IVF & IUI
CARE-Best IVF treatment in Uttarakhand
By. Dr Sumita Prabhakar
IVF is also known as Test Tube Baby process.
IVF is a process of artificially fertilization of Ovarian
Fertilization process takes place outside the mother’s
This process takes place via Insemination
It can be done by two ways:
Using father sperms
Using donor sperms.
(As requirement of couple )
For IVF treatment, couples are advised for certain
Ultrasound, for checking condition of ovaries and uterus.
Semen analysis and culture for other problems.
Abnormality test must be carried before IVF procedure.
Evaluation complete—procedure initiates.
Process starts on 21st day of month before IVF cycle.
Blood Investigation for checking LH,FSH and E2
hormones to confirm down regulation.
This process depends on patient’s certain conditions
FSH or HMG injections are given till desired follicles
Cycle is monitored to check growth of eggs and
thickness of endometrium by ultrasound.
Sometimes estrogen level test is done by blood test.
When egg reached at desired size, an injection is given
for final maturation(HCG).
Ovum pickup is planned after 35-36 hrs process under
With ultrasound, eggs are extracted from follicles with
the help of fine needle.
This process takes 20 min.
When eggs are retrieved from group of cells, they are
aspirated and after keeping them in incubator they are
ready for fertilization.
IVF/ICSI fertilization process are decided by
In case of poor count and motility ICSI is performed.
TESA/PESA is done for removing sperms from testis.
Then the embryos are left to grow in the controlled
environment of incubator for 2-5 days.
Embryologist assess the quality of embryos and
decides about embryo transfer.
With the help of soft cathedra embryos are placed in
After some rest patient can go home.
Extra embryos are frozen in liquid nitrogen for
preserving them for years.
Embryos are frozen because the transfer is electively
planned as endrotrium or lining of uterus or patient
has OHSS(ovarian hyper simulation syndrome).
In this, outer lining of embryos is treated with either
laser or with certain chemicals.
This process is used to make outer lining more sticky
and more adhesive to lining of womb.
It is effective in older women, in case of failures and
weak lining of womb.
Most commonly used assisted reproductive technique.
Safe, cost effective and non invasive method.
Semen of husband or donor is clinically washed to
improve its fertilization capability and injected into
Mild-moderate male sub-fertility
Male anatomical defects
Psycosexual disorder-erection ejaculation related
Genetic, hereditary problems
Severe sperm defects
Several tubal defects
Severe semen abnormalities
Pelvic mass or uterine cavity distortion
Proper timing and proper patient selection of IUI is
Detailed clinical history and physical examination of
both partners is required.
If any abnormalities is suspected evaluation of
hormonal problems are carried out.
Any center doing IUI must have
Semen collection area
Semen preparation lab with laminar hood, centrifuge
, compound microscope, co2 incubator, CO2
cylinders, semen fertility and storage facility.
Based on age of patient and semen varies from 6-28%
IUI is a very simple and safe procedure but certain
problems may arise:
Trauma to cervix
Cramps or pain
Dr. Sumita Prabhakar
CMI Hospital, 54, Haridwar Road, Dehradun.
Uttarakhand, India. PIN:248001
Phone: 0135-6542172, 0135-2520042, 2720142, 2720238