Dr. Neeraj Pahlajani

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HomeFertility ExcellenceIntra-uterine insemination (IUI)

Cost of treatment

Infertility, the inability to have children affects one in every seven couples of fertile age. The infertility rate is increasing as a result of increased stress, competitive work environment, hectic and fast paced imbalanced lifestyle, urbanisation, environmental toxins, delayed marriage and prolonged family planning.

Pahlajani Test Tube Baby Centre is a single window one stop centre for infertility treatment, IVF treatment and assisted reproduction, providing world-class technology and professional care at an affordable cost with outstanding pregnancy rates. Our centre is one of the most advanced centres for infertility evaluation, establishing reproductive health and assisted fertilization services in the country today. In a relaxed, caring and supportive environment we aim to provide customized solutions for each couple. We understand well the sensitive emotions involved in the fertility treatment and ensure complete privacy during and after the treatment.

Infertility exacts an enormous toll on both the affected individuals and on society. Couples in their most active and productive years are distracted by the physical, financial and emotional hardships of this disease. For these couples, infertility is more than a disease, it is a devastating life crisis which can greatly impact the couple's general health, marriage, family relationships, job performance and social interactions. Added to the emotional and physical toll exacted by infertility is the financial burden carried by some couples seeking treatment for their disease.

We aim to ease this burden by providing comprehensive information and alternative options for making your infertility affordable. Our team of internationally trained and experienced fertility specialists, embryologists, gynaecologists, andrologists, holistic medicine experts, gynae-oncologists, legal counselors, psychological counselors and other skilled clinical staffs guide the couples facing difficulties in conceiving, and provide comprehensive solutions to help them achieve healthy parenthood.

The availability of modern assisted reproductive techniques, such as IVF, have made treatment even more expensive - since so much expertise and technology is needed for these procedures. This means that there really is no upper limit to how much you can spend in your pursuit of a baby!

You need to control your finances - and it is unfortunately only too common to find patients who are so desperate to have a baby, that they have begged and borrowed, and even sold their lands, possessions and belongings, so that they could continue trying to have a baby.

Of course, for infertile couples, a baby is priceless, but you cannot afford to waste money. You may need to shop around to get a realistic estimate of how much IVF Cost, treatment costs. Charges vary widely - and don't automatically assume that the more expensive a clinic, the better it is.

You need to consider the cost-effectiveness of each treatment option. While it is true that an IVF cycle is four times as expensive as an IUI cycle, the chance of a pregnancy is also four times as great! A common mistake patients who are not very well off often make is that they repeat the treatment of IUI repeatedly, because they feel that they cannot afford IVF. However, in the long run, they often end up spending even more! You need to have a plan of action, and to stick to it, rather than to keep on trying the same treatment over and over again, just because it is less expensive!

When considering expenses, you need to consider not only the money you will be spending, but the time and energy you need to invest as well! All of us have finite resources - and you need to invest them carefully. Ironically, infertile patients who are rich are subject to the risk of overtreatment. Just because they can afford it, doctors advise them to go in for an IVF cycle, while simpler treatments such as IUI could also have helped them to get pregnant.

It is important to get a breakdown of the expenses for all procedures - preferably in writing. For example, for surgery, find out what is included in the quoted figure - does this include just the surgeon's fees ? the assistant's ? anesthesia? theatre charges ? hospitalisation ? followup visits ? Often what is excluded can add up to a pretty penny! This is especially true for IVF treatment, where "hidden expenses" can lead to your spending much more than you had bargained for.

Patients are often reluctant to talk about money and expenses with doctors - but remember, it's your hard-earned money you are spending. You can't afford to shy away from this topic. Doctors are also sometimes vague about money matters - and this makes getting specific figures so much more important. You need to calculate what your total expenses will be, not just the medical IVF Costs. Remember to include travelling costs; lodging and boarding if you are from out-of-town; and the cost of time taken off work.

Do insurance companies cover infertility treatment ?

Unfortunately, most insurance companies in India will not reimburse you for the medical expenses for treating infertility - they still take the old-fashioned view that infertility is not a medical problem! A number of couples are also reluctant to claim for medical expenses for treatment, since they do not wish to disclose to anyone else that they are infertile. Also, Government medical facilities rarely provide quality care for infertility, since this is not a primary concern for them. Until these attitudes change, a number of patients will be deprived of infertility care, because of financial constraints - and this is a shame!

Patients have devised ingenious methods to overcome these financial hurdles. For example, young women who can grow lots of eggs and who need IVF but cannot afford to pay for this, have agreed to " share " their eggs. Older women, who need donor eggs and are well-off, can then pay for the entire IVF cycle, and the two can share the eggs, giving both of them a chance to get pregnant. Egg sharing allows the doctor to match financial and reproductive resources, and is beneficial for both donor and recipient.

You can also get coverage for some of your medical treatments (such as laparoscopy) by requesting your doctor to say that the surgery was done for treating pelvic pain (which means your expense will be reimbursed by the insurance company ) rather than for treating infertility.

Approximate IVF Cost for procedures, tests and treatments is summarized in this chart. These figures are for the year 2000 in the city of Bombay, and are only meant to be representative - do remember there can be considerable variation! These are "all-inclusive" medical expenses.

Compared to the UK and USA, IVF treatment is much less expensive in India, and the quality is as good. This is because doctors charge much less - so that by international standards, IVF in India is very cost-effective, and quite a few patients do fly down to India for treatment (and have money left over, even after paying for air-fare!)

In fact, reproductive tourism has become very popular; and about half the patients we see in our clinic come to us from the US and UK. Medical tourists can be demanding patients ! They have often lost faith in their own medical system; and many of them are doctors and nurses who make their own medical decisions. They are challenging to treat and I enjoy doing so, because they are well-informed and capable of thinking out of the box - it does take guts to travel toIndia for medical treatment !

In the beginning, we think the major reason was the fact that our prices were much more competitive than what clinics in the USA and UK charge. We run a lean and mean unit , which does IVF and only IVF ! Because we do so many cycles, we are very good at it; and because we do nothing else, we have to be very good at it !

»»  Initial consultation - Rs 500 to 1000 (US $ 20 )

»»  Semen Analysis - Rs 200 to 500 (US $ 10)

»»  Hysterosalpingogram - Rs 500 to 2000 (US $ 40)

»»  Hormonal blood assays (FSH, LH, prolactin, estrogen, progesterone) - Rs 200-400 for each test

»»  Testicular biopsy - Rs 2000 to 10000 (US $ 200)

»»  Endometrial biopsy - Rs 500 to 2000

»»  Diagnostic Laparoscopy - Rs 10000 to 40000 (US $ 1000)

»»  Operative Laparoscopy - Rs 25000 to 50000 (US $ 1200)

»»  Major surgery (microsurgery for tubal repair) - Rs 40000 to 65000 (US $ 1000)

»»  IUI (insemination) - Rs 3000 to 15000

»»  TID (Therapeutic insemination by donor), per cycle - Rs 8000 to 20000

»»  HMG treatment cycle (for superovulation) - Rs 8000 to 20000 (US $ 400)

»»  GIFT - Rs 50000 to 120000 (US $ 3500)

»»  IVF - Rs 50000 to 120000 (US $ 3000)

»»  Embryo freezing - Rs 20000-40000

»»  Microinjection (ICSI) - Rs 80000 - Rs 150000 (US $ 3500)

»»  Preimplantation genetic diagnosis - Rs 150000 - 200000 (US $ 5000)