Infertility Treatment using IUI, IVF, ICSI, Donor Program and Surrogacy.

3. Male
30%
Female
30%
Both
10%
Unexplained
30%
CAUSES OF INFERTILITY

4. What is IUI – How is it different from IVF

5. WHO NEEDS IVF ?

6. Whoneeds IVF

7. WHAT IS IVF ?
In Vitro Fertilization

8. What is IVF

9. HOW IS IVF DONE ?

10. How is IVF Done

11. DIFFERENCE ?
IVF Vs ICSI

12. Difference between IVF & ICSI
In Vitro Fertilization (IVF) Intra Cytoplasmic Sperm Injection (ICSI)

13. PHASES OF IVF CYCLE

14. Phases of IVF - Phase 1 Stimulation

15. Phase 2 – bHCG Trigger

16. Phase 3 – OPU (Ovum Pick Up)

17. Phase 4 – Embryo Transfer

18. WHY IS IVF EXPENSIVE ?
Cost Contributing Factors

19. Cost Contributing Factors
Drugs
Lab Instruments for
IVF & ICSI
Cryopreservation
Operation Theatre
&
Anaesthasia

20. SUCCESS RATE OF IVF ?

21. Typical Success Rate of IVF Cycle
35
30
25
10
0
5
10
15
20
25
30
35
40
Under 35 Years 35 to 37 38 & 39 40 and Above
PREGNANCYRATEPERTRANSFER
FRESH IVF CYCLE PREGNANCY PER EMBRYO TRANSFER
Under 35 Years 35 to 37 38 & 39 40 and Above

22. HOW DOES MULTIPLE
IVF CYCLE HELP ?

23. How does multiple IVF Cycle Help

24. OPTIONS AFTER IVF
FAILURE

25. IVF with Donor Eggs
Donor Husband Wife
Eggs
Sperms
Embryo
Blastocyst

26. Surrogacy
Surrogate HusbandWife
Eggs Sperms
Embryo
Blastocyst

27. Types of Surrogacy - Traditional

28. Types of Surrogacy - Gestational
Surrogate HusbandWife
Eggs Sperms
Embryo
Blastocyst

29. ICMR Guidelines for Surrogacy
Traditional Surrogacy is not Legal in
India

30. Who can opt for Surrogacy ?
Patients with Recurrent Miscarriage
Health condition making pregnancy and childbirth dangerous to
Mother
Absent or Abnormal Uterus
Multiple Failed IVF Cycles

31. ICMR Guidelines for Surrogacy
Surrogate should be citizen and resident of India
Surrogate Mother should be between 21 to 35 years in age
A surrogate mother shall not act as an oocyte donor for the couple
or individual
A ART Clinic should NOT consider conception by surrogacy for
patients for whom it would normally be possible to carry a baby to
term.
No woman shall act as a surrogate for more than 5 successful live
births in her life, including her own children.
If married needs to have consent of her husband

32. ICMR Guidelines for Surrogacy….. Cont
No surrogate mother shall undergo embryo transfer more than
three times for the same couple.
Birth certificate of a baby born through surrogacy should bear name
of the commissioning parents
Commissioning Parents shall be legally bound to accept the custody
of the child / children born through surrogacy irrespective of any
abnormality that the child / children may have, and the refusal to do
so shall constitute an offence under this Act.

33. ICMR Guidelines for Surrogacy….. Cont
In the case of a relative acting as a surrogate, the relative should
belong to the same generation as the women desiring the
Surrogate.
A couple or an individual shall not have the service of more than
one surrogate at any given time.
A couple shall not have simultaneous Transfer of embryos in the
woman and in a surrogate.

34. Selection Criteria for Surrogate Mother’s
If married needs to have consent of her husband
A surrogate mother shall be medically tested for such diseases, sexually
transmitted and all other communicable diseases which may endanger the
health of the child
She must declare in writing that she has not received a blood transfusion or a
blood product in the last six months

35. Typical Breakup of Payout to Surrogate
• 1st instalment which will not be less than 5%
• 2nd instalment which will not be less than 5%, when she becomes
pregnant.
• 3rd instalment of 5% at the end of first trimester.
• 4th instalment of 10% at the end of the second trimester.
• 5th instalment of 75% just after delivery.
The above charges are for the first embryo transfer for the patient. If that does
not succeed, for each subsequent embryo transfer within six months of the
first embryo transfer, the surrogate will receive (in addition to the payment
already made) 50% of the total price agreed to initially, in a similar fashion as
above.

36. Legal Formalities in Surrogacy
Contract Between
Commissioning Parents
&
ART Bank
Contract Between
ART Bank
&
Surrogate
Contract Between
Commissioning Parents
&
Surrogate

37. Indore Infertility Clinic
For Appointment Contact: 96444 44066
www.indoreinfertilityclinic.com
Thank You