Reviva IVF

Male Infertility in Focus: Modern Diagnostic & Treatment Options

When couples face difficulty conceiving, the focus often falls on the woman’s health — but in reality, male infertility accounts for nearly 40–50% of all infertility cases.
Thanks to advancements in reproductive medicine, most male fertility issues are now diagnosable and treatable.

At Reviva IVF Clinic, Chandigarh, our team uses cutting-edge technology and a compassionate approach to help men overcome fertility challenges and achieve parenthood with confidence.


Understanding Male Infertility

Male infertility refers to a man’s inability to cause pregnancy in a fertile female, typically due to problems with:

  • Sperm production (count, shape, motility)
  • Sperm delivery (blockages, retrograde ejaculation)
  • Hormonal imbalance
  • Genetic abnormalities

Even lifestyle factors like stress, alcohol, smoking, or excessive heat exposure can reduce sperm quality.


 Common Causes of Male Infertility

Low Sperm Count (Oligospermia)
When sperm concentration is below normal, it reduces the likelihood of fertilizing an egg.

 Poor Sperm Motility (Asthenozoospermia)
Sperm must be active and mobile to reach and penetrate the egg.

Abnormal Sperm Morphology (Teratozoospermia)
Misshapen or structurally abnormal sperm often fail to fertilize the egg.

 Hormonal Disorders
Low testosterone or issues with pituitary hormones can impair sperm production.

 Varicocele
Enlarged veins in the scrotum can cause overheating and poor sperm health.

Genetic Factors
Conditions like Y-chromosome microdeletions or Klinefelter’s syndrome may contribute to infertility.


 Modern Diagnostic Techniques at Reviva IVF

At Reviva IVF, we go beyond basic semen analysis. Our advanced diagnostic tools help identify the root cause of infertility with precision:

  • DNA Fragmentation Test: Detects sperm DNA damage that may affect embryo development.
  • Hormonal Profile Testing: Evaluates FSH, LH, and testosterone levels.
  • Ultrasound Scans: Detect varicocele or other structural abnormalities.
  • Genetic Testing: Helps in recurrent IVF failures or azoospermia cases.

Every diagnosis leads to a personalized treatment plan, because no two patients are alike.


 Treatment Options for Male Infertility

 Medical and Lifestyle Management

  • Supplements (antioxidants, vitamins, zinc, CoQ10)
  • Hormonal therapy for endocrine issues
  • Lifestyle changes: quitting smoking, maintaining healthy weight, reducing stress

 Surgical Treatments

  • Varicocele repair (varicocelectomy)
  • Vasectomy reversal or sperm retrieval surgeries (TESA, PESA, Micro-TESE)

 Assisted Reproductive Techniques (ART)

When sperm quality or count is very low, Reviva IVF employs ICSI (Intracytoplasmic Sperm Injection) — where a single healthy sperm is directly injected into an egg, ensuring fertilization.

For men with zero sperm in ejaculation, surgical sperm retrieval followed by ICSI gives excellent success rates.


 Expert Insight

“Male infertility is no longer a roadblock — it’s a challenge science can overcome. With the right diagnosis and technology, fatherhood is well within reach.”
— Dr. Sandeep Cheema Sohi, Director & Chief Fertility Specialist, Reviva IVF Clinic, Chandigarh


Why Choose Reviva IVF, Chandigarh

  • Advanced Andrology & Embryology Lab
  • Experienced team for ICSI and Micro-TESE procedures
  • Proven success in complex male infertility cases
  • Personalized counselling and emotional support for couples

At Reviva IVF, science and sensitivity go hand in hand.


Conclusion

Male infertility is far more common than most people realize — but with today’s technology, it’s also highly treatable.


At Reviva IVF Clinic, Chandigarh, our specialized diagnostics and treatment solutions have helped hundreds of couples experience the joy of parenthood.
If conception has been difficult, don’t wait — the right diagnosis could change everything.

The Two-Week Wait: Managing Emotions After Embryo Transfer

The two-week wait (2WW) — the time between embryo transfer and your pregnancy test — is often the most emotionally intense phase of the IVF journey.
During this period, hope and anxiety go hand in hand. Patients often wonder: “What should I do? What should I avoid? Are my symptoms a good sign?”

At Reviva IVF Clinic, Chandigarh, we understand that this phase is more than medical — it’s deeply emotional. Our goal is to help you navigate it with calm, confidence, and care.


What Happens During the Two-Week Wait?

After your embryo transfer, the fertilized embryo begins its journey to attach itself to the uterine lining — a process called implantation.

  • Day 1–3: Embryo continues cell division.
  • Day 4–6: It reaches the blastocyst stage and starts implanting.
  • Day 7–10: Implantation is typically complete, and early pregnancy hormones (hCG) begin to rise.

This is a delicate phase — your body is doing crucial work behind the scenes.


 Physical & Emotional Changes You May Experience

Many patients experience symptoms like:

  • Mild cramps or spotting (implantation bleeding)
  • Breast tenderness or fatigue
  • Mood swings or anxiety due to hormonal changes
  • Slight bloating or nausea

These are normal signs and do not necessarily confirm or rule out pregnancy. Every body responds differently.


 How to Manage Stress and Emotions During 2WW

 Stay Busy (But Gentle)

Light activities — reading, listening to music, or spending time with loved ones — help reduce overthinking.
Avoid physically strenuous exercise, but stay moderately active to promote blood flow.

 Practice Mindful Relaxation

Deep breathing, meditation, or short evening walks help calm your mind and body.
At Reviva IVF, patients are encouraged to practice guided relaxation and positive visualization.

 Eat Balanced & Stay Hydrated

Nourish your body with:

  • Fresh fruits and vegetables
  • Protein-rich foods like paneer, eggs, lentils
  • Plenty of water and herbal teas

Avoid caffeine, alcohol, and processed foods.

 Don’t Test Too Early

It’s tempting to take a home pregnancy test, but testing before 14 days can lead to false negatives or false hope.
Trust your fertility doctor to schedule the right time for a beta-hCG blood test.

 Lean on Emotional Support

Talk openly with your partner or counsellor.
At Reviva IVF, emotional counselling and support groups help couples navigate this waiting period with empathy and understanding.


 Expert Insight

“The two-week wait is a test of patience and hope. Trust your body, your treatment, and your doctor — because miracles take time.”
— Dr. Sandeep Cheema Sohi, Director & Chief Fertility Specialist, Reviva IVF Clinic, Chandigarh


 Self-Care Reminders from Reviva IVF

  • Believe in your journey — you’ve come so far.
  • Avoid reading negative IVF stories online.
  • Prioritize sleep and hydration.
  • Keep medications consistent and on schedule.
  • Stay connected with your doctor for reassurance.

Conclusion

The two-week wait can feel long, uncertain, and emotionally charged — but it’s also a time of quiet miracles.
At Reviva IVF Clinic, Chandigarh, we stand beside you through every heartbeat of hope, offering guidance, emotional support, and compassionate care.
Remember — sometimes, patience is the strongest part of the treatment.

Embryo Implantation – Reviva IVF

Embryo implantation is one of the most critical and delicate phases in the IVF (In Vitro Fertilization) journey. Even when fertilization succeeds and a healthy embryo is formed, the process fails if the embryo cannot properly attach to the lining of the uterus (endometrium).

At Reviva IVF, under the expert care of Dr. Sandeep Cheema Sohi, we focus not just on creating viable embryos but also on optimizing every condition for embryo implantation success. With her track record in challenging infertility cases, Dr. Sohi ensures that patients receive meticulous, individualized support through this pivotal step.

In this post, we will explain:

  • What embryo implantation is
  • The stages and timeline
  • Factors influencing successful implantation
  • Challenges & recurrent implantation failure (RIF)
  • How Reviva IVF approaches this step to maximize success

What is Embryo Implantation?

Embryo implantation refers to the process by which a fertilized embryo (usually at the blastocyst stage) attaches itself into the uterine lining (endometrium) and becomes embedded, establishing the beginnings of maternal-fetal connection. The success of implantation determines whether pregnancy can proceed.

Typically, implantation occurs about 6 to 10 days after egg retrieval/fertilization.


Stages & Timeline of Implantation

Here’s a more granular view of the steps involved in embryo implantation:

Timeframe / DayKey Events & Description
Day 0 to Day 1After fertilization, the embryo goes through pronuclear stage (presence of male and female pronuclei). 
Day 2–3 (Cleavage Stage)The embryo divides (2 → 4 → 6–8 cells) without significant increase in total size. 
Day 4 (Morula / Compaction)Cells compact and form a morula—tightly packed group of cells. 
Day 5 (Blastocyst Formation)Fluid-filled cavity forms, inner cell mass and trophectoderm differentiate. This is often the stage at which embryo transfer is done. 
Hatching / Zona EscapeThe embryo “hatches” (breaks out) from its protective shell (zona pellucida) to allow contact with endometrial tissue. 
Attachment to EndometriumTrophectoderm cells adhere to the uterine lining, then invade into the endometrial tissue. 
Invasion & EmbeddingThe embryo secretes enzymes to degrade adjacent endometrial tissue, permits deeper penetration, and begins establishing blood vessel connections. 
Secretion of hCG & Early Pregnancy SignalsAs embedding progresses, the embryo begins to produce hCG (human chorionic gonadotropin), which signals pregnancy and supports endometrial function.

In many IVF cycles, the embryo is transferred on day 3 or day 5 (often as a blastocyst).


Critical Factors Influencing Successful Implantation

Implantation is a “high-stakes handshake” between the embryo and the uterine environment. Multiple conditions must align:

  1. Endometrial Receptivity
    The uterine lining must be thick, well-vascularized, and hormonally primed (via estrogen & progesterone) to support embryo adhesion and invasion.
  2. Synchronization
    The developmental stage of the embryo and the ‘window of implantation’ of the endometrium must match precisely.
  3. Embryo Quality & Viability
    Embryos with the correct chromosomal makeup and good morphology are more likely to implant successfully.
  4. Trophectoderm Function
    The cells destined to form the placenta (trophectoderm) must effectively interact with endometrial cells, secrete necessary enzymes, and modulate immune tolerance.
  5. Immune & Molecular Signaling
    The maternal immune system must be tolerant (not rejecting the embryo as “foreign”), and molecular signals (cytokines, growth factors, adhesion molecules) must be favorable.
  6. Uterine Health & Vascularization
    Adequate blood flow, absence of scar tissue, fibroids, or anatomical defects matter.
  7. Minimal Mechanical Disturbance
    Physical factors like uterine contractions, poor catheter technique, or trauma can hamper implantation.

Challenges: Repeated Implantation Failure (RIF)

When multiple IVF cycles result in failure to implant despite apparently good embryos and embryos being transferred, it’s termed Repeated Implantation Failure (RIF). Wikipedia

Definition is debated, but a commonly accepted threshold is failure after three good-quality embryo transfers in a woman under 40. Wikipedia

Causes behind RIF may include:

  • Undiagnosed uterine abnormalities (polyps, adhesions)
  • Poor endometrial receptivity or hormonal mismatch
  • Immunologic or thrombophilic disorders
  • Subtle embryo defects (e.g. mosaicism)
  • Poor embryo–uterine synchrony
  • Poor embryo selection techniques

In such cases, deeper investigation and customized protocols are required.


How Reviva IVF Optimizes Embryo Implantation

Under Dr. Sandeep Cheema Sohi’s leadership, Reviva IVF employs a multi-pronged strategy to support implantation:

  • Personalized Endometrial Preparation
    Adjusting hormonal regimens to optimize endometrial thickness, vascularity, and receptivity.
  • Accurate Embryo Selection & Grading
    Using advanced lab techniques and possibly time-lapse or AI-supported assessment to pick embryos with highest implantation potential.
  • Assisted Hatching (if needed)
    For embryos with “hard” zona or for patients with previous failed cycles, partial thinning or opening of the zona can help implantation. Mayo Clinic
  • Monitoring Uterine Integrity
    Pre-transfer evaluation of uterine cavity via imaging (ultrasound, hysteroscopy) to rule out lesions or adhesions.
  • Immune & Molecular Support
    For patients with suspected immunologic factors, targeted therapies or adjuncts may be considered (after thorough evaluation).
  • Minimally Traumatic Transfer Technique
    Use of soft catheters, ultrasound guidance, and gentle handling to minimize uterine irritation or contractions.
  • Supportive Luteal Phase Therapy
    Ensuring adequate progesterone support so the endometrium remains optimal during early implantation.
  • Rigorous Follow-up & Monitoring
    Early detection of issues, patient counseling, and adjustments where needed.

Final Thoughts

Embryo implantation is where the success of an IVF cycle truly hinges. Even with excellent embryos, if the uterine environment is not receptive, implantation fails.

At Reviva IVF, our commitment is to tend to both sides of this alliance — the embryo and the uterus — under the careful guidance of Dr. Sandeep Cheema Sohi. Her track record in overcoming complex infertility scenarios is built not just on lab skills, but on her holistic, empathetic patient care.

If you’d like a side-by-side infographic of the implantation timeline, or a version tailored for patients (less scientific) vs. for professionals (detailed), I’d be happy to draft that too. Would you like me to also prepare a shorter “patient-friendly” version that you can publish to your blog or hand out in clinic?