Fertility Treatments

Recent advances in the treatment of infertility fall into some basic areas:

1. Intra Uterine Insemination (IUI)
Assisted Reproduction tehnique by inserting prepared sperm into uterine so that only good quality sperms would be inserted during ovulation.
2. In Vitro Fertilization (IVF)
Assisted Reproduction tehnique by colliding prepared sperms in a certain quantity with ovum using a medium outside the womans body.
3. Intra Cytoplasmic Sperm Injection (ICSI)
Assisted Reproduction tehnique by injecting one life sperm into one ovum.
4. Inducted Ovulation (IO)
The use of fertilization drugs to encourage ovum readiness.
5. Tracking Cycle (TC)
Defining the couples fertile something which will lead
6. Freezing - Thawing sperms and embryo
Selected sperms and embryo are saved in -196 C to be used in the next planned pregnancy.
• MESA, PESA, TESA & TESE
A surgical technique in collecting sperm cells from the testical in men with problems with sperm quantity and quality.
• Laparoscopy Surgery
Minimal invasive surgery for many reproductive problems in women.

In vitro Fertilisation (IVF) :

Recent advances in the treatment of infertility fall into some basic areas: This was the first ART developed and most commonly used. It is effective in overcoming a variety of infertility problems, particularly tubal or sperm problems.

1. Stage 1
A typical down regulation process, which usually takes about a month
2. Stage 2
FSH may be used to stimulate the development of multiple follicles. A single injection of hCG at the end of FSH injections, promotes final maturation and release of the egg. This process usually takes about typically 2 weeks
3. Stage 3
Once mature, the eggs are removed (or retrieved) from the woman’s ovaries using a fine needle.
4. Stage 4
The eggs are transferred to a laboratory dish where they are fertilized by sperm collected from the male partner.
5. Stage 5
A few days later, the fertilized embryo is inserted back into the uterus.

Typically a cycle would resulted in numerous amount of eggs collected in which fertilization rate is 70%. Out of these embryos would continue their culture until D3 or blastocyst based on clinical situation. We would promote lesser number of embryos transferred but we generally quite comfortable with 2 or 3 embryos to be transferred providing the couples understood of the risk of multiple gestation.

And after the embryo transfer,should there is any embryos that are good in quality we would freeze the remaining of them. They are kept for years quite safely.

Intra-Cytoplasmic Sperm Injection (ICSI):

ICSI is a micromanipulation procedure whereby single sperm is injected into the egg. This technique is indicated to overcome male infertility or where sperm are unable to penetrate the egg wall. If the egg is fertilized, the embryo is inserted into the uterus