What Are The Various Types of Treatment Offered at The IVF Centre in Lucknow?
Dr. Richa Singh, fertility expert in Lucknow explains the various treatment options offered at IVF centre.
Infertility Counselling: Infertility counselling can be your first interaction with a fertility specialist. Couples can discuss their concern, tell the history of previous pregnancies and treatments. Infertility takes a toll on the mental health of a couple and many patients suffer from anxiety and depression. Fertility experts try to build confidence and positivity in couples, which is whole n sole of treatment.
Infertility counselling can give you insight about treatment options such as IUI, IVF,sperm, egg, embryo freezing, or gestational carrier.Doctors can recommend different tests that are required to determine female and male infertility problems.
Ultrasound monitoring: Two types of ultrasound are important to assess infertility Transvaginal ultrasound and transabdominal ultrasound.
(a). Trans vaginal Ultrasound:Trans vaginal sonography or endovaginal ultrasound is an internal examination of the female reproductive system including uterus, fallopian tubes, ovaries, vagina, and cervix. The detailed study has been performed to visualise abnormalities and diagnose the root cause of infertility.
(b). Transabdominal ultrasound:Transabdominal ultrasound for infertility testing can provide information about the condition of the ovaries, endometrial lining, and uterus. Transabdominal ultrasounds can be used to evaluate ovarian reserves and the shape of uterus. For more details one can Consult for infertility treatment in Lucknow.
IUI intrauterine insemination: In this procedure, washed and concentrated sperms are injected into the intrauterine cavity with the help of a thin catheter at the time the ovary releases egg. It avoids loss of sperm in vagina and cervix, and bypasses them to the uterus. It is most commonly used as a treatment option when other medications have not responded or pcos ,endometriosis or unexplained infertility or when sperm counts are low in males.
IVF or in vitro fertilization: In this procedure, the female partner has to undergo a series of injections of fertility drugs and ovulation is induced. Due to this many eggs (oocytes) are matured at a time whereas in the natural menstrual cycle only one egg matures every month. It increases chances of getting pregnant. Then eggs are allowed to meet sperm in a petri dish to form embryos.
ICSI or intracytoplasmic sperm injection: In this procedure instead of forming an embryo in a Petri dish, healthy sperm is injected into the cytoplasm of the egg with the help of a fine glass needle and allowed to fertilise.
Sperm has to pass the outer thick layer of an egg, which is difficult sometimes and leads to failure of fertilization. ICSI does not rely on sperm motility and sperm’s ability to penetrate eggs. After injection the egg may or may not get fertilised, depending on the reactivity of natural cell processes in the egg.
Donor sperm: If sperm of male partner is ineffective, then donor sperm are used for successful fertilization.
Embryo freezing: Pregnancy through frozen and thawed embryos is another advantage of artificial reproductive treatment or ART. Patients with self-egg IVF benefit more from frozen embryo transfer than fresh embryo transfer. Frozen embryos can be used during the next cycle (if required) without ovarian stimulation. These embryos can be stored for future baby planning if you get pregnant through the first IVF cycle.
Egg freezing: Many women want to delay their pregnancy till late 40s due to other priorities, but at this stage it is disappointing to know about depleted ovarian reserve. Cryo-vitrification can enlighten such women and give them the opportunity to preserve their eggs at the right reproductive age. It will not put their fertility at stake and decrease chances of miscarriage and birth defects.
Sperm freezing: Sperm freezing can be beneficial for future family planning, military services, occupational risks, cancer therapy.
Babies born with frozen sperms do not show significant birth anomalies as long term freezing does not affect quality of sperms. State-of-the-art laboratories facilitate cryopreservation of sperms.
Surrogacy: Women with high-risk pregnancy or not functional uterus have choice of using IVF with gestational carrier. In this procedure the embryo or blastocyst is formed in the laboratory and implanted into the uterus of a gestational carrier or surrogate. In surrogacy, the carrier consents to carry and deliver a baby for another couple or individual. Consult for infertility treatment in Lucknow.
Advance techniques:Laser assisted hatching: In this procedure the outer layer zona pellucida is broken open to allow easy hatching of embryos. It increases chances of proper implantation of healthy embryos.
Blastocyst transfer: 5-day older embryos have more chances of implantation than 2 to 3 days old embryos. Choosing a blastocyst transfer can enhance the success quotient of IVF.
Genetic testing: Genetic tests are performed on embryos before implantation. Preimplantation Genetic diagnosis (PGD) is performed if parents are carriers of genetic disorders and if those abnormalities are present in the embryo.
In Preimplantation Genetic Screening (PGS) embryo is screened for abnormal no of chromosomes. It is useful in early detection of Down’s syndrome, Edward’s syndrome.
The goal of these tests is to reduce chances of miscarriage and select healthy embryos which will result in healthy pregnancy and minimise birth defects. These tests mostly benefit couples with advanced maternal age.
Embryo glue: Embryo Glue is a hyaluronan-enriched medium used for embryo transfer (ET). It enhances implantation of embryos,and improves pregnancy rates in in-vitro fertilization-ET cycles (IVF-ET). It increases chances of live birth by 10%.
Male fertility treatments: Male partners account for 40% to 45% of in- fertility problems. According to fertility experts, sperm motility, kinetics and morphology are more important factors in assessment of male fertility than sperm density. Semen analysis is an important diagnostic test for evaluating male fertility. From semen analysis IVF doctors can categorise male fertility into mild to severe form and treat it.
Management of recurrent IVF failure: Recurrent IVF failure can be caused due to a variety of factors. At urvara fertility centre, lucknow cause of failure is assessed and customized treatment plan is formulated for each patient.
For more queries consult Dr. Richa singh, Fertility Expert, urvara fertility Centre Lucknow.