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IVF AND INFERTILITY TREATMENT

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IVF AND INFERTILITY TREATMENT

Orion hospital infertility department is established with the sole purpose of giving quality care blended with excellent skills and individualised attention to the infertile couples. Infertility can have a devastating effect on a couples interpersonal relations, their mental health and social milieu. The various treatment options available ranges from medicines, follicular monitoring, IUI, laparoscopic surgery, hormonal injections, IVF (Test tube baby) etc. All the treatment modalities require a careful treatment strategy and excellent clinical judgement. Many couples find it difficult to travel far for the repeated visits to the clinic. Many couples also undergo incorrect treatment from non-specialist doctors. In our clinic we promise to give the best possible treatment from highly skilled and qualified doctors at an affordable cost.

You should never feel alone when it comes to your journey towards parenthood, as we are always there to help you achieve your goal in a safe and comfortable environment.

We offer following services for our infertile patients:

Ovarian Hormone profile

Much of the body's reproductive potential and abnormalities in the menstrual cycles are reflected in the hormonal profile. Generally on 2nd or 3rd day of menstrual cycle, we study the values of different hormones such as FSH (Follicle Stimulating Hormone),LH (Leutinising Hormone), Estradiol (Biologically active Estrogen), prolactin and thyroid hormones. Specific other hormonal tests are done depending upon the clinical history and USG findings. AMH (Antimullerian Hormone) is also a sensitive test, which is done in certain patients. These are the standard tests for all infertility clinics.

Semen Analysis

Around 30-40% of the infertility problems can be due to abnormal sperm parameters. We do routine semen analysis which takes in to account the sperm count, motility, morphology and certain other parameters which can affect the reproductive capability. Generally semen analysis is done after 3-5 days abstinence. All the semen parameters are very variable and we may have to repeat the semen analysis at a later date depending upon the report. Patients who show infection on the semen analysis report may have to go for the semen culture to see for the cause of infection.

Hysterosalphingography

During the evaluation of a female in infertile couple, checking the patency of fallopian tubes is very important. Normally fallopian tubes cannot be seen on USG or X-ray tests, so we inject a dye inside the uterus and then take X-rays. With this technique, we can visualise the fallopian tubes and see if they are patent or not. This is important because if the fallopian tubes are blocked, pregnancy cannot occur. This test generally has to be done between 5t h to 10th day of menstrual cycle. Apart from tubal patency, we can also get some idea of uterine cavity after this test.

Diagnostic Ultrasound

Ultrasound examination is a very useful test to study the uterus, ovaries, follicular development, and any abnormality in the female genital tract. We offer the ultrasonography for initial diagnosis and subsequent treatment. To get good results in infertility treatment , it is preferable for the treating physician to do the ultrasound examination himself so that subjective errors and patients inconvenience is minimized.

Ovulation induction

In cases of polycystic ovaries and certain other conditions, the development of eggs is induced by certain medicines or injections. By doing so, we can induce and monitor the formation of eggs and plan the relations or IUI accordingly. The chances of pregnancy with this form of treatment are very good in non-complicated cases and we generally try 3 to 6 cycles of such treatment.

Intra-Uterine Insemination

In this procedure, we first induce egg formation by medicines or injections and monitor the growth of the follicles by ultrasound. When the follicles grow to adequate size, we give injection for the follicular rupture. About 36-44_hrs after the injection, we ask the male partner to produce a semen sample at our clinic. The semen sample is processed so that all the impurities and dead sperms are separated and only motile and good quality sperms are selected. This processing of sample takes around one hour. The success rate for IUI is around 15-20%. The chances of a cycle being successful are maximum during first three cycles. The probability of success decreases after three well monitored cycles.

In-vitro fertilisation (IVF)

In this process, we hyperstimulate the ovaries, which means we give gonadotropin injections to form multiple eggs inside the ovaries. These eggs are then taken out by vaginal route under ultrasound guidance. This procedure is done under anaesthesia. We use the partner's semen to fertilise the eggs in the IVF laboratory with highly sophisticated equipments. We check for the fertilization on the next day and keep them for further growth. Generally on third day we transfer the best quality embryos and freeze if surplus embryos are there. We test for the pregnancy after around 15 days.

Intra Cytoplasmic Sperm Injection (ICSI)

This treatment is employed in cases of patients with male factor infertility when there is some problem with the semen. The process of ICSI is very similar to IVF till egg retrieval. After that in IVF the eggs and sperms are kept in petri dish for natural fertilization for 24 hrs, where as in ICSI a sperm is directly injected into the egg. Sometimes when the outer covering of the egg is very hard or there are no adequate motile and normal sperms in the semen, ICSI is employed. Fertilization rate with ICSI is better than IVF. ICSI is a very useful and sophisticated tool in today's era of assisted reproduction. Even in patients with no sperms in ejaculate, we can extract sperms from testis and use it for fertilization with the help of ICSI.

Laparoscopy and Hysteroscopy

In laparoscopy (Key hole surgery), we examine the abdominal cavity by putting a slender telescope inside the abdomen through a small hole. In this surgery we are able to see closely the uterus, ovaries, fallopian tubes and their patency, and whole of the abdomen. If there is some problem, we can correct it then and there. In cases of endometriosis, laparoscopy is the gold standard surgery for diagnosis and treatment. Multiple other types of diseases such tubal pathology, ovarian cysts, adhesions, PCOS etc can be treated with laparoscopy.

Hysteroscopy is examination of inside of uterus with a telescope. In this procedure, uterine cavity is distended with suitable media and a telescope is introduced into the cavity. Various problems such as polyp, fibroid, adhesions, septum can be treated with hysteroscopy.

Donor egg programme

In those patients for whom we cannot use their own eggs for some or the other reason, we use donor eggs. In donor egg programme, we use eggs from donor female and sperms of the partner to form embryos.

Surrogacy

In certain infertile patients, carrying pregnancy in their own uterus is not possible because of some or the other reasons. In those patients, surrogacy is the choice. In this process, the fertilised embryos are transferred into a surrogate womb. The pregnancy is carried by the surrogate and after delivery; the baby is transferred to the couple. We do the entire legal contract between the couple and the surrogate.


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