Infertility Treatment

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MedicYatra provides the safe & best Infertility treatment at its affiliate & trusted hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified doctors are extensively trained and vastly experienced and have performed hundreds of such cases at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com

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Infertility Treatment

  1. 1. Email: enquiry@medicyatra.comInfertility facts affects 1 in 6 married couples of childbearing age definition: have engaged in unprotected coitus for 1 year and haven’t become pregnant Copyright @ Forever
  2. 2. Email: enquiry@medicyatra.comInfertility Facts can be due to: – failure to conceive, loss of conceptus origin of problem: – 35% female – 35% male – 20% both partners – 10% unexplained Copyright @ Forever
  3. 3. Email: enquiry@medicyatra.comFailure to ovulate often caused by low body fat or stress GnRH surge may be inadequate Copyright @ Forever
  4. 4. Email: enquiry@medicyatra.comTubal blockage Due to: – Endometriosis, scar tissue from STD, previous surgery Treatment: surgery If surgery unsuccessful, IVF, GIFT and ZIFT are best options Copyright @ Forever
  5. 5. Email: enquiry@medicyatra.comCauses of male infertility low sperm count (oligospermia) or absence of sperm (azoospermia) male may produce antibodies to his own sperm accessory glands / ducts may malfunction Copyright @ Forever
  6. 6. Email: enquiry@medicyatra.comIntracervical or intrauterineinsemination (ICI / IUI) Artificial insemination definition: sperm introduced into female reproductive tract by means other than coitus (near cervix or in uterus) sperm can come from donor / sperm bank or from husband Example of a sperm bank: – http://www.spermbankcalifornia.com/buy-sperm Copyright @ Forever
  7. 7. Email: enquiry@medicyatra.comICI / IUI, cont’d. usually, several ejaculations are pooled 60,000 babies / year born in US. as result of artificial insemination often used when male has low sperm count or antibodies present in ejaculate Copyright @ Forever
  8. 8. Email: enquiry@medicyatra.comIn vitro fertilization “test - tube babies” 1st performed in 1978 (Louise Joy Brown) often performed on infertile women with tubal blockage Copyright @ Forever
  9. 9. Email: enquiry@medicyatra.com IVF Protocol GnRH agonist (e.g. Lupron) for 7 days FSH agonist (follistim, Gonal-F, Repronex) until follicles measure 17-20 mm in diameter (8-14 days) hCG given to induce egg maturation Egg retrieval (transvaginally) 34-35 h later Copyright @ Forever
  10. 10. Email: enquiry@medicyatra.comIVF protocol sperm and ova added to dish; fertilization occurs 12-14hrs. eggs transferred to new dish and cell division occurs embryos squirted into uterus (optimal stage: blastocyst) Preimplantation genetic diagnosis (PGD) Copyright @ Forever
  11. 11. Email: enquiry@medicyatra.comIVF Protocol, cont’d. 3 to 5 embryos are injected to increase chances of pregnancy woman given progestagen to prevent miscarriage Example of prices: – http://www.advancedfertility.com/ivfprice.htm Copyright @ Forever
  12. 12. Email: enquiry@medicyatra.comIVF Protocol, cont’d. new variations / improvements: – Intracytoplasmic sperm injection (ICSI) – use of frozen embryos 27,000 attempts made per year; 18.6% successful (success rates are increasing) http://www.advancedfertility.com/sampleivfcal endar.htm Copyright @ Forever
  13. 13. Email: enquiry@medicyatra.comIVF, cont’d. Ethical questions: – will it lead to selective breeding? – up to what stage can research be done? – if embryo dies in vitro, is it abortion, murder? – what should be done w/ unwanted embryos? – should government regulate research? Copyright @ Forever
  14. 14. Email: enquiry@medicyatra.comGIFT and ZIFT GIFT = gamete intrafallopian transfer useful for tubal blockage ova are collected and inserted into oviducts below point of blockage husband’s sperm are placed in oviduct Copyright @ Forever
  15. 15. Email: enquiry@medicyatra.comGIFT and ZIFT woman is treated with hormones to prevent miscarriage 28% successful ZIFT = zygote intrafallopian transfer ZIFT is like IVF, only zygotes (1 cell stage) are inserted below blockage in oviduct (24% success rate) Copyright @ Forever
  16. 16. Email: enquiry@medicyatra.comOthers Ovarian stimulation protocol Surrogate pregnancy Adoption Copyright @ Forever

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