Insights into the world of IVF

Dr Amiti Agrawal TelrandheMS OBG FMIS FRM Masters in Reproductive medicine LondonMEDICAL DIRECTOR OF SUNSHINE FERTILITY amp IVF CENTREThe most significant decision in a couplersquos life is to take the big step forward amp 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 rateWHAT IS IVF amp 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 dishAnd Fertilised Oocyte Embryos are then transferred inside the wifersquos 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 pipetteglass needleFor couples with severe male factor infertility ICSI is preferable over IVFWHO ARE COUPLES WHO NEED IVFICSI Tubal FactorFallopian tube defect Severe Endometriosis Anovulation amp Polycystic Ovarian Syndrome PCOS Male Factor Infertilitylow sperm count ampor motility Unexplained Infertility Age Related InfertilityGenetic Diseases or Recurrent pregnancy losses where we can offer Pre implantation Genetic Testing PGTWHAT HAPPENS IN THE FIRST CONSULTATION ndash Detailed History taking amp examination of the couplendash Pelvic ultrasound of the women to check for pelvic pathologies examination of ovaries for ovarian reserve amputerus for the endometrial lining fibroids polyps adenomyosis or uterine anomaliesndash Semen analysis of the husband is checkedndash Essential Blood tests of The Couple are prescribed if not done earlierndash Formulation of treatment planndash Prescription of medicines as per the treatment planIF PLANNED FOR IVF HOW MANY DAYS DOES THE TREATMENT TAKEndash 12days for initial workup and treatment planndash 15days for hormonal InjectionsEggretrieval Fertilization of Eggs by Husbandrsquos Sperm by IVF OR ICSI and Embryo TransferWHAT ARE THE STEPS OF IVFICSI TREATMENTndash From Day 2 onwards about 1012days of hormonal injections are given to the patient depending upon her Day 2 Scannumber of follicles in both ovariesAnti Mullerian hormone levelamp BMI of wifendash Intermittently patient is called 34 Times in these 1012days for follicular study and hormonal tests to check for Follicular Growthndash Once the Follicles reach the optimal size atrigger Injection is given for the final maturation of the eggsndash Egg RetrievalOvum Pick Up is done after 34 ndash 36 hours under sedation anaesthesiandash On the same day Husbandrsquos semen sample is taken and sperms are injected into the Egg of the women by ICSI or mixed in a petri dish For IVFndash After 35daysthe embryo transfer is planned which is a short procedure but needs expertise and is usually done under ultrasound guidancendash 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 pregnancyIS THERE ANY TREATMENT AVAILABLE FOR NIL SPERM COUNTndash Yes definitely Trained Andrologist perform advanced sperm extraction techniques like TESATesticular Sperm AspirationPESAPercutaneous Sperm Aspiration or the highly advanced MTESEMicrodissection Testicular Extraction ndash using high magnification in which sperms are extracted directly from the testes of the husbandThen these sperms are then used for ICSIWHY SHOULD I CHOOSE SUNSHINE FERTILITY amp IVF CENTER FOR MY TREATMENTndash 1 Ethical Practices ndash We believe complete transparency and absolutely donrsquot believe in any kind of gamete mixingndash 2 We understand the financial constraints of couples and offer very affordable packages We also have the facility of interest free EMI options for patientsndash 3 We have a dedicated team of IVF ConsultantsWell trained EmbryologistsAndrologist and Counsellorand we strictly adhere to the ICMR amp ART GUIDELINES as given by the Indian Governmentndash 4 We have state of the art equipments in our ART Lab amp an Advanced Gynaec Endoscopic unit to perform fertility enhancing laparoscopic procedures which can smoothly take you through your fertility journeyall UNDER ONE ROOFndash 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 babySUNSHINE FERTILITY is one of the first IVF Centres in north Mumbai which aims to provide affordable yet creditable infertility treatment ldquoUNDER ONE ROOFrdquo It is vision to provide utmost care of the women right from conception till deliveryTo know more about IVF Please feel free to write on sunshinefertilitygmailcom or contact us on 9820133826ADDRESS SUNSHINE FERTILITY amp IVF CENTREA UNIT OF ATULLOK HOSPITAL1392447GROUP VIIOPPOSITE AMBEDKAR HOSPITALTAGORE NAGARVIKHROLI EAST MUMBAI ndash 4000830222574196625747080