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Aadhar Fertility & IVF CentreAadhar Fertility & IVF CentreAadhar Fertility & IVF Centre
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Aadhar Fertility & IVF Centre

Aadhar Fertility and IVF offers a comprehensive Infertility Management Programme under one roof to couples. It is one of the leading fertility treatment centre in Haryana that has renowned Infertility and IVF Specialist Dr. Pramila Sharma, as a dream to offer comprehensive fertility treatment services to patients in a compassionate, transparent and ethical eco-system. Grown from the first centre at Haryana to provide only the best medical treatment to our patients. We follow practices of international standards that have been deeply imbibed in our team, treatment and the procedures.

Basic Art Services

Intra Uterine Insemination (IUI)

Today, many couples choose a late parenthood and plan pregnancy in mid or late 30s so that they can focus on their careers. While this approach helps a many to have a well-planned family, but at the same time some couples may have trouble in conceiving. However, first-in-line, modern assisted reproductive techniques like IUI has helped many couples to decide when to have a baby. Intrauterine Insemination (IUI)is fertility treatment procedure wherein the healthy and motile sperm, collected from the male partner is placed inside the uterus of the female partner around the time of egg(s) release using a thin plastic catheter. As an outcome, the sperm swims into the fallopian tube and fertilizes the egg, establishing a normal pregnancy. IUI is a simple, non-invasive, pain-less, cheap and easily repeatable approach of fertility treatment. However, experts at Aadhar Fertility & IVF suggest this approach based on the individual case. In cases where the couple is using a previously frozen sample of the sperm for the procedure or when the donor sperm is being used, IUI can be effectively used for conception.

Who should undergo an IUI treatment?

·         Unexplained infertility issues

·         Infertility due to endometriosis-related problem

·         Vaginal infections or Cervical factors

·         Coital disorders in men or women

·         Reduced sperm count or quality, Mild male factor infertility

·         Semen allergy

·         Donor or frozen sperm

In Vitro Fertilization

In Vitro Fertilization (IVF) is one such procedure that has helped several couples become parents. One of the most effective forms of assisted reproductive technology (ART), IVF is a series of procedures used to treat fertility or genetic problems and assist couples with the conception of child. In cases where the couple is unable to conceive naturally, the fertility specialists retrieve the eggs and sperms and fertilize them manually outside the human body. The fertilized egg after few days of monitoring is implanted in the woman’s uterus to ensure a successful pregnancy. To help increase the chances of success for the couple, the fertility specialists fertilize more than one embryo during an IVF cycle, allowing selection of the genetically healthiest embryo to be transferred in the uterus. However, the chances of a successful conception and a healthy baby through IVF depends on several other factors as well, such as age, cause of infertility, number of previous cycles, etc. In cases where eggs or sperms cannot be retrieved from the couple or are of poor quality, the procedure can also be performed using eggs or sperm of a donor, whose details are maintained confidential for the benefit of both patient and the donor.

Who should undergo an IVF treatment ?

·         Fallopian tube damage or blockage

·         Ovulation disorder

·         Premature ovarian failure

·         Endometriosis

·         Uterine fibroids

·         Previous tubal sterilization or removal

·         Impaired sperm production or function

·         Unexplained infertility

·         Genetic disorder

·         Fertility preservation for cancer or other health conditions

·         The IVF Journey to a Successful Conception

·         Consultation, pre-treatment testing & regularization of menstrual cycle

·         Preparing ovaries for producing several eggs

·         Ultrasound and hCG injection for final maturation of eggs

·         Collecting eggs and sperms

·         Fertilization inside the laboratory

·         Transfer of embryo into the uterus

·         Tests to check the status of conception/pregnancy

Intra Cytoplasmic Sperm Injection (ICSI)

Intra Cytoplasmic Sperm Injection (ICSI) is one of the fertility treatment techniques that have delivered high rates of fertilization and successful pregnancy of up to 75-80%. ICSI is an In Vitro Fertilization (IVF) procedure in which a single sperm cell collected from the semen of the male partner is injected directly into an egg of retrieved from the ovary of the female partner. This approach allows the embryologists to select best quality sperm and egg for fertilization. This procedure can be employed successfully not only in the regular cases of infertility, but also in the cases of previously frozen eggs and/or sperm, donor egg and/or sperm, surrogacy, etc.

Who should undergo an ICSI treatment?

·         Unexplained infertility issues

·         Previously failed fertilization cycle using conventional IVF

·         Low sperm count

·         Abnormal sperm or sperm with low motility

·         Ejaculation-related issues where sperm has been retrieved surgically from testes

·         High level of anti-bodies in sperm

SPERM & EMBRYO FREEZING

One of the greatest advancement in the Science of Human Reproduction is preservation of eggs, sperms and embryos.  The cryopreservation of sperm, egg and embryo through freezing is a procedure that has helped several couples to preserve their future ability to conceive. With the help of this procedure, couples diagnosed with cancer and have not yet begun with chemotherapy can opt to preserve their egg or sperm cells, which can be later used for fertilization.

Cryopreservation can be done by two methods – slow rate freezing and vitrification. Slow rate freezing is a labour-intensive procedure where the cellular dehydration happens through equilibrium process. However, Vitrification is a non-equilibrium approach that uses high concentrations of cryoprotectant which solidify the cells rapidly without the formation of any ice crystals. 

IMSI

Out of total cases of infertility amongst a couple, approximately 40% are attributed to male-related issues. One of the underlying causes behind male-infertility is problem related to the sperm like low sperm count, poor sperm quality or abnormal sperms.

In most of the cases, a conventional ICSI procedure is performed where an expert embryologist visually examines the sperms using a microscope with magnification up to 400x and selects the normal motile sperms. However, in cases where the sperm samples are extremely low or highly abnormal, the experts at Aadhar prescribe the selection of sperms through IMSI or Intra Cytoplasmic Morphological Sperm Injection, an improved variation of ICSI.

IMSI is a technique that uses a high-powered microscope with magnification up to 6,000x to examine the sperms. The magnified digitally enhanced images of the sperm allow the embryologist to detect any structural alterations and abnormality that are otherwise hard to locate with conventional methods. This helps in selection of the quality sperms with most normal morphology for fertilization.

Who should undergo an IMSI treatment?

·         Unusually low sperm count

·         Highly abnormal sperm

·         Several unsuccessful IVFcycles

MESA/TESA

Several men experience the fertility issue wherein the sperm is missing or the quantity is very low in their semen due to blockage, vasectomy or other unexplained reasons. In such cases, the expert embryologist may suggest to perform a procedure to extract sperm from the male partner’s testes.

MESA or Microsurgical Epididymal Sperm Aspiration is a procedure wherein the sperms are taken out from the epididymis, a coiled duct behind the testes that passes the sperm to the vas deferens, using a fine needle under a local anesthesia.  This minimally-invasive procedure helps in extracting greater value of sperm that can also be stored for future procedures as well.

On the other hand, TESA or Testicular Sperm Aspiration is a procedure wherein the sperms are extracted directly from the testes, the organ responsible for the production of sperms, through a similar approach used for MESA.

 

Who should undergo a MESA/TESA treatment?

·         No sperm in semen analysis without any known blockages

·         Inability to ejaculate (such as injury)

·         Failed vasectomy reversal or vasectomy performed several years ago

 

OVUM/EMBRYO DONATION

Every woman has a limited reserve of eggs that she ovulates during the fertile period of her life, which is normally between the ages 15-40 years. Beyond this age, they begin to experience difficulties in conceiving due to factors like reduced or no eggs, low quality of eggs, reduction of fertility inducing hormones in the body, etc. In such cases, including others, the experts at Aadhar Fertility & IVF may suggest the couple for conceiving using a donor’s egg. In this procedure, the eggs from the selected donor are retrieved, fertilized in the lab using the sperms of the male partner of the recipient couple through an IVF procedure and then transferred into the uterus of the recipient female partner. The egg donors are selected by the fertility expert based on a thorough investigation of the donor’s physical and temperamental attributes resembling the recipient women. Further, a detailed medical screening of the egg donor is conducted which includes pelvic exam, ultrasound scan, blood type testing, test for infectious diseases and genetic testing along with family history of last three generations.

Post screening, the egg donor and the recipient undergo separate procedures. The egg donation cycle involves ovaries stimulation to help the donor to produce several mature eggs. The process of ovaries stimulation is similar to the process followed in a normal IVF procedure. However, the egg recipient cycle includes preparing the body of the recipient’s for the embryo transplant through administration of prescribed medicines. The donor and the recipient, both are monitored closely using blood tests and ultrasound scans to determine the progress. Once the eggs are matured and retrieved from the donor, the normal IVF procedure is carried on the recipient couple using the donor’s egg.

In case where the couple requires both – the egg and the sperm donation, the experts may suggest an embryo donation. In this procedure, the donated healthy embryos from the couples who have successfully had their baby from IVF and are ready to help other couples are used. After a detailed screening of both, donor couple and recipient couple based on their resemblance, the embryos are transferred to the uterus of the recipient female using a embryo transfer procedure similar to a normal IVF procedure.

 

Who should undergo for IVF using Ovum/Embryo Donation?

·         No or removed ovaries

·         Ovaries damaged due to cancer or other medical treatment

·         Achieved menopause

·         Few or low quality eggs

·         Several failed IVF cycles or miscarriages

·         High risk of passing a serious inherited disorder

·         Both partners require egg and sperm donation (for embryo donation)

·         Single women (for embryo donation)

SURROGACY

Most of the IVF procedures involve transferring of the growing embryo in the uterus of the female partner. However, in some cases the body of the female partner doesn’t allow her to conceive, carry and give birth to a child, like in the absence of uterus, cystic fibrosis, severe heart condition, etc. In such cases, the experts at Aadhar Fertility & IVF may advise the couple to take help of a surrogate. Surrogate motherhood is a form of Assisted Reproductive Technique (ART) wherein a third-party woman agrees to act as a surrogate, carry or gestate the couple’s embryo and give birth to a child which is then surrendered to the intended couple. Surrogacy is a process that involves not only medical, but also psychological evaluation of the surrogate. Furthermore, being a legal matter, the couple is also required to enter into a medico-legal contract with the surrogate, based on the law of the land. This contract undertakes a written consent from all the parties pertaining to the procedure and the outcome. To assist the couples with surrogate motherhood, Aadhar Fertility & IVF has made arrangements with the renowned and experienced agencies that help couples opting for surrogacy with all matters related to surrogacy arrangements, legal counselling, contractual proceedings, etc.

The couple can choose whether to inseminate the surrogate with the male partner of the intended couple (traditional surrogacy) or transferring an embryo fertilized with the sperm and egg of the intended parents (or donor sperm and/or egg) to the surrogate’s uterus (gestational surrogacy). In either of the approach, the surrogate woman and the intended couple are evaluated legally, medically and psychologically to ensure their suitability for the procedure.

In the traditional approach, the sperms are collected from the male partner that is used to inseminate the surrogate’s eggs through an IUI or IVF procedure. However, in the gestational approach the eggs of the female partner (or donor) is fertilized with the sperm of the male partner (or donor) are retrieved that are fertilized in a lab through an IVF procedure. The fertilized, developing embryo is then transferred into the uterus of the surrogate woman who gestates the embryo to the term and gives birth to the child. Post-birth of the child, the new born is given to the intended couples, as per the contract

Who should undergo an IVF using Surrogacy?

·         Absent, removed or abnormal uterus

·         Several failed IVF cycles or miscarriages

·         Serious health conditions (severe heart disease, renal disease, diabetes, etc.) which makes pregnancy and birth dangerous

·         Single mother