IUI/IVF/ICSI

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.

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Different Kind of Sperm Morphologies

Pictures showing different kind of sperm morphologies Click Below link .

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Who Requires ICSI?

ICSI has proved to be very useful in couples who have failed to achieve fertilization or had very poor fertilization following standard IVF treatment & in couples where the male partner has abnormal sperm parameters like severe oligospermia (very low count), severe asthenozoospermia (very less motility), severe teratozoospermia (high percentage of abnormal sperms) or a combination of abnormalities like oligoasthenoteratozoospermia (very low count, poor motility, abnormal sperms).

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What is the Purpose of IVF?

The purpose of IVF is to:
By pass the fallopian tube where fertilization normally occurs, so that we can overcome tubal factor if it is one of the factors causing infertility.
IVF / ICSI can also bypass mechanical factors, sperm defects like acrosome defect or oocyte defects like zona pellucida being too thick. With IVF/ICSI, subtle hormonal defectsget corrected and endometrial receptivity improves. Unexplained infertility may be due to one of the above factors and may get corrected by IVF/ICSI..

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Pre IVF Preparation

In the month prior to the IVF stimulation cycle, medications/injections are given to suppress the body’s natural hormones so that the subsequent stimulation of ovaries is better controlled..

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How is Pre IVF Evaluation Done?

This is the most important part of IVF/ICSI. If this is done correctly the chances of success increase markedly.
Pre IVF evaluation is done for both male & female partners.

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Intra-Uterine Insemination (IUI)

What is Intra-Uterine Insemination (IUI) ?

Intra-uterine insemination (IUI) also known as Artificial Insemination is a process in which the washed/processedsemen is placed directly into the uterine cavity with the help of a thin sterile plastic tube (catheter) in and around the time of ovulation (release of egg from the ovary).

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IUI – How to Proceed

IUI cycle can be done in natural unstimulated cycle or in a stimulated cycle (using oral drugs/injections).

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IUI Procedure

Before the procedure, the semen processing media is removed from 2-8°C and is kept on the heating block at 37°C for atleast 20-30 mins so that the temperature of the media and the semen sample is almost the same. After collection, the sample is kept in the laminar flow over the heating block forliquefaction in sterile air with 37*C.

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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.

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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.

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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.

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