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Prashanth Fertility Research centre
No.77, Harrington Road, Chetpet, Chennai 600 031, Chennai Get Directions
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Services
Infertility Treatment
Treatment of Infertility
In Vitro Fertilization (Ivf) Treatment
Treatment of Breast Cancer
Treatment of Testicular Cancer
Treatment of Male Infertility or Impotency
Acupuncture Treatment
Treatment Of Female Sexual Problems
Intra-Uterine Insemination (IUI) Treatment
Treatment of Gynae Problems
Stem Cell Therapy
Maternal Fetal Medicine
Preimplantation Genetic Diagnosis (Pgd)
Oncology Rehabilitation
Embryo Donor Program
Endometrial Receptivity Assay
ICSI with Blastocyst Transfer
Intracytoplasmic morphologically selected sperm injection (IMSI)
Laser Assisted Hatching
Blastocyst Culture
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During the days of treatment and during the stay in the Prasanth Fertility Hospital, whenever we approached Dr.Madam for a clarification in regard to medical problems and medicine to be taken, Dr. Madam gave us all information correctly and patiently and without any hesitation. We are thankful to Madam Dr.Geetha and the staff of the hospital. We wish this type of medical service continous for ever in the hospital.
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IVF or In vitro fertilization is a form of fertility treatment where the sperm and egg is combined, in a laboratory. IVF is one of the most common fertility treatment procedures, which involves high technology and are undertaken by many couples all over the world. If you have ovulation problems or problems with the quality of egg and blocked fallopian tubes or in case your male partner has low sperm count or high mortality, you can undertake IVF to become pregnant.
The process of IVF involves the following steps and methods:
- Ovarian stimulation: Before your menstrual cycle begins, you should take a gonadotrophin. This is a fertility drug which will stimulate your ovaries for the development of multiple, mature eggs for fertilization process. Taking synthetic hormones like cetrorelix and leuprolide also help in ovaries stimulation.
- Development of follicle: You must visit your doctor frequently while having the medicines for a checkup of your blood hormone levels. Getting an ultrasound done for regularly measuring your ovaries is also very important. This will allow your doctor to monitor the development of follicles.
- Trigger shot: You will be given a trigger shot injection after the follicles are ready. This injection causes full maturation of the eggs and makes them ready to get fertilized. The eggs can be triggered after 36 hours of trigger shots.
- Gathering of the eggs: You will be given an anesthetic by the doctor and an ultrasound probe will be inserted through your vagina for observing the ovaries and follicles. A thin needle is inserted through the vaginal wall and the eggs are removed from the follicles.
- Fertilization: Your eggs will be observed once more before being combined with your partner's sperm and being incubated overnight. Fertilization occurs during this time and abnormal eggs are not fertilized. Three days after the eggs are retrieved, some of the successfully fertilized eggs turn into embryos made up of six to ten cells. After five days, some of these embryos become blastocysts made of fluid-filled cavities and tissue, which begin to develop and separate into the baby and the placenta.
- The most viable embryos are selected to be placed in your uterus. The doctor places one to five embryos in your uterus by the insertion of a thin tube or catheter through the cervix. The embryo implants in the walls of the uterus and slowly develops into a baby. The chances of pregnancy are higher in case of multiple embryos.
IVF is successful and quite a common fertilization process. It is an old procedure used and has been in use for a very long time. The track record of IVF is impressive and more improved techniques are being developed every day.
Hydrosalpino is this term quite new to most of us? But the problem isn’t as new as the term is. Hydrosalpinx is the blockage of the far end of the fallopian tube which results in the accumulation of fluid within the fallopian tube. The affected fallopian tubes can be either one or even both where the affected area can become substantially swollen or grow a few centimeters in diameter. Abdominal or pelvic pain are commonly observed in patients with hydrosalpinx but frequently it results in infertility.
A crucial role played by the fallopian tube is during pregnancy. as the sperm enters the vagina, it travels to the cervix, through the uterus and into the fallopian tube where an egg would be present in either of the tubes if the intercourse has happened during the time of ovulation. After which fertilization occurs, the embryo is formed and this is implanted in the uterus and pregnancy is established.
Studies have shown that women with one open tube but another tube hydrosalpinx have reduced chances of pregnancy. Here are various reasons which explain why there is a low success rate in patients with hydrosalpinx. Low of fluid into the uterus could hinder implantation of an embryo. Fluids containing a lower level of proteins, various amounts of debris and other toxic substances are harmful to both the embryo as well as the lining of the uterus. Fluids may cause sweeping out of embryos. There is substantial evidence to suggest that the success of IVF treatment is significantly lower for women with hydrosalpinx in comparison with the other causes of infertility.
Investigators recently compiled the results from 14 different studies to try and figure out the success rate of IVF treatment on women with hydrosalpinx. 5592 patients were analyzed went under 8703 IVF embryo transfers of which 1004 patients were diagnosed with hydrosalpinx and 4588 had tubal blockage without hydrosalpinx. Their 4 different outcomes were overall pregnancy rate drop, lower implantation rate, drop in delivery rate and increasing miscarriage rate in women with hydrosalpinx.
The best treatment option for these patients is to undergo tubal disconnection before the IVF treatment. Tubal disconnections present in the fluid of hydrosalpinx from entering the uterus and thus improves chances of implantation after an embryo transfer in an IVF treatment cycle. Ultimately, retaining the affected fallopian tube is more harm and there is no benefit in achieving pregnancy.