A4 FERTILITY TREATMENTS

What is Infertility?

The vast majority of couples have a robust desire to parent a healthy child. In common 80% couples get pregnant from the initial twelve months of natural intercourse. But for 15-20% of couples this doesn’t happen after 1year of unprotected intercourse. Then they are supposed to be evaluated for infertility. But some patients need to be evaluated earlier (after 6 months itself) like,

Age of female more 35 years H/o irregular cycles/ severe menstrual pain /cysts Male sexual dysfunction/ surgeries / semen abnormalities

Threat factors of Infertility

There are several risk factors which in turn affect Female and male fertility. Main dangers which in turn bring about infertility are as below:

FOR MEN

  • Age group < 40 years
  • Using tobacco
  • Alcohol ingestion
  • Being obese or perhaps lack of excercise
  • Using Laptop on lap or mobile phones in pant pockets
  • Over-exercising
  • Sexually transmitted infections
  • Childhood chicken pox, mumps
  • Exposure to a number of drugs anti hypertensives, antidepressants, for gastric ulcer,etc.
  • Mental strain
  • Trauma to private area / surgeries in the past
  • Occupational exposure to heat
  • Travelling in bike in hot sun for long time

FOR WOMEN

  • Age group < 40 years
  • Using tobacco
  • Alcohol ingestion
  • Being obese or perhaps lack of excercise
  • Using Laptop on lap or mobile phones in pant pockets
  • Over-exercising
  • Sexually transmitted infections
  • Childhood chicken pox, mumps
  • Exposure to a number of drugs anti hypertensives, antidepressants, for gastric ulcer,etc.
  • Mental strain
  • Trauma to private area / surgeries in the past
  • Occupational exposure to heat
  • Travelling in bike in hot sun for long time

Solution for best fertility care in Chennai

Infertility is currently a problem faced by most couples. The couples are in search of best infertility professional to deliver appropriate approach and medication. We would be one of the excellent fertility centre in Chennai which offer the infertility remedies such as Ovulation Induction, Follicular Monitoring , IUI, and ICSI.

Infertility services are offered to full extent with wide range of treatment modalities available, almost 9 out of 10 patients are guaranteed with happiness of parenthood. Our entire team well understands that a babies smile in your homes brings immense happiness and sense of completion to your married life in almost all means. Efforts are taken to make it happen soon in every patient in the best natural way possible.

“The scans and consultation will be done at same Centre and with minimal waiting time.” This forms the Centre in success of fertility management, doing scans and consultation by the doctor is comfortable for the couple, interpretation and implication of minor variables helps in treatment and increases the success rate. All kind of infertility treatment under one roof.

Patients who are >38 – 40 years are given specific protocols and planned in the best way so that they achieve successful pregnancy and more importantly delivery of the healthy child, which we focus mainly upon. Patients with repeated abortions even more than 8 are managed effectively with individualised approach and latest technologies.

Management

Diagnosis

Identifying the problem is the foremost important step.
But all patients cannot be offered same set of investigations. It is categorised according to the patients previous history, previous investigations done.
Investigations are done for both male partner and female partner

For the mom to be:

Best Infertility Specialist in Chennai

Primary level

Blood investigations:

  • To assure the general health

  • To rule out infective conditions which can compromise the health of developing baby.

  • Hormonal evaluation of ovarian function , thyroid, prolactin levels which can influence the success rate and brain growth of fetus

  • Genetic evaluation (if needed)

  • Immunological investigations ( if needed)

Ultrasound

  • To evaluate uterus , endometrium and ovaries

Secondary Level:

  • Trial cannulation

  • Tube testing -Saline Sonography, HSG

  • Diagnostic laproscopy

  • Diagnostic hysteroscopy

Operative Hysteroscopy

  • Septal Resection

  • Myoma Resection

  • Polypectomy

  • Adhesion Removal

Operative Laparoscopy

  • Cystectomy
  • Myomectomy
  • Adhesiolysis
  • Tubal Canalisation
  • Endometriotic cystectomy

Tertiary level

  • ERA- ENDOMETRIAL RECEPTIVITY ARRAY (in patients with IVF/ICSI failure, even after transferring a healthy embryo)

  • PGS – PRE GENETIC SCREENING OF EMBRYOS (in patients with IVF/ICSI failure, a previous anomalous child, repeated abortions)

For the Father to be:

Best Infertility Specialist in Chennai are available to solve the male factor, which contributes to almost half of fertility issues.

Treatment connected with male infertility

There is equal contribution by male and female partners in fertility. So evaluating the male partner should be done even if female is having problems. For Male partner the expected counts for normal conception is more than 15 million with at-least 42 % motility and more than 4% normal morphology sperms.

If the results are between 8 to 15 million with at-least 40 % motility Intrauterine insemination ( IUI )can be done with good success rates and minimal costs

​ If counts are less than the above values, even after medications the ICSI/ IVF will be the best option. Though the costs are little more the success rates are very good , so having your own genetic baby will come true. ​

We do procedures like Testicular extraction of sperms, testicular mapping, etc with all latest advances. So even if there is no sperm in semen sample, need not worry, the couple can still have their own genetic child .

TESTS TO BE DONE

Primary level:

Semen Analysis:

According to WHO Standards

Blood investigations:

  • To assure the general health

  • To rule out infective conditions which can compromise the health of developing baby

  • Hormonal evaluation of testicular function , thyroid, prolactin levels which can influence the sperm quality and success rate

  • Genetic evaluation Karyotyping (if needed)

Secondary level:

  • Ultrasound of Abdomen and Scrotum

  • Doppler of scrotum

  • DNA Fragmentaion index of sperms

  • Y chromosome microdeletion

  • FSH receptor polymorphisms

Tertiary level:

  • Micro Epididymal Sperm Aspiration (MESA)

  • Testicular Sperm Aspiration (TESA)

  • Testicular Sperm Extraction (TESE)

Treatment options for the couple:

  1. Natural cycle monitoring, counselling about fertile period

  2. Ovulation induction with tablets and follicular monitoring

  3. Superovulation with injectables (Gonadotrophins), follicular monitoring and luteal support.

  4. SPERM Quality and Quantity are improved by traditional ways, tablets, hormonal injections.

  5. Erection and ejaculation or semen collection issues are addressed

  6. Intra Uterine Insemination (IUI)

  7. Myomectomy, septal resection, vaginoplasty

  8. Endometriotic cystectomy

  9. Tubal recanalization

  10. In Vitro Fertilization (IVF)

  11. Green IVF or minimal stimulation protocol

  12. Intra Cytoplasmic Sperm Injection (ICSI)

  13. MESA, TESA, TESE

  14. Donor Oocyte program

  15. Surrogacy

  16. Donor Embryo Program

Patients with recurrent abortions, genetic abnormalities and anomalies in first sibling or one of the partners are offered

  • PRE GENETIC TESTING FOR ANEUPLOIDIES ( PGT-A) OR PREGENETIC DIAGNOSIS OF SPECIFIC DISORDERS OF EMBRYOS (PGS, PGD)
  • REPEATED IVF FAILURE patients are offered ENDOMETRIAL RECEPTIVITY ARRAY(ERA), AND OR PGT-A.
  • DONOR OOCYTE PROGRAMME are also offered to patients with ovarian failure, AMH < 0.5

Disappointments after pregnancy

It can be particularly the situation for those who have experienced a new pregnancy and then a miscarriage. Rather than getting upset there are scientific ways to do problem solving.

We have particular individualised approach to each patient with miscarriage for prevention and planning the next pregnancy

There are certain ways to manage these pregnancies so that the pregnancy continues without problems.

Even patients with repeated miscarriages are managed with latest proven ways to deliver healthy child.

In our Hospital we offer due care with individualised way considering the success rate and costs of each treatment method. We are very transparent in all medical and financial aspects.

We offer ethical treatment to patients. It is a team approach , our assistant doctors, nurses and the counsellors are offered periodic training to satisfy the needs of patients in the best amicable way. Every patients details and identity are maintained and the patients are given time to discuss their ideas. They are given counselling about every clinical procedure about the procedure and also the costs involved in it. So our patients are well informed and satisfied.

Husband is allowed and involved in all the counselling and treatment procedures, which inturn improves the success rate of treatments.