The document outlines advanced fertility services offered by Dr. Kaberi Banerjee, emphasizing the importance of transparency, quality standards, and patient comfort. It discusses causes of failed IVF cycles and various modifications to improve outcomes, including optimized stimulation protocols, ICSI, hysteroscopy, IVIG, vitamins, laser hatching, ERA, and PGS. The document highlights individualized approaches to embryo transfer and the significance of meticulous transfer techniques.

2. Failed IVF cycles
Dr Kaberi Banerjee
Medical Director- Advanced Fertility and Gynaecology Centre, New Delhi
Chairperson Delhi State Chapter ISAR
MBBS and MD in Obstetrics & Gynecology (AIIMS, New Delhi)
FRCOG, London, UK
Commonwealth Fellow in Reproductive Medicine, London UK.
More than 8000 IVF, ICSI, Donor and Surrogacy Cases

3. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Failed IVF cycles
A failed IVF cycle can be because of:
• poor egg quality,
• sperm quality or
• uterine lining.

4. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered
• Optimized stimulation protocol
 The short antagonist protocol offers the best results in
terms of selection of the best oocytes(eggs).
• Selection of Sperm
 Intra Cytoplasmic Sperm Injection (ICSI) improves
fertilization rates and hence, overall pregnancy outcome.
 At AFGC, our embryologist takes special care to select
the best sperms for doing ICSI.

5. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered
• Hysteroscopy
 The hysteroscope aids us in picking up uterine
abnormalities which are sometimes missed at routine
ultrasound e.g., small polyps.
 It is useful in washing and cleaning the uterus which
sometimes may help in improving the outcomes.
 Endometrial scratching is also done at the same setting to
improve the uterine receptivity.

6. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered
• Intravenous Immunoglobulin (IVIg)
 IVIg seems to directly affect NK cell level and
activity, by reducing their absolute number and
increasing the expression of inhibitory receptors
CD94.
 It can improve pregnancy outcome.

7. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered
• Vitamins and Antioxidants
 DHEA, L Arginine, Zinc, selenium etc. are given to
women and men to improve the egg and sperm quality.
• Laser Hatching
 Laser hatching of the embryos is performed on the day of
embryo transfer
 To ensure that the shell of the embryo hatches easily.
 It allows the embryo to implant better.

8. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered.
• ERA
 ERA presumably detects the phase of the endometrium in
which the embryo best implant.
• PGS
 PGS is a way of detecting abnormal embryos thus may
help in improving the pregnancy rates.
 NOT AT NEW TREATMENTS MAY OFFER BETTER
PREGNANCY RATES

9. To provide ethical state of art fertility services with
utmost honesty & transparency to the customers
through quality standards as well as an atmosphere of
empathy and comfort.
Certain modifications offered.
• Day of Transfer
 The day of transfers are individualized for each patient.
 Blastocyst transfer may not be for all
• Meticulous Transfer Technique
 Embryo transfer is the final and most crucial step of IVF.
 All embryo transfers at AFGC are performed by
Dr. Kaberi Banerjee who has taken special training in embryo
transfer from UK.