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1. Write to us your country / city name from where you are seeking medical opinion with your full contact details.

2. Send by email or by post copy of recent clinical observations / diagnosis / medical report translated into English.

3. Send any images in JPEG file format.

4. Send us FOR WIFE recent HB, CBC, ESR, Blood Group, Blood Sugar, Bleeding time, Clotting time, HIV1 & 2,VDRL, HbSAg, HCV, X-Ray Chest, ECG (if age > 35 years), Urine, Stool test results / Pathological Reports or a summery of observations on them. AND FOR HUSBAND HB, CBC, ESR, Blood Group, Blood Sugar, Sperm Count, HIV 1 & 2 , VDRL, HbSAg, HCV, X- Ray Chest, ECG (if age > 35 years), Urine, Stool test results / Pathological Reports or a summery of observations on them.

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- A Patient from UK

IVF (In - Virto Fertilization) treatment in India
Suggested Hospitals / Clinics
Our Medical Consultant’s Panel

Fertility
If you have been trying to start a family without success you are not alone. The World Health Organization estimates that approximately 8-10% couples experience some for of infertility. But don't panic. There's a lot that can be done to help you. To understand what causes infertility you need to know a bit about fertility, the ability to make babies.

Fertility Facts
It takes one sperm and one egg to create a baby. If you and your partner have been trying to conceive a child for one year and it hasn't happened yet, technically you are experiencing infertility.

In order for pregnancy to occur, an egg has to be released from the ovary and unite with a sperm. Normally this union, called fertilization, occurs within the fallopian tube, which joins the uterus (womb) to the ovary. However, in IVF the union occurs in a laboratory after eggs and sperm have been collected. Embryos are then transferred to the uterus to continue growth.

When it doesn't happen, what are the possible causes?
Conception is a problem of the couple and is definitely not just a woman's problem. Both male and female should be healthy and fertile for a pregnancy to occur. Factors such as smoking, excess exercise, stress, alcohol, poor nutrition, body weight and use of contraceptive can have an impact on the ability to get pregnant. Besides, there are biological factors in males and females that affect fertility.

The most common MALE factors:
+
Complete absence of sperms.
+ Low and very low sperm count.
+ Poor movement of sperms.
+ Defective production of sperms.
+ Infections.

The most common FEMALE factors:
+
Defective or no ovulation.
+ Tubal blocks.
+ Previous infections.
+ Hormonal defects.
+ Uterine abnormalities.

What are the basic tests for MALE and FEMALE infertility?
Semen analysis in males and ovulation study by ultrasound and a uterine tube test (HSG) and other tests in case of females.

What are the methods adopted to help couple achieve pregnancy?
+ Normal sexual activity timed during ovulation. If a woman has regular periods, it is best to have sexual activity on 10th., 12th, 14th, 16th, or 18th. day, with the day the period begins being counted as the 1st. day for this purpose. Please consult your doctor if your periods are irregular.

+ Depending on test results, different treatments can be suggested. Eighty five to ninety percent of infertility cases are treated with drugs and surgery.

+ Assisted Reproduction Technology (ART)
  (a) IUI (Intra Uterine Insemination) which involves inserting a processed sperm
       sample into the womb to coincide with ovulation to increase the chances fo
       conception taking place?
  (b) Test Tube baby procedure (IVF - ET)
  (C) ICSI - ET is used to treat couples who previously had failure in conceiving
       due to the extremely low sperm count of the male partner.

Ideal IVF Candidates
Both fallopian tubes are absent or blocked due to surgery or tubal pregnancy) or infection (STD, or Tuberculosis) Endometriosis
Reduced sperm count or motility (IVF can be normally performed for counts which are more than 5 million per ml. For counts less than 5 million per ml. ICSI is a better option.) Patients where all other treatments such as ovulation induction with intra uterine insemination have proven unsuccessful.

Patients with unexplained infertility where all the investigations performed on the couple are normal, but who still do not conceive with routine treatments. Patients who have failed to become pregnant in- spite of all routine treatments of infertility.

Patients who want to become pregnant by the procedure of embryo and egg donation. In our unit, the success rates of IVF are in the region of 20 to 30%, which are comparable to the leading units in the world.

IVF Procedure
There are five major steps in the IVF and embryo transfer sequence:

1. Monitor the development of ripening egg(s) in the ovaries
2. Collection of eggs
3. Obtaining the sperm
4. Putting the eggs and sperm together in the laboratory, and providing correct
    conditions for fertilization and early embryo growth
5. Transferring the embryos into the uterus

To control the timing of egg ripening and to increase the chance of collecting substantial number of eggs, fertility drugs are prescribed according to each individual case. Before determining the egg retrieval schedule, we perform an ultrasound of the ovaries to check the development of eggs and a blood/urine test to measure hormone levels.

The Egg Retrieval Process
The retrieval procedure to obtain the eggs is performed trans-vaginally using a hollow needle guided by the ultrasound image (this is completely comfortable under adequate sedation and local anesthesia). Eggs are gently removed from the ovaries using the needle. This is called "follicular aspiration." Its timing is crucial because the egg will not develop properly if it is collected too early; if too late, the egg also may develop poorly or may have already been released from the ovary and lost.

The eggs are immediately identified by our embryologists in our special IVF laboratory. They are placed with the sperm in incubators to allow fertilization to take place. The eggs are examined carefully at intervals to ensure that fertilization and cell division have taken place; the fertilized eggs are now called embryos.

Embryos are usually placed in the wife's uterus 2 or 3 days after egg retrieval. A speculum is inserted into the vagina to expose the neck of the womb (cervix). The embryos are suspended in a tiny drop of fluid and then very gently introduced through a catheter into the womb, often under ultrasound guidance. The transfer is followed by a resting period, blood tests and possibly ultrasound examinations to verify if pregnancy has been established.

To summarize, the IVF procedure consists of:

(A) Controlled Ovarian stimulation with drugs (GNRH Analogues and
      Gonadotropins) to produce many eggs.
(B)
Monitoring of follicles and egg development with the aid of vaginal
      sonography and serial Estradiol hormone estimation.
(C)
Administration of HCG injection, (Human Chorionic Gonadotropins) when the
      two leading follicles are 18mm in diameter.
(D)
Oocyte or egg retrieval under short general anesthesia, 35 to 37 hours after
      HCG injection.
(E)
  Identification and isolation of eggs in the laboratory.
(F)
  Sperm collection and processing in the lab.
(G)
Fertilization of the egg with the sperm.
(H)
Embryo formation 2 to 5 days after fertilization.
(I) 
Embryo transfer of good quality embryos back to the womb, after 2(four cell
     embryo), 3 (six-eight cell embryo) or 5 (Blastocyst stage) days after egg
     removal.

Mediescapes India

Getting Help !

Centre for Reproductive Medicine and IVF at Moolchand Medcity Hospital, New Delhi

In today's fast paced world, fertility is becoming an issue for many young parents to be. To address this need, we are proud to introduce a Reproductive Medicine and IVF program consistent with our philosophy of excellence and values. .

At our Centre you can take some things for granted: a culture of 'Patients First™', internationally trained and accredited doctors, international protocols, state of the art technology and ethical practices.

Specialists in Reproductive Medicine and IVF (UK trained and accredited)
Next generation labs (including RI micro manipulator, 3rd generation incubator system creating the best micro environment for embryos)
Cutting edge technology (including blastocyst culture and PGS)
Culture of 'Patients First' (quality time for each patient, ethical conduct, confidentiality and transparency)
International protocols (from Guy’s Hospital, UK)
Innovation and superior clinical outcomes
As always beyond clinical excellence you can count on our special “Moolchand Care”.

Assisted Reproductive Techniques
- IVF (In-vitro fertilization)
- ICSI (Intracytoplasmic sperm insemination)
- Sperm cryopreservation
- FERT (Frozen embryo replacement transfer)
- Surgical sperm retrieval (PESA/TESA/testicular biopsy)
- Donor egg programme
- Donor embryo programme
- Surrogacy

Basic Infertility Work Ups
- Semen analysis
- Tubal potency test
- Pelvic ultrasound
- Follicular monitoring
- Hormone tests

Gynaecological Surgery
- Diagnostic laparoscopy and hysteroscopy
- Fertility enhancing surgery (operative laparoscopy, myomectomy, tuboplasty)

Other Services
- Counselling
- Superovulation
- Semen preparations (swim up and double density)
- Intrauterine insemination (natural and stimulated)

Specialties of the Hospital:

- Centre for Fetal Medicine

Centre for Reproductive Medicine and IVF
- In-vitro fertilization (IVF)
- Assisted reproductive techniques (ART)

Cosmetic Surgery

Gynaecology
- Endoscopic surgery
- High risk surgery

Gynaecological oncology

Mother’s Nest (Birthing Centre)
- Normal births
- High risk births

Neonatology
- Premature babies
- High risk babies (Level III NICU)

Specialty Clinics
- Adolescent
- Cancer detection
- Infertility
- Menopause
- Reproductive endocrinology

Specialty diagnostics
- Bone densitometry
- Colposcopy
- Mammography

Women's Wellness Programs
- Women's Health check  
For Detailed Dossier on IVF Treatment, please write to us at
 
mktg@mediescapes.com

Mediescapes India
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recuperate your body !