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May 26, 2015

Different Kind of Sperm Morphologies

Pictures showing different kind of sperm morphologies: Normal Sperm Tapered sperm head: Round headed sperm: Amorphous sperm head Elongated sperm head & sperm with double head  Sperm with thick tail Sperm with short tail Pin head sperm Semen sample showing plenty of pus cells in the sample, suggestive of infection. This will require treatment with antibiotics. Semen sample showing leucocytes with ingested sperm head Semen sample showing RBCs/ blood in semen sample
May 26, 2015

In Vitro Fertilization (IVF)?

What is IVF or test tube baby? IVF stands for in vitro fertilization. It refers to the process by which a woman’s eggs are collected and then fertilized outside her womb in the laboratory. This is done in a Petri dish (“in vitro” is Latin for “in glass”) where the collected eggs are kept and the washed semen containing sperms is added to it so that one of the sperms fertilizes the egg. The fertilized eggs (embryos) are cultivated and grown in the laboratory and after appropriate growth, they are transferred back to the uterine cavity. What is ICSI? ICSI […]
May 26, 2015

Advantages of IUI

High concentration of highly motile, best quality sperms are placed very close to the egg. This increases the chances of conception manifold. Very simple procedure. No need of anaesthesia. Patient can go home or to work soon after the procedure. Extremely useful for couples with sexual dysfunction like dyspareunia, vaginismus, erectile dysfunction, non consummation of marriage, mild male factor infertility, grade I & II Endometriosis, unexplained infertility etc. Usually husband is not required at all visits.   Disadvantages The pregnancy rates are lower in case of IUI, approximately 10-15%. During folliculometry we document the release of the egg from the […]
May 26, 2015

What is the Advantage of Having Semen Processing and Insemniation under One Roof?

Some centers have folliculometry (USG monitoring) facilities but may not have Semen processing facilities or IUI facilities; while a few may not have folliculometry (USG monitoring) facilities too. Thereby, the wife has to go to a radiologist or some other center for doing the follicular study (serial USGs) for 5 to 7 days depending on the growth of her follicle. Once the follicular rupture has been confirmed, the husband needs to give sample and it has to be processed (washed). If this centre does not have facility for the same, then the couple has to go to another center for […]
May 26, 2015

What is Difficult IUI ?

Sometimes there may be problem in visualizing the cervix and doing IUI. In these cases, one should use a tenaculum (long vaginal instrument) and give traction to manipulate the Utero-Cervix angle and also to stabilize the cervix. Maklers or metal catheter (standard) also help in these cases. VIDEO : Endometrial contractions seen in USG. These may be seen in cases of difficult IUI and may hamper the result. Various positions of the uterus during Difficult IUI: Empty Bladder and Acutely Anteverted Uterus In these cases it is better to have a Full Bladder and or use Allis (instrument) Traction in […]