When is it required?
In case when both fallopian tubes are blocked completely or when female suffers from severe endometriosis or in the case when the male (husband) has very small number of motile and normal sperms. Also in instances of reasons due to which the fertilization does not occur in outer part of the fallopian tube.
How it is achieved?
Under the guidance of sonography the eggs from the female partner is retrieved out of the ovaries with the help of a needle. It is done under anesthesia, hence not painful. The egg is then kept in a dish where in there is similar environment as in the womb. The sperms are seprated form the semen sample, provided by the male partner. The healthiest sperms are processed and mixed with the eggs and then kept in incubator for 48 hours to 72 hours. For blastocyst transfer, we do it for 120 hrs (5 days).
How long is the treatment?
Since there is no surgery a hospital stay is not required. A nearby hotel accommodation is most suited for couples coming from another town or foreign nationals. The required stay could be around 10 to 20 days. In case of foreign national the stay could be as long as frequent visits are required.
How frequently are the visits to be made?
The infertility treatment in clinic starts from first visit i.e. 21st day of the cycle. The fertility specialist prescribes subcutaneous injection to be injected for fifteen to twenty days. Or he may prescribe one depot injection and call you back 15 days.
The second visit is required after fifteen to twenty days. During the second visit, a sonography and some blood tests are conducted in order to check the state of uterus lining and the ovaries. Another group of injection called gonadotropins is then prescribed which has to be injected for 10 -12 days.
After 7/8 days whence the injections are ended, the gonoadotropin and sonography and /or blood tests are done again for the evaluation of growth of the egg containing follicles.
Upon the maturity of the egg single injection hCG is given. The process to retrieve eggs after thirty six to thirty eight hours Takes place under the effect of anesthesia. The process may take 10-15 minutes; the female has to be on empty stomach overnight. The semen is obtained from the male partner and sperms are prepared. Couple is relieved after 2-3 hours.
Then after 3 days / 5 days the couple has to visit for embryo transfer a painless procedure. After wards the lady has to rest for 2-3 hours. For few days the female is advised to abstain from heavy work.
We are doing Blastocyst Transfer , On Day 5 or Day 6 ( usually at the stage of partial hatching ) Regularly.
Form the day of retrieval till pregnancy test are conducted the female is prescribed injections or vaginal capsules containing progesterone.
Pregnancy test is conducted 12 to 14 days after embryo transfer takes place either by blood test or through urine test for beta hCG.
What are the chances of success at our Fertility Clinic?
A per year 2016 data the success rate is 65 % among females aged 21 to 30 yrs. It 42.5 % in case of females aged 31 –35 years. And 22.1 % in case of females aged 36 to 38 yrs per embryo transfer. The take the baby home rate is 38.3 % per embryo transfer.