IUI (Intra Uterine Insemination)
First line of treatment of infertile couples. IUI involves a laboratory procedure to separate the best quality sperms from more sluggish or nonmoving sperm. These best quality sperms are then placed directly into the woman’s womb around the time of ovulation.
IVF (In Vitro Fertilization)
IVF is the fertilisation of a woman’s egg and a man’s sperm in a laboratory dish. In vitro means “outside the body”. IVF is a form of assisted reproductive technique (ART). It is most often tried when other fertility techniques have failed.
ICSI (Intra Cytoplasmic Sperm Injection)
ICSI is an assisted reproductive technique used to treat sperm-related infertility problems. ICSI is used to enhance the fertilization phase of IVF by injecting a single sperm into a mature egg. The fertilized egg is then placed in a woman’s uterus. The advent of ICSI has totally revolutionized the treatment of male infertility.
Oocyte Freezing / Bank
This gives the option of storing the eggs which are frozen and stored for many years. This is useful for young single women who want to preserve their fertility and also for young cancer patients prior to gonadotoxic chemotherapy or radiation therapy.
Semen Freezing / Banking
Semen banking is a facility that collects and stores human sperm, primarily for the purpose of achieving pregnancies through third party reproduction, notably by artificial insemination. The facility is highly useful for the males undergoing vasectomy, cancer therapy or those working outside India for a long period. Donor sperm facility is also available here.
This technique is useful in improving the pregnancy rates in IVF. Here the embryos are grown in the incubator for five days till they reach the blastocyst stage. These embryos are then transferred into the womb.
SQET (Sequential Embryo Transfer)
Sequential embryo transfer is the method of transferring embryos twice, on day 2 / 3 and day 5 / 6. Normally two embryos are transferred on day 2 while the remaining 2 or 3 are maintained in sequential media to observe their potential to become blastocysts. The blastocyst is then transferred. This technique has given us better outcomes in patients with recurrent implantation failures.
Embryoscope is an advanced type of incubator with time lapse system which allows the embryos to be observed from the time of fertilisation till transfer into the uterus. This technology contributes to improving success rate by monitoring the development of embryos and identifying the healthiest embryo to be implanted in the womb for achieving pregnancy. We are the first in Asia to introduce Embryoscope facility for infertility patients.
PICSI is a technique that simulates the natural identification of mature sperm. The principle of this method is the cultivation of mature sperm in a specially treated dish, to which a gel containing hyaluronan is applied. The hyluronan attached sperms are identified & used for micro-manipulative fertilization.
MACS (Magnetic Activated Cell Sorting)
Genetic integrity of the sperm is essential for normal embryo development and a high level of DNA fragmentation in sperm cells can negatively impact embryo development. This DNA fragmentation may be a cause of male infertility which standard methods fail to detect. MACS was designed to particularly remove these defective although morphologically indistinguishable cells from sperm preparations.
PESA / TESA (Testicular Sperm Retrieval)
In patients with obstructive azoospermia (zero sperm count), sperms may have to be surgically retrieved from the testis using a technique called PESA / TESA. The procedure is done in the OT under local or sometimes general anesthesia. One of our embryologists would be present during the procedure. The sperms thus obtained are used for ICSI.
In patients of non obstructive azoospermia such as primary testicular failure or in Sertoli Cell Syndrome, there is a 10-15% chance of finding sperms using the micro-TESE technique. In this technique, multiple small seminiferous tubules biopsies are taken under operating microscope. Extra sperms, if obtained, are frozen.