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institute of
human
reproduction
“Aim for success, not perfection. Never give up your right to be wrong, be-
cause then you will lose the ability to learn new things and move forward
with your life.”
Dr.David M.Burns
01
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Dr. M. L. Goenka
DIRECTOR, Institute of Human Reproduction
IVF INDIA - BEST OF THE BEST 2013-2014
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Find somebody
to be successful
for. Raise their
hopes. Think of
their needs.
Barack Obama
Dr Goenka has seen the IVF revolution in India
from close quarters. In the decade of the 80s,
IVF was in a preliminary stage and specialized
treatment was not easily available. Dr M.L.
Goenka often felt concerned at the fact that with
the only option being artificial insemination,
there were a lot of cases which did not respond
to normal treatment. Once in Mumbai he saw
that the “4th International Conference on
Human Reproduction” was under way in a
hotel. He went in and attended the four day
conference. The experience had a stimulating
effect on him and he decided to take up this dis-
cipline as his specialization. Upon his return, he
converted his general nursing home in Guwa-
hati to a specialized infertility care centre. And
thus began a journey which has won him many
accolades.
Dr ML Goenka is today the Director of Institute
of Human Reproduction, Guwahati and Kolkata.
He started the first IVF Centre in North East
India at Guwahati and has so far delivered more
than 5000 test tube babies.
The biggest difficulty in setting up the centre
was in procurement and delivery of right kind of
equipment. He had to frequently travel abroad
to get what he needed. The area of infertility
treatment was at a very nascent stage at that
time. In 1980 he went to Bombay to learn la-
paroscopy and hysteroscopy, in 1984 he went to
San Francisco, USA to learn microsurgery and in
1987 to Germany for advanced laparoscopic
surgery. In 1989 he realized that IVF was now es-
sential, since they were already doing laparo-
scopic surgeries, IUI etc. Without IVF a lot of
patients would not get the relief they wanted.
Then he went to the famed Bourn Hall Clinic in
UK. After that he met Dr. Robert Janson of Syd-
ney IVF in Bombay at one of the conferences. Dr
Goenka went to Sydney IVF, stayed there for
three months. After returning from Sydney he
started first IVF centre of North-East India in
1990. His first test tube baby was born in 1992.
The patient was 52 years old, and was the eldest
lady to conceive at that time which gave them a
lot of press coverage and their name was intro-
duced in the Limca Book of Records and re-
mained there for three years for this feat.
Dr Goenka had to struggle for two years to set
up his centre. He says that today if one wants to
start an IVF centre this can be done in a month’s
time which was not the case earlier. Culture
media were difficult to get. There was shortage
of qualified people and you had to go from
country to country to get the technical
knowhow which a lot of people were not willing
to share with you and you had to fight every step
of the way. He started preparing most of the
media in-house. At present also many medias
are prepared at IHR with strict quality control. It
was with his meticulous planning that he has
been able to achieve financial strength to pro-
cure the latest equipment and technology as per
requirement.
He had been born and brought up in Guwahati
and had an established medical practice. Thus,
Guwahati was the obvious choice to start his IVF
centre. The Kolkata centre was started in 2007
after he realized that it was easy for overseas
patients to come there as compared to Guwa-
hati. He says he has planned his growth and rev-
enues in such a way that he never had to face
any kind of a financial crunch. All the treat-
ments are available at both centres but in
Kolkata, they do a lot of surrogacy.
Dr Goenka was Executive member of Indian So-
ciety of Assisted Reproduction (ISAR) and has
been a Member of international advisory com-
mittee for 11th and 12th World congress on IVF
at Sydney and Buenos Aires in 1999 and 2002.
He has also trained more than 200 doctors in
IVF / ICSI / IUI and laparoscopy
He has been guest speaker at many national and
international conferences. He has published
many papers in national and international Jour-
nals.
Dedicated excellence makes us different
For us at IHR and me in particular, the challenge to achieve the impossible is
the biggest motivator.We try to evolve with each new challenge so that we can
put a smile on as many faces as possible.““
IVF INDIA - BEST OF THE BEST 2013-2014
Dr. Deepak Goenka
Director, Institute of Human Reproduction, Guwahati04
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IVF INDIA - BEST OF THE BEST 2013-2014
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Develop success
from failures.
Discouragement
and failure are
two of the surest
stepping stones
to success.
Dale Carnegie
IHR’s high success rate, the extraordinary level of patient care and the
advantage of having all facilities under one roof is what attracts patients
from all parts of India, Nepal & Bangladesh.
““
Personalised patient care is key to success
Dr Deepak Goenka is Director, Institute of
Human Reproduction, Guwahati, he had exten-
sive training in Ultrasound, Assisted Reproduc-
tive Technology and Genetics at different leading
centres of the world. He has performed more
than 15000 IVF cycles and more than 2000 la-
paroscopy surgeries.
The Institute of Human Reproduction has its ori-
gins in Guwahati in 1978. Earlier it was a general
hospital, and infertility treatment started from
1980. Initially all the work was done by Dr. M.L.
Goenka. After completing his MBBS and he went
to Sydney, Australia for advanced training in em-
bryology in 1996. He completed his MD in the
year 2000 from Kasturba medical college, Mani-
pal. He received trainings in genetics from Dr
Joycee Harper, UCL ,London; Dr Hema Puran-
dare Mumbai; AIIMS, Gangaram, New Delhi;
SGPGI, Lucknow.
He says the IHR -Guwahati is located in the heart
of the city and is getting patients from all the
seven North-Eastern states, other parts of coun-
try like Kerala, Delhi and Rajasthan, Nepal, and
Middle East. He ascribes this to the centre’s suc-
cess rate, the level of patient care and having all
facilities under one roof. There are so many pa-
tients who come in the morning, get their proce-
dure done and leave again in the evening.
His hospital offers all kinds of treatment related
to infertility. If a treatment is available in any part
of the world, it is also available at IHR, Guwahati.
He proudly says that it is the only centre in India
where PGD (Pre-Implantation Genetic Diagno-
sis) is used for recurrent pregnancy loss.
Among his most challenging case so far is the one
where a couple came to him with a history of sec-
ondary infertility and two previous miscarriages.
The third pregnancy was still in situ and was diag-
nosed to be non-viable. They conducted a ge-
netic analysis of the non-viable embryo and
found it to be genetically defective. A look at her
records showed that her second pregnancy also
had the same genetic disorder that we found in
the third pregnancy. Unfortunately there were no
records available of her first pregnancy. They then
investigated both the parents and found them to
be healthy. The treatment was started. Then they
went ahead with the IVF and did the genetic ana-
ysis on all the nine embryos and found that seven
were defective and only two were healthy. Both
healthy embryos were transferred and the preg-
nancy was successful and she delivered twins.
This was the first case in India where PGD (Pre-
Implantation Genetic Diagnosis) was done for re-
current pregnancy loss.
He gives the credit for the centre’s success to the
extensive work in PGD. There are a few centers in
India where there are good treatment facilities for
genetically impaired children. But once a geneti-
cally defective child is born, there is very little
that one can do apart from taking care of it. Fur-
thermore such a child is an enormous emotional
and financial trauma to the parents, siblings and
society. At IHR they diagnose genetic defects be-
fore birth and thereby prevent such births from
occurring.
Special patient care at IHR is also a unique fea-
ture. Every patient who walks in at IHR is allo-
cated a ‘patient care executive’ who takes care of
every need of the patient and is available 24X7. If
the patient has any problem or requirements to
be addressed she contacts the executive directly.
They also maintain a high degree of transparency
which adds to patient comfort and confidence.
Although there are counselors, but he interacts
with every patient himself to address all their
concerns.
The biggest hurdle that he faces today in provid-
ing fertility care services is one of expenses, and
the fact that it is not covered under medical in-
surance. A couple with problem of infertility has
nowhere to turn except their own resources.
As for the risk of multiple pregnancies, he says
they do not do multiple embryo transfers and
multiple pregnancy rate following IVF at IHR is
only around 2%.
But the more persistent myths of IVF are: ‘IVF is
painful.’ But this is not correct.With new drugs,
injection pain is minimal. Patient is not admitted
even for a day. This is a day care procedure.
The second is; ‘Bed Rest after IVF’. This again, is
not true. A patient can do her normal routine
work after the procedure. He says he had patients
who come in during their lunch break, do the
procedure and go back to office.
The third is; ‘IVF babies are not my own’. A lot of
patients who come to me have this misconcep-
tion that it could be someone else’s baby which
will be transferred.We have to convince them that
it is going to be your baby, it is your husband’s
sperms and your eggs which will be used. Donors
are used only when it is absolutely necessary and
that too after taking patient into confidence.
IVF INDIA - BEST OF THE BEST 2013-2014
For Dr Suparna Banerjee, infertility treatment is
no less than a miracle, and considering her
childhood fascination with reproductive medi-
cine and gynecology, it was but natural for her
to pursue a career in this field. She completed
her MBBS from R. G. Kar Medical College and
Hospital, Kolkata and proceeded to complete
DGO from the same college, followed by MD.
Then she left for England and obtained MRCOG
(Member of Royal College of Obstetricians and
Gynecologists). She came back to Kolkata in
2011 when she got associated with the Institute
of Human Reproduction.
Dr Banerjee has extensive experience and inter-
national exposure in the field of Infertility treat-
ment. She is a member of the Royal College and
British Fertility Society and has been associated
with the Peninsular Centre for Reproductive
Medicine, UK, as an IVF specialist from 2008 to
2011. She has performed over 3000 IVF cycles
independently and has hugely contributed to
the IHR’s ability to maintain an IVF success rate
at par with the global success rates.
“Since my student days I wanted to pursue in-
fertility as specialization. It is a very challenging
field. I always felt it is no less than a miracle and
I had to learn this.” She has a clear vision for
IHR and she hopes to implement it in the com-
ing days. “I have given my 100 per cent to this
institute to improve the result. We are con-
stantly trying to accommodate new things in
order to give the best to our patients.”
In her initial years, she found it very challenging
as it was a new field and not traditional in any
aspect. “Every patient in this field is so different.
We cannot predict anything with certainty as to
the outcome.”
Among the major obstacles for doctors in this
field, she lists cost of treatment as the most im-
portant one. “In our country, the cost of treat-
ment is an issue for poor patients as medicines,
technology etc are very expensive. It is a major
obstacle for common people and we need to ad-
dress it in future.”
Nevertheless, she foresees great future for this
field in the coming years. She expects more im-
provement in the area of PGD (pre-implantation
genetic diagnosis). With PGS/PGD transfer of
abnormal embryos can be avoided and miscar-
riage rate can be reduced to a great extent. “It is
really heartbreaking to see, after a pregnancy
achieved with so much hardship and finally find
that she miscarries due to abnormal embryo."
She has faced some very difficult patients in her
experience. There was one patient who suffered
repeated failure of endometrial formation and
then she decided to give some non traditional
medicines. They worked and the endometrium
developed. Eventually she conceived and deliv-
ered. These medicines are not generally given
but I took a chance and it really helped, giving
me great satisfaction.”
How does she unwind after a hard day’s work?
“Listening to my favourite music in a dark room
is my greatest relaxation.”
Dr. Suparna Banerjee
IVF Specialist and Co-ordinator06
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IVF INDIA - BEST OF THE BEST 2013-2014
Success isn't a
result of
spontaneous
combustion. You
must set yourself
on fire.
Arnold H. Glasow
Blessed to be associated
with this miracle
ihr
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Success is the
progressive
realization of
predetermined,
worthwhile,
personal goals.
Paul J. Meyer
IVF INDIA - BEST OF THE BEST 2013-2014
Sunita Patwari grew up in an environment of
medical sciences as her father was a gynae-
cologist. She studied science as a natural
choice and her father motivated her to take
up embryology as the field of work. It was an
upcoming field and seeing her natural inter-
est in it, her father guided her to study further
and she chose it as her profession. She had
her embryology training at Singapore. Fine
tunings were taught by Dr Deepak Goenka.
She is working as Chief Embryologist at Insti-
tute of Human Reproduction, Kolkata since
2007. She is a visiting Embryologist at Insti-
tute of Human Reproduction in Guwahati
(Assam) since 2004.
For her, every patient is a challenge and she
aims at success in every case. “Regardless of
apparent similarities, each case is unique and
we have to devise a different plan of action in
every case.” She finds IVF/ICSI very interest-
ing and would like to achieve 100 per cent
success every time.
She has performed more than 8000 IVF/ICSI
procedures which is a great achievement in
this field. She has attended several work-
shops and conferences in the area of Semi-
nology, IUI, sperm banking, semen analysis,
and has acquired extensive traing in embryo
biopsy. She is known widely for her compe-
tence in areas of IVF laboratory routines,
Quality Control.
The role of an embryologist in the success
rate of an infertility procedure, in her opin-
ion, is crucial. “An embryologist has a very re-
sponsible job and a simple error on her part
will impact the life of the patient. We have to
give our 100 per cent, we have to be fully alert
and completely dedicated to our work.” Deal-
ing with an embryo is a delicate task and ab-
solutely no chances can be taken in terms of
handling, quality and the attention to detail.
Listening to her, one marvels at her constant
excitement and hope in connection with her
discipline.
She is very positive about the future of em-
bryology and believes that great advance-
ments will happen in this field in the near
future. She feels advancement in genetics will
help a lot in improving IVF success rate.
“Screening of embryos will need a lot of skill
and patience, miscarriages will be reduced
and we will have to be equipped for all situa-
tions through continuous learning,” she pre-
dicts. But there always be people like her who
are dedicated, deeply involved in the subject
and follow strict discipline in doing their job
that will maintain the importance of embry-
ology in the area of human reproduction and
fertility sciences.
Sunita Patwari
Chief Embryologist, Kolkata
Success in every case is a
challenge
08
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IVF INDIA - BEST OF THE BEST 2013-2014
For Rashmi Goenka, it had been a passion to
help people facing health-related problems.
And when she came to know about embryology
as a specialized discipline, she knew this was
the field for her.
She passed her M.Sc. in Clinical Embryology
from Leeds University, U.K. with distinction.
The topic of her thesis was “Sperm selection for
ICSI: Conventional method or Hyaluronic Acid
binding method”.
She has been working with the Institute of
Human Reproduction in Guwahati (Assam)
since 2004, earlier as Junior Embryologist and
later as senior Embryologist. She keeps con-
ducting workshops on IUI and other subjects of
embryology. She does embryo biopsy of all
stages confidently. She has done more than 5000
IVF/ICSI cycles.
She has participated in hands-on workshop in
association with Sydney IVF, Sydney, Australia
and also with International Society of Andrology
besides having attended several conferences on
Embryology. She finds embryology to be a
highly satisfying field of work, where she feels
she can provide the greatest joy to people who
want a child. The job itself is very challenging,
she says, adding that every patient is a chal-
lenge. “We want the patients to be happy and
their dream to come true. It is thrilling for us to
be a part of this process,” she says
The role of an embryologist is crucial in the suc-
cess of an infertility procedure. She explains
that the embryologist maintains quality control
and is also responsible for collection of gametes,
their handling, giving them an apt environment
and culturing the embryos. If there is something
even minutely wrong in the work of an embryol-
ogist, then the results would be negative.
Till date, the most difficult task she handled was
that of oocyte cryopreservation. “It was a chal-
lenge when we started it, but soon we got a hit
on it and very good results followed. Amidst all
work, I would say getting a knack on oocyte cry-
opreservation is a big achievement,” she says
proudly. Now we are preserving lots of oocytes
of unmarried girls (like airhostess, senior execu-
tives) who are delaying marriage due to various
social and economic reasons. Onco-specialists
are referring young girls who are suffering from
curable malignancies. Post treatment lots of
them are free from malignancies but radical sur-
geries, chemotherapies or radiation treatment
leave them infertile. Cryo-preservation of their
oocytes before the initiation of treatment gives
them a option of parenthood post onco-treat-
ment.
She is confident that in the future, lots of ad-
vancements will happen since many advanced
studies are going on. “It is a most upcoming and
exciting field. Now we are getting on to ovarian
tissue cryopreservation ,” she says.
She feels blessed to have a job that she enjoys
despite the concentration and dedication that it
requires. She derives great satisfaction by paying
attention to details, developing technical skills,
maintaining high quality and patient motiva-
tion. She feels privileged that she is in such a
field where she can bring dreams to life.
Rashmi Goenka
Chief Embryologist, Guwahati
Whosoever
desires constant
success must
change his
conduct with the
times.
Niccolo Machiavelli
“Bringing dreams to life” is
her passion
09
IVF INDIA - BEST OF THE BEST 2013-2014
Jewels Of The Crown
The Talented Team IHR
Ms Neelam Agarwal has unmatched experience in hospital
management. IHR Kolkata has grown by leaps and bounds
under her able guidance. For her progress is
implementation of value based systems to achieve pre-
decided goals of excellence. She enjoys organising
conferences and workshops. She says “during conference
and meetings when doctors appreciate your work it
encourages us to expand and improve further”. She thinks
genetics is the future of IVF and IHR is coming in a big way
with all the latest technologies in genetics so that it
remains a front runner in the Fertility Management space
in India.
Neelam Agarwal
Director & CEO, IHR KOLKATA
Dr. Smita Das
Consultant Gynaecologist
In-charge Pre Preganancy Clinic
Dr. Pratibha Pasari
Consultant Gynecologist
Dr. Gitali Devi
Consultant Pathologist
Dr. Hirak Jyoti Das
Consultant Pathologist
Dr. N. K. Jain
ConsultantPediatricians
&Neonatologists
Dr. Rahul Varma Dr. R. K. Agarwala Dr. Ranjan Saikia Dr. D.N. Agarwal
Dr. N. K. Agarwala
Consultant Sonologist
Dr. Prerona Sarma
Consultant Sonologist
Dr. Nirupama Joshi
Consultant Anaesthetist
Mrs. Ritu Gupta
Counselor
Dr. Th. Digel Singh
Reproductive Medicine, Fellow
Dr. Richer Miller Sunn
Reproductive Medicine, Fellow
Dr. Kanchan Murarka
Reproductive Medicine, Fellow
Mrs. Mina Goswami
Yoga Instructor
Dr. Jitu Mani Sarma
Yoga Instructor
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IVF INDIA - BEST OF THE BEST 2013-2014
• You can fix up an appointment at IHR,
Kolkata or Guwahati by contacting us by
phone or email.
• The first consultation will be with IVF Co-
ordinators who will take your history, record
all the previous investigations and treat-
ments. Then you will be directed to one of the
senior IVF consultants. All egg pick-ups and
Embryo Transfers (ET) are done by senior
consultants. With In-house pathology, En-
doscopy and sonography services, the couple
can avail of all their investigations at the cen-
tre itself.
• The fertility treatment cycle begins with a
charted out regimen of
Fertility inducing Medica-
tions.
• All tests are done at a
fixed time for your con-
venience.
• We have post-op recovery areas/rooms
where patients rest after day-care procedures.
• All confirmatory tests for pregnancy are also
performed in-house with same-day reporting.
Since we started (IHR) in 1980, our focus has
been dedication, innovation, excellence, and
caring. These are the qualities on which our
reputation is and will continue to be based.
About IHR Institute of Human Reproduction
Established in 1980, the main purpose of the
Institute of Human Reproduction popularly
known as IHR, is to provide comprehensive,
personalized quality health care to the infer-
tile couples and high risk pregnant patients.
Our goal is a happy healthy family with the
help of modern and conventional infertility
treatments.
The unique super-speciality STATE OF ART
institution with its dedicated staff and su-
perlative technology in the field of Assisted
Reproductive Technology(ART), Advanced
Endoscopic Surgery & Genetic Engineering, is
one of the premier name in the field of repro-
ductive medicine in India and outside India.
At IHR, we maintain a very high scientist to
patient ratio to make sure your embryos are
very well looked after, ensuring your best
possible chance of success. They(scientists)
are present from the time of egg retrieval till
embryo transfer procedures, making sure
that their (embryos)environment is just per-
fect from the moment the egg leaves the body
till the moment it is returned to the uterus.
Our scientists also put a lot of time into re-
search aspects of infertility and IVF (test tube
baby technology). IHR is one of the very few
fertility treatment centres in India that pri-
marily funds ongoing research into the ad-
vancement of IVF technology. We feel that
this aspect of IHR is just as important as the
medical treatment of patients in our care. It
ensures that our patients have the benefit of
the very latest in knowledge and technology.
Why Choose IHR
We frequently read about new ART and en-
doscopy centers. It is becoming increasingly
difficult for the patient to decide who can
provide them best care.
What should you look for in any IVF clinic
before choosing it?
• How old is the infertility management cen-
tre? ( the hospital may be very old but may
have started infertility services recently).
• How much experience the doctor has in
treating infertility? (very important, a very
senior O&G practitioner may have very little
experience of infertility management and
vice versa. A young practitioner may have
specialized his carrier in infertility manage-
ment only).
• What culture system they are using: impor-
tant things are Triple gas incubator, micro-
drop culture, sequential media?
• Do they have inhouse embryologists?
• Do they have the relevant infrastructure and
technology in place?
In simple words, you should look for an expe-
rienced infertility specialist (irrespective of
age) and an infertility clinic with advanced
technology and in house embryologists.
The Treatment Process
Success is a
science; if you
have the
conditions, you
get the result.
Oscar Wilde
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If everyone is
moving forward
together, then
success takes
care of itself.
Henry Ford
IVF INDIA - BEST OF THE BEST 2013-2014
Treatment Facilities
Institute of Human Reproduction (IHR) of-
fers a comprehensive range of infertility
services under one roof, and we are known
for our innovation, integrity, medical and
technical excellence, personalized service,
and consistent willingness to accept pa-
tients facing the most difficult medical
challenges. The center has all the facilities
required to deliver a full range of services
to couples requiring assistance in conceiv-
ing. This ensures that patients are required
to visit only one site for all stages of their
diagnosis and treatments.
SERVICES OFFERED:
1. Routine Laboratory Investigations
2. All hormones Assays
3. Sonography including Trans Vaginal
Sonography (TVS)
4. Hysterosalpingography (HSG with Digi-
tal X-Ray).
5. IUI ( Intrauterine Insemination)
6. Donor Insemination (DI/TID/AID)
7. IVF-ET (Test Tube Baby)
8. ICSI (Intra Cytoplasmic Sperm Injection)
9. TESA (Testicular Sperm Aspiration)
10. Laser Assisted Hatching
11. Oocyte Donation
12. Surrogacy
13. Semen, Egg (oocyte) and Embryo
Cryopreservation
14. Habitual Abortion Clinic
15. Sexual Dysfunctions (Infertility related)
Laparoscopy/Hysteroscopy Surgeries:
All advanced Laparoscopic and Hystero-
scopic surgeries are performed at IHR.
1. Diagnostic Hysteroscopy
2. Myomectomy
3. Cystectomy
4. Adhesiolysis
5. Uterine Synechia
6. Septum Resection
7. Laparoscopic creation of Neovagina
Genetic Services
1. CVS (Chorionic villi Sampling)
2. Amniocentesis
3. Preimplantation Genetic Screening
(PGS)
4. Preimplantation Genetic Diagnosis
(PGD)
12
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IVF INDIA - BEST OF THE BEST 2013-2014
Man needs his
difficulties
because they are
necessary to
enjoy success.
Abdul Kalam
Surrogacy is an arrangement in which a woman
agrees to carry a pregnancy that is genetically
unrelated to her and her husband, with the
intention to carry it to term and hand over the
child to the genetic parents for whom she is
acting as a surrogate. The first report of a baby
being born by IVF surrogacy was in the
year1985. The earliest mention of natural
surrogacy is in the Old Testament of the Bible.
WHO CAN BENEFIT FROM SURROGACY
Although majority of infertility causes can be
remedied through conventional medical and
surgical treatments or In Vitro Fertilisation (IVF)
but there are conditions where surrogacy gives
women a chance to raise children. These
conditions are:
• Women whose ovaries are producing eggs but
they do not have uterus. Their uterus may have
been removed (hysterectomy) or they were born
without a uterus. This is the most common
indication for IVF Surrogacy.
• Women who have suffered repeated
miscarriages and are deemed to have little or no
chance of carrying a child to term.
• Women who suffer from medical problems
such as severe heart and kidney diseases, severe
diabetes and in whom a pregnancy would be life
threatening.
• Repeated failure of treatment by IVF.
• Women with congenital defects.
• Couples in same sex relationship (gay) take
recourse to this treatment.
GUIDELINES FOR FOREIGN NATIONALS
VISITING INDIA FOR COMMISIONING
SURROGACY
All Foreign national intending to visit India for
commissioning surrogacy must comply with
following guidelines instituted by the Ministry
of External Affairs, Government of India:
1. Foreign nationals visiting India for
commissioning surrogacy must apply under the
appropriate visa category.
2. The appropriate visa category will be a
medical visa failing which Foreigners will be
liable for action for violation of visa conditions.
It will also be necessary in such cases to ensure
that the surrogate mother is not cheated.
Therefore, such a visa may only be granted if the
following conditions are fulfilled:-
i) The foreign man and woman are duly married
and the marriage should have sustained at least
for two years.
ii) A letter from the Embassy of the foreign
country in India or the Foreign Ministry of the
country should be enclosed with the Visa
application stating clearly that (a) the country
recognizes surrogacy and (b) the child/children
to be born to the commissioning couple
through the Indian surrogate mother will be
permitted entry into their country as a
biological child/children of the couple
commissioning surrogacy.
iii) The couple will furnish an undertaking that
they would take care of the child/children born
through surrogacy.
iv) The treatment should be done only at one of
the registered ART clinics recognized by ICMR,
the list of such clinics will be shared with MEA
from time to time.
v) The couple should produce a duly notarized
agreement between the applicant couple and
the prospective Indian surrogate mother.
3. If any of the above conditions are not fulfilled,
the visa application shall be rejected.
4. Before the grant of visa, the foreign couple
needs to be told that before leaving India for
their return journey ‘exit’ permission from
FRRO/FRO would be required. Before granting
‘exit’ , the FRRO/FRO will see whether the
foreign couple is carrying a certificate from the
ART clinic concerned regarding the fact that the
child/children have been duly taken custody of
by the foreigner and that the liabilities towards
the Indian surrogate mother have been fully
discharged as per the agreement. A copy of the
birth certificate(s) of the surrogate
child/children will be returned by the
FRRO/FRO along with photocopies of the
passport and visa of the foreign parents.
5. It may be noted that for drawing up and
executing the agreement cited at Para 2 (v)
above, the foreign couple can be permitted to
visit India on a reconnaissance trip on tourist
visa, but no samples may be given to any clinic
during such preliminary visit.
Surrogacy
Twoofourcurrentsurrogates
ihr
13
“Success is not
final, failure is
not fatal: it is the
courage to
continue that
counts.”
Winston Churchill
IVF INDIA - BEST OF THE BEST 2013-2014
“IHR is one of the few centres in India to have a Class 10,000 IVF
laboratory. At Institute of Human Reproduction, we perform more
than 600 fertility related surgeries, 1000 laprascopic surgeries and
more than 2000 IVF cycles per year.”
IHR started infertility & endoscopy management in early
1980’s, when this whole ART science was very much in
infantile stage around the world. This makes Institute of
Human Reproduction (IHR) the pioneer in infertility &
endoscopy management.
Followings were started for the first time in North East India:
1981: Started IUI in Azoospermic patients using Donor
semen.
1982: Started Diagnostic Laparoscopy
1983: Started Diagnostic Hysteroscopy
1984: Started Microsurgery in Reproduction.
1991: Delivered first SIFT (Semen Intra Fallopian Transfer)
Baby.
1992: Delivered the First IVF-ET (Test Tube Baby).
1994: Delivered the first GIFT (Gamete Intra Fallopian
Transfer) Baby.
1996: Delivered First ICSI Test Tube Baby.
1997: Achieved First TESE-ICSI pregnancy.
1997: Opened first Semen Bank.
1998: Started LASER Assisted Hatching.
2001: Organized the prestigious 7th ISAR Congress.
2005: Opened “Institute of Child Health”.
2008: Delivered and successfully sent home the smallest
baby girl of NE India on 14/10/08; weighing 700 gms
2009: Successful delivery of a baby with the help of PGD to a
parent who had recurrent pregnancy loss.
2010: Successful normal pregnancy to Thalassemia Minor
wife and Homogygous Hb_E husband through PGD.
2012: Successfully delivered baby from cryopreserved
Oocyte.
2013: 3D Laparoscopic Hysterectomy.
OUR
FIRST’S
Our First test tube baby was born in 1992.
The patient was 52 years old,and was the
eldest lady to conceive at that time which gave us a lot of press
coverage and our name was introduced in the Limca Book of
Records and remained there for three years for this feat.
14
ihr
IVF INDIA - BEST OF THE BEST 2013-2014
A great secret of
success is to go
through life as a
man who never
gets used up.
Albert Schweitzer
(1875 - 1965)
IHR, Guwahati
Established in 1978, the main purpose
of the Institute of Human Reproduc-
tion, popularly known as IHR, is to
provide comprehensive, personalized
quality health care to the infertile cou-
ples & high risk pregnant patients.
The unique Super-specialty, STATE OF
ART hospital with its dedicated staff
and superlative technology in the field
of Advanced Endoscopic Surgery, As-
sisted Reproductive Technology (ART)
& Genetic Engineering, IHR is one of
the premier name in this field in India
and outside India.
Pioneer in infertility and endoscopy
management, IHR started when this
whole science was in nascent stage
and since then has achieved remark-
able milestones in the field. Being the
first amongst a few in India, to start di-
agnostic Laparoscopy, diagnostic Hys-
teroscopy, microsurgery in
reproduction and IUI in Azoospermic
patients using donor semen.
IHR Guwahati is a 40,000 sq feet Hi-
tech facility with over 10,000 sq feet
dedicated to fertility services where
over 1500 IVF cycles are done every
year; a team of 12 gynecologists with
facilities of critical care obstetric serv-
ices a in house blood bank and 4000
deliveries a year. IHR has a team of 8
paediatricians with facilities of NICU
and PICU. Out of six OTs, two are ded-
icated to Laparoscopic surgeries. They
are equipped with the latest Storz
equipments where about 1000 laparo-
scopic surgeries are done every year.
IHR has full time Anaesthetist, Pathol-
ogist & Sonologist. The IVF Lab has
two full time embryologist, 3 incuba-
tors including one G 185ST, 2 stereo-
scopic zoom microscopes, 2 ICSI
stations (Eppindrof & Narshinge),
Laser assisted hatching machine of RI
& facilities for cryopreservation of
sperms, eggs & embryos.
What makes IHR different is that all fa-
cilities are available under one roof
starting from investigation, IVF proce-
dure, post IVF pregnancy and baby
care. Our goal is a happy, healthy fam-
ily with the help of modern and con-
ventional infertility treatments.
ihr
15
Always bear in
mind that your
own resolution
to succeed is
more important
than any one
thing.
Abraham Lincoln
IVF INDIA - BEST OF THE BEST 2013-2014
IHR, Kolkata
Spread across 12,000 sq feet, IHR, Kolkata
was started in 2007 and boasts of the latest
in equipment and expertise. For infertility
treatment all facilities are available for the
treatment of infertile couples under one
roof. We offer IVF, ET, ICSI, Surrogacy, An-
drology, Cryopreservation of eggs, sperms
and embryos & PGS. All diagnostic facilities
are available in house. All biochemistry,
Hormones (including AMH) and cultures
are in-house. There is a digital x-ray ma-
chine with painless procedure for Hysteros-
alpingography and an advanced
Laparoscopic surgery unit.
We have an ultra modern IVF laboratory
with 3 incubators (two Minc bench top and
one from Forma Scientific, one Olympus
SZX16 stereoscopic Zoom microscope, one
ICSI station from NARISHIGE with Olympus
IX-71 microscope. All work stations are in-
side vertical laminar airflows to maintain
good air quality. Lab Air quality is also main-
tained by Coda Tower Filters. Air quality is
frequently checked by VOC counters. There
are four tables for IUI and three tables for
Embryo Transfer procedures.
In addition we have three operation the-
aters: One dedicated to IVF, one for lapro-
scopic surgery and one for other
procedures. We have three USG machines:
one dedicated to IVF – OT, one (Volution S6)
for fetal anomaly scans with 3D and 4D
probes and one for routine sonography.
Our laparoscopy O.T is well equipped with
latest instruments from Storz. All advanced
laparoscopic surgeries like myomectomy,
chocolate cyst, hysterectomies are done.
All facilities are available under one roof
starting from investigation till completion of
IVF. A full team of gynecologists take care of
post IVF pregnancy.
Our vision is dedication, personalised care
to all patients and the best success rates.
Regular quality controls are done at every
step in IVF lab.
Outstation and overseas patients can book
their appointments on line. Their travel and
hotel stay, local sightseeing can be arranged
by our travel partner. One of our patient re-
lationship executive will be assigned to the
patient to take care of her queries.
At IHR - Kolkata we do about 600 IVF cycles
in a year. 60% of them are donor egg cycles.
We do about 5 surrogate cycles and 600 IUI
cycles every month.
16
ihr
Stop seeing the
obstacles you
face as reasons
why you can't do
something. See
them as a reason
why you can.
And celebrate
your success on
a daily basis.
Ali Vincent
Printed & Published by Sanjay Paul for Gauravi Creative Media (P) Ltd., from Flat No 9, 2nd Floor, Claudina Apartments, Xelpem, Duler, Goa. and Printed by him at
M.P. Printers, B-22, Phase II, Noida - 201305, U.P. Editor: V. Bhargava. FOR FREE DISTRIBUTION ONLY.
Editorial Contributors: Bhawana Pandey Agnihotri, Praveena. Consultant Editor: Ratan Mani Lal. Editor: V. Bhargava
Photographers: Utpal Barua, Guwahati; Prabir Mukherjee, Kolkata. Photo Editor: Preeya Patil
Contact Us
INSTITUTE OF HUMAN REPRODUCTION
IHR COMPLEX,
Bharalumukh,
Guwahati- 781 009, Assam, INDIA
Phone: +91- (0)361- 2482619, 2482621,
98641 03333
Email: ihrindia@gmail.com
IHR HOUSE,
47, Syed Amir Ali Avenue,
Kolkata – 700019,WB, INDIA
Phone: (033) 2290 4455/56
Mobile: +91-9903836224
Email: helpline@ihrivf.net
Websites: www.ihrindia.com, www.ihrivf.net
www.surrogacyihrindia.com
Dr. M.L Goenka and Mrs. P.D. Goenka with Dr. Prof.
Curt Semm (Father of Laparoscopic Surgery) & Dr.
Prof. L. Mettler, at Kyoto , Japan 1994.
Dr. M.L Goenka attending a Seminar on IVF
at BOURNE-HALL Clinic, CAMBRIDGE, U.K, 1989.
Dr. M.L Goenka with Dr Robert Jansen of Sydney IVF at
a Symposium on Infertility and Genetics at IHR,
Guwahati in1996.
Dr. M.L Goenka with Dr. S.C Nag (Head of the Dept. of
Reproductive Medicine, Singapore University) during a
World Congress on Endoscopy held at Singapore, 1994.
Dr.M.L Goenka and Dr. Deepak Goenka with WHO rep-
resentative, Dr. Daniel Frankin (South Africa) for a
Workshop on Seminology,organised at IHR in 2002.
Dr. M. L. Goenka with the first test tube baby of North -
East India born in 1992 at IHR, Guwahati.
IHR IVF Power Brand
IHR IVF Power Brand

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IHR IVF Power Brand

  • 1.
  • 2.
  • 3. institute of human reproduction “Aim for success, not perfection. Never give up your right to be wrong, be- cause then you will lose the ability to learn new things and move forward with your life.” Dr.David M.Burns 01
  • 4. ihr 02 Dr. M. L. Goenka DIRECTOR, Institute of Human Reproduction IVF INDIA - BEST OF THE BEST 2013-2014
  • 5. ihr 03 Find somebody to be successful for. Raise their hopes. Think of their needs. Barack Obama Dr Goenka has seen the IVF revolution in India from close quarters. In the decade of the 80s, IVF was in a preliminary stage and specialized treatment was not easily available. Dr M.L. Goenka often felt concerned at the fact that with the only option being artificial insemination, there were a lot of cases which did not respond to normal treatment. Once in Mumbai he saw that the “4th International Conference on Human Reproduction” was under way in a hotel. He went in and attended the four day conference. The experience had a stimulating effect on him and he decided to take up this dis- cipline as his specialization. Upon his return, he converted his general nursing home in Guwa- hati to a specialized infertility care centre. And thus began a journey which has won him many accolades. Dr ML Goenka is today the Director of Institute of Human Reproduction, Guwahati and Kolkata. He started the first IVF Centre in North East India at Guwahati and has so far delivered more than 5000 test tube babies. The biggest difficulty in setting up the centre was in procurement and delivery of right kind of equipment. He had to frequently travel abroad to get what he needed. The area of infertility treatment was at a very nascent stage at that time. In 1980 he went to Bombay to learn la- paroscopy and hysteroscopy, in 1984 he went to San Francisco, USA to learn microsurgery and in 1987 to Germany for advanced laparoscopic surgery. In 1989 he realized that IVF was now es- sential, since they were already doing laparo- scopic surgeries, IUI etc. Without IVF a lot of patients would not get the relief they wanted. Then he went to the famed Bourn Hall Clinic in UK. After that he met Dr. Robert Janson of Syd- ney IVF in Bombay at one of the conferences. Dr Goenka went to Sydney IVF, stayed there for three months. After returning from Sydney he started first IVF centre of North-East India in 1990. His first test tube baby was born in 1992. The patient was 52 years old, and was the eldest lady to conceive at that time which gave them a lot of press coverage and their name was intro- duced in the Limca Book of Records and re- mained there for three years for this feat. Dr Goenka had to struggle for two years to set up his centre. He says that today if one wants to start an IVF centre this can be done in a month’s time which was not the case earlier. Culture media were difficult to get. There was shortage of qualified people and you had to go from country to country to get the technical knowhow which a lot of people were not willing to share with you and you had to fight every step of the way. He started preparing most of the media in-house. At present also many medias are prepared at IHR with strict quality control. It was with his meticulous planning that he has been able to achieve financial strength to pro- cure the latest equipment and technology as per requirement. He had been born and brought up in Guwahati and had an established medical practice. Thus, Guwahati was the obvious choice to start his IVF centre. The Kolkata centre was started in 2007 after he realized that it was easy for overseas patients to come there as compared to Guwa- hati. He says he has planned his growth and rev- enues in such a way that he never had to face any kind of a financial crunch. All the treat- ments are available at both centres but in Kolkata, they do a lot of surrogacy. Dr Goenka was Executive member of Indian So- ciety of Assisted Reproduction (ISAR) and has been a Member of international advisory com- mittee for 11th and 12th World congress on IVF at Sydney and Buenos Aires in 1999 and 2002. He has also trained more than 200 doctors in IVF / ICSI / IUI and laparoscopy He has been guest speaker at many national and international conferences. He has published many papers in national and international Jour- nals. Dedicated excellence makes us different For us at IHR and me in particular, the challenge to achieve the impossible is the biggest motivator.We try to evolve with each new challenge so that we can put a smile on as many faces as possible.““ IVF INDIA - BEST OF THE BEST 2013-2014
  • 6. Dr. Deepak Goenka Director, Institute of Human Reproduction, Guwahati04 ihr IVF INDIA - BEST OF THE BEST 2013-2014
  • 7. ihr 05 Develop success from failures. Discouragement and failure are two of the surest stepping stones to success. Dale Carnegie IHR’s high success rate, the extraordinary level of patient care and the advantage of having all facilities under one roof is what attracts patients from all parts of India, Nepal & Bangladesh. ““ Personalised patient care is key to success Dr Deepak Goenka is Director, Institute of Human Reproduction, Guwahati, he had exten- sive training in Ultrasound, Assisted Reproduc- tive Technology and Genetics at different leading centres of the world. He has performed more than 15000 IVF cycles and more than 2000 la- paroscopy surgeries. The Institute of Human Reproduction has its ori- gins in Guwahati in 1978. Earlier it was a general hospital, and infertility treatment started from 1980. Initially all the work was done by Dr. M.L. Goenka. After completing his MBBS and he went to Sydney, Australia for advanced training in em- bryology in 1996. He completed his MD in the year 2000 from Kasturba medical college, Mani- pal. He received trainings in genetics from Dr Joycee Harper, UCL ,London; Dr Hema Puran- dare Mumbai; AIIMS, Gangaram, New Delhi; SGPGI, Lucknow. He says the IHR -Guwahati is located in the heart of the city and is getting patients from all the seven North-Eastern states, other parts of coun- try like Kerala, Delhi and Rajasthan, Nepal, and Middle East. He ascribes this to the centre’s suc- cess rate, the level of patient care and having all facilities under one roof. There are so many pa- tients who come in the morning, get their proce- dure done and leave again in the evening. His hospital offers all kinds of treatment related to infertility. If a treatment is available in any part of the world, it is also available at IHR, Guwahati. He proudly says that it is the only centre in India where PGD (Pre-Implantation Genetic Diagno- sis) is used for recurrent pregnancy loss. Among his most challenging case so far is the one where a couple came to him with a history of sec- ondary infertility and two previous miscarriages. The third pregnancy was still in situ and was diag- nosed to be non-viable. They conducted a ge- netic analysis of the non-viable embryo and found it to be genetically defective. A look at her records showed that her second pregnancy also had the same genetic disorder that we found in the third pregnancy. Unfortunately there were no records available of her first pregnancy. They then investigated both the parents and found them to be healthy. The treatment was started. Then they went ahead with the IVF and did the genetic ana- ysis on all the nine embryos and found that seven were defective and only two were healthy. Both healthy embryos were transferred and the preg- nancy was successful and she delivered twins. This was the first case in India where PGD (Pre- Implantation Genetic Diagnosis) was done for re- current pregnancy loss. He gives the credit for the centre’s success to the extensive work in PGD. There are a few centers in India where there are good treatment facilities for genetically impaired children. But once a geneti- cally defective child is born, there is very little that one can do apart from taking care of it. Fur- thermore such a child is an enormous emotional and financial trauma to the parents, siblings and society. At IHR they diagnose genetic defects be- fore birth and thereby prevent such births from occurring. Special patient care at IHR is also a unique fea- ture. Every patient who walks in at IHR is allo- cated a ‘patient care executive’ who takes care of every need of the patient and is available 24X7. If the patient has any problem or requirements to be addressed she contacts the executive directly. They also maintain a high degree of transparency which adds to patient comfort and confidence. Although there are counselors, but he interacts with every patient himself to address all their concerns. The biggest hurdle that he faces today in provid- ing fertility care services is one of expenses, and the fact that it is not covered under medical in- surance. A couple with problem of infertility has nowhere to turn except their own resources. As for the risk of multiple pregnancies, he says they do not do multiple embryo transfers and multiple pregnancy rate following IVF at IHR is only around 2%. But the more persistent myths of IVF are: ‘IVF is painful.’ But this is not correct.With new drugs, injection pain is minimal. Patient is not admitted even for a day. This is a day care procedure. The second is; ‘Bed Rest after IVF’. This again, is not true. A patient can do her normal routine work after the procedure. He says he had patients who come in during their lunch break, do the procedure and go back to office. The third is; ‘IVF babies are not my own’. A lot of patients who come to me have this misconcep- tion that it could be someone else’s baby which will be transferred.We have to convince them that it is going to be your baby, it is your husband’s sperms and your eggs which will be used. Donors are used only when it is absolutely necessary and that too after taking patient into confidence. IVF INDIA - BEST OF THE BEST 2013-2014
  • 8. For Dr Suparna Banerjee, infertility treatment is no less than a miracle, and considering her childhood fascination with reproductive medi- cine and gynecology, it was but natural for her to pursue a career in this field. She completed her MBBS from R. G. Kar Medical College and Hospital, Kolkata and proceeded to complete DGO from the same college, followed by MD. Then she left for England and obtained MRCOG (Member of Royal College of Obstetricians and Gynecologists). She came back to Kolkata in 2011 when she got associated with the Institute of Human Reproduction. Dr Banerjee has extensive experience and inter- national exposure in the field of Infertility treat- ment. She is a member of the Royal College and British Fertility Society and has been associated with the Peninsular Centre for Reproductive Medicine, UK, as an IVF specialist from 2008 to 2011. She has performed over 3000 IVF cycles independently and has hugely contributed to the IHR’s ability to maintain an IVF success rate at par with the global success rates. “Since my student days I wanted to pursue in- fertility as specialization. It is a very challenging field. I always felt it is no less than a miracle and I had to learn this.” She has a clear vision for IHR and she hopes to implement it in the com- ing days. “I have given my 100 per cent to this institute to improve the result. We are con- stantly trying to accommodate new things in order to give the best to our patients.” In her initial years, she found it very challenging as it was a new field and not traditional in any aspect. “Every patient in this field is so different. We cannot predict anything with certainty as to the outcome.” Among the major obstacles for doctors in this field, she lists cost of treatment as the most im- portant one. “In our country, the cost of treat- ment is an issue for poor patients as medicines, technology etc are very expensive. It is a major obstacle for common people and we need to ad- dress it in future.” Nevertheless, she foresees great future for this field in the coming years. She expects more im- provement in the area of PGD (pre-implantation genetic diagnosis). With PGS/PGD transfer of abnormal embryos can be avoided and miscar- riage rate can be reduced to a great extent. “It is really heartbreaking to see, after a pregnancy achieved with so much hardship and finally find that she miscarries due to abnormal embryo." She has faced some very difficult patients in her experience. There was one patient who suffered repeated failure of endometrial formation and then she decided to give some non traditional medicines. They worked and the endometrium developed. Eventually she conceived and deliv- ered. These medicines are not generally given but I took a chance and it really helped, giving me great satisfaction.” How does she unwind after a hard day’s work? “Listening to my favourite music in a dark room is my greatest relaxation.” Dr. Suparna Banerjee IVF Specialist and Co-ordinator06 ihr IVF INDIA - BEST OF THE BEST 2013-2014 Success isn't a result of spontaneous combustion. You must set yourself on fire. Arnold H. Glasow Blessed to be associated with this miracle
  • 9. ihr 07 Success is the progressive realization of predetermined, worthwhile, personal goals. Paul J. Meyer IVF INDIA - BEST OF THE BEST 2013-2014 Sunita Patwari grew up in an environment of medical sciences as her father was a gynae- cologist. She studied science as a natural choice and her father motivated her to take up embryology as the field of work. It was an upcoming field and seeing her natural inter- est in it, her father guided her to study further and she chose it as her profession. She had her embryology training at Singapore. Fine tunings were taught by Dr Deepak Goenka. She is working as Chief Embryologist at Insti- tute of Human Reproduction, Kolkata since 2007. She is a visiting Embryologist at Insti- tute of Human Reproduction in Guwahati (Assam) since 2004. For her, every patient is a challenge and she aims at success in every case. “Regardless of apparent similarities, each case is unique and we have to devise a different plan of action in every case.” She finds IVF/ICSI very interest- ing and would like to achieve 100 per cent success every time. She has performed more than 8000 IVF/ICSI procedures which is a great achievement in this field. She has attended several work- shops and conferences in the area of Semi- nology, IUI, sperm banking, semen analysis, and has acquired extensive traing in embryo biopsy. She is known widely for her compe- tence in areas of IVF laboratory routines, Quality Control. The role of an embryologist in the success rate of an infertility procedure, in her opin- ion, is crucial. “An embryologist has a very re- sponsible job and a simple error on her part will impact the life of the patient. We have to give our 100 per cent, we have to be fully alert and completely dedicated to our work.” Deal- ing with an embryo is a delicate task and ab- solutely no chances can be taken in terms of handling, quality and the attention to detail. Listening to her, one marvels at her constant excitement and hope in connection with her discipline. She is very positive about the future of em- bryology and believes that great advance- ments will happen in this field in the near future. She feels advancement in genetics will help a lot in improving IVF success rate. “Screening of embryos will need a lot of skill and patience, miscarriages will be reduced and we will have to be equipped for all situa- tions through continuous learning,” she pre- dicts. But there always be people like her who are dedicated, deeply involved in the subject and follow strict discipline in doing their job that will maintain the importance of embry- ology in the area of human reproduction and fertility sciences. Sunita Patwari Chief Embryologist, Kolkata Success in every case is a challenge
  • 10. 08 ihr IVF INDIA - BEST OF THE BEST 2013-2014 For Rashmi Goenka, it had been a passion to help people facing health-related problems. And when she came to know about embryology as a specialized discipline, she knew this was the field for her. She passed her M.Sc. in Clinical Embryology from Leeds University, U.K. with distinction. The topic of her thesis was “Sperm selection for ICSI: Conventional method or Hyaluronic Acid binding method”. She has been working with the Institute of Human Reproduction in Guwahati (Assam) since 2004, earlier as Junior Embryologist and later as senior Embryologist. She keeps con- ducting workshops on IUI and other subjects of embryology. She does embryo biopsy of all stages confidently. She has done more than 5000 IVF/ICSI cycles. She has participated in hands-on workshop in association with Sydney IVF, Sydney, Australia and also with International Society of Andrology besides having attended several conferences on Embryology. She finds embryology to be a highly satisfying field of work, where she feels she can provide the greatest joy to people who want a child. The job itself is very challenging, she says, adding that every patient is a chal- lenge. “We want the patients to be happy and their dream to come true. It is thrilling for us to be a part of this process,” she says The role of an embryologist is crucial in the suc- cess of an infertility procedure. She explains that the embryologist maintains quality control and is also responsible for collection of gametes, their handling, giving them an apt environment and culturing the embryos. If there is something even minutely wrong in the work of an embryol- ogist, then the results would be negative. Till date, the most difficult task she handled was that of oocyte cryopreservation. “It was a chal- lenge when we started it, but soon we got a hit on it and very good results followed. Amidst all work, I would say getting a knack on oocyte cry- opreservation is a big achievement,” she says proudly. Now we are preserving lots of oocytes of unmarried girls (like airhostess, senior execu- tives) who are delaying marriage due to various social and economic reasons. Onco-specialists are referring young girls who are suffering from curable malignancies. Post treatment lots of them are free from malignancies but radical sur- geries, chemotherapies or radiation treatment leave them infertile. Cryo-preservation of their oocytes before the initiation of treatment gives them a option of parenthood post onco-treat- ment. She is confident that in the future, lots of ad- vancements will happen since many advanced studies are going on. “It is a most upcoming and exciting field. Now we are getting on to ovarian tissue cryopreservation ,” she says. She feels blessed to have a job that she enjoys despite the concentration and dedication that it requires. She derives great satisfaction by paying attention to details, developing technical skills, maintaining high quality and patient motiva- tion. She feels privileged that she is in such a field where she can bring dreams to life. Rashmi Goenka Chief Embryologist, Guwahati Whosoever desires constant success must change his conduct with the times. Niccolo Machiavelli “Bringing dreams to life” is her passion
  • 11. 09 IVF INDIA - BEST OF THE BEST 2013-2014 Jewels Of The Crown The Talented Team IHR Ms Neelam Agarwal has unmatched experience in hospital management. IHR Kolkata has grown by leaps and bounds under her able guidance. For her progress is implementation of value based systems to achieve pre- decided goals of excellence. She enjoys organising conferences and workshops. She says “during conference and meetings when doctors appreciate your work it encourages us to expand and improve further”. She thinks genetics is the future of IVF and IHR is coming in a big way with all the latest technologies in genetics so that it remains a front runner in the Fertility Management space in India. Neelam Agarwal Director & CEO, IHR KOLKATA Dr. Smita Das Consultant Gynaecologist In-charge Pre Preganancy Clinic Dr. Pratibha Pasari Consultant Gynecologist Dr. Gitali Devi Consultant Pathologist Dr. Hirak Jyoti Das Consultant Pathologist Dr. N. K. Jain ConsultantPediatricians &Neonatologists Dr. Rahul Varma Dr. R. K. Agarwala Dr. Ranjan Saikia Dr. D.N. Agarwal Dr. N. K. Agarwala Consultant Sonologist Dr. Prerona Sarma Consultant Sonologist Dr. Nirupama Joshi Consultant Anaesthetist Mrs. Ritu Gupta Counselor Dr. Th. Digel Singh Reproductive Medicine, Fellow Dr. Richer Miller Sunn Reproductive Medicine, Fellow Dr. Kanchan Murarka Reproductive Medicine, Fellow Mrs. Mina Goswami Yoga Instructor Dr. Jitu Mani Sarma Yoga Instructor
  • 12. 10 ihr IVF INDIA - BEST OF THE BEST 2013-2014 • You can fix up an appointment at IHR, Kolkata or Guwahati by contacting us by phone or email. • The first consultation will be with IVF Co- ordinators who will take your history, record all the previous investigations and treat- ments. Then you will be directed to one of the senior IVF consultants. All egg pick-ups and Embryo Transfers (ET) are done by senior consultants. With In-house pathology, En- doscopy and sonography services, the couple can avail of all their investigations at the cen- tre itself. • The fertility treatment cycle begins with a charted out regimen of Fertility inducing Medica- tions. • All tests are done at a fixed time for your con- venience. • We have post-op recovery areas/rooms where patients rest after day-care procedures. • All confirmatory tests for pregnancy are also performed in-house with same-day reporting. Since we started (IHR) in 1980, our focus has been dedication, innovation, excellence, and caring. These are the qualities on which our reputation is and will continue to be based. About IHR Institute of Human Reproduction Established in 1980, the main purpose of the Institute of Human Reproduction popularly known as IHR, is to provide comprehensive, personalized quality health care to the infer- tile couples and high risk pregnant patients. Our goal is a happy healthy family with the help of modern and conventional infertility treatments. The unique super-speciality STATE OF ART institution with its dedicated staff and su- perlative technology in the field of Assisted Reproductive Technology(ART), Advanced Endoscopic Surgery & Genetic Engineering, is one of the premier name in the field of repro- ductive medicine in India and outside India. At IHR, we maintain a very high scientist to patient ratio to make sure your embryos are very well looked after, ensuring your best possible chance of success. They(scientists) are present from the time of egg retrieval till embryo transfer procedures, making sure that their (embryos)environment is just per- fect from the moment the egg leaves the body till the moment it is returned to the uterus. Our scientists also put a lot of time into re- search aspects of infertility and IVF (test tube baby technology). IHR is one of the very few fertility treatment centres in India that pri- marily funds ongoing research into the ad- vancement of IVF technology. We feel that this aspect of IHR is just as important as the medical treatment of patients in our care. It ensures that our patients have the benefit of the very latest in knowledge and technology. Why Choose IHR We frequently read about new ART and en- doscopy centers. It is becoming increasingly difficult for the patient to decide who can provide them best care. What should you look for in any IVF clinic before choosing it? • How old is the infertility management cen- tre? ( the hospital may be very old but may have started infertility services recently). • How much experience the doctor has in treating infertility? (very important, a very senior O&G practitioner may have very little experience of infertility management and vice versa. A young practitioner may have specialized his carrier in infertility manage- ment only). • What culture system they are using: impor- tant things are Triple gas incubator, micro- drop culture, sequential media? • Do they have inhouse embryologists? • Do they have the relevant infrastructure and technology in place? In simple words, you should look for an expe- rienced infertility specialist (irrespective of age) and an infertility clinic with advanced technology and in house embryologists. The Treatment Process Success is a science; if you have the conditions, you get the result. Oscar Wilde
  • 13. ihr 11 If everyone is moving forward together, then success takes care of itself. Henry Ford IVF INDIA - BEST OF THE BEST 2013-2014 Treatment Facilities Institute of Human Reproduction (IHR) of- fers a comprehensive range of infertility services under one roof, and we are known for our innovation, integrity, medical and technical excellence, personalized service, and consistent willingness to accept pa- tients facing the most difficult medical challenges. The center has all the facilities required to deliver a full range of services to couples requiring assistance in conceiv- ing. This ensures that patients are required to visit only one site for all stages of their diagnosis and treatments. SERVICES OFFERED: 1. Routine Laboratory Investigations 2. All hormones Assays 3. Sonography including Trans Vaginal Sonography (TVS) 4. Hysterosalpingography (HSG with Digi- tal X-Ray). 5. IUI ( Intrauterine Insemination) 6. Donor Insemination (DI/TID/AID) 7. IVF-ET (Test Tube Baby) 8. ICSI (Intra Cytoplasmic Sperm Injection) 9. TESA (Testicular Sperm Aspiration) 10. Laser Assisted Hatching 11. Oocyte Donation 12. Surrogacy 13. Semen, Egg (oocyte) and Embryo Cryopreservation 14. Habitual Abortion Clinic 15. Sexual Dysfunctions (Infertility related) Laparoscopy/Hysteroscopy Surgeries: All advanced Laparoscopic and Hystero- scopic surgeries are performed at IHR. 1. Diagnostic Hysteroscopy 2. Myomectomy 3. Cystectomy 4. Adhesiolysis 5. Uterine Synechia 6. Septum Resection 7. Laparoscopic creation of Neovagina Genetic Services 1. CVS (Chorionic villi Sampling) 2. Amniocentesis 3. Preimplantation Genetic Screening (PGS) 4. Preimplantation Genetic Diagnosis (PGD)
  • 14. 12 ihr IVF INDIA - BEST OF THE BEST 2013-2014 Man needs his difficulties because they are necessary to enjoy success. Abdul Kalam Surrogacy is an arrangement in which a woman agrees to carry a pregnancy that is genetically unrelated to her and her husband, with the intention to carry it to term and hand over the child to the genetic parents for whom she is acting as a surrogate. The first report of a baby being born by IVF surrogacy was in the year1985. The earliest mention of natural surrogacy is in the Old Testament of the Bible. WHO CAN BENEFIT FROM SURROGACY Although majority of infertility causes can be remedied through conventional medical and surgical treatments or In Vitro Fertilisation (IVF) but there are conditions where surrogacy gives women a chance to raise children. These conditions are: • Women whose ovaries are producing eggs but they do not have uterus. Their uterus may have been removed (hysterectomy) or they were born without a uterus. This is the most common indication for IVF Surrogacy. • Women who have suffered repeated miscarriages and are deemed to have little or no chance of carrying a child to term. • Women who suffer from medical problems such as severe heart and kidney diseases, severe diabetes and in whom a pregnancy would be life threatening. • Repeated failure of treatment by IVF. • Women with congenital defects. • Couples in same sex relationship (gay) take recourse to this treatment. GUIDELINES FOR FOREIGN NATIONALS VISITING INDIA FOR COMMISIONING SURROGACY All Foreign national intending to visit India for commissioning surrogacy must comply with following guidelines instituted by the Ministry of External Affairs, Government of India: 1. Foreign nationals visiting India for commissioning surrogacy must apply under the appropriate visa category. 2. The appropriate visa category will be a medical visa failing which Foreigners will be liable for action for violation of visa conditions. It will also be necessary in such cases to ensure that the surrogate mother is not cheated. Therefore, such a visa may only be granted if the following conditions are fulfilled:- i) The foreign man and woman are duly married and the marriage should have sustained at least for two years. ii) A letter from the Embassy of the foreign country in India or the Foreign Ministry of the country should be enclosed with the Visa application stating clearly that (a) the country recognizes surrogacy and (b) the child/children to be born to the commissioning couple through the Indian surrogate mother will be permitted entry into their country as a biological child/children of the couple commissioning surrogacy. iii) The couple will furnish an undertaking that they would take care of the child/children born through surrogacy. iv) The treatment should be done only at one of the registered ART clinics recognized by ICMR, the list of such clinics will be shared with MEA from time to time. v) The couple should produce a duly notarized agreement between the applicant couple and the prospective Indian surrogate mother. 3. If any of the above conditions are not fulfilled, the visa application shall be rejected. 4. Before the grant of visa, the foreign couple needs to be told that before leaving India for their return journey ‘exit’ permission from FRRO/FRO would be required. Before granting ‘exit’ , the FRRO/FRO will see whether the foreign couple is carrying a certificate from the ART clinic concerned regarding the fact that the child/children have been duly taken custody of by the foreigner and that the liabilities towards the Indian surrogate mother have been fully discharged as per the agreement. A copy of the birth certificate(s) of the surrogate child/children will be returned by the FRRO/FRO along with photocopies of the passport and visa of the foreign parents. 5. It may be noted that for drawing up and executing the agreement cited at Para 2 (v) above, the foreign couple can be permitted to visit India on a reconnaissance trip on tourist visa, but no samples may be given to any clinic during such preliminary visit. Surrogacy Twoofourcurrentsurrogates
  • 15. ihr 13 “Success is not final, failure is not fatal: it is the courage to continue that counts.” Winston Churchill IVF INDIA - BEST OF THE BEST 2013-2014 “IHR is one of the few centres in India to have a Class 10,000 IVF laboratory. At Institute of Human Reproduction, we perform more than 600 fertility related surgeries, 1000 laprascopic surgeries and more than 2000 IVF cycles per year.” IHR started infertility & endoscopy management in early 1980’s, when this whole ART science was very much in infantile stage around the world. This makes Institute of Human Reproduction (IHR) the pioneer in infertility & endoscopy management. Followings were started for the first time in North East India: 1981: Started IUI in Azoospermic patients using Donor semen. 1982: Started Diagnostic Laparoscopy 1983: Started Diagnostic Hysteroscopy 1984: Started Microsurgery in Reproduction. 1991: Delivered first SIFT (Semen Intra Fallopian Transfer) Baby. 1992: Delivered the First IVF-ET (Test Tube Baby). 1994: Delivered the first GIFT (Gamete Intra Fallopian Transfer) Baby. 1996: Delivered First ICSI Test Tube Baby. 1997: Achieved First TESE-ICSI pregnancy. 1997: Opened first Semen Bank. 1998: Started LASER Assisted Hatching. 2001: Organized the prestigious 7th ISAR Congress. 2005: Opened “Institute of Child Health”. 2008: Delivered and successfully sent home the smallest baby girl of NE India on 14/10/08; weighing 700 gms 2009: Successful delivery of a baby with the help of PGD to a parent who had recurrent pregnancy loss. 2010: Successful normal pregnancy to Thalassemia Minor wife and Homogygous Hb_E husband through PGD. 2012: Successfully delivered baby from cryopreserved Oocyte. 2013: 3D Laparoscopic Hysterectomy. OUR FIRST’S Our First test tube baby was born in 1992. The patient was 52 years old,and was the eldest lady to conceive at that time which gave us a lot of press coverage and our name was introduced in the Limca Book of Records and remained there for three years for this feat.
  • 16. 14 ihr IVF INDIA - BEST OF THE BEST 2013-2014 A great secret of success is to go through life as a man who never gets used up. Albert Schweitzer (1875 - 1965) IHR, Guwahati Established in 1978, the main purpose of the Institute of Human Reproduc- tion, popularly known as IHR, is to provide comprehensive, personalized quality health care to the infertile cou- ples & high risk pregnant patients. The unique Super-specialty, STATE OF ART hospital with its dedicated staff and superlative technology in the field of Advanced Endoscopic Surgery, As- sisted Reproductive Technology (ART) & Genetic Engineering, IHR is one of the premier name in this field in India and outside India. Pioneer in infertility and endoscopy management, IHR started when this whole science was in nascent stage and since then has achieved remark- able milestones in the field. Being the first amongst a few in India, to start di- agnostic Laparoscopy, diagnostic Hys- teroscopy, microsurgery in reproduction and IUI in Azoospermic patients using donor semen. IHR Guwahati is a 40,000 sq feet Hi- tech facility with over 10,000 sq feet dedicated to fertility services where over 1500 IVF cycles are done every year; a team of 12 gynecologists with facilities of critical care obstetric serv- ices a in house blood bank and 4000 deliveries a year. IHR has a team of 8 paediatricians with facilities of NICU and PICU. Out of six OTs, two are ded- icated to Laparoscopic surgeries. They are equipped with the latest Storz equipments where about 1000 laparo- scopic surgeries are done every year. IHR has full time Anaesthetist, Pathol- ogist & Sonologist. The IVF Lab has two full time embryologist, 3 incuba- tors including one G 185ST, 2 stereo- scopic zoom microscopes, 2 ICSI stations (Eppindrof & Narshinge), Laser assisted hatching machine of RI & facilities for cryopreservation of sperms, eggs & embryos. What makes IHR different is that all fa- cilities are available under one roof starting from investigation, IVF proce- dure, post IVF pregnancy and baby care. Our goal is a happy, healthy fam- ily with the help of modern and con- ventional infertility treatments.
  • 17. ihr 15 Always bear in mind that your own resolution to succeed is more important than any one thing. Abraham Lincoln IVF INDIA - BEST OF THE BEST 2013-2014 IHR, Kolkata Spread across 12,000 sq feet, IHR, Kolkata was started in 2007 and boasts of the latest in equipment and expertise. For infertility treatment all facilities are available for the treatment of infertile couples under one roof. We offer IVF, ET, ICSI, Surrogacy, An- drology, Cryopreservation of eggs, sperms and embryos & PGS. All diagnostic facilities are available in house. All biochemistry, Hormones (including AMH) and cultures are in-house. There is a digital x-ray ma- chine with painless procedure for Hysteros- alpingography and an advanced Laparoscopic surgery unit. We have an ultra modern IVF laboratory with 3 incubators (two Minc bench top and one from Forma Scientific, one Olympus SZX16 stereoscopic Zoom microscope, one ICSI station from NARISHIGE with Olympus IX-71 microscope. All work stations are in- side vertical laminar airflows to maintain good air quality. Lab Air quality is also main- tained by Coda Tower Filters. Air quality is frequently checked by VOC counters. There are four tables for IUI and three tables for Embryo Transfer procedures. In addition we have three operation the- aters: One dedicated to IVF, one for lapro- scopic surgery and one for other procedures. We have three USG machines: one dedicated to IVF – OT, one (Volution S6) for fetal anomaly scans with 3D and 4D probes and one for routine sonography. Our laparoscopy O.T is well equipped with latest instruments from Storz. All advanced laparoscopic surgeries like myomectomy, chocolate cyst, hysterectomies are done. All facilities are available under one roof starting from investigation till completion of IVF. A full team of gynecologists take care of post IVF pregnancy. Our vision is dedication, personalised care to all patients and the best success rates. Regular quality controls are done at every step in IVF lab. Outstation and overseas patients can book their appointments on line. Their travel and hotel stay, local sightseeing can be arranged by our travel partner. One of our patient re- lationship executive will be assigned to the patient to take care of her queries. At IHR - Kolkata we do about 600 IVF cycles in a year. 60% of them are donor egg cycles. We do about 5 surrogate cycles and 600 IUI cycles every month.
  • 18. 16 ihr Stop seeing the obstacles you face as reasons why you can't do something. See them as a reason why you can. And celebrate your success on a daily basis. Ali Vincent Printed & Published by Sanjay Paul for Gauravi Creative Media (P) Ltd., from Flat No 9, 2nd Floor, Claudina Apartments, Xelpem, Duler, Goa. and Printed by him at M.P. Printers, B-22, Phase II, Noida - 201305, U.P. Editor: V. Bhargava. FOR FREE DISTRIBUTION ONLY. Editorial Contributors: Bhawana Pandey Agnihotri, Praveena. Consultant Editor: Ratan Mani Lal. Editor: V. Bhargava Photographers: Utpal Barua, Guwahati; Prabir Mukherjee, Kolkata. Photo Editor: Preeya Patil Contact Us INSTITUTE OF HUMAN REPRODUCTION IHR COMPLEX, Bharalumukh, Guwahati- 781 009, Assam, INDIA Phone: +91- (0)361- 2482619, 2482621, 98641 03333 Email: ihrindia@gmail.com IHR HOUSE, 47, Syed Amir Ali Avenue, Kolkata – 700019,WB, INDIA Phone: (033) 2290 4455/56 Mobile: +91-9903836224 Email: helpline@ihrivf.net Websites: www.ihrindia.com, www.ihrivf.net www.surrogacyihrindia.com Dr. M.L Goenka and Mrs. P.D. Goenka with Dr. Prof. Curt Semm (Father of Laparoscopic Surgery) & Dr. Prof. L. Mettler, at Kyoto , Japan 1994. Dr. M.L Goenka attending a Seminar on IVF at BOURNE-HALL Clinic, CAMBRIDGE, U.K, 1989. Dr. M.L Goenka with Dr Robert Jansen of Sydney IVF at a Symposium on Infertility and Genetics at IHR, Guwahati in1996. Dr. M.L Goenka with Dr. S.C Nag (Head of the Dept. of Reproductive Medicine, Singapore University) during a World Congress on Endoscopy held at Singapore, 1994. Dr.M.L Goenka and Dr. Deepak Goenka with WHO rep- resentative, Dr. Daniel Frankin (South Africa) for a Workshop on Seminology,organised at IHR in 2002. Dr. M. L. Goenka with the first test tube baby of North - East India born in 1992 at IHR, Guwahati.