Treatment Options
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Treatment Options
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Assisted Conception or
ART |
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The term Assisted Conception or ART (Assisted
Reproduction Technology) includes a wide
variety of treatments for childlessness
like Ovarian Stimulation and Ovulation Induction,
Intrauterine Insemination, IVF, ICSI, and
Egg/Embryo donation.
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Ovulation Induction with Follicular Monitoring |
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Hormonal
injections are used to stimulate ovaries
to produce more than one egg/follicle.
Women are made to produce and release
more eggs (simultaneous US monitoring)
to achieve a better chance of conceiving
by timed intercourse. The average
chance of conception is from 10-25%. |
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Intrauterine
Insemination (IUI) |
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IUI
can be planned for those women who
have their fallopian tubes patent.
By using a special technique good
and motile sperms are washed and separated
from semen sample. These sperms are
then placed high in uterus through
cervix using a fine catheter around
the time of egg release. The success
rate following this procedure can
vary between 10-20%. |
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Microsurgery
for Infertility |
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We
have the facility and expertise to
perform microsurgery for blocked fallopian
tubes and clear obstruction in the
passage of sperms in men.
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In
vitro fertilization (IVF) |
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In
this technique, various hormonal injections
(hMG, FSH, rFSH, GnRH agonists or
antagonists) are given so that, more
than 3-5 egg forms in ovaries. After
maturity of these eggs, they are collected
by ultrasound-guided aspiration, and
fertilized in vitro using her husband's
washed sperms. Embryos are grown
inside a CO2 incubator for about 72 hours. 2 to 3 good
quality embryos are then transferred into the uterus. |
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This whole procedure is done
outside the human body in test tubes and hence it is
called test-tube baby technique. The success rate of this
technique is about 25% to 35%. Confirmation of pregnancy
is done after 14 days by checking for the serum level of bhCG.
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IVF
Treatment for low number/absence of
sperms (ICSI) |
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In
many cases of absence of sperms, there
is blockage in the fine tubes of testes.
Sperms can still be collected by minor
surgery from these tubes (PESA, MESA,
TESE) and frozen-stored for future
use. Such sperms are used for
fertilizing the eggs by a technique called
Intracytoplasmic Sperm Injection (ICSI), wherein a single
sperm is injected into each egg. After fertilization by
ICSI, embryos are cultured and transferred similar to
embryos produced by IVF procedure. |
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To view video clip of
ICSI Baheti Hospital
click here |
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Preservation
of Embryos by Freezing |
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Surplus
embryos are safely preserved, by freezing
them in liquid nitrogen at -196'C
using a special procedure and equipment.
These embryos can be kept in cold-storage
for 5-7 years for future use. This
option reduces the cost of future
attempts of IVF treatment.
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Egg/Embryo
donation |
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In
cases of pre-mature ovarian failure
or other genetic problems, test tube
baby treatment can be done by using
donated eggs/embryos.
Success
rate
The success rate in test tube baby
technique is equivalent to the nature's
conception rate of 25% to 35%. With
every attempt, the overall pregnancy
rate increases. With three attempts,
the cumulative success rate rises.
The success rate in woman is reduced
drastically after 35 years of age.
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Infertility Services |
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For a happy, fulfilling married life, a
couple always looks forward to having a
child of their own. Childlessness in a couple
is a medical as well as social problem.
Unfortunately, 10-15% of the couples are
unable to have their own children for various
reasons. Thanks to the advancement in medical
field, now there is treatment available
for such couples. IVF or the so-called "Test
tube baby treatment" is one of the wonderful
gifts of science to the society. It is our
endeavour to offer all assisted reproduction
techniques to infertile couples, whenever
indicated and when other conventional methods
have failed. |
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Causes
of Infertility |
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About
40% of females and 40% of males will have
one of the above reasons for their infertility
problem. About 20% come under the so -called
unexplained infertility.
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