Indications to the couple for starting one of the three treatment levels depends on the preliminary detection of blocked fallopian tubes, severe uterine disease conditions, severely altered sperm, high titer of sperm auto antibodies, poor ovarian follicle recruitment, advanced age ( > 35 years) of the female partner.
Total monthly cycle of the woman is followed with different investigations on appropriate days to ascertain the cause
Recording the clinical history and infertility counseling
Hormonal profile: FSH, LH, Prolactin, Thyroid profile, Testosterone, Insulin, AMH etc.,
Hysterosalphingogram – HSG
Ultrasonography – For folliculometry and ovulation pattern
In the past several decades the technology of cryopreservation or maintaining life in a frozen state, has advanced considerably. With the use of modern techniques, cryopreservation of sperm to preserve an individual’s ability to reproduce has become successful, safe and widely available.
There are many techniques available for preparing the sperm, most of which are derived from in-vitro fertilization laboratory techniques or from study of sperm behavior in the laboratory. The goal in sperm processing is to separate the sperm cells from the seminal fluid that can be irritating to the uterine lining. In the process the most active motile sperm are concentrated and separated from dead sperm, cellular debris and bacteria.
The sperm can be collected at home and brought within one hour to office or can be produced in a clinic’s sperm collection room.The laboratory will them perform a sperm count and motility evaluation and prepare the sperm.The usual preparation procedure takes about two hours.After preparation,the sperm concentrate is placed into the uterus through the cervix using a small catheter.
Same of the sperm will also be placed directly into the cervix.The actual insemination process takes approximately 5 to 10 minuts
Intrauterine insemination (IUI) is the process of preparing a sperm specimen to concentrate it for the most active motile sperm and placing the washed sperm into the uterus as close as possible to the tubal opening. Intrauterine insemination is often recommended because studies have shown that pregnancy is more likely to occure if timing of exposure to sperm is controlled,and if sperm is placed in higher numbers closer to the egg or eggs.
Intracytoplasmic sperm injection (ICSI) is a new procedure that allows couples with sperm problems to have IVF treatment. Developed in Belgium in 1992, ICSI involves injecting a single sperm in the egg and is therefore used in extreme cases when the sperm have no motility of their own.
IVF or In Vitro Fertilization involves retrieving eggs from the female and fertilizing them in the laboratory by placing them with the sperm.This means that the sperm must have the capacity to fertilise the egg on its own .
If the women cannot produce egg, IVF is done with donor eggs, We have donor egg facility.Our donors are healthy,educatged and prior test are done for HIV, Hbsag and donors are selected meticulously
Freezing extra embryos increases the opportunity to achieve a pregnancy as a result of a single
or double embryo transfer. If a pregnancy does not occur in “Fresh” IVF cycle, the patient can
return at a later time for transfer of the remaining embryos. An ultrasound assessment of the
uterine lining is performed before the embryos are thawed to make sure an adequate uterine
environment is present Usually about 75% of the frozen embryos survive the thawing
process, but it can vary depending on the stage at which the embryos are frozen.
Malti Hospital, H-451 & 452, E/7, Main Road, Arera Colony, Bhopal - 462016, Opposite 1100 Quaters & Hanuman Temple Tele-0755-2468092