Lunkad Hospital

PGD allows the embryologist to choose the best embryos for transfer to the Uterus based on the results of a detailed genetic tests on the embryos, excluding those embryos that contain an obvious genetic abnormality. The removed cells can be analysed using the FISH ( Fluoroscent In Situ Hybridisation ) technique to count the number of chromosomes and observe their arrangement INDIRA IVF is one of the very few centres in India that successfully has the combination of IVF and genetics facilities to perform these sophisticated tests

Assisted hatching is a technology which helps embryos to attach to the womb of the woman. Pregnancy cannot occur unless the human embryo hatches.Pregnancy rates for in vitro fertilization procedures with assisted hatching have been shown in some published studies to be higher than for IVF without hatching. There is an improvement in the rate of embryo implantation and pregnancy with the use of assisted hatching. During the cleavage of the early foetus, zona pellucida hardens. This development is normal and the purpose is to keep the cells in the egg together. Removing the egg for in vitro fertilization and micro insemination takes it out of its natural environment. This procedure tends to lead to egg shells that harden faster those of normally fertilized eggs.

The oocyte is fertilised and starts its development in the fallopian tube for about three days. During this time it moves through the tube into the uterine (endometrial) cavity and sits there for a further two – three days during which time it develops into a blastocyst (embryo that contains many cells and forms a cystic cavity within its center). Τhe blastocyst invades the uterine lining (implantation) about the fifth or sixth day after fertilization, in order to become incorporated into the wall for its sustainability and survival. The placenta will eventually develop and will provide for the growth of the embryo until birthRecent advances in the field of human IVF allow more embryos to grow in the IVF lab for a longer period, up to the later blastocyst stage. This was achieved via the development of many improvements in the IVF field, including the evolved culture media where an embryo can growth in the laboratory from the time of fertilisation up to 6 days, making it possible to be transferred to the womb at the blastocyst stage. Transferring embryos at the blastocyst stage cannot be applied to all patients, as in some cases all of the embryos arrest and none make it to the blastocyst stage. Blastocyst transfer is most successful in cases where there are a good number of embryos on day 2 and 3, which gives more chance of obtaining some good quality blastocysts on days 5 or 6.

GE Logiq P5 Color Doppler system used for

Routine Trans Vaginal Scan and color Doppler before and during the treatment cycle to monitor the progress of the cycle and timing of trigger injection

Oocyt Collection Procedures.

Other minor procedures like cyst aspiration etc.

Hysteroscopy is a procedure that allows your doctor to look inside your uterus in order to diagnose and treat causes of abnormal bleeding. Hysteroscopy is done using a hysteroscope, a thin, lighted tube that is inserted into the vagina to examine the cervix and inside of the uterus. Hysteroscopy can be either diagnostic or operative.

The newest of the aspiration techniques is testicular retrieval (TESA - TESE). In this procedure, a small amount of testis tissue is taken by biopsy under local anesthesia. It is a breakthrough in that it demonstrates that do not have to "mature" and pass through the epididymis in order to fertilize an egg. Because of their immaturity, however, testicular  need ICSI.

Testicular extraction is indicated for patients in whom there is a blockage in the epididymis very near the testis (either from prior surgery, infection or from birth), or a blockage within the ducts of the testes (efferent ductules).

Infertility is the inability of a person, animal or plant to reproduce by natural means. In humans, infertility may describe a woman who is unable to conceive as well as being unable to carry a pregnancy to full term. There are many biological and other causes of infertility, including some that medical intervention can treat.[1] Infertility rates have increased by 4% since the 1980s, mostly from problems with fecundity due to an increase in age. About 40% of the issues involved with infertility are due to the man, another 40% due to the woman, and 20% result from complications with both partners. Women who are fertile experience a natural period of fertility before and during ovulation, and they are naturally infertile during the rest of the menstrual cycle. Fertility awareness methods are used to discern when these changes occur by tracking changes in cervical mucus or basal body temperature.