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Medical Services : Ovulation Induction

ICSI (Intracytoplasmic Sperm Injection)

Gamete Intra-Fallopian Tranfer ( GIFT )
Artificial Insemination
Intra-Uterine Insemination (IUI) with or without Stimulation of the Ovaries
Peritoneal Oocytes and Sperm Transfer (POST)
Assisted Hatching
Frozen Embryo Replacement (FER)
Blastocyst Embryo Transfer
IVF (HOST) Surrogacy
Egg Donation
Who needs treatment? Women with irregular or absent periods, caused by inadequate or inbalanced release of FSH or LH from the pituitary gland or those with polycystic ovaries.
Drug Treatment - Oral tablets in the form Clomiphene Citrate or Tamoxifen taken for 5 days from the second day of menstruation. Gonadotrophin injections used either daily or on alternate days.
Monitoring - By ultrasound scans to check the development and number of follicles in the ovaries. If more than three large follicles have developed treatment would be suspended as the risk of multiple pregnancy is greatly increased.
Administering - HCG injections - When one follicle reaches a diameter of at least 18mm to encourage the final maturation and the release of the egg from the follicle. Sexual intercourse or IUI will be timed 36 - 40 hours after the injection
  ICSI (Intracytoplasmic Sperm Injection):
ICSI (Intracytoplasmic Sperm Injection) Treatment was first introduced into clinical practice for certain types of infertility in 1992. It has revolutionized the treatment of severe male infertility.
ICSI treatment is an invasive technique and may also use sperm that would otherwise not be able to fertilise an egg. For these reasons, concerns about the potential risks to children born as a result of ICSI treatment have been raised, and several follow-up studies have been published.
ICSI treatment is still a relatively new technique, and all the children born are still very young. Consequently, these follow-up studies involve relatively small number of children and do not include effects that may only be seen in older children or in the next generation. More detailed information is available from our advice centre.
ICSI Technique (India)
ICSI India
One individual sperm is picked up in a tiny needle, many times smaller than a human hair. This sperm is then injected directly into the centre of a mature egg.
  Gamete Intra-Fallopian Tranfer ( GIFT ) :
GIFT is an alternative treatment to IVF or ICISI Treatment for women with patent fallopian tubes. The first few steps are similar to IVF, namely, stimulating the ovaries with drugs, monitoring follicular growth, administering HCG to induce final maturation of the eggs, and egg collection ( usually laparoscopy under general anaesthesia )
Once eggs have been collected, they are placed in a laboratory dish, observed under a microscope and their maturity noted.
Prepared sperm and a maximum of 3 eggs are then drawn into a fine catheter and transferred into the patient's fallopian tube. GIFT is not suitable as a treatment for the male factor infertility (unless donor sperm is used).
  Artificial Insemination :
Artificial insemination with husband's (AIH) or donor sperm (DI) involves injecting the semen into the cervical canal (neck of the womb) at the time of optimum cervical mucus, i.e. just prior to ovulation. Couples / Patient will be carefully assessed by one of our clinicians before DI is initiated. Counseling is compulsory for patients requesting the use of donated gametes.
Donors are screened for sexually transmittable agents (including HIV) and genetically inherited diseases. We freeze donated samples and quarantine them for a minimum of six months prior to use. This allows time for all the test results to be collected and HIV testing to be repeated, prior to using the samples. We try to match the partner's ethnic background, his eye and hair colouring, to that of the donor. Other characteristics, such as blood group can matched on request, depending on availability.
  Intra-Uterine Insemination (IUI) with or without Stimulation of the Ovaries :
IUI of a prepared sample of the ovaries with husband's or donor sperm is often used with or without stimulation of the ovaries with fertility drugs to increase the chances of conception. The cycle is monitored with ultrasound scans and insemination is performed at around the time of ovulation, i.e. about forty hours after an HCG injection is given to trigger ovulation.
Superovulation and IUI can be used for women with cervical mucus hostility or poor quality mucus, men with low sperm counts and couples with unexplained infertility.
  Peritoneal Oocytes and Sperm Transfer (POST) :
In this method, sperm and eggs are directly placed into the peritoneal cavity near the fallopian tubes, under ultrasound guidance, immediately after transvaginal ultrasound guided egg collection has been performed.
We mostly use it nowadays as a back-up treatment for superovulation and IUI. This is because with superovulation and IUI, some women develop too many follicles, so that the risk of high order multiple pregnancy becomes unacceptable if IUI were to be performed. In these cases, the choice is between abandoning the cycle, or conversion to a procedure like IVF or ICSI Treatment or POST.
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Medical Services :
Medical Care   |   Treatment Option   |   IVF Treatment   |   Endoscopic Surgery   |   Ay Surgery (Out Patient Surgery)   |   Ovulation Induction   |   Complications Of Assisted Reproduction Treatment   |   Laparoscopy Surgery   |   ICSI treatment   |   Egg Donation   |   Test Tube Baby (IVF)