Controlled Ovarian Hyper-stimulation (COH) and Follicular Monitoring.
HCG Trigger and Oocyte Retrieval.
Oocyte Culture, Insemination and Fertilization in the IVF Laboratory.
Intracytoplasmic Sperm Injection (ICSI) takes the process one step further and involves the insertion of a single sperm directly into the cytoplasm of a mature egg (oocyte) using a special microinjection pipette (glass needle).
Do I need IVF?
IVF is indicated when alternative treatments are either unlikely to achieve a pregnancy or have failed to achieve a pregnancy or have failed to result in a pregnancy. If you have blocked fallopian tubes or extensive pelvic adhesions preventing the egg from entering the fallopian tubes, IVF is indicated. Another common indication for IVF is low sperm counts.
Because IVF allows us super concentrate sperm, successful
fertilization can occur even if your partner has low sperm counts.
Infertility is said to be “unexplained” if you are unable to
conceive in spite of all tests being normal. In this case, IVF is an
option if you have failed to conceive with Intrauterine Insemination
(IUI). IVF may also be advisable if you have Polycystic
Ovaries (PCOS) and if ovulation induction with or without IUI has
not been successful. If you have mild to moderate Endometriosis, IUI
may be tried before proceeding to IVF, but in case of severe
Endometriosis, IVF may be advised directly.
Do I need ICSI?
Intracytoplasmic Sperm Injection (ICSI) has revolutionized the treatment of male infertility. ICSI is advisable if the male partner’s sperm count or number of motile sperm is very low or the morphology is excessively poor. Fertility Physician will advise you if ICSI is recommended for you based on the results of the Semen Analysis and other risk factors.
Are birth defects more common in babies conceived using IVF / ICSI ?
The percentage defect with IVF is roughly the same as in the general population (3-4%). The chances of birth defect after ICSI are rare. Some of the problems that caused the male infertility, however, may be genetic. In these cases, boys conceived with the use of ICSI may have inherited infertility issues as adults.
What are the health risks for women undergoing IVF / ICSI cycles?
The drugs used during IVF/ICSI may on occasion cause side effects. There is a small but significant risk of Multiple Pregnancies, Ectopic Pregnancy, Pelvic Infection and rarely Injury to nearby organs. Controlled Ovarian Hyper-stimulation (COH) is associated with a risk of Ovarian Hyper-stimulation Syndrome (OHSS). Symptoms of OHSS include the following in varying degrees of severity: nausea, vomiting, diarrhea, extreme bloating, rapid weight gain, difficulty breathing etc. These symptoms are closely monitored by the doctors to prevent the occurrence of hyper-stimulation.
What to do with extra embryos that remain after Embryo Transfer?
Extra embryos of good quality remaining after the embryo transfer may be frozen by the Vitrification procedure which gives an excellent survival rate. This makes future ART cycles simpler, less expensive and less invasive than the initial cycle, since the women do not require ovarian stimulation or egg retrieval.
What are the success rates?
Success rates are the result of years of experience and constant fine-tuning of stimulation protocols, laboratory culture conditions and embryo transfer guidelines. The most important factors determining the success of a cycle are the woman’s age and the reason for the infertility. If you are using your own eggs, on average, the younger you are the higher your chances of success. IVF and intra-cytoplasmic sperm injection (ICSI) success rates are very similar.
Dr. Gautam Allahbadia, an IVF Fertility specialist is an expert in Assisted Reproductive Techniques. He performs in vitro fertilization (IVF), Donor Egg IVF, ovulation induction, intrauterine insemination (IUI) and intracytoplasmic sperm injection (ICSI)