Hegde Fertility| Best Fertility Centre In Hyderabad

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TABLE OF CONTENT
(Fertilization Treatments)

• Ovulation induction (OI) and Timed Intercourse
  (TI)
• Intrauterine Insemination (IUI)
• In Vitro Fertilization (IVF)
• In Vitro Maturation (IVM)
• Vitrification Frozen Embryo Transfer (FET)
• Intracytoplasmic Sperm Injection (ICSI)
• Intracytoplasmic Morphologically Selected Sperm
  Injection (IMSI)
• Testicular Sperm Aspiration (TESA)
• Percutaneous Epididymal Sperm Aspiration (PESA)
• Microepididymal Sperm Aspiration (MESA)

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And Timed Intercourse
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• Ovulation induction (OI) is the process in which
  fertility drugs are injected to stimulate at
  least 2 large follicles to release one or more
  eggs from the ovary.
• Timed Intercourse (TI) once the OI is done the
  couple is advised to have intercourse for 3 to 4
  days followed by progesterone supplementation for
  few days to achieve a pregnancy. 

OI-TI Is Advised To
Women who do not ovulate
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Procedure
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Advantages
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Intrauterine insemination (IUI)
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Intrauterine insemination (IUI) IUI is a type
of Assisted Reproductive Technology (ART) to
treat infertility. This treatment involves
placing the sperm directly in womens uterus to
facilitate fertilization.
Fallopian Tubes
Pre- Requisite
At least One of the Fallopian Tube Should Be
Normal
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IUI Is Advised To
Cost
Appro. Rs .15000- 20000 Fifteen thousand to
twenty thousand
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Procedure
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Advantages
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• IN VITRO FERTILISATION

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IVF IS ADVISED FOR
Pre- Requisite
Women having blocked or damaged fallopian tubes
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IN VITRO FERTILISATION (IVF)

• IVF is a type of Assisted Reproductive Technology
  (ART)
• In this process of fertilization where an egg is
  combined with sperm outside the body, in vitro.
  The process involves monitoring and stimulating a
  woman's ovulatory process, removing an ovum or
  ova (egg or eggs) from the woman's ovaries and
  letting sperm fertilize them in a liquid in a
  laboratory. This is also referred as OPU (Oocyte
  Pick Up).
• After the fertilized egg (zygote)
  undergoes embryo culture for 26 days, it is
  implanted in the woman's uterus, with the
  intention of establishing a successful pregnancy.
  This is also referred as ET( Embryo Transfer).

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PROCEDURE
8-12 Days (Based on patients profile)
30 Mins Procedure .(Based on the stimulation
Within 10-14 days Procedure will be carried
after giving Anaesthesia )
Sample will be collected 2hrs on the day of
procedure / Freezing sample 3-4 days before the
procedure
3 days for embryo fertilization
Day 3 ET (Embryo Transfer) Or Day 5 ET(Blastocyte
Embryo Transfer)
1 Day
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ADVANTAGES IN IVF TREATMENT
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• IVF Success Rate

• The Success Rate is 70

IVF Cost

• The cost varies from 1 lakh 60 thousand to 2 lakh.

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RISK INVOLVED IN IVF TREATMENT
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TYPES OF IVF

• Natural Cycle IVF involves egg collection aligned
  with your natural menstrual cycle there are no
  stimulation drugs or injections involved. It
  works in sync with your menstrual cycle to
  collect the egg naturally selected by your body.

• Minimal Stimulation IVF involves in giving some
  fertility injections in lower doses to boost the
  ovulation, encouraging the body to produce more
  eggs than the normal.

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IN VITRO MATURATION 
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IN VITRO MATURATION 

• IVM is an assisted reproductive technology which
  involves collecting eggs from a woman before they
  matured.
• Under Transvaginal scan guidance immature eggs
  are collected from unstimulated or lightly
  stimulated ovaries.
• The immature eggs are then matured in the
  laboratory for 24-48 hours using culture medium
  with added small quantities of hormones.
• Intracytoplasmic sperm injection (ICSI) is used
  for fertilization of the matured eggs. The
  resulting embryos are transferred to the womens
  wombs.

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IVM Is Advised To
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Advantages And Risks
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Procedure
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Procedure
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Vitrification Frozen Embryo Transfer
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Vitrification

• The word vitrification comes from the Latin
  term for glass, vitrum. In the context of
  freezing eggs and embryos, vitrification is the
  process of freezing so rapidly that the water
  molecules dont have time to form ice crystals,
  and instead instantaneously solidify into a
  glass-like structure.
• Frozen Embryo Transfer
• A frozen embryo transfer, commonly referred as
  FET, is the process of using a frozen embryo from
  a previous IVF cycle.
• During this procedure, a woman undergoes the
  standard IVF procedure, but instead of
  transferring the embryos back into the uterus in
  the same cycle, they are frozen to use for future
  cycle. A woman can freeze her own eggs or choose
  to use donor eggs.

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Procedure
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Intracytoplasmic Sperm Injection (ICSI)
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ICSI Is Advised To
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Intracytoplasmic morphologically selected sperm
injection (IMSI)
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Intracytoplasmic Morphologically Selected Sperm
Injection (IMSI)

• IMSI is a procedure of selecting Spermatozoa
  under higher magnification
• Normal ICSI is done under 2000-4000
  magnification.
• where as IMSI is done under 6000 magnification
  which gives a higher chance of selecting good
  sperm
• The Patient who have gone repeated IVF failure,
  patients with very defective sperms
• Men whose sperm count is less or immobility  and
  unknown reasons for infertility
• Chances of achieving pregnancy using IMSI would
  be between 30-63 comparative to normal
  conventional IVF and ICSI 20-40

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Testicular sperm aspiration (TESA) Microepididyma
l Sperm Aspiration (MESA) Percutaneous
Epididymal Sperm Aspiration (PESA)
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• Testicular Sperm Aspiration (TESA)

• Percutaneous Epididymal Sperm Aspiration (PESA)

• PESA is a procedure performed for men who are
  having sperm retrieved for IVF/ICSI who have
  obstructive azoospermia from either a prior
  vasectomy or infection

• TESA is a procedure performed for men who are
  having sperm retrieved for IVF/ICSI
• A needle is inserted in the testicle and
  tissue/sperm are aspirated. TESA is performed for
  men with obstructive azoospermia (s/p vasectomy)
• Occasionally, TESA doesnt provide enough
  tissue/sperm and an open testis biopsy is needed

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• Microepididymal Sperm Aspiration (MESA)
• MESA is a procedure performed for men who have
  vasal or epididymal obstruction (s/p vasectomy,
  congenital bilateral absence of the vas deferens)
• Patients usually cryopreserve sperm during this
  procedure for future IVF/ICSI
• MESA allows for an extensive collection of
  mature sperm as compared to aspiration
  techniques, and it is the preferred method of
  retrieval for men with congenital bilateral
  absence of the vas deferens as it does not impact
  steroid production of the testis.

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TESA Is Advised To
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Procedure
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