Dr.Gautam Allahbadia's IVF Clinic is India's leading fertility center in Mumbai, India. Dr.Gautam Allahbadia an IVF Fertility specialist is an expert in Assisted Reproductive Techniques. Dr. Allahbadia performs in vitro fertilization (IVF), Donor Egg IVF, ovulation induction, intrauterine insemination (IUI) and intracytoplasmic sperm injection (ICSI). Dr.Allahbadia has successfully handled one of the largest series of gestational surrogacy cases in India. Gautam N. Allahbadia, MD is the Medical Director of Rotunda – The Center for Human Reproduction, the world-renowned infertility clinic at Bandra, Mumbai, India. We provide male & female infertility treatment and confidential counseling for test tube baby. Know all about in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), Donor Egg IVF, ovulation induction, surrogacy, Reproductive Endocrinology and Gynecology including advanced Laparoscopic Surgery, Tubal reconstruction, and Minimally Invasive USG-guided therapeutic procedures at http://ivftreatmentindia.wordpress.com or at http://ivftreatmentindia.wordpress.com/dr-gautam-allahbadia/

1. IVF and ICSI: When other methods fail - IVF ICSI and Infertility
Treatment - IVF and ICSI ART Technique for Infertility Treatment -
When to opt for an IVF and ICSI treatments? -Infertility and Fertility
Clinic Mumbai, India -IVF ICSI and Infertility Treatments
The heartbreak of infertility can be devastating. After trying for many months and even years, some
couples are not able to conceive and carry a pregnancy to term. Causes of infertility or reproductive
problems include disease and aging. Male infertility is as common as female infertility. Infertility or
reproductive problems are often treatable with infertility drugs and high-tech procedures. Assisted
reproductive technology (ART) is a group of different methods used to help infertile couples. ART works
by removing eggs from a woman's body. The eggs are then mixed with sperm to make embryos. The
embryos are then put back in the woman's body.
Infertility treatment plan will depend on the cause or causes behind your infertility. Infertility treatment
also depends on whether the problem is from the woman's side, the man's side, both sides, or remains
unexplained. The good news is that 85% to 90% of couples dealing with infertility are treated with low-
tech treatments, like medication or surgery, with less than 3% being treated by Assisted Reproductive
Technologies, like IVF, ICSI, Surrogacy. When a couple fails to achieve pregnancy in normal way and
using low-tech treatments, like medication or surgery there comes the ART technique to their rescue.
Here presently we deal with the ART Technology - IVF and ICSI.
In Vitro Fertilization (IVF) is a process by which an egg is fertilized by sperm In Vitro or outside the body,
in a laboratory. If the sperm fertilizes the egg, an embryo is formed which is allowed to develop in the
laboratory and is then transferred into the women’s uterus where it will hopefully implant and develop
further.

2. The main steps in an IVF cycle are:
 Controlled Ovarian Hyper-stimulation (COH) and Follicular Monitoring.
 hCG Trigger and Oocyte Retrieval.
 Oocyte Culture, Insemination and Fertilization in the IVF Laboratory.
 Embryo Transfer
 Luteal Support
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

3. 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's IVF Clinic is India's leading fertility center in Mumbai, India. Dr.Gautam
Allahbadia an IVF Fertility specialist is an expert in Assisted Reproductive Techniques. Dr. Allahbadia
performs in vitro fertilization (IVF), Donor Egg IVF, ovulation induction, intrauterine insemination (IUI)
and intracytoplasmic sperm injection (ICSI). Dr.Allahbadia has successfully handled one of the largest
series of gestational surrogacy cases in India. Gautam N. Allahbadia, MD is the Medical Director of
Rotunda – The Center for Human Reproduction, the world-renowned infertility clinic at Bandra,
Mumbai, India. We provide male & female infertility treatment and confidential counseling for test tube
baby.
Know all about in vitro fertilization (IVF), intracytoplasmic sperm injection (ICSI), Donor Egg IVF,
ovulation induction, surrogacy, Reproductive Endocrinology and Gynecology including advanced
Laparoscopic Surgery, Tubal reconstruction, and Minimally Invasive USG-guided therapeutic procedures
at http://ivftreatmentindia.wordpress.com or at http://ivftreatmentindia.wordpress.com/dr-gautam-
allahbadia/

4. Summary
Infertility treatment depends on the cause behind the infertility. When a couple fails to achieve
pregnancy in normal way and using low-tech treatments, like medication or surgery there comes the
ART technique to their rescue. In Vitro Fertilization (IVF) is a process by which an egg is fertilized by
sperm In Vitro or outside the body, in a laboratory. Intracytoplasmic Sperm Injection takes the process
one step further and involves the insertion of a single sperm directly into the cytoplasm of a mature egg
using a special microinjection pipette.
Profile:
Dr. Gautam Allahbadia from India is an expert in Assisted Reproductive Techniques. Dr. Allahbadia
performs in vitro fertilization (IVF), Donor Egg IVF, ovulation induction, intrauterine insemination (IUI)
and intracytoplasmic sperm injection (ICSI). Dr. Allahbadia has successfully handled one of the largest
series of gestational surrogacy cases in India. Gautam N Allahbadia, MD is the Medical Director of
Rotunda -The Center for Human Reproduction, the world-renowned infertility clinic at Bandra, Mumbai,
India. All couples including lesbian and gay couples and even single men and single women can avail this
facility to fulfill their dream of enjoying parenthood.
http://surrogacymumbai.wordpress.com/gautam-allahbadia
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