IVF Treatment FAQ's

IVF & ICSI (Infertility & Genetic Counselling.)
Gynaecology & Obstetrics.

Few centres in Asia can boast of full fledge skill, Competence in Endoscopic & IVF - ICSI Centre. Mumbai is a city where such Modern & well-equipped centre are available, and these centres have prestigious membership of Accreditation Council of Gynaecological Endoscopy, a world body supported by the American Association of Gynaecological Laparoscopists

Following Services are available at these Speciality centres.

1.	Laproscopic Surgery
2.	Advantages of Laproscopic Surgery
3.	Laser Endoscopic Surgery.
4.	Hysteroscopy for Diagnostic & inoperative Purposes.
5.	Advantages of Hysteroscopic Surgery.
6.	All options for excessive menstrual bleeding.
7.	For pain in Abdomen.
8	Urinary Leak / Incotinence.Infertility - Inability to Conceive.
9	Improve Fertility for all problems leading to infertility by.
10	Who needs IVF or ICSI?

All above treatments in details are given below.


Laparoscopic Surgery For:

»	Fibroid	»	Ectopic Pregnancy
»	Ovarian Cyst	»	Polycystic Ovarian Disease
»	Adhesiolysis for Infertility	»	Removal of Uterus, appendix
»	Tubal anastomosis
»	Correction for Urinary Incontinence / leak

Advantages of laparoscopic Surgery:

»	Button hole incisions & usually no sutures	»	Rapid recovery
»	Short hospital stay, 1 - 2 days	»	Cosmetically better
»	Cost effective	»	less adhesion formation
»	Avoids open surgery.

Laser Endoscopic Surgery:

»	Carbon dioxide Laser for all above procedures when needed especially for Infertility.

Hysteroscopy for Diagnostic & Operative Purposes for:

»	Septal incision, Adhesiolysis
»	Removal of lost I U C D
»	Laser thermal & Balloon Ablation
	Myomectomy, Polypecfomy
»	Cannulation & opening blocked tubes.
	Removal of Endometrial lining for excessive vaginal bleeding - TCRE.

Advantages of Hysteroscopic Surgery:

»	No incision at all
»	Short hospital stay of few hours
»	Rapid recovery
»	Avoids open surgery
»	Cost effective.

All options for excessive menstrual bleeding:

»	Medical treatment with drugs
»	Hysteroscopy and removal of pathology like fibroid
»	TCRE - Endometrial Resection
»	Endometrial Ablation - Laser / Thermal Balloon
»	Laparoscopic removal of uterus by button holes.

For Pain in Abdomen:

»	Operative laparoscopic for the cause like Endometriosis, Adnexal mass, Ovarian cyst, Adhesions.
»	Appendicectomy, Ectopic pregnancy.
»	LUNA - Laser Uterosacral Nerve Ablation
»	PSN - Pre Sacral Neurectomy
»	Micro Laparoscopically directed injection for pain mapping & targeted spots.

Urinary Leak / Incontinence.

»	Laparoscopic Burch Colposuspension
»	Sling suspension.

Infertility - Inability to Conceive:

»	Sonographic evolution.
»	Hormonal evolution
»	Hysteroscopy & Laparoscopy - Diagnostic & Operative.
»	Laser Surgery.
»	Immunological evaluation & treatment.
»	Intrauterine insemination of washed semen sample.
»	IVF - ET In vitro Fertilisation & Embryo - transfer for Tubal block, low sperm count, old age, premature ovarian failure
»	ICSI - Intra - cytoplasmic Sperm Injection (Micro - Manipulation) for very low sperm count or poor fertility.
»	PESA - Percutaneous Epididymal Sperm Aspiration, TESA - Testicular Sperm Aspiration for Azoospermia & then Fertilization by ICSI.
»	Assisted hatching for cases of previous implantation failures.

Improve fertility for all problems by:

»	IUI » IVF » ICSI » GIFT / ZIFT » TESA - TESE - PESA
»	SPERM BANK - SPERM CRYOPRESERVATION
»	TV SONOGRAPHY
»	HORMONAL ASSAY OF BLOOD
»	GENETIC DIAGNOSIS CENTRE.

Patients with following Gynaecological problems will need IVF or ICSI.

»	Women who have blocked / damaged fallopian tubes because of infection, Adhesions or Tubal legation not repairable by surgery.
»	Women with ovulation problem.
»	Women with premature ovarian failure or elderly lady.
»	Husband with either low sperm count, non - motile / slow moving or abnormally Shaped sperms or a problem with its delivery in the female genital tract.
»	Unexplained infertility.
»	Not conceiving with regular infertility treatment for many cycles.

IVF Procedure.

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

1.	Monitor the development of ripening egg or eggs in the ovaries.
2.	Collection of eggs.
3.	Obtaining the sperms.
4.	Putting the eggs and sperms together in the laboratory, and providing correction for the fertilisation and early embryo growth.
5.	5. Transferring the embryos into the uterus.

To control the timing of egg growth and to increase the chance of collecting sufficient number of eggs, fertility drugs are given on case to case bases. Before deciding on egg retrieval schedule, an ultrasound of ovaries is performed to check growth rate of eggs. To check the hormone level blood and urine test is done.

To receive an approximate idea of cost and other information regarding treatments and holidays, please contact us.

IVF Treatment FAQ's

Qus: What is infertility?
The basic function of our body is conception of a child. If this process does not take place or gets complicated, its called infertility. The factors such as infection in semen or egg. It can also be minor or major birth defect.

Qus: What are the causes of infertility?
The cause of infertility is equally divided among men & women, and 10% of infertility could not be explained.

Qus: What is male infertility?
The most common male infertility factors include azoospermia (no sperm cell are produced) & oligospermia (few sperm cells are produced). Sometimes, sperm cells are defective, weak or infected, and they die before they reach the female egg. In some cases the cause of male infertility is genetic problems such as cystic fibrosis or chromosomal defects.


Qus: What is Female infertility?
The most common factor for female infertility is ovulation disorder. Other causes of female infertility include blocked fallopian tubes, which can be due to pelvic inflammatory disease or endometriosis. Birth defects in female reproductive system can also be the cause of repeated miscarriages; the other reasons for miscarriages can be tensions, serious fall or heavy weight lifting during pregnancy.

Qus: How is infertility diagnosed?
Couples who want a child, but are unable to achieve pregnancy after a six-month or one year of unprotected intercourse, such couples are advised to seek medical help. Both the partners are examined to know the physical disorder. If doctors are unable to come to any conclusion, more tests are recommended. X ray of the fallopian tubes and uterus, and also laproscopy is done. For male, its semen is analyzed in details to find for any defects or infection.

Qus: Can infertility be treated?
Yes. Upto 90% of the infertility cases is treated with conventional drugs, Ayurvedic medicines or minor surgical operation of reproductive organs.


Qus: What is IVF Procedure. (In vitro fertilization)?
Women with blocked or without fallopian tubes or men with low sperm count. This procedure gives them opportunity to have their own children. In this procedure, eggs are removed from the ovary and mixed with the sperms outside their body in a glass dish (This is known as in vitro fertilization). After about 40 to 45 hours the eggs are examined. If they are fertilized by the sperms and have divided into cells. This fertilized egg (embryos) is placed in the women uterus; this procedure bypasses fallopian tubes completely.
This IVF procedure has come into effect since last 25 years in western countries, and 15 years in India and has brought hope to thousand of couples to have their own biological child, and opportunity to be proud and secured in their life.