IVF
IN VITRO FERTILIZATION
Our IVF Centre is the best in the region with affordable care, highest standards providing best success rates in infertility treatment. Our IVF Cost is better than all other leading centers. Our center provides all services like Donor Eggs, Donor Embryos, Frozen Embryo transfer and Surrogacy services. We not only do just IVF , but also provide high risk pregnancy care and are the specialists in all gynaecological surgeries. Our Delivery / pregnancy rate post IVF is the best in the world. We perform numerous laparoscopic surgeries also.
IVF stands for in-vitro fertilisation. Our Fertility centre is a specialist in infertility treatments. We have been rated as the best and top performing IVF Center in Tamil Nadu for all types of Infertility treatments like Surrogacy, IVF, ICSI, IUI, Oocyte Donation, Embryo Donation, Freezing Embryo Transfers.
- Male Infertility Treatments – Oligozoospermia, Teratozoospermia , Athenozoospermia
- Unexplained infertility – When no cause is found.
- Tubal blockage – Tuberculosis, Pelvic inflammatory diseases.
- Premature ovarian failure – Stopped menstruating / Post-menopausal
- Donor cycles – Donor eggs, Donor embryos, Frozen transfers
- Surrogacy services
IVF | AIM | PROTOCOL |
---|---|---|
Natural cycle IVF | Single oocyte | No medication |
Modified Natural cycle IVF | Single oocyte | HCG only Antagonist & FSH/HMG add back |
Mild IVF / Minimal Stimulation IVF | 2-7 oocytes | Low dose FSH/HMG/Oral compounds & antagonist |
Conventional IVF | 8 oocytes | Agonist or antagonist Conventional FSH/HMG dose |
IVF stands for in-vitro fertilization. IVF is a process by which sperms and eggs are fused outside the body and embryos are created which are then placed into the uterus.
IVF procedure has various steps. We will review it step by step.
Preparation for IVF includes testing for hormones like FSH, LH, Estradiol, AMH, TSH, Prolactin. Hysteroscopy will be recommended to test the uterine cavity before performing IVF. Semen analysis will be done and if any pus cells or signs of infection is present, then we may give the husband an antibiotic. Semen freezing may be required as a backup for IVF. This helps us when the husband is unable to give sample in case of stress or difficulties on the day of egg retrieval.
On the 2nd or 3rd day of the menstrual cycle (after periods) , women will undergo an ultrasound to check for the presence of cysts in the ovary or any abnormal endometrial lining. Hormone tests like FSH, LH, Estradiol may be asked. After the ultrasound, women will be started on Hormone injections (Gonadotropins) which contains natural hormones like FSH, LH (Gonal F, Menopure, Recagon, IVF-M, etc) The injections has to be taken daily at approximately at the same time. After 4 - 5 days of injections, ultrasound scan will be performed and ovarian follicular growth will be assessed. We may ask you to provide hormone tests if needed assess the response. On 5th or 6th day one more injection called an Antagonist (Cetrorelix) may be started to prevent premature follicular rupture. Based on the ultrasound follicular growth report, hormone injections will be adjusted. And further scans will be needed on alternate day till the follicle reaches appropriate size.
Once the follicle reaches appropriate size, an injection call HCG (Ovitrille) may be used to trigger ovulation. Sometime if the number of follicles are high and there is a risk of hyper-stimulation, we may use an injection called Agonist to cause ovulation.
Egg retrieval is done 34-36 hours after the ovulation trigger. We may administer a sedative by an IV line or use general anaesthesia to perform this procedure. A needle will be passed by ultrasound guidance and follicular fluid will be aspirated. The aspirated follicular fluid will be checked by an embryologist and eggs will be collected.
Fertilization process can be carried out by using IVF / ICSI. In case of ICSI, individual selected sperms will be injected into the egg. On day 2/3 embryos will be checked and planned for embryo transfer. If Day 5 transfer is required further culture will be performed for 2/3 more days.
Embryo transfer is performed same like an IUI on the selected day. 2-3 embryos will be placed into the uterus. You will have to continue the medicines for 2 weeks till we check for the results. A blood test will be performed after 2 weeks of embryo transfer to check if you are pregnant.
After you test positive for pregnancy, we closely monitor your pregnancy and delivery you a healthy baby. We dont refer you to an obstetrician after an IVF as we have our own team of Obstetricians who deal with high risk pregnancy care.
- Type of catheter - soft embryo transfer catheters
- Not touching the fundus - using an ultrasound visualisation
- Cervical mucus removal
- Absence of blood or mucus
- Leaving the catheter in place for 1 minute
- Bed rest - not needed
- Trial transfer - in previous cycle or hysteroscopy
- Ultrasound - guided Embryo transfer
- Adequate luteal phase support
- Good embryo
- Endometrial receptivity
- In house embryologist
- Daily working lab
- Individual attention
- Freezing of super-numerary embryos to increase the success
- Laser hatching of embryos if the zona is thick to improve hatching rate
- Blastocyst culture and transfer