Hormones under the control of the hypothalamus, the pituitary gland, and the ovaries regulate the female reproductive cycle. If this basic control system does not work correctly, ovulation will be disturbed or absent. Ovulatory disorders are characterized by anovulation (complete failure to ovulate) or infrequent and/or irregular ovulation (eg PCOS).
Ovulation induction/ Ovulation augmentation involves the use of medication to stimulate the development of more than 1 follicle.
It aims to correct hormonal imbalance, allowing where possible mono-ovulation to occur.
More than 80% of infertile women without anatomical disorders are treated successfully with fertility agents that promote the growth and development of ovarian follicles via the stimulation of FSH and LH.
Donor sperms are offered when a husband has azoospermia/ poor semen parameters. It is also an option for single women and lesbian couples. The sample is carefully selected, tested for infections and matched with husband profile.
IUI is a process whereby washed sperms are placed into a woman's uterus. The aim of IUI is to place more sperms into the uterus (i.e. closer to the tubes ) around the time of ovulation.The hoped-for outcome of intrauterine insemination is for the sperm to swim into the fallopian tube and fertilize a waiting egg, resulting in a normal pregnancy. Depending on the reasons for infertility, IUI can be coordinated with your natural cycle or with fertility medications.
Donor sperm- For women who need to use donor sperm to get pregnant, IUI is most commonly used to achieve pregnancy. Frozen donor sperm specimens are obtained from certified labs and thawed before the IUI procedure.
Unexplained infertility- IUI is often performed as the first treatment for unexplained infertility along with ovulation-inducing medications.
Endometriosis-related infertility-Like unexplained infertility, the combination of medications is used to obtain the best egg and IUI is the first treatment.
It is a procedure in which embryos frozen from the previous cycle are thawed and transferred. Embryos are typically thawed the morning of the transfer and can be thawed fairly rapidly so that if the desired number does not survive the thaw, additional embryos can be thawed in a short period of time prior to the scheduled embryo transfer. Approximately 70% of good quality day 3 embryos and 95% of Blastocyst embryos survive the thaw. Embryos with less than complete cell survival can result in a normal pregnancy but the probability of a pregnancy is lower.
Use of donor egg is indicated in women with ovarian failure, diminished ovarian reserve or genetic diseases or poor egg quality . Anonymous donors are provided by registered ART banks and tested for communicable diseases.
A careful medical, psychological, genetic and family history is taken from the potential donor. They undergo hormonal testing, blood, and cultures for sexually transmitted diseases and drug use. All donors undergo mandatory screening by our staff psychologist. Egg donors have no continuing responsibility to any child born following egg donation.
Laparoscopy is performed for treatment of fibroids, Ovarian Cysts (endometriotic cysts, simple cysts), Tubal Blockage, Hydrosalpinx, Uterine Septum etc.
In the same sitting, Hydrosalpinx to check the inside of uterine cavity is performed and any polyps, fibroids or spertum can be removed.
Surrogacy is a process when another woman carries a baby for a couple who wants to have a child ( intended parents). It is advisable for women with the absent / malformed uterus, repeated IVF failures and recurrent pregnancy losses.
Surrogacy has been practiced as a means of helping women who are unable to bear children for centuries. With modern IVF, it is now possible to generate embryos from the genetic couple (patient couple) and transfers them to the "surrogate host", who therefore provides no genetic contribution to any child that results from such an arrangement .
An embryo cultured to day 5 is called a blastocyst and offers high success rates with lower chances of multiple pregnancies.
ICSI is a procedure in which a sperm is directly injected into an egg under the microscope. It is used for males with low sperm count/motility/ morphology.
ICSI enables fertilization for following causes of infertility:
It Can be offered to men with obstructive azoospermia. In this sperms can be aspirated with a needle from testis/ epididymis. The surgically retrieved sperms are then used for ICSI.
Most people are familiar with the fact that most couples who reach the point in an ART cycle when embryos are transferred to the uterus, will not achieve a pregnancy. Even when presumably high quality, fertile eggs are used, such as in egg donation, over half of couples are still left disappointed each cycle.
Preimplantation genetic screening (PGS) determines the chromosomal status of an embryo by screening all 23 chromosome pairs prior to transfer in an IVF cycle. PGS may be appropriate for couples pursuing IVF due to a history of infertility or recurrent pregnancy loss because a major cause of IVF failure is aneuploid embryos with an abnormal number of chromosomes.The chances of aneuploid increase with maternal age.
Preimplantation genetic diagnosis (PGD) enables people with an inheritable condition in their family to avoid passing it on to their children. It involves checking the genes and/or chromosomes of embryos created through IVF.
