Evaluation of infertile couples:
The Diagnosis evaluation for infertility is indicated for the couple who fail to achieve a successful pregnancy after 12 months or more of regular unprotected intercourse. The most important goal of the fertility investigation is to identify the causes of infertility and to prescribe adequate therapy. Evaluation of both partners is carried out at the same time.
Ovulation induction is a treatment for anovulation or irregular ovulation. Ovulation induction is typically achieved with a variety of medications that stimulate the ovary to produce and release eggs. Ovulation induction is carried out in all kinds of treatment in infertility.
This is one of the primary investigations to evaluate female partner. Follicular monitoring or follicular study is a vital component of in-vitro fertilization assessment and timing. Evaluation of follicles involves a pelvic ultrasound scan of the womb and ovaries as well as an anti –mullerian hormone blood test. The size and number of follicles present on the ovaries are studied which is called antral follicle count.
Intra Uterine Insemination
IUI is a relatively noninvasive and less-expensive fertility treatment. Intrauterine insemination is a fertility treatment where sperms are placed directly into a woman’s uterus. The sperms are washed, concentrated, and inseminated, which puts them closer to the egg.
In vitro Fertilization
IVF is the most effective form of assisted reproductive technology. In vitro fertilization is a treatment for infertility where the oocytes are retrieved from female partner and is co incubated with sperms of the male partner in IVF laboratory. The fertilized eggs or embryos are transferred to the uterus.
In vitro Fertilization with Intra Cytoplasmic Sperm Injection
Intra cytoplasmic Sperm Injection (ICSI) is a specialized form of In Vitro Fertilisation (IVF) that is used primarily for the treatment of severe cases of infertility. ICSI involves the injection of a single sperm directly into a mature egg. ICSI-IVF is recommended for couples who have had poor or no fertilisation during standard IVF.
In vitro Maturation
IVM involves the removal of eggs from an ovary before they are fully developed and allowing them to finish their growth process under laboratory conditions. These “in vitro” matured eggs can then be fertilized and used to achieve pregnancy in the same way as in IVF.
Sperm, Oocyte and Embryo freezing
Cryopreservation is a technique used to freeze and then thaw the gametes (eggs, embryos or sperm) for use in in vitro fertilization cycles.
Surgical Sperm Retrieval – TESE/TESA/PESA
Surgical sperm retrieval is the retrieval of sperm for fertilisation from the epididymis or testicles to assist conception for couples where the male partner suffers from azoospermia. The retrieved sperm is used for fertilisation or stored for future fertility treatment.
Gamete or embryo donation makes it possible to have a child when one or both partners are not able to provide their own sperm, eggs, or embryos.
Surrogacy is a method of assisted reproduction where intended parents work with a gestational surrogate who will carry their baby until birth. The embryos created in the IVF laboratory are transferred to a surrogate mother in this process.
Reproductive genetics includes prenatal screening , diagnosis and also encompasses preimplantation genetic diagnosis and screening.
Assisted hatching is carried out to create small holes in the zona pellucida (outer shell) of the embryos that will help the embryo to hatch easily and thereby increasing the implantation rate.