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Insights into the world of IVF

Updated on: 10 January,2021 02:55 PM IST  |  Mumbai
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The most significant decision in a couple’s life is to take the big step forward & embark upon the journey of parenthood.

Insights into the world of IVF

Dr Amiti Agrawal Telrandhe

Dr Amiti Agrawal Telrandhe
M.S (OBG), F.M.I.S., F.R.M., Masters in Reproductive medicine (London)
MEDICAL DIRECTOR OF SUNSHINE FERTILITY & IVF CENTRE


The most significant decision in a couple’s life is to take the big step forward & embark upon the journey of parenthood. Not everyone has an easy journey to attain parenthood but with the advancement in an Assisted Reproduction Technologies every couple can now fulfil their dream of completing a family. IVF is the most widely chosen ART (Assisted Reproductive Technique) treatment plan because of its better success rate.


WHAT IS IVF & ICSI ?
IVF stands for In Vitro Fertilization where in Fusion of Male Gamete (Spermatozoa) and Female Gamete (Ovum) takes place outside the human body in a petri dish.And Fertilised Oocyte (Embryos) are then transferred inside the wife’s uterus for implantation. ICSI( Intracytoplpasmic Sperm Injection) involves insertion of a single sperm directly into the cytoplasm of a mature egg using a special microinjection pipette(glass needle).For couples with severe male factor infertility ICSI is preferable over IVF.


 

WHO ARE COUPLES WHO NEED IVF/ICSI ?
- Tubal Factor/Fallopian tube defect
- Severe Endometriosis
- Anovulation & Polycystic Ovarian Syndrome (PCOS)
- Male Factor Infertility(low sperm count &/or motility
- Unexplained Infertility
- Age Related Infertility
-Genetic Diseases or Recurrent pregnancy losses where we can offer  Pre implantation Genetic Testing (PGT)

WHAT HAPPENS IN THE FIRST CONSULTATION ?
– Detailed History taking & examination of the couple
– Pelvic ultrasound of the women to check for pelvic pathologies, examination of ovaries for ovarian reserve &uterus for the endometrial lining, fibroids, polyps , adenomyosis or uterine anomalies..
– Semen analysis of the husband is checked 
– Essential Blood tests of The Couple are prescribed if not done earlier 
– Formulation of treatment plan
– Prescription of medicines as per the treatment plan.

IF PLANNED FOR IVF HOW MANY DAYS DOES THE TREATMENT TAKE?
– 1-2days for initial workup and treatment plan
– 15days for hormonal Injections,Eggretrieval, Fertilization of Eggs by Husband’s Sperm by IVF OR ICSI and Embryo Transfer.

WHAT ARE THE STEPS OF IVF/ICSI TREATMENT?
– From Day 2 onwards about 10-12days of hormonal injections are given to the patient depending upon her Day 2 Scan(number of follicles in both ovaries),Anti Mullerian hormone level& BMI of wife.
– Intermittently patient is called 3-4 Times in these 10-12days for follicular study and hormonal tests to check for Follicular Growth.
– Once the Follicles reach the optimal size, atrigger Injection is given for the final maturation of the eggs
– Egg Retrieval/Ovum Pick Up is done after 34 – 36 hours under sedation (anaesthesia)
– On the same day Husband’s semen sample is taken and sperms are injected into the Egg of the women by ICSI or mixed in a petri dish For IVF.
– After 3-5days,the embryo transfer is planned which is a short procedure but needs expertise and is  usually done under ultrasound guidance.
– Post embryo transfer Counselling with the experts is done and the couple goes home with our best wishes.
- After 15 days the blood test is done to check for pregnancy.

IS THERE ANY TREATMENT AVAILABLE FOR NIL SPERM COUNT?
– Yes, definitely! Trained Andrologist perform advanced sperm extraction techniques like TESA(Testicular Sperm Aspiration)/PESA(Percutaneous Sperm Aspiration) or the highly advanced MTESE(Microdissection Testicular Extraction – using high magnification) in which sperms are extracted directly from the testes of the husband.Then these sperms are then used for ICSI.

WHY SHOULD I CHOOSE SUNSHINE FERTILITY & IVF CENTER FOR MY TREATMENT?
– 1) Ethical Practices – We believe complete transparency and absolutely don’t believe in any kind of gamete mixing.
– 2) We understand the financial constraints of couples and offer very affordable packages. We also have the facility of interest free EMI options for patients.
– 3) We have a dedicated team of IVF Consultants,Well trained Embryologists,Andrologist and Counsellorand we strictly adhere to the ICMR & ART GUIDELINES as given by the Indian Government.
– 4) We have state of the art equipments in our ART Lab & an Advanced Gynaec Endoscopic unit to perform fertility enhancing laparoscopic procedures which can smoothly take you through your fertility journeyall UNDER ONE ROOF.
– 5) We Have a dedicated Team Of Radiologists, Fetal Medicine Consultants And Trained Obstetricians to take the pregnant patients through her Antenental Period right upto the delivery of the baby.

SUNSHINE FERTILITY is one of the first IVF Centres in north Mumbai which aims to provide affordable yet creditable infertility treatment “UNDER ONE ROOF”. It is vision to provide utmost care of the women right from conception till delivery.
To know more about IVF, Please feel free to write on sunshinefertility@gmail.com or contact us on 9820133826

ADDRESS: SUNSHINE FERTILITY & IVF CENTRE,
A UNIT OF ATUL-LOK HOSPITAL,139/2447,GROUP VII,
OPPOSITE AMBEDKAR HOSPITAL,
TAGORE NAGAR,VIKHROLI EAST ,
MUMBAI – 400083
022-25741966/25747080

 

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