Fertility Services
Oral medicines or injectables gonadotropins are used to help the women for growth of follicles and indirectly oocytes in proper manner and timing. good quality mature eggs are produced intercourse/IUI. conception rate increases produced which can be followed by timed intercourse/IUI. conception rate increases as we move from natural cycle to oral medicine and highest with injections (gonadotropins).
This method is useful for male as well as female infertility conditions like oligoasthenoteratozoospermia (low sperm count and motility), unexplained infertility, cervical factor infertility and others. In this method semen sample is processed to remove harmful elements and adding of elements which increases motility, vitality and potency of the sperms. It decreases the distance sperm has to cover and also increases the density of sperms at fertilization site.
In this method patient receives injections for 8-10 days to develop follicles which is monitored by ultrasound and when these follicles are ready, egg retrieval is done. These eggs are then mixed with sperms from semen sample in media and then incubated. After fertilization they form embryo with the help of cleavage media.
When the sperm count is very low and the capacity of the sperm to move quickly is less or not at all then the sperms with good morphology are selected and directly injected into the egg. These eggs are thus fertilized, after which they are incubated to form embryos.
Under anaesthesia and USG guidance, follicles are punctured and oocytes are retrieved. After which they are subjected to IVF/ICSI depending upon the quality of semen sample.
This procedure generally doesn’t require anaesthesia. The grown embryos (Day 2/3) are transferred under USG guidance into endometrial cavity.
The embryos are grown upto Day 5 in Bench top incubator and then transferred into endometrial cavity. The success rate is far higher than Day 3 embryo transfer. Along with that the multiple pregnancy rate is decreased. The complications of multiple pregnancy (during and after pregnancy and delivery ) are eliminated.
Due to this procedure, excess embryos are stored and can be kept for years without hampering the quality of embryos to significant extent. The success rate of frozen embryo transfer is somewhat more than fresh embryo transfer. The cost of the cycle is nearly 1/3 of the fresh cycle.
In patients with azoospermia (absence of sperm in semen), sperms are recovered from epididymis/testis. Micro TESE uses microscope to obtain sperms from testis is far better than direct visualization. These sperms are then used for fertilization to form embryos through ICSI.
Hysteroscopy helps to solve the issues of endometrial cavity like septum. submucous fibroid polyp etc.
Laparoscopy helps in the diagnosis of tubal block, adhesions, endometriosis, uterine anomaly and so on. laparoscopic surgeries are very useful for infertility preservation and enhancement purposes like myomectomy, ovarian cystectomy, ovarian drilling, hydrosalpinx clipping adhesiolysis and removal of endometrioma.
Reactive oxygen species are the elements, which are produced in the body to attack harmful substances present. But when the levels of these ROS crosses the permissible limits it poses problems to the sperm itself through DNA damage and other mechanisms. By accurately measuring the levels of ROS, we can diagnose and rectify the problems with appropriate treatment.
Even in morphologically normal appearing sperm there can be fragmentation of its DNA. This have deleterious effect on fertilization, implantation and continuation of pregnancy. Measurement of DFI and treatment thereafter helps in prevention of such complications.
