test tube baby center in hyderabad

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test tube baby center in hyderabad
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Introduction

• In general, a couple is considered to have a
  poroblem with infertility If they have had one
  year of unprotected intercourse without
  conception. Approximately 10 to 15 of all
  couples have a problem with infertility.
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• The number of married couples who are infertile
  increases significantly with the womans's age,
  About 10 of couples are infertile when the woman
  is less than 30 years old, about 15 at age 30 to
  34, about 25 at age 35 to 39 and 35 at age 40
  to 45. Pregnancy outcome also is affected by the
  women's age For instance, the spontaneous
  abortion rate increases from about 10 until age
  30, to 18 in the late 30's and 34 in the early
  40's.
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• Ferquently, there can be multiple causes.
• 1) Male factor-402) Cervical factor 103)
  Implantation factor-5,4) Uterine and Tubal
  factor-30,5) Ovulatory factor-20,6)
  Peritoneal factor-20 The basic infertility
  work-up is designed to evaluate each one of these
  factors in order to identify particular problems,
  which may be causing infertility. The simpler,
  less invasive and less costly tests are usualy
  done first.

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• Semen AnalysisThe semen sample is used to
  determine whether the male is fertile. This
  requries a masturbation specimen collected in a
  sterile container obtained from the
  laboratory. MorphologyThis test is detailed
  evaluation of sperm structure and is not done by
  most labs. In our lab it is the best predictor
  for sperm function. Even if a semen analysis has
  been done elsewhere, we may request a repeat in
  our lab. Diagnostic Semen WashThis laboratory
  procedure accomplishes an extraction of the sperm
  out of the semen with re-suspension of the sperm
  in another solution. This diagnostic test is
  necessary for all IVF and GIFT procedures as well
  as for other selected indications. It involves a
  1 or 2 day scheduling with the lab, collection of
  the specimen into a sterile container. StudiesW
  hen a male factor problem is not explained by the
  above studies, hormone evaluations are frequently
  done. This can include LH, FSH, testosterone,
  prolactin, and thyroid studies. Post-Coital
  Test (PCT)Evaluates the sperm present in
  cervical mucous after intercourse for motility,
  quantity and survivability. Antibody TestingIf
  there is evidence of clumping of sperm on semen
  analysis or if no sperm is seen on PCT, the semen
  is evaluated for antisperm antibodies.BiopsyPat
  ients with azoospermia may wish to consider
  testicular biopsy with cryopreservation of any
  obtained sperm. 

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• Post-Coital Test (PCT) The cervical mucous is
  evaluated after intercourse prior to ovulation to
  see if the mucous has the appropriate physical
  characteristics, and to determine if it supports
  viable, active sperm for a long time. The test is
  done to three days before expected ovulation
  (11th to 14th day of a regular 28 day cycle). The
  couple should have intercourse the evening prior
  to the appointment. The PCT is usually done as
  part of the follicular study cycle.Antisperm
  Antibody TestingIf the woman has abnormal
  post-coital tests, the couple may be evaluated
  for antisperm antibodies. Specific details for
  this procedure will be discussed with them if
  this test is indicated. Endometrial Biopsy,
  (EBx)The lining of the uterus is sampled to see
  if it is being properly prepared for implanation
  of the embryo. It also reflects function of the
  corpus luteum. The biopsy is done 11-12 days
  after ovulation.
• Uterine and Tubal Factor
• Hysterosalpingogram (HSG) A radiopaque dye is
  injected into the uterus and x-rays are taken to
  view the shape and the size of the uterine cavity
  and fallopian tubes. The HSG also detects whether
  the tubes are open. 

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• Diagnostic Hysteroscopy (Dx Hyst)This diagnostic
  procedure uses a flexible scope, which permits
  the physician to look inside the uterine cavity
  to see whether there are any deformities or
  tumors distorting the cavity. It is also possible
  to visualize the corners of the uterus to see if
  the openings into the tubes are normal. This
  procedure is usually done in the office.
  Medication maybe taken two hours prior to the
  procedure for cramping that may occur with the
  procedure.
• Peritoneal Factor
• Diagnostic Laparoscopy (Dx Lap) This out-petient
  surgical procedure, done under general
  anesthesia, permits the physician to look inside
  the abdomen to inspect the various abdominal and
  pelvic organs, including the female organs. This
  diagnostic procedure is primarily done to see
  whether there is evidence of endometriosis or
  pelvic adhesions that could interfere with the
  transport of the egg from the ovary to the tube
  and on into the uterus. If endometrial implants
  and pelvic adhesions are identified, additional
  procedures such as cautery or laser treatment may
  be done to destroy the implants and release the
  adhesions.

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