Infertility is failure to achieve pregnancy after 12 months of unprotected intercourse. Complete evaluation and treatment for both male and female infertility is available at our hospital. We have been successful in treating many infertile couples through ovulation induction, intrauterine insemination, IVF/ICSI (test tube baby).
Infertility treatment facilities available:
1) Ovulation induction, follicular studies followed by either timed intercourse or Intrauterine Insemination (IUI- with husband’s or donor sperms)
2) IVF (Test tube baby)
We offer highest IVF success rates (50-60%) at affordable costs.
It is offered to females with
tubal factor infertility
falied multiple cycles of OI, IUI
unexplained infertility, etc
male factor infertility- very low counts, motility
Here the female has to receive daily injections either starting from day 18 of the previous cycle or on day 2 of the cycle depending on the type of protocol planned. The dosage and the number of injections will vary from person to person depending upon their response. Once the eggs are mature, the egg pick up will be planned. After the pickup, the embryos are transferred after 3 -5 days. The result of IVF cycle will be confirmed after 2 weeks from the day of embryo transfer.
For ICSI, the stimulation protocol is same as that for IVF.
ICSI is done when
the sperm counts are low (oligospermia)
sperms are immotile(asthenospermia)
teratozoospermia, necrozoospermia, antisperm antibodies
TESA/ Testicular biopsy was done to retrieve sperms
Previous failed IVF
Here a single sperm is taken and injected into an egg to achieve fertilisation.
4) Egg donation (ovum donation)
It is indicated for those females whose ovarian reserve is exhausted and hence are not producing their own eggs. Hence eggs are taken from a young and healthy donor (similar to an IVF cycle) and fertilised with the husbands sperms. The embryo formed is transferred to the patient’s womb (recipient), in the usual fashion like an IVF cycle.
5) Embryo donation
There may be circumstances where fertility problems present in both partners and neither is able to produce healthy gametes. In those patients the best option is embryo donation
For menopausal or perimenopausal women with a sub-fertile partner
Recurrent IVF failures
Patients who are carriers of genetic disease or chromosomal abnormalities.
6) Embryo freezing (cryopreservation)
Extra embryos if present in excess and of good quality are preserved so that they can be used later if the first cycle fails.
7) Sperm freezing
Sperm freezing is an option for those males who might not be present on the day of ovum pick up or intrauterine insemination. It also helps those who fail to produce their sample on the particular day due to stress.
Indications to go in for surrogacy
Woman without uterus- by birth or by hysterectomy.
Woman with some uterine disease (adenomyosis, multiple fibroids, endometrial damage).
Woman with chronic ill health (uncontrolled diabetes & hypertension, heart disease, seizer’s disorders, physical disability etc).
The prospective parent may be a single man or a male couple who would like to become parents.
Laser assisted hatching
The procedure is based on the fact that an alteration in zona pellucida (outer covering of egg) either by drilling a hole through it or by thinning it, will promote hatching or implantation of embryos that are otherwise unable to escape intact from the zona pellucida.
10) Blastocyst culture
11) Zona free embryo transfer
12)Sperm retrieval procedures
The testicular / epididymal sperm retrieval techniques are:
PESA – Percutaneous Epididymal Sperm Aspiration.
MESA – Microsurgical Epididymal Sperm Aspiration.
TESA – Testicular Sperm Aspiration.
TESE – Testicular Sperm Extraction.
We are having a semen bank at Belle Vue’s Cambridge Hospital . The bank contains frozen sperm from voluntary donors with various backgrounds and physical characteristics to match with the individual needs. Donors are screened thoroughly to rule out transmission of any infectious or genetic diseases.
Other treatment modalities for infertile patients
Laparoscopic tubal reanastomosis
Laparoscopic varicocele ligation in male patients