Assisted Reproduction Treatments

Ovulation Induction with Timed Intercourse

For couples who are trying to have a child, the timing of intercourse is a very important consideration. This is because fertilisation only takes place in a certain time period of the menstrual cycle, and in this time, the chances of a female patient becoming pregnant is higher than the others. There may be cases where the female patient may need assistance with ovulating as they may not be able to do it on their own- medication is available for these instances.

Intra Uterine Insemination (IUI)

The amount of sperm that enters the uterus is naturally constrained by the cervix. As a result only a small amount of the sperm in the ejaculate enters the fallopian tubes. Intrauterine insemination (IUI) involves injecting sperm into a woman's uterus just before she ovulates. With this, the distance to the fallopian tubes are gradually decreased- thus increasing the patient’s chances at pregnancy.

Surgical Sperm Recovery

When male patients have a low sperm count, sperm recovery is done, surgically. Many options are available for sperm to be surgically removed- Testicular Sperm Extraction (TESE), Testicular Sperm Aspiration (TESA), Microscopic Testicular Sperm Extraction (MicroTESA) and Microscopic Epididymal Sperm Aspiration (MESA).

Assisted Hatching for Embryos

This procedure is a go-to for couples who experienced multiple IVF failures. These failures usually take place because the skin of the embryo does not thin and allow it to ‘hatch’ out of it. Assisted hatching is suggested when the female patient’s IVF prognosis is very poor- this procedure would help increase chances of pregnancy for them.

In Vitro Fertilisation (IVF)

The most well-known and famous course of treatment for fertility across the globe, IVF is done with the aim of helping the sperms fertilise the egg. The fertilised egg, created in a petri dish, is then implanted into the uterus to facilitate pregnancy. This process is done using the biological parent’s eggs and sperm, but a donor can be used in cases where that is not possible.

Embryo Transfer

Embryo transfer is the final stage of IVF treatments. Here, the fertilised egg is placed in the woman’s uterus. By now, it will ideally implant and cause pregnancy for the female patient. The embryo is transferred by loading it into a catheter tube and depositing it into the uterus.

PGD: Pre-Implantation Genetic Diagnosis

This is a testing procedure that is used to diagnose if an embryo has the same genetic disorders as those whose egg and sperm were fused to create it. A PGD is a test used to assess the growth of the embryo. Preimplantation genetic screening (PGS), on the other hand, describes methods for checking for aneuploidy in embryos from parents that are thought to have genetic chromosomes.

Preimplantation Genetic Testing – PGD VS PGS

Preimplantation genetic screening (PGS) is often referred to as preimplantation genetic testing for aneuploidy (PGT-A). This test looks for chromosomal anomalies in embryos. PGT-M, or preimplantation genetic diagnosis for monogenic illnesses, is another name for PGD. Preimplantation genetic diagnosis, or PGD, can be used to screen each embryo and identify whether it has inherited the mutation and illness propensity if a couple has a known genetic disease in their family that is caused by a specific single gene mutation.

Fertility Preservation

Fertility Preservation is one of the key motives that drives Sudha Fertility Centre and we aim to provide the best services in that regard. Preservation is important for women and men who are about to go for treatments for serious ailments, the likes of which could seriously affect fertility at the end of it.

Freezing/Vitrification

Our services are offered with the intent to help you realise your dream of becoming parents. Vitrification is one such method which allows the patients the luxury of freezing their eggs, sperms and embryos. This method not only aids them in getting pregnant past their biological clock, but also during the administering of IVF treatments.

IVM – In Vitro Maturation of Oocytes

In Vitro Maturation (IVM), is a type of assisted reproduction technique that involves taking eggs from a woman before they develop. After that, the eggs are developed in a lab using a culture medium containing small amounts of hormones. Using intracytoplasmic sperm injection (ICSI), the mature eggs are manually fertilised. The embryos are put into a woman's womb when they start to mature.

Magnetic Activated Cell Sorting (MACS)

Magnetic Activated Cell Sorting (MACS) is a method that enables the best spermatozoa to be chosen for use in treatments for assisted reproduction. All spermatozoa have a finite lifespan and die through a process known as apoptosis. It is very likely that if apoptotic spermatozoa fertilise an oocyte, the embryo will develop abnormally or would stop growing altogether. Pregnancy of this kind typically results in an early miscarriage.

Endometrial Receptivity Analysis (ERA)

A small sample of a woman's endometrial lining is taken for the Endometrial Receptivity Analysis (ERA), a genetic test that identifies the ideal day to transfer the embryo during an IVF cycle. As the window of endometrial receptivity can be one of the causes of infertility in women who have had two or more unsuccessful embryo transfers after in vitro fertilisation (IVF), performing an endometrial receptivity analysis can be immensely useful.

Minimally Invasive Surgery

There may be instances where the female patients may be found to have anatomical issues that make it difficult for them to conceive a child or carry a foetus to term. These issues include fallopian tube issues, uterine septa, endometrial polyps, and uterine fibroids. When such a diagnosis is made, there are surgical options to be considered.

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