Shai Raksha Fertility Centre (SRF) offer complete range of investigations and procedures that will support us in getting to know root cause of the problem. Once we find out the cause of infertility, we have a broad range of services targeted to solve each issue. SRF is a proud institution to provide the best services and treatments that will be customized to your requirements. We have bagged the satisfaction of our customers by providing a complete package of services and treatments by ICMR guidelines.
SRF has been able to give many couples the reason to be happy. We choose services ethically and consider your emotional and financial aspects. We provide assisted reproductive procedures such as Intrauterine insemination (IUI), In vitro fertilization (IVF), Intracytoplasmic sperm injection (ICSI). We also are here to support you through the process of sperm or egg donations, and surrogacy.
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Ovulation induction medications, (fertility drugs), are given to stimulate the follicles in the ovaries, which will result in the production of multiple eggs in a cycle. The medications will help in controlling the time that you release the eggs, ovulating, Timely sexual intercourse,
Intrauterine in seminations, and in vitro fertilization procedures can be scheduled at the most likely time to achieve pregnancy.
The Medications most commonly used in fertility treatments are
Intrauterine insemination ( lUI ) is an infertility treatment that is commonly known as artificial Inseminisation. This procedure involves injecting the woman with specially prepared sperm. Most of the time the woman is also treated with medicines that stimulate ovulation before lUI.
This procedure is quite simple and takes about 5-10 minutes, usually it is a painless procedure. First A speculum is inserted into the vagina which will aid visualizing the cervix. A mild cleaning solution is used to clean the cervix and surrounding vaginal tissue. Then the washed sperm is drawn into a syringe with a tiny catheter attached. Finally the catheter is passed through the cervix and then the sperm is injected into the uterus. The catheter and speculum is now removed and the patient is asked to rest for a short period of time, approx 15-30 min.
After the IUI is completed, the patient can resume any activities There is no need of bed rest in the IUI procedure.
IVF is a major treatment for infertility when other methods of assisted reproductive technology have failed. It is a process used to conceive a child outside the body.The women’s egg are collected and a man’s sperm are placed together in a plastic dish for fertilization. After fertilization the resulting embryos are then transferred to the women’s uterus with the intent to establish a successful pregnancy.
IVF is a series of steps which might take several weeks. The steps involved in this procedure are given below.
It is a process by which an egg is fertilised by sperm outside the body: in vitro. IVF is a major treatment for infertility, when other methods of assisted reproductive technology have failed. The process involves monitoring a woman’s ovulatory process, removing ovum or ova(egg or eggs) from the woman’s ovaries and letting sperm fertilize them in a fluid medium in a laboratory. When a woman’s natural cycle is monitored to collect a naturally selected ovum (egg) for fertilization, it is known as NATURAL CYCLE IVF.
Intracytoplasmic sperm injection (ICSI) is an in vitro fertilization laboratory procedure in which a single sperm is injected directly into an egg, using a glass needle (pipette) This process increases the likelihood of fertilization when there are abnormalities in the number, quality, or function of the sperm.
Fertilization occurs in 50% to 80% of injected eggs. Approximately 40% of all ICSI cycles performed in resulted in a live birth, which is comparableto rates seen with traditional IVE Younger patients may achieve even more favorable results. Factorssuch as poor egg quality and advanced maternal age may result in lower rates of success.
azoospermic patients with nonobstructiveazoospermia (NOA) might be the candidates for sperm aspiration as part of their in vitro fertilization procedure. Because sperm might be present for some men, but not in all parts of the testes of such men, multiple samplings of the testicular tissue are usually performed to increase the probability of finding sperm in NOA patients.
These samplings can be done by 2 methods:
Percutaneous Epididymal Sperm Aspiration (PESA) is typically the first choice for sperm retrieval, and is done by inserting a needle through the scrotum into the epididymis to collect a small amount of sperm.
The use of non-ejaculated sperm coupled with intracytoplasmic sperm injection has become a globally established procedure for couples with azoospermic male partners who wish to have biological offspring. Surgical methods have been developed to retrieve spermatozoa from the epididymides and the testes of such patients. This article reviews the methods currently available for sperm acquisition in azoospermia, with a particular focus on the perioperative, anesthetic and technical aspects of these procedures. A critical analysis of the advantages and disadvantages of these sperm retrieval methods is provided, including the authors' methods of choice and anesthesia preferences.
Before starting the IVF program, the diagnostic microdissection testicular sperm extraction can improve the success rate of surgical sperm extraction on the oocyte retrieval day. It would be a great news in the couples with azoospermia.
Azoospermia is a severe male factor in the infertility, and the occurrence is around 15% in the infertile men. There are two types of azoospermia,—obstructive and non-obstructive. In the patients with the obstructive azoospermia, the testes are able to produce functional sperms (spermatozoa), but the duct is blocked. In the patients with the non-obstructive azoospermia, the testes are unable to produce functional sperms, and the original cause have not been identified yet in 76% of the patients. The fertility specialist generally recommended these patients to take microsurgical epididymal sperm aspiration (MESA; in the patients with obstructive azoospermia) or testicular sperm extraction (TESE; in the patients with non-obstructive azoospermia) combing with intracellular single sperm injection (ICSI) in the IVF program.
Candidates for sperm retrieval from the epididymis include men with congenital and acquired reproductive tract obstruction. One of the most frequent types of congenital obstruction (a male is born with this condition) is bilateral absence of the vas deferens (CBAVD), and this occurs in 1-2% of males with infertility. Acquired vasal obstruction may result from prior failed vasectomy reversal, infection, or trauma (including injury during groin, scrotal, pelvic, bladder neck, or abdominal surgery). First attempts should be made to allow the couple to achieve naturally (if possible) with vasectomy reversal for example. If this is not successful or possible, then the retrieval of sperm directly from the epididymis for use with assisted reproductive technology (ART), specifically IVF/ICSI is the treatment of choice. In the situation of epididymal obstruction, more functionally “able” sperm are found closer to the testis than farther away from the testis (this is opposite of what is found in normal non-obstructed system where the most mature and “able” sperm are found further from the testis toward the vas deferens).
Percutaneous Epididymal Sperm Aspiration (PESA) and Testicular Sperm Aspiration (TESA) are procedures used in the management of obstructive and nonobstructive azoospermia (no sperm in the ejaculate). A fine needle is passed into the tubes leading out of the testicles, or the testicles themselves, to retrieve sperm.
The retrieved sperm are injected directly into an egg (ICSI) in a similar fashion to sperm retrieved from the ejaculate. This micromanipulation of a single sperm into an egg is the treatment of choice for couples with severe male factor infertility.
As a result of this technique, the first ICSI babies were born in 1994, and since then many healthy babies have followed.
Donor insemination is a simple procedure that uses a syringe to place semen into a woman’s vagina to assist her in getting pregnant. The semen is normally obtained from someone other than the woman’s husband or partner.
Donor egg treatment is characterized as an in vitro fertilization (IVF) cycle in which a womanutilizes anotherwoman’s eggs rather than her own. This treatment is required by:
Donor egg treatment was unreasonably expensive formost of patients. CFC revolutioned this treatment by creating innovative solutions to defeat the expense and donor availability issues generally connected with donor egg treatment. This implies more patients can seek donor egg treatment for pregnancy.
Laparoscopy is the minimally invasive diagnostic procedure that includes insertion of narrowtelescope camera system to view the abdominal and reproductive organs such as uterus, fallopian tubes, and ovaries. The fertility expert makes little hole approximately 0.5 to 1 cm in the abdomen, through which fiber optic tube fitted with camera and light is inserted. Suspicious developments can be biopsied and repairs can be made during laparoscopy.
Our fertility expert proposes laparoscopic surgery to help in diagnosing a cause for infertility. Usually Laparoscopy is performed only after other fertility testing has been completed. If patient is experiencing any pelvic pain such as endometriosis, our fertility expert proposes laparoscopic surgery to find the source of pain and remove the defects such as scar tissues, fibroid tumours and other abnormalities.
