Non-Resident Nepalese

IVF services in Nepal are attractive to South Asians and NRNs. They find the culture familiar and the prices better than in other countries.

Rising Medical Tourism for IVF Procedures

Nepal is seeing more medical tourists for IVF. The quality care, modern facilities, and good prices are drawing them in.

The IVF success rate in Nepal is getting better. Top clinics have the latest technology and skilled doctors.

Success Rates and Quality of Care

IVF success rates in Nepal are going up. This is thanks to better technology and care. Patients get high-quality medical treatment, following international standards.

  • Advanced fertility treatments available
  • Competitive pricing for IVF services
  • High-quality care from experienced specialists

Nepal's reputation for IVF treatment is well-earned. It offers a great mix of affordability, quality, and accessibility.

Understanding IVF and Its Variants

It's important to know about IVF and its different types if you're thinking about fertility treatments. IVF, or In Vitro Fertilization, is a detailed process that has changed how we treat infertility.

The Basic IVF Process Explained

The IVF process starts with ovarian stimulation. This is when doctors use medicines to make the ovaries produce more eggs.

Step-by-Step Procedure Overview

  • Ovarian stimulation
  • Egg retrieval
  • Sperm collection
  • Fertilization of eggs with sperm in the laboratory
  • Embryo culture
  • Embryo transfer into the uterus

Timeline for a Typical IVF Cycle

An IVF cycle usually takes 1.5 months to 3 months. This time can vary based on how well the ovaries respond to the stimulation.

ICSI, FET, and PGD: Advanced IVF Techniques

Techniques like ICSI, FET, and PGD are used in certain situations. They help improve the chances of a successful IVF outcome.

When Each Procedure Is Recommended

  • ICSI: Recommended for severe male infertility or previous IVF fertilization failure.
  • FET: Used when embryos are frozen for future transfers, reducing the need for repeated egg retrievals.
  • PGD: Advised for couples at risk of genetic disorders or chromosomal abnormalities.

Additional Treatments: Donor Eggs, Sperm, and Embryo Freezing

In some cases, extra treatments like donor eggs, sperm, or embryo freezing are needed.

Indications for Using Donor Materials

  • Poor egg or sperm quality
  • Previous failed IVF cycles
  • Single individuals or same-sex couples seeking to conceive

Knowing about IVF and its types helps people make better choices about their fertility treatments.

IVF Price Overview in Nepal

If you're thinking about IVF in Nepal, knowing the costs is key. The price of IVF can change a lot, but Nepal's prices are often lower than in other places.

Average Cost Range: NPR 330,000–500,000 Per Cycle

In Nepal, one IVF cycle costs between NPR 330,000 and NPR 500,000. This is much cheaper than in many Western countries. That's why Nepal is a popular choice for people looking for affordable medical care.

Factors That Change the Basic Price

Several things can affect how much IVF costs. These include:

  • The need for extra steps like ICSI or PGS
  • The cost of medicines during treatment
  • The clinic you choose and its reputation

Impact of ICSI and PGS on Overall Cost

ICSI and PGS are advanced methods that can make IVF more expensive. ICSI helps with severe male infertility. PGS checks embryos for genetic issues.

Medication Expenses Throughout Treatment

How much you'll spend on medicines depends on how well you respond to treatment. It also depends on the clinic's treatment plan.

What's Typically Included in Base Packages

Most clinics have package deals that include:

Service ................................................................Inclusion

Initial Consultation................................................ Yes

Ultrasound Monitoring ...........................................Yes

Embryo Transfer ................................................... Yes

ICSI .......................................................................Optional

PGS .......................................................................Optional

Factors That Influence IVF Costs in Nepal

The cost of IVF treatment in Nepal depends on several key factors. These factors can greatly affect the total cost. It's important for patients to understand these factors to plan their fertility treatment budget.

Patient Age and Medical History

Patient age and medical history are big factors in IVF costs. Older patients or those with complex health issues may need more treatment. This can include extra procedures or medications, raising the cost.

For example, older patients might need more IVF cycles. They might also need donor eggs or sperm, which adds to the cost.

Clinic Reputation and Location

The reputation and location of the fertility clinic also affect IVF costs. Clinics with high success rates or in urban areas like Kathmandu may charge more. This is compared to less known clinics or those in rural areas.

Required Additional Procedures

Additional procedures like ICSI, FET, or PGD can increase IVF costs. The need for these procedures varies based on individual patient needs. These are determined during the initial consultation and diagnostic testing.

Diagnostic Testing Requirements

Diagnostic testing is a key part of IVF treatment. The costs of these tests can vary. Patients may need hormonal assessments, ultrasound exams, and genetic testing.

Detailed IVF Price Breakdown by Procedure

Starting IVF can be a big step. Knowing the costs helps make better choices. The price of IVF in Nepal changes based on the treatments and services needed.

Standard IVF Cycle Costs

The basic IVF cycle is the start of fertility treatment. Its cost breaks down into several parts.

Consultation and Initial Testing Fees

The first step is talking to a fertility expert and doing tests. These tests check if both partners can have kids. They include hormone tests, ultrasound, and semen analysis. Costs for these can be NPR 2,000 to NPR 30,000.

Egg Retrieval and Embryo Transfer Costs

The main steps in IVF are getting eggs and transferring embryos. Prices vary based on the case and technology used. On average, it costs NPR 150,000 to NPR 250,000 for both steps.

IVF with ICSI: Additional Expenses

ICSI is a special technique used with IVF, mainly for men with fertility issues. Adding ICSI to IVF costs more. It can be NPR 50,000 to NPR 100,000, depending on the clinic and procedure.

Fresh Embryo Transfer (FET) Pricing

FET uses embryos from a past IVF cycle. It's cheaper than a full IVF cycle. Costs are NPR 80,000 to NPR 150,000, as it skips egg retrieval.

Donor Egg and Sperm Cycles

Using donor eggs or sperm increases costs. Donor egg cycles cost NPR 410,000 to NPR 510,000. Donor sperm adds NPR 10,000 to NPR 30,000.

Additional IVF-Related Expenses to Consider

When thinking about IVF in Nepal, remember there are costs beyond the first cycle. The initial IVF price is a big deal, but other costs can quickly add up. This affects the total money you'll spend.

Medication Costs Throughout Treatment

Medication is a big part of IVF costs. The price of fertility drugs varies a lot. On average, patients spend NPR 30,000 to NPR 50,000 on meds per cycle.

Diagnostic Testing Before IVF

Before starting IVF, you'll have tests to check your fertility and health. These tests include hormone checks, ultrasound, and genetic screening. The cost can be NPR 20,000 to NPR 40,000.

Embryo Freezing and Storage Fees

Embryo freezing lets you save embryos for later. The first freezing costs NPR 30,000 to NPR 60,000. Then, there's an annual storage fee of NPR 50,000 to NPR 70,000.

Genetic Testing Options and Costs

Genetic testing is optional but growing in popularity. It helps find genetic issues in embryos. This includes PGD and PGS.

PGD Testing Expenses

PGD and PGS testing can increase IVF costs. PGD costs NPR 80,000 to NPR 1,00000 per cycle.

Top IVF Clinics and Their Price Structures

Nepal's top IVF clinics are now more accessible. They use the latest technology and offer good prices. This makes getting fertility treatments easier.

Leading Fertility Centers in Kathmandu

Kathmandu is home to some of Nepal's best fertility clinics. They provide a wide range of services. This includes basic IVF and advanced treatments like ICSI and PGD.

Services and Specializations

In Kathmandu, clinics specialize in many fertility treatments. For example, Vatsalya is famous for its high IVF success rates.

Price Tiers and Package Options

These clinics have different prices for different needs. A basic IVF cycle costs between NPR 300,000 and NPR 500,000. This depends on the clinic and services needed.

Options in Pokhara and Biratnagar

Pokhara and Biratnagar also have good fertility clinics including branches of popular clinics like Vatsalya. They offer similar services and prices. This makes them great choices for patients.

Comparing Services and Success Rates

Choosing an IVF clinic involves more than just cost. Success rates and doctor experience are also key. Clinics with skilled doctors and high success rates might be the best value.

Doctor Credentials and Experience

Look for clinics with experienced doctors. Dr. Aakriti Bharati, for example, is a well-known fertility specialist with many years of experience.

By comparing clinics, patients can make better choices. This helps them find the right fertility treatment.

Insurance Coverage and Financing Options for IVF in Nepal

For those thinking about IVF in Nepal, knowing about insurance and financing is key. It's a big part of the journey.

Current Insurance Landscape for Fertility Treatments

In Nepal, the insurance for fertility treatments is changing. Many insurers don't cover IVF treatments yet.

Payment Plans and Financing Through Clinics

Many fertility clinics in Nepal have payment plans or financing. These options help spread out the cost of IVF. Each clinic's plans are different, with some being more flexible. For example, Vatsalya Natural Ivf provides EMI financing options for patients looking for a flexible payment method.

Clinic................................... Financing Options....................................... Payment Terms

Vatsalya Natural Ivf ..............EMI, up to 18 months .....................................Low interest Rate

IVF Success Rates in Nepal: What to Expect

IVF success rates in Nepal depend on several things like age and the clinic's skill. Nepal is known for its good success rates and lower costs, making it a favorite for fertility treatments.

Current Success Statistics by Age Group

Age plays a big role in IVF success in Nepal. Women under 35 usually see better results than older women.

  • Women under 30: 40-50% success rate per cycle
  • Women between 30-35: 30-40% success rate per cycle
  • Women between 35-40: 20-30% success rate per cycle
  • Women over 40: 10-20% success rate per cycle

Factors That Influence Success Rates

Many things can affect IVF success, like the clinic's quality, the medical team's skill, and the patient's health history.

Impact of Clinic Experience on Outcomes

More experienced clinics usually have better results. It's important to pick a clinic with a good success record.

How Nepal Compares Internationally

Nepal's IVF success rates are on par with global standards. This is thanks to the use of modern fertility treatments and technology.

Success Rate Reporting Standards

It's important to know how success rates are reported. Different clinics might use different ways to measure success.

By understanding these factors and choosing a reputable clinic, individuals can make informed decisions about their IVF treatment in Nepal.

Nepal IVF Costs vs. International Prices

IVF in Nepal is much cheaper than in Western countries. This makes Nepal a popular choice for medical tourism. The price difference is a big reason why many people choose it for fertility treatments.

Comparison with India and Other South Asian Countries

Nepal's IVF prices are good compared to Western and neighboring countries. For example, India is known for cheap IVF, but Nepal has similar prices. A typical IVF cycle in Nepal costs between NPR 250,000 to NPR 500,000. This is close to what India charges, but the quality and service can vary.

Cost Savings Compared to Western Countries

Nepal is much cheaper than Western countries for IVF. For example, a single IVF cycle in the US costs $15,000 to $20,000. In Nepal, it's much lower. This doesn't mean you get less quality. Many Nepalese clinics meet international standards.

Quality Considerations When Choosing by Price

Balancing Cost and Quality of Care

Cost is important, but so is the quality of care. Patients should look at the clinic's success rates, the staff's experience, and the technology used. Choosing the cheapest option can sometimes lead to lower success rates or extra costs.

Conclusion: Making an Informed Decision About IVF in Nepal

Nepal is becoming a top choice for IVF, offering both affordable prices and quality care. When looking into IVF in Nepal, it's key to know what affects costs and success rates.

Understanding the cost range of NPR 250,000 to 500,000 per cycle is important. Also, consider extra costs for ICSI and FET, and the clinic's reputation. Nepal's clinics are priced lower than in Western countries but have similar success rates.

Prospective patients should think about their needs and the clinic's success rates. They should also consider extra costs for medications, tests, and freezing embryos. Finding the right balance between cost and quality is vital when choosing a clinic in Nepal.

Ultimately, making an informed decision about IVF in Nepal means looking at many factors. Knowing the costs, success rates, and clinic options helps patients confidently start their fertility journey in Nepal.

FAQ

What is the average IVF success rate in Nepal?

In Nepal, the IVF success rate can change based on age and the clinic's experience. For women under 35, it's usually between 40-60% per cycle.

How much does IVF cost in Nepal compared to other countries?

IVF in Nepal is much cheaper than in Western countries. Prices range from NPR 250,000 to NPR 500,000 per cycle. This makes it a good choice for both locals and international patients.

What are the additional costs associated with IVF treatment in Nepal?

Costs can add up with IVF in Nepal. This includes medication, diagnostic tests, and fees for freezing and storing embryos. Genetic testing is also an option, with prices varying by clinic and patient needs.

Are there financing options available for IVF treatment in Nepal?

Yes, many fertility clinics in Nepal offer payment plans and financing options. This makes IVF more affordable for patients.

How do I choose the best IVF clinic in Nepal?

Look at the clinic's reputation, success rates, and doctor credentials when choosing. Also, consider the services offered, price tiers, and package options.

What is the difference between IVF and ICSI?

IVF mixes an egg with sperm in a lab dish. ICSI injects a single sperm into an egg. ICSI is often used for severe male infertility.

Are there any government subsidies or support programs available for IVF treatment in Nepal?

Yes, some government programs offer subsidies for IVF in Nepal. But, eligibility can vary by program and clinic.

How long does a typical IVF cycle take?

A typical IVF cycle lasts about 1.5 months to 3 months. It includes ovarian stimulation, egg retrieval, fertilization, and embryo transfer. The exact time can vary based on individual factors.

Can I use donor eggs or sperm for IVF treatment in Nepal?

Yes, many clinics in Nepal offer donor eggs and sperm. This is a good option for those with specific fertility needs or requirements.

Video testimonial by IUI Success Rate in Nepal

1 Jul 2025

IUI Success Rate in Nepal

For many individuals and couples facing fertility challenges, Intrauterine Insemination (IUI) has emerged as a beacon of hope. As a first-line, minimally invasive fertility treatment, IUI is gaining global attention, including in Nepal, due to its cost-effectiveness and accessibility.

IUI is often recommended before proceeding to more complex treatments like IVF. This procedure involves directly inserting sperm into the uterus, increasing the chances of fertilization. The simplicity and relatively low cost of IUI make it an attractive initial option for those seeking to conceive.

Key Takeaways

●      Understanding IUI as a cost-effective fertility treatment.

●      Recognizing the factors that influence IUI outcomes.

●      Learning about the typical timeline for IUI treatment.

●      Identifying the benefits of choosing IUI over other fertility treatments.

●      Preparing for the IUI procedure and what to expect.

Understanding IUI as a Fertility Treatment

As a fertility treatment, IUI stands out for its minimally invasive nature and relatively high IUI success rate. This makes it an attractive option for many individuals and couples facing fertility challenges.

What Makes IUI a Popular First-Line Treatment

IUI is often chosen as a first-line treatment due to its simplicity and the low risk of complications. It's a procedure where sperm is directly inserted into the uterus, increasing the chances of fertilization.

When Doctors Recommend IUI Before IVF

Doctors often recommend IUI before considering IVF, especially for patients with a good prognosis. Factors such as age, overall health, and the cause of infertility are considered. For instance, a list of criteria might include:

●      Age under 35

●      No known severe male factor infertility

●      Normal ovarian reserve

By understanding these factors, healthcare providers can better advise on the most suitable IUI treatment pathway.

What Is IUI and How Does It Work?

The process of IUI involves placing washed sperm directly into the uterus during ovulation. This fertility treatment is used for various infertility issues, including unexplained infertility, mild male factor infertility, PCOS, and cervical factor issues.

The Step-by-Step IUI Procedure

IUI is a relatively straightforward procedure that involves several key steps. First, the sperm is prepared through a process known as sperm washing.

Sperm Washing and Preparation

Sperm washing is a laboratory process that separates the sperm from the seminal fluid. This step is crucial as it removes prostaglandins and other factors that could cause uterine cramping or other adverse reactions. The resulting sperm sample is then concentrated and prepared for insemination.

The Insemination Process

During the insemination process, the prepared sperm is inserted directly into the uterus using a catheter. This procedure is typically done during ovulation, which is often triggered or monitored through ultrasound to ensure the best timing for fertilization.

Ideal Candidates for IUI Treatment

IUI is often recommended for couples facing specific fertility challenges. Two common indications for IUI are unexplained infertility cases and cervical factor issues.

Unexplained Infertility Cases

For couples with unexplained infertility, IUI can be a first-line treatment. It increases the chances of fertilization by placing sperm closer to the egg.

Cervical Factor Issues

Cervical factor issues, such as cervical scarring or abnormal mucus production, can hinder sperm passage. IUI bypasses these issues by directly placing sperm into the uterus, thus improving the chances of conception.

IUI Success Rate: What the Statistics Tell Us

Understanding the success rate of IUI is essential for managing expectations and making informed decisions about fertility care. The success rate of IUI varies based on several factors, including patient age, fertility diagnosis, and the specific treatment protocol used.

Average Success Rates Per Cycle (10-20%)

Most clinics report a 10–20% success rate per IUI cycle based on patient factors. This rate indicates that out of 100 women undergoing IUI, 10 to 20 can expect to achieve a pregnancy in a single cycle.

Variation Between Clinics and Patients

Success rates can vary significantly between different clinics and patient populations. Factors contributing to this variation include:

●      Age of the female partner

●      Underlying fertility diagnosis

●      Quality of sperm used

●      Specific medication protocols employed

Patients must discuss their circumstances with their healthcare provider to understand their chances of success.

How Success Rates Are Calculated and Reported

IUI success rates are typically calculated based on the number of pregnancies achieved per cycle of treatment. Clinics may report their success rates differently, with some using cumulative success rates over multiple cycles. Understanding how success rates are calculated can help patients make more informed decisions about their treatment options.

Cumulative Success Over Multiple IUI Cycles

For many couples, the journey to success with IUI involves multiple cycles, and understanding this can be incredibly empowering. While a single cycle's success rate is important, it's the cumulative effect over several attempts that often leads to pregnancy.

Building Success Rates Through 3-6 Cycles

Research indicates that cumulative pregnancy rates can significantly increase with multiple IUI cycles. Specifically, after 3–6 cycles, cumulative pregnancy rates can reach 30–60%. This is because each cycle provides a new opportunity for fertilization.

●      Each cycle offers a fresh chance for conception.

●      Cumulative rates provide a more accurate picture of IUI's potential.

When to Consider Moving to Other Treatments

While multiple IUI cycles can be successful, there's a point at which continuing may not be the best option. Typically, if there's no success after six cycles, doctors may recommend exploring alternative treatments like IVF.

The Six-Cycle Threshold

Many fertility specialists suggest that if pregnancy hasn't occurred after six IUI cycles, it may be time to consider other options. This threshold is a general guideline and can vary based on individual circumstances.

Age as a Critical Factor in IUI Outcomes

When it comes to IUI, age is not just a number; it's a critical factor that affects the chances of success. The age of the woman undergoing IUI significantly influences the outcome of the treatment.

IUI Success Rate by Age: The Numbers

Statistics show that women under 35 typically have higher success rates with IUI compared to those over 35. This difference is largely due to the decline in egg quality and quantity with age.

Understanding Ovarian Reserve and Its Impact

Ovarian reserve refers to the quantity and quality of eggs in a woman's ovaries. As age increases, the ovarian reserve decreases, impacting IUI success rates.

Testing Options for Ovarian Reserve

Several tests are available to assess ovarian reserve, including the Follicle-Stimulating Hormone (FSH) test and the Anti-Müllerian Hormone (AMH) test. These tests help fertility specialists understand a woman's potential response to IUI.

Understanding these factors can help individuals make informed decisions about their fertility treatment options.

Medical Conditions Affecting IUI Success

Understanding how medical conditions affect IUI success rates is crucial for individuals undergoing fertility treatment. Certain health conditions can significantly influence the outcome of IUI, making it essential to consider these factors when evaluating treatment options.

IUI Success Rate in PCOS Patients

Polycystic Ovary Syndrome (PCOS) is a common condition among women of reproductive age and is known to affect fertility. Women with PCOS often experience irregular ovulation, which can be addressed through ovulation induction strategies, thereby improving IUI success rates.

Impact of Endometriosis and Other Conditions

Endometriosis is another condition that can impact IUI success rates. The presence of endometrial lesions can lead to inflammation and scarring, potentially affecting fertility. Other conditions, such as uterine abnormalities or tubal damage, can also influence IUI outcomes.

When to Consider Alternative Treatments

In cases where IUI is not successful due to underlying medical conditions, alternative treatments such as In Vitro Fertilization (IVF) may be recommended. IVF can offer higher success rates for individuals with complex fertility issues.

Healthcare providers need to assess individual conditions and tailor treatment plans accordingly. By understanding the impact of medical conditions on IUI success, individuals can make informed decisions about their fertility treatment.

Male Factor Infertility and IUI Outcomes

Understanding how male factor infertility affects IUI success rates is essential for managing expectations and making informed decisions. Male factor infertility refers to fertility issues attributed to the male partner, often related to sperm quality.

Sperm Quality Parameters That Matter

Sperm quality is a critical determinant of IUI success. Key parameters include count, motility, and morphology.

Count, Motility, and Morphology

Sperm count refers to the number of sperm in a given sample. A higher count increases the chances of successful fertilization. Sperm motility is the ability of sperm to move properly through the female reproductive tract. Morphology refers to the shape and structure of sperm, with normal morphology being crucial for fertilization.

When IUI Is and Isn't Recommended for Male Fertility Issues

IUI can be a viable option for couples dealing with mild male factor infertility. However, in cases of severe male factor infertility, other treatments like IVF or ICSI may be more appropriate.

Mild vs. Severe Male Factor Infertility

Mild male factor infertility might involve slightly reduced sperm count or motility, where IUI could still be effective. Severe male factor infertility involves significantly impaired sperm parameters, making IUI less likely to succeed.

Medication Protocols to Improve IUI Success

Understanding the different medication protocols is essential for maximizing IUI success rates. Medication protocols can significantly influence the outcome of IUI treatments by optimizing the conditions for fertilization.

Natural Cycle vs. Stimulated IUI

IUI can be performed in a natural cycle or in a stimulated cycle with medication. In a natural cycle, the body produces its hormones without any external stimulation. In contrast, a stimulated cycle involves the use of medications to stimulate the ovaries to produce multiple eggs, increasing the chances of fertilization.

IUI Success Rate Second Time: What to Expect

A second IUI cycle can bring a mix of emotions, but understanding the factors that influence success can help manage expectations. Couples often wonder if their chances improve with a second attempt.

Factors That May Change Between Cycles

Several factors can change between the first and second IUI cycles, potentially impacting the success rate. These include adjustments in medication, changes in sperm quality, and modifications in the timing of the procedure.

Learning from Previous Attempts

Analyzing the outcomes of the first cycle can provide valuable insights for the second cycle. This includes understanding how the body responds to stimulation medications and identifying any issues with sperm quality.

Adjustments That Can Improve Subsequent Cycles

Based on the outcomes of the first cycle, several adjustments can be made to improve the chances of success in the second cycle.

Medication and Timing Modifications

Modifying the medication protocol or the timing of the IUI procedure can significantly impact the success rate. For instance, adjusting the dosage of fertility drugs or the timing of the insemination relative to ovulation can improve outcomes.

Adjustment

Potential Impact

Medication Protocol Change

Improved egg quality and quantity

Timing Modification

Better synchronization with ovulation

Sperm Quality Improvement

Enhanced fertilization potential

 

Understanding these factors and making informed adjustments can help couples approaching a second IUI cycle to better their chances of success.

IUI Success Rate vs Natural Conception

Understanding how IUI success rates stack up against natural conception can help couples make informed decisions about their fertility treatment options. When comparing the two, it's essential to consider various factors that influence success rates.

When IUI Offers Significant Advantages

IUI can offer significant advantages over natural conception for couples facing specific fertility challenges. For instance, unexplained infertility, mild male factor infertility, and cervical factor infertility are conditions where IUI can improve chances of conception.

Specific Fertility Challenges

Couples dealing with:

●      Unexplained infertility

●      Mild male factor infertility

●      Cervical factor infertility

Cost-Benefit Analysis of Intervention

When evaluating IUI, it's crucial to consider both the financial and emotional aspects. While IUI can be more expensive than attempting natural conception, its benefits often outweigh the costs for many couples.

Financial and Emotional Considerations

The financial investment in IUI includes the cost of the procedure, medications, and any additional testing. Emotionally, the process can be taxing, but the potential for success can make it a worthwhile endeavor. Couples should weigh these factors when deciding on IUI.

The Complete IUI Timeline: From Preparation to Pregnancy Test

Couples considering IUI often wonder what the entire process entails, from the initial tests to the final pregnancy test. Understanding this timeline can help manage expectations and prepare them for what's ahead.

Pre-Treatment Testing and Preparation

Before undergoing the IUI procedure, several steps are taken to ensure that it's the right treatment option and to maximize its chances of success. This phase involves various tests and consultations.

Required Tests and Consultations

Typically, the pre-treatment phase includes:

●      Semen analysis to assess sperm quality and count.

●      Ultrasound to evaluate the uterus and ovaries.

●      Blood tests to check hormone levels and overall health.

●      A consultation with a fertility specialist to discuss the results and the IUI process.

The Two-Week Wait and Beyond

After the IUI procedure, there's a waiting period, often referred to as the "two-week wait," before the pregnancy test. This can be an anxious time for couples.

What to Expect After the Procedure

During the two-week wait, patients are usually advised to:

  1. Continue with any prescribed medications to support implantation.
  2. Avoid strenuous activities that could potentially disrupt the implantation process.
  3. Attend a follow-up appointment for a pregnancy test, usually about two weeks after the IUI.

Understanding the complete IUI timeline helps couples feel more prepared and in control of their fertility journey. By knowing what to expect at each stage, they can better navigate the process and make informed decisions.

Conclusion: Making Informed Decisions About IUI Treatment

Understanding the intricacies of IUI success rate and the factors that influence it is crucial for individuals and couples considering fertility treatment. As discussed, IUI treatment offers a viable option for many, with success rates varying based on age, medical conditions, and other factors.

By grasping the elements that impact IUI success, such as sperm quality, ovarian reserve, and the use of medication protocols, patients can make informed decisions about their treatment path. The cumulative success rate over multiple IUI cycles and the comparison with natural conception rates further aid in setting realistic expectations.

Ultimately, being well-informed about IUI treatment and its success rates empowers individuals to navigate their fertility journey with confidence. Consulting with fertility specialists and understanding the personalized factors at play can significantly enhance the chances of a successful outcome.

FAQ

What is the average IUI success rate per cycle?

The average IUI success rate per cycle is around 10-20%, although this can vary depending on factors such as age, fertility diagnosis, and medication used.

How does age affect IUI success rates?

Women under 35 typically have higher IUI success rates compared to those over 35, as age is a significant factor in fertility.

What is the cumulative IUI success rate over multiple cycles?

After 3-6 cycles, the cumulative pregnancy rate can reach 30-60%, although success rates often plateau after 6 cycles.

How does PCOS affect IUI success rates?

PCOS patients can achieve successful IUI outcomes with ovulation induction strategies, although individual results may vary.

What sperm quality parameters are important for IUI success?

Sperm count, motility, and morphology are crucial parameters that affect IUI outcomes, particularly in cases of male factor infertility.

Can IUI be used for male factor infertility, and when is it recommended?

IUI can be used for mild male factor infertility, but it may not be suitable for severe cases, where alternative treatments like IVF may be more effective.

What medications are commonly used during IUI treatment?

Common medications used during IUI treatment include Clomid, Letrozole, and Gonadotropins, which help stimulate ovulation and improve success rates.

How does IUI compare to natural conception in terms of success rates?

IUI offers significant advantages for specific fertility challenges, and its success rates can be higher than natural conception rates in certain cases.

What can be expected during a second IUI cycle?

Factors that may change between cycles, such as medication and timing modifications, can improve subsequent IUI cycles.

When should I consider moving to other treatments after IUI?

Many doctors recommend switching to IVF after 6 IUI cycles, as success rates often plateau after this point.

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Video testimonial by सम्हालिनुहोस् : अपेक्षा पूर्ण गर्न सम्भव छ

15 May 2025

सम्हालिनुहोस् : अपेक्षा पूर्ण गर्न सम्भव छ

हाम्रो जीवनको हरेक क्षण आकाङ्क्षाहरूले भरिएको हुन्छ। जन्म देखि मृत्युसम्मको यो घडीमा हामी तिनै आकाङ्क्षाहरू पूर्ति गर्नमा समय व्यतीत गर्छौँ। त्यसैले त हामी हाम्रा आकाङ्क्षाहरू पूरा हुँदा निकै खुसी हुन्छौँ र पूरा नहुँदा निकै हतास। आज म आफ्नो आकाङ्क्षाहरूका कथा सुनाउन जाँदै छु।

म मध्यम वर्गीय नेपाली परिवारमा जन्मेर हुर्केकी महिला हुँ। मलाई पनि अरू छोरीहरूलाई जस्तै आफ्नो लक्ष्य अनुसार मेरा बाबा आमाले हुर्काउनु भएको थियो। मेरो हुर्काइको क्रममा समाजमा भएका र हुने गरेका संस्कार, सामाजिक मूल्य मान्यता छोरी हुनुको नाताले छोरीले गर्नु पर्ने संस्कारी बोली व्यवहार सिकाइएको थियो। म २० वर्षकी हुँदासम्म घरको काममा सघाउने, पढ्ने, भाइहरूको हेरविचार गर्ने, खेतिपातिको काममा सामान्य सहयोग गर्ने, आफूले नि पढ्ने गरेर बितेको थियो। म ब्याचलर पढ्दै गर्दा, आफन्तहरूबाट आएको प्रस्तावबाट मेरो मागी विवाह भएको थियो।

दिनहरू रमाइलो सँग चलिरहेका थिए, विवाह भएको २-३ वर्ष सम्म त ठिकै थियो, त्यस पछि हामीले बच्चा जन्माउने रहर गर्न थाल्यौ। परिवार नियोजनका कुनै साधन प्रयोग नगर्दा पनि गर्भ रहेको थिएन। यसै बिचमा मलाई घरमा अनि माइतमा पनि अब त बच्चा पाउनु पर्‍यो नि, के गरेका यिनीहरूले भन्न थालेका थिए। यता हाम्रो प्रयास पनि खेर गैरहेको बेला अरूलाई जवाफ दिन गारो परिरहेको थियो। हामी श्रीमान् श्रीमती पनि ३-४ वर्ष भइसक्दा पनि गर्भ नरहँदा चिन्तित हुन थालेका थियौँ। तर मेरो श्रीमानले आजभोलि धेरै प्रविधि छन् अब जँचाउनु पर्छ भनी रहनु भएको थियो। यस्तै चली रहँदा हामीलाई परिवार देखि समाजले प्रश्न गर्न थालेका थिए। के कारणले तिमीहरू बच्चा जन्माउँदैनौ भन्ने कुराहरू बेला बेला आइरहन्थे। प्राय: ममाथि नै अरूले शङ्काको तेर्सो लगाउँथे। पटक पटक मेरो शारीरिक अवस्थामाथि गरिएको प्रतिक्रियाले मलाई आफ्नो स्वाभिमान र आत्मविश्वासमा ठेस पुगेको महसुस हुन्थ्यो। आफ्ना निकै नजिकका नातेदारहरूबाट मैले कहिल्यै त्यस्तो व्यवहारको आशा गरेकी थिइनँ, तर म उनीहरूलाई मनाउने अवस्थामा थिइनँ।

हामी कामको सिलसिलामा बाहिर बस्छौँ। चाडबाड, सामाजिक, धार्मिक कार्यक्रमहरूमा घरमा जाँदा समेत छरछिमेक, नातेदारहरूले बच्चा किन नभएको भन्दै प्रश्न गर्दा मलाई निकै अप्ठ्यारो लाग्थ्यो। कुन मुखले के जवाफ दिनु भन्ने लागेर म मौन बस्थेँ।

अब त माइतीमा जाँदा पनि मेरा साथीहरू आफ्ना प्यारा प्यारा बच्चा लिएर आउँदा मलाई खिन्न हुन थालेको छ। जता गए पनि तिमी भन्दा पछि विवाह गरेकी ऊ शर्मिलाको दुई वटा बच्चा भइसके तिम्रो किन हो, के भयो, जुवाइँ सँग त राम्रो नै छ नि भनेर हाम्रो सम्बन्धमा समेत शङ्का गर्न थालेका छन्। म “होइन, केही छैन” भन्न समेत अप्ठ्यारो मान्न थालेकी छु।

पनि रहर पूरा नहुँदा साँच्चै नै नरमाइलो लाग्छ। कहिलेकसो त यति खालि महसुस हुन्छ कि कसैसँमेरो भाइ बुहारीको विवाह भएको एक वर्षमै बच्चा भयो। देवर देउरानीको पनि एक वर्षकी छोरी भइसकी। उनीहरूको भयो भनेर मलाई भाइको भइसक्यो, दिदीको विवाह भएको यतिका वर्ष भइसक्यो, के भयो भन्दै सबैले सोध्ने गरेकोले मलाई मनमा चिसो पस्ने गरेको छ। घरपरिवारमा अनि समाजमा आफू भन्दा साना उमेरकाले बच्चा लिएर हिँड्दा मलाई रहर लागेर आउँछ। रहर लाग्नु सामान्य कुरा हो,तर प्रयास गर्दा गर्दै पनि रहर पूरा नहुँदा साँच्चै नै नरमाइलो लाग्छ। कहिलेकसो त यति खालि महसुस हुन्छ कि कसैसँग नबोली ढोका बन्द गरेर दिन बिताउँछु। आजभोलि श्रीमान् पनि पहिले जस्तो नम्र स्वभावको हुनुहुन्न। किन हो, उहाँले अर्को विवाह गर्नुहुन्छ कि भन्ने डर मनमा लागिरहन्छ। यसमा न मेरो, न उहाँको केही दोष छ। तैपनि पीडा र वेदना भने महिलाले नै भोग्नुपर्ने रहेछ।

हामीले उपचार पनि गर्दै छौ, तर कारण पत्ता लागेको छैन। घर परिवार, नातागोता पनि मेरो मात्रै कमजोरी होला जस्तो कुरा गर्छन्। समाजमा मेरो मात्र नभई अरू बच्चा नभएको महिलाको कारणले नै होला जस्तो कुरा हुन्छ। यस्ता कुरा बढी मैले नै सुन्नु पर्छ त्यसैले मलाई दिक्क लागेर आउँछ। अब त कतै सामाजिक कार्यक्रममा पनि जान नपरे हुन्थ्यो जस्तो लाग्छ। देवर देवरानीको बिहेको १ वर्षमै बच्चा हुँदा, मेरो श्रीमानले मलाई मेरै गल्तीले बच्चा नजन्मिएको हो जसरी गाली गरिरहनु भएको थियो। श्रीमानलाई “हजुरको पनि त समस्या हुन सक्छ। हस्पिटल गएर अलि राम्रोसँग चेक गराऔँ न त” भन्न मन थियो तर अनायासै उहाँको रिस देखेर मुख खोल्ने आँट गर्न सकिनँ। यस्तो हुँदा मलाई धेरै रुन मन लाग्छ, अहिले त को सँग रुने, साथी समेत पाउन छाडिसके। कसैसँग पनि खुलेर कुरा गर्न सक्दिनँ। समाजमा हुने शुभ कार्य, शुभ साइतमा समेत बच्चा नपाएकी महिला देख्यो भने साइत पर्दैन भन्छन्, त्यस्तो कुराले मलाई अझ दु:ख लाग्छ। श्रीमान् पनि मेरै कारणले नभएको जस्तो गरी तानाबाना सुनाउनु हुन्छ।

सासु आमाले पनि मलाइ हेयको दृष्टिले हेर्न थाल्नु भएको छ। यसको बच्चा भएन, तैले नि:सन्तान भएर बस्ने कुरा हुँदैन बाबु, अब विकल्प खोज्नपर्छ भन्न थाल्नु भएको छ। पहिला कति माया गर्ने सासु आमा अहिले मलाई अलछिना, थारी, साइतको बेलामा यसको मुख हेर्न हुँदैन भन्न थाल्नु भएको छ। अब त हुँदा हुँदा ससुरालाई समेत मेरो विरुद्ध बोल्न बाध्य पर्न थाल्नु भएको छ। ससुरा बा पनि एउटा नाति दिन सकिनस् भन्दै तनाव दिन थाल्नु भएको छ। मेरो श्रीमान् आमा बाको कुरा सुनेर मलाई नै गलत देख्न थाल्नु भएको छ। यस्तो घरपरिवार र समाजबाट अवहेलना हुँदा मलाई दिन पनि रात जस्तै अँध्यारो भएको छ। सहयोग गर्ने, सल्लाह दिने कोही पाएकी छैन। समस्याको समाधान भन्दा पनि मलाइ नै दोष थोपरेर सबै उम्कन खोज्दै छन्।

यति हुँदा पनि म हरेस भने खाएकी छैन, मैले विभिन्न उपचार पद्धति बारेमा अध्ययन गरेकी छु। राम्रो सँग चेक जाँच गरेको खण्डमा समाधानको बाटो पनि हुछ भन्ने मलाई आशा छ। गत महिना माइत जाँदा आमाले एकजना उपचार गरेर बच्चा भएकी मेरी साथी सँग सोध्नु भएको रहेछ। आमाले त्यही बारेमा मलाई भन्नु भएको थियो, त्यसको ठेगाना लेखेर ल्याउनु भको रैछ, अब श्रीमान् लाई भनेर यी प्रविधि मध्ये IVF प्रभावकारी हुन्छ भन्ने सुनेकी छु। कति दम्पतिले त सामान्य औषधोपचार गराएर पनि सन्तान जन्माएको कुरा सुन्दा मेरो हौसला अझै बढेको छ। अब मैले निराश हुनु भन्दा पनि उपचार पद्दतिमा लाग्ने प्रण गरेकी छु। श्रीमानसँग खुलेर आफ्नो समस्या भन्ने अठोटमा छु। नि:सन्तानको परिस्थिति कठिन अवश्य छ तर श्रीमान श्रीमतीको दृढ प्रयत्न र धैर्यताबाट पार लगाउन सकिन्छ। हामी दम्पतिको जीवनशैली र खानपानको कारणले पनि नि:सन्तानको समस्या देखिएको हुन सक्छ। त्यसैले हामी दम्पति सर्वप्रथम आफ्नो स्वास्थ्यमा ध्यान दिने अठोट राखेका छौँ। मैले नि:सन्तानको यात्रामा यति कुरा थाहा पाएकी छु कि कुराहरू मनमा लुकाउन भन्दा भएको समस्यालाई स्वीकार गरेर समस्याको समाधानतिर जति छिटो जान सक्यौँ, त्यति नै यो यात्रा सहज हुने रहेछ। आशा सबैभन्दा ठुलो हतियार हो। मेरो यही आशा छ, हाम्रो घरमा शीघ्र सन्तानको आगमन हुने छ।

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