Product presentation (labaid fertility center)

1. Product
Discussion
MD. MUNIRUL SALEHIN
EXECUTIVE, PMD
LABAID LTD. (DIAGNOSTIC)
+88 01676394488

2. Infertility?

3. Not conceiving after 12 months of regular sexual
intercourse without the use of birth control.
However, for women aged 35 and older, inability to conceive after 6 months
is generally considered infertility.

4. Types of Infertility
 Primary Infertility/Subfertility
who have not become pregnant after at
least 1 year having sex without using birth
control methods.
 Secondary Infertility
couples who have been able to get pregnant
at least once, but now are unable.

5. Infertility Rate
 8% to 12% of couples worldwide are infertile
The actual rate of infertility in Bangladesh is still unknown.

6. Causes of Infertility
30%
30%
20%
20%
Male
Female
Both
Unexplained

7. Male Infertility
A medical condition:
• This could be a testicular infection, cancer or surgery.
Semen and sperm:
Low sperm count
Abnormal sperm
Low sperm mobility (motility)

8.  Overheated testicles: Use hot tubs,
wearing tight clothes, and working in hot.
 Ejaculation disorders: If the ejaculatory
ducts are blocked, semen may be
ejaculated into the bladder.
 Hormonal imbalance: Hypogonadism
(testosterone deficiency).
Other causes
• Genetic factors
• Radiation therapy
• Chemotherapy
• Some diseases: Anemia, Cushing’s
syndrome, diabetes and thyroid disease

9. Risk Factor of Male Infertility

10.  Semen analysis (WHO Guideline)
 Biochemical test (CBC, P. Sugar)
 Hormone test (Testosterone, FSH, LH)
 Molecular diagnosis (Karyotyping, y-chromosomal microdilution)
 Cytopathology (FNAC, Biopsy)
 Serological test
 Imaging test etc.
Test we can promote

11. Female Infertility
 Ovulation disorders: The ovaries stop working before the age of 40 years
 Problems in the uterus or fallopian tubes can prevent the
egg from traveling from the ovary to the uterus
 Chronic conditions: These include AIDS or cancer
PCOS Prolactin
Poor egg
quality
Thyroid
problem
Endometr
iosis

12. Risk Factor of Female Infertility.
NSAIDs
Non-steroidal
anti-
inflammatory
drug long-term
use of aspirin or
ibuprofen may
make it harder
to conceive
.
Chemo-
Therapy
.
Radiation
- therapy
Illegal drugs
Cholesterol
Some women who use
marijuana or cocaine may have
fertility problems
One study has found that high
cholesterol levels may have an
impact on fertility in women

13. Test we can promote
Biochemical test (CBC, P. Sugar, Creatinine, SGPT)
Hormone test (Prolactin, FSH, LH, E2 etc.)
AMH, Vitamin-D, Prothrombin time, APTT, Lupus Anticoagulant
PGx (MTHFR), Torch Panel, HPV DNA
Hysterosalphingogram (HSG)
Molecular diagnosis (Karyotyping)
Cytopathology (Pap’s Smear)
Imaging test
Cryopreservation etc.

14. Treatment
Frequency of intercourse
• Sperm can survive inside the female for up
to 5 days, while an egg can be fertilized for
up to 1 day after ovulation.
Fertility treatments for men
• Premature ejaculation, Blockage of the
ejaculatory duct
• Retrograde ejaculation, Surgery for
epididymal blockage
 Fertility treatments for women
• Clomifene, Metformin, Human
menopausal gonadotropin, Follicle-
stimulating hormone, Human
chorionic gonadotropin,
Gonadotropin-releasing hormone
(Gn-RH)
• Reducing the risk of multiple
pregnancies
• Surgical procedures

15. Treatment
Assisted conception (ART)
• In-vitro fertilization (IVF)
• Intracytoplasmic sperm injection (ICSI)
• Intrauterine insemination (IUI)
• Sperm or egg donation
• Surgical sperm aspiration
• Cryopreservation

16. Normal Pregnancy

17. Intrauterine Insemination (IUI)

18. In-Vitro Fertilization (IVF)/Test-tube Baby

19. In-Vitro: In glass
Fertilization: Ova + Sperm
In-Vitro Fertilization (IVF)

20. In-vitro fertilization (IVF) TEST TUBE*

21. Intracytoplasmic Sperm Injection (ICSI)

22. Cryopreservation (Embryo, Egg & Sperm Bank)
Embryo Freezing
Cryopreservation of Ova, Sperm and Embryo

23. Cancer PatientSperm and ovum collection, preservation
from Husband-wife, unmarried, childless
couple or willing to have more children
before their cancer treatment.
Sperm collected from husband working
abroad and subsequently, the test tube
baby (IVF) method use the sperm for the
pregnancy of the wife.
Extra embryo reserves collected through
the Test Tube Baby (IVF) method.

24. Success Rate
Currently, success rate of Assisted
Reproductive Technologies (ART) is
AGE
Success
Rate
< 34 40 %
35-37 31 %
38-40 21 %
41-42 11 %
> 43 5%
40 %

25. World First Test Tube Baby
Robert Edwards & Patrick Steptoe
25 July 1978
Oldham General Hospital, Greater Manchester, UK.
LOUISE JOY BROWN

26. Target Doctor
Infertility Specialist
Gynecologist & Obstetrician
Endocrinologist
Urologist & Andrologist
Oncologist
General Practitioners (GP)
AWARENESS

27. Cost (Labaid)
SL PROCEDURE PRICE (BDT)
01 In Vitro Fertilization-IVF/ICSI
02 Intra-Uterine Insemination (IUI)
Intra-Uterine Insemination (IUI) Double***
03 Semen Analysis
04 Folicullometry
05 TESA/PESA
06 Cryopreservation /Embryo, Ovam & Sparm Bank***