Our Infertility Center
The purpose of fertility clinics in infertility center is to help couples and occasionally single people who wish to have children but cannot do so naturally due to medical issues. To produce conceptions and pregnancies, clinics use a variety of diagnostic tests and occasionally quite sophisticated medical procedures.
IVF In-Vitro Fertilization
A set of intricate treatments known as in vitro fertilization (IVF) are used in infertility center to help with fertility, prevent genetic issues, and aid in child conception.
In IVF, mature eggs are removed from ovaries and fertilized in a laboratory of infertility center using sperm. The fertilized egg (or embryos) is/are then transported to a uterus. IVF cycles are completed in roughly three weeks. The process may take longer when these processes are divided into separate sections.
The most successful type of assisted reproductive technology in the infertility center is IVF. The process is possible using the couple’s sperm and eggs. A known or unknown donor’s eggs, sperm, or embryos may also be used during IVF. A gestational carrier, a woman with an embryo implanted in her uterus, may occasionally be employed.
Various variables, including age and the underlying reason for your infertility, influence IVF success rates. Your doctor can explain IVF’s operation, possible hazards, and suitability for you as an infertility treatment option in an infertility center.
How you get ready?
Numerous variables affect a clinic’s success rate. These include the ages and health conditions of the patients, the types of patients being treated at the clinic, and the methods of therapy in the infertility center.
You and your spouse will probably require several tests before starting an IVF cycle with your eggs and sperm in the infertility center, such as:
Uterine examination: Before you begin IVF in the infertility center, your doctor will check the uterus’ inner lining. In order to produce pictures of your uterine cavity, an ultrasound and a sonohysterography, in which fluid is injected via the cervix into your uterus, may be used. Or it could include a hysteroscopy, in which a lighted, thin, flexible telescope is placed into your uterus through your vagina and cervix.
Semen testing: Your doctor would perform a semen analysis just before the beginning of an IVF treatment cycle in the infertility center if it weren’t done as part of your initial fertility assessment.
Testing for ovarian reserve: Your doctor may do blood tests to measure follicle-stimulating hormone (FSH) levels, estradiol (estrogen), and anti-mullerian hormone during the first few days of your menstrual cycle to evaluate the number and quality of your eggs. Results from tests, which are frequently combined with an ultrasound of your ovaries, can aid in predicting how your ovaries will react to fertility drugs.
Screening for infectious diseases: You and your partner will undergo HIV and other infectious disease screenings.
Practice transferring embryos: Your doctor may perform a mock embryo transfer to establish the depth of your uterine cavity and the procedure most likely to implant the embryos into your uterus correctly.
What to anticipate?
Ovarian stimulation, egg retrieval, sperm retrieval, fertilization, and embryo transfer are all milestones in the IVF process. IVF cycles typically last two to three weeks. It can take more than one cycle.
Induction of ovulation
Instead of the solitary egg that ordinarily develops each month, the ovaries are stimulated to generate numerous eggs at the beginning of an IVF cycle using synthetic hormones. Because some eggs won’t fertilize or develop normally after fertilization, many eggs are required.
Many distinct drugs, including:
Prescription drugs to stop early ovulation: These drugs stop your body from prematurely releasing the eggs in development.
Medications that stimulate the ovaries: You can be given an injectable medicine that contains follicle-stimulating hormone (FSH), luteinizing hormone (LH), or a combination of both to activate your ovaries. These drugs encourage the simultaneous development of several eggs.
Medications that will get your uterus ready: Your doctor may advise you to start taking progesterone supplements to prepare your uterine lining for implantation on the day of egg retrieval or at the time of embryo transfer.
To decide which drugs to take and when, your doctor will consult with you.
Outcomes
If you’re expecting, your doctor will recommend that you receive prenatal care from an obstetrician or other pregnancy expert.
If you’re not pregnant, you’ll stop taking progesterone and probably start getting your period within a week. Contact your doctor if you don’t receive your period or experience unusual bleeding. Your doctor might recommend measures you can take to increase your chances of becoming pregnant through IVF if you’re interested in trying another cycle of in vitro fertilization (IVF).
Any variables that relate to you and how they could impact your chances of conceiving successfully should be discussed with your doctor.
What exactly is ICSI (intracytoplasmic sperm injection)?
The head of the sperm must adhere to the outside of the egg before it may fertilize a woman’s egg. Once connected, the sperm moves through the egg’s cytoplasm to the interior, where fertilization occurs.
For several reasons, the sperm occasionally cannot penetrate the outer layer. The sperm may not be able to swim, or the egg’s outer layer may be thick or difficult to penetrate. In certain situations, intracytoplasmic sperm injection, often known as ICSI, can be used in conjunction with in vitro fertilization (IVF) to assist in fertilizing the egg. A single sperm is injected directly into the egg’s cytoplasm during ICSI.
How is ICSI put to use?
IVF allows for both standard and ICSI fertilization of an egg. In a laboratory dish, the egg is put close to 50,000 or more swimming sperm during classical IVF. When one of the sperm penetrates the egg’s cytoplasm, fertilization occurs. In the ICSI procedure, a single sperm is injected into the center of the
egg using a tiny needle called a micropipette. After fertilization, whether using traditional IVF or ICSI, the fertilized egg (now known as an embryo) grows in a lab for one to five days before being implanted into the woman’s uterus.
How come I need ICSI?
Infertility issues can be resolved with ICSI by:
- For artificial insemination (intrauterine insemination [IUI] or IVF), the male partner produces insufficient sperm.
- There is a chance the sperm won’t migrate normally.
- Affixing the sperm to the egg could be challenging.
- Sperm may be prevented from leaving the male reproductive system by a barrier.
- Regardless of the sperm’s health, eggs have not been fertilized by conventional IVF.
- Utilized are eggs that have undergone in vitro maturation.
- Utilizing eggs that have been frozen in the past.
Who administers injections of intracytoplasmic sperm?
You could see a reproductive endocrinologist who also practices as an ob/gyn. These medical professionals address endocrine conditions that have an impact on reproduction. They are experts in both fertility preservation and the diagnosis and treatment of infertility.
What occurs following ICSI?
Your healthcare professional of the infertility center examines the fertilized egg in the lab during ICSI to look for indications of successful fertilization. A healthy fertilized egg should split into cells for five to six days, creating a blastocyst. The size and cell mass of the blastocyst will be assessed by your healthcare professional to ascertain when it is most likely to develop into a pregnancy.
An embryo transfer occurs on the fifth or sixth day after the egg retrieval operation. However, it is more typical for the transfer to be postponed for months or even years. The precise time of your embryo transfer will be discussed with you by your doctor of our infertility center. Using ultrasound equipment, your doctor will place a catheter—a long, thin tube—into your vagina and inject the embryo into your uterus. The embryo must implant (connect) to your uterus for pregnancy to occur. Your doctor might advise against taking a pregnancy test for at least two weeks.
What advantages do intracytoplasmic sperm injections have?
ICIS seems to be more effective than conventional IVF at assisting men who are infertile in having children. Regardless of the infertility diagnosis, some clinics offer ICSI to all patients.
Microscopic Testicular Sperm Extraction
Sperm are extracted directly from the testicular tissue of a man’s reproductive system using a method called microscopic testicular sperm extraction (microTESE) used in the infertility center. This medical technique may be suggested for reproductive purposes if a man is unable to produce or release enough healthy sperm naturally (to enable the man to father a child).
An extraction of testicular sperm under a microscope is what?
Sperm are extracted directly from the testicular tissue of a man’s reproductive system using a method called microscopic testicular sperm extraction (microTESE) in the infertility center. This medical technique may be suggested for reproductive purposes if a man cannot produce or release enough healthy sperm naturally (to enable the man to father a child). The two testes, which are where sperm are created,
include testicular tissue. The little pouch behind and under the penis, known as the scrotum, is where the testes are located.
The microTESE procedure’s objectives are to:
- Obtain sperm of the highest caliber.
- Obtain enough sperm from a woman to fertilize an egg.
- Reduce the amount of harm to the reproductive system.
Male infertility: What is it?
A condition known as infertility affects the reproductive system and makes it challenging for the body to carry out the fundamental functions of reproduction. Both men and women are impacted. Surgery or medication is used to treat the majority of infertility problems in our infertility center.
A disorder known as nonobstructive azoospermia, in which the man does not generate sperm, or obstructive azoospermia, in which sperm are created but are clogged and unable to exit the body, the cause of male infertility in its most severe form.
When would it be wise or essential to extract testicular sperm under a microscope?
Most frequently, a male who is infertile and has no sperm in his ejaculate undergoes microscopic testicular sperm extraction (azoospermia).
Will it be necessary to repeat the microscopic testicular sperm extraction procedure in the infertility center?
To preserve the sperm and prevent further operations, any surplus sperm obtained after testicular sperm extraction should, wherever feasible, be frozen in the infertility center.
In reproductive techniques like intra-cytoplasmic sperm injection (ICSI), a kind of in vitro fertilization where one sperm is injected directly into one egg, scientists feel that freezing the sperm typically produces the same results as using non-frozen sperm, even if there may be some drawbacks. A process called in vitro fertilization involves fertilizing an egg and a sperm outside of the body in a lab of the infertility center. The fertilized egg is subsequently inserted into the uterus of the female.
It is often advisable to wait between six and twelve months if the microTESE operation needs to be redone.