Showing posts with label IVF. Show all posts
Showing posts with label IVF. Show all posts

Friday, 31 January 2014

Treatment for Low Sperm Count - ICSI (Intracytoplasmic Sperm Injection)

If there is a question of the sperm's ability to fertilize the egg, due to either a low sperm count or poor quality of the sperm, that poses no problem whatsoever. Intra-CytoplasmicSperm Injection (ICSI) would be performed instead of regular In Vitro Fertilization (IVF). With ICSI, the eggs are retrieved the same as if you were doing conventional IVF. However, the eggs and the sperm are then fertilized in the laboratory, by direct injection of a single sperm into each egg. Three days later the resulting embryos are simply placed into your uterus with no surgery, just as with IVF. Extra embryos are frozen for later attempts at pregnancy.
The availability of this Intra-Cytoplasmic Sperm Injection, "ICSI" technique (which was developed and perfected by the Brussels University and our institution in St. Louis) means that men whose sperm previously were too weak or too few to fertilize in vitro (IVF), now have no problem fertilizing their wife's eggs. The fertilization rate per egg using ICSI is about 70% despite the sperm being terrible, the fertilization rate per infertile couple is over 99% if the wife has adequate eggs, and the pregnancy rate per treatment cycle is over 50%. This is not significantly different from regular IVF with normal sperm. This technique is very cost-effective, and will give you the same high chance for getting pregnant as any couple with normal sperm.
Non-moving "dead" appearing sperm and inject it into a woman's egg, getting a normal embryo and a completely normal baby. So far, over 10,000 babies have been born with this new technique from men who were otherwise considered hopelessly sterile. The babies are physically, mentally, and genetically completely normal, no matter how poor or miserable the sperm of the father.
We can take a man who would otherwise have to resort to donor sperm, and if we can find just a few weak sperm in his otherwise sterile appearing ejaculate, it is more than enough to microsurgically inject these few sperm into his wife's eggs, fertilize them normally, and get her pregnant.
If there is absolutely no sperm in the ejaculate, we can perform a testicle biopsy, remove the few non-moving sperm that we find through a highly refined ultra micropipette, inject it into the wife's egg and still get her pregnant. Even in testicles where allegedly there is no sperm production, we can usually (but not always) find a few sperm, which is enough for successful ICSI.
About 70 percent of eggs get fertilized. Fertilization is confirmed 18-24 hours after retrieval. ICSI is a highly successful technique used to help couples who have previously failed to achieve conception with standard IVF.
Why is ICSI Done?
  • Very Low Sperm Count
  • Abnormally Shaped Sperm
  • Poor Sperm Movement
If a man does not have any sperm in his ejaculate, but he is producing sperm, they may be retrieved through testicular sperm extraction, or TESE. Sperm retrieved through TESE require the use of ICSI. ICSI is also used in cases of retrograde ejaculation, if the sperm are retrieved from the man’s urine




IVF India has complete range of services to handle any kind of infertility with the best of professionals to back the best in class technology at work.
  • In Vitro Fertilization (IVF)
  • Intra Uterine Insemination (IUI)
  • Intra Cytoplasmic Sperm Injection (ICSI)
  • Blastocyst Culture
  • Sperm Aspiration) PESA (Percutaneous Epididymal Sperm Aspiration)
  • Advanced Treatment Options like TESE (Testicular Sperm Extraction) MESA (Microsurgical Epididymal )
  • Cryopreservation
  • Laser Assisted Hatching
  • Embryo Transfer
  • Ovulation Induction
  • Egg Donation/Egg Sharing
  • Zona free Embryo Transfer
  • Semen Bank
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Tuesday, 24 December 2013

Why India has High Success Rate of Surrogacy?

An IVF cycle consists of ovarian stimulation, egg collection, fertilization, embryo culture and embryo transfer. Ovarian stimulation consists of daily injection of hormones to the female partner with frequent clinical and ultrasonographic monitoring. This usually continues for 10-15 days. Egg retrieval is performed under anaesthesia through the internal route. There are no incisions or scars.The egg and sperm are either mixed (IVF) or the sperm is injected into the egg (ICSI-intracytoplasmic sperm injection).
The fertilized egg forms the embryo. The embryo is cultured in the laboratory for 2-3 days . Two-three best embryos are selected and transferred into the womb (uterus) on the second or the third day. The pregnancy test is done 14 days after the day of embryo transfer.
                                      
Listed procedures that are imposed in India makes the huge difference in the success rates than other countries


1. Ovarian Hyper stimulation: This process includes the most important two kinds of protocols for inducing the ovaries for the treatment of IVF. The protocol known as long protocol includes down regulation inside the pituitary ovary axis with the longest usage of GnRH protagonist. As per the survey conducted by the specialists have reported that the ovarian stimulation is the most successful procedure that is conducted as it provides nearly 30% of the total number of procedures. This is the most properly conducted experiments.
 2. Natural and slight IVF: IVF can be executed by a set of collection of natural chosen egg from women’s menstrual procedures without any usage of any kind of drugs. There is another type of method known as modified natural procedure of IVF. As per the survey conducted by the physicians have reported that it is the second most successful procedure that is conducted as it provides nearly 21% of the success.
 3. Preparation of egg with sperm: The discovered eggs are marked of the circumventing cells and disposed for the process of fertilization. An acute choice may be executed prior to the process of fertilization to choose the eggs with the optimal encounter of productive pregnancy. As the reports suggested by the specialists that have been reported by the surveys as it provides nearly 19% of the success of the total set of procedures that are conducted.
 4. Fertilization: An egg is allowed to incubate with a sperm at a ratio nearly 75000:1 as per the cultural media for a long duration of about 18 hours. Maximum number of cases, the egg ends up fertilizing with the sperm within that time. This process is known as fertilization. As per the reports suggested by the specialists that have reported that the fertilization process has a success rate up to a range of about 85%. This is excellent when compared to other processes as an individual. The success rates for these types of procedures have reported as very much successful. The percentages are listed above with the proper figures.


  
4500 US Dollars - Cost includes ICSI- IVF cycle All required Medical Tests & Investigations, Top IVF Specialist
Consultations, Hysteroscopy, Medicines and Consumables, Nursing care and Airport Pick & Drop.

The above cost includes the following:-
1) Detailed Fertility Evaluation Tests prior to IVF Treatment
Tests to be done for Both Husband & Wife - CBC, ESR, Blood Sugar (fasting & PP), ABO&RH, HIV 1 & 2, BT & CT, SGPT, TSH, FT3, FT4, S. Prolactin, DHEAS, Fasting Insulin, SGOT, HBsAG,
Tests to be done for Wife only - HB electrophoresis, Liver Function test and kidney function test, Thyroid profile , Serum prolectin, LH and FSH Serum AMH Lipid profile, Serum creatnine, HCV VDRL, Urine Routine, Chest X Ray, ECG
Tests to be done for Husband only - Semen Analysis, Semen Aerobic Culture
2) IVF (In Vitro Fertilisation ) and ICSI - One Cycle.

The whole procedure takes around 4-5 weeks to complete. Accommodation to stay can be arranged by us near the hospital and will about 40 US Dollars or more depending on your choice of the hotel and the afford-ability.