This is intrauterine insemination where the husband semen/donor semen is washed to remove the debris, pus cells & bacteria & is slowly put Inside the uterine cavity by the special catheter (Insemination canula). The process is painless, easy & OPD procedure. It requires no sedation or anaesthesia. It increases the chances of pregnancy as the semen quality is improved by washing, the quality of egg is improved by medicine & the timing of insemination is set with the ovulation.
What is stimulated IUI?
The ovaries are gently stimulated with clomiphene citrate tablets either alone or with low dose hormone injections followed by ultrasound monitoring until the follicles are mature when HCG trigger is given. The aim is to stimulate the release of one or two eggs only. Once day of ovulation can be predicted, insemination will be timed to within 24 hrs. unlike IVF, precise timing is not critical.
Does washing has any ill effect on sperm?
No, it is a time tested procedure. Washing help in removing bacteria dead cells, pus cells, only. The couple can see the difference in the quality of sperm count by pre & post wash analysis shown in the lab.
Chances of the success
With IUI although the time of insemination is coincided with ovulation but, the meeting of sperm with egg (fertilization), the transport of fertilized egg through the tube, its implantation in the uterus & the further continuation of pregnancy, all these events are left to nature only, resulting in success rate of 15-18% worldwide, hence IUI is offered successively for 4 to 6 cycle.
IVFback to top
In Vitro Fertilisation (IVF) and Embryo Transfer (ET)
Commonly known as "Test Tube Baby". IVF means fertilisation of an ovum outside the body and consequently transfer of the fertilised ovum (embryo) into the uterus of the women. IVF is probably the most widely practised assisted conception procedure In the world. The procedure does not need admission at any step & is conducted on outpatient basis.
The procedure is indicated for irreparably damaged or blocked fallopian tubes and when other modes of treatments has failed in:
- Unexplained infertility.
- IUI failures.
- Ovulatory dysfunction.
- Sperm disorders.
- Immunological problems.
Steps involved in IVF procedure
- IVF (Test Tube Baby), GIFT & ICSI, Ovarian stimulation by hormonal injection to produce multiple eggs..
- Monitoring of the response by ultrasound scans and blood tests.
- Egg retrieval with the help of a needle under local/general anaesthesia.
- The collected eggs and her husband's sperms which are mixed outside the woman's body in a culture dish or a test tube and are left for fertilisation in an incubator.
- Transfer of the resulting embryo(s) into the uterus of the woman on D2/D5.
Blood test performed 15 days after embryo transfer to assess the establishment of pregnancy. If the treatment procedure is successful, one or more embryos will implant in the uterus and the pregnancy will result, Just as it happens in the natural process of conception. The specific stages involved in IVF treatment will be explained in detail to each individual who comes in for treatment at 'Akanksha'.
Chances of success
Currently the success rate in our IVF Center is 35% - 40% for fresh early clevage stage embryo transfer (D2/3) and 50% - 60% for blastocyst transfer (D5).
Intra Cytoplasmic Sperm Injection (ICSI)back to top
lCSI is the injection of a single sperm directly into the cytoplasm of the egg.
Who requires ICSI?
Patient who have low sperm count, very poor motility or a high percentage (greater than 95% of sperm with "abnormal" shape (morphology).
ICSI is the only hope for the patient-
- Who do not ejaculate any sperm (cryptozoospermia).
- Who for various reasons have problems obtaining an erection and ejaculation?
- Men with spinal cord injuries, Hodgkin's, diabetes and other medical problem.
- Men with obstructive azoospermia, congenital absence of the vas-deferens.
- Patient who have low sperm count, very poor motility or a high percentage (greater than 95%) of sperm with "abnormal" shape (morphology).
Steps involved in ICSI
- Women is stimulated for follicle production and egg recovery as in IVF.
- Single sperm is selected from the semen or directly from the testis/epididymis by TESA/PESA.
- This single sperm is injected into cytoplasm of egg and are left for fertilization in an incubator as in IVF
- Transfer of embryo to the uterus occurs in the same routine manner as that for IVF. ICSI can be used for all types of sperm problems-even those with extreme condition.
Chances of success
The success rate of IVF-ICSI treatment in our centre & other best centres all over the world is about 35-40%
PESA / TESA Surgical Sperm Recoveryback to top
Complete evaluation of male factor in infertility is done. Medical or surgical treatment of absence or low sperm counts, by PESA / TESA. Special counselling session for problem of impotence & failure to ejaculate are available.
Semen Washing & Sperm Bankingback to top
Semen washing is a procedure used to prepare sperm. It allows your partner’s sperm a better chance for survival and fertilization. The semen sample is washed with special media to remove the debris, white blood cells, and prostaglandins, which can cause the uterus to contract. The processing also removes dead sperm and concentrates the sperm into a small volume which can easily be handled by the uterus. There are three main methods of sperm washing; the swim-up, density gradient wash, and simple (centrifugation) wash. The type of wash used depends on the individual characteristics of each semen specimen.
The freezing and storing facility for sperms is under-taken after surgical extraction in-patients with moderate to severe male factor infertility. Sperms can also be stored to be used at a later date in specific situations.
Donor Inseminationback to top
We provide a regulated donor insemination programme for azoospermic males. Donor sperm are only provided after matching background and physical characteristics.
Egg Sharing / Donation &
back to top
Embryo Freezing Programme
Egg donation offers a new hope for a large number of women who previously thought that they could never have children because of premature ovarian failure or menopause.
It is also useful to those who have a high risk of passing genetic disorder to their offspring. Therefore they can rely on treatment using donated eggs from younger women.
Embryo of very good quality can be frozen if agreed in advance by the couple. These frozen embryos can be used within a period of 2-3 years at anytime to extend the family.
Chances of success
The success rate for donor egg and donor embryo during IVF cycle at our center is around 60%
Surrogacy Servicesback to top
Surrogacy is a gift of modern science which has given infertile couples the opportunity to enjoy the fundamental right of parenting children. There are a lot of unanswered queries that will come to your mind, when you think of Surrogacy. Akanksha IVF Centre can help you to get all those answers satisfactorily.
What is ‘Surrogacy’?+
Surrogacy is an arrangement between a woman and a couple or individual to carry and deliver a baby. The advantage of gestational surrogacy to the parents is that the embryo is created from the woman’s egg and the man’s sperm, so it is biologically theirs. Women or couples who choose surrogacy often do so because they are unable to conceive due to some deficiency in women like a missing or abnormal uterus, H/o multiple pregnancy losses, or having had multiple in vitro fertilization attempts that have failed.
Types of Surrogacy+
Understanding the Different Types of Surrogacy’s
While there are two main types of surrogacy, gestational surrogacy and traditional, there are also different types of arrangements, agency arranged and independently arranged.
Most intended parents prefer gestational surrogacy because they feel more in control of the surrogacy and pregnancy in general because they are choosing the genetics of their baby. An advantage to having an egg used by an ovum donor or the intended mother is that for the surrogate mother, it separates the complex emotional issues of being a gestational and genetic donor/mother. Many surrogate mother's find that their friends and family are more receptive to their participation in a surrogacy because they more easily view the child the surrogate carries as belonging to the intended parents due to it's genetic make up.
Using an Egg Donor
Often parents who choose to have a gestational surrogate carry their child, cannot genetically contribute to their offspring nor do they wish to have their surrogate mother be the genetic mother. Intended parents in these situations usually rely on outside assistance via sperm and/or egg donation. While sperm donation has been around for hundreds of years, egg donation is relatively new. In this process, a screened egg donor undergoes hormone therapy (usually injections) over the course of 2-3 weeks, which causes her ovaries to release more than one egg. Between four to fifteen eggs are usually harvested during a surgical procedure. They are then inspected for quality and are immediately mixed with sperm from the intended father or a sperm donor. The embryo can be frozen for use later, if need be.
Altruistic surrogacy is a situation where the surrogate receives no financial reward for her pregnancy on the relinquishment of the child (although usually all expenses related to the pregnancy and birth are paid by the intended parents such as medical expenses, maternity clothing, and other related expenses)
Commercial surrogacy is a form of surrogacy in which a gestational carrier is paid to carry a child to maturity in her womb. . This procedure is legal in several countries including in India where due to excellent medical infrastructure, high international demand and ready availability of surrogates, it is reaching industry proportions.
Akanksha IVF Centre has been advocating Surrogacy since long & can help you to have an arrangement for egg donor or rent a womb for the child you are aspiring for.
LEGAL aspect of Surrogacy in India+
Surrogacy in India is much more simpler and cost effective than anywhere else in the world. There are an increasing amount of intended parents who choose India as their surrogacy destination. The main reason for this increase is significantly lesser cost of surrogacy and better flexible laws. In 2008, the Supreme Court of India has held that commercial surrogacy is permitted in India. That has again increased the international confidence in going in for surrogacy in India. India is emerging as a leade rin internationa lsurrogacy.
Each country has come up with their own legal approach to this relatively new method of procreation.
Why India for Surrogacy?+
In India, Surrogacy costs about $ 20,000 - $ 30,000 compared to US where it is $70,000 & above. Moreover laws in US and UK do not allow the surrogate woman to charge the childless couple; whereas in India there are no laws preventing a surrogate woman in accepting compensation for renting her womb.
Surrogates may be relatives, friends, or previous strangers. Many surrogate arrangements are made through agencies that help match up intended parents with women who want to be surrogates for a fee. The agencies often help manage the complex medical and legal aspects involved. Surrogacy arrangements can also be made independently. In compensated surrogacy, the amount a surrogate receives varies widely from almost nothing above expenses to over $30,000 Careful screening is needed to assure their health as the gestational carrier incurs potential obstetrical risks.
Who can opt for a Surrogate?+
Some women are unable to carry a child to term. A variety of causes account for this, including failure of the embryo to implant, repeated miscarriage, hysterectomy or a pelvic disorder. Some women experience problems such as dangerously high blood pressure, a heart condition or liver disease, so that pregnancy would entail a serious health risk for them. Such patients can be a suitable contender for a surrogacy arrangement.
Steps for Surrogacy+
Akanksha IVF Centre offers the complete range of treatment options and have all necessary facility for your aspiration to have a child. We have patients coming to us from all over the world.
We can assist you for an arrangement for a surrogate mother for your baby.
Typical Treatment chart for Surrogacy:
• There must be a valid reason for option like egg donation or surrogacy.
• Please feel free to email or call us. We wish to know about your history,any H/o, previous failed IVF and other treatment received.
• You can opt for an Indian Egg donor.
• We help you to choose your surrogate mother by sending their profiles and pics. But It entirely depends on the availability of surrogate mother at final stage of treatment, as sometimes you take time to decide and the other patient has already opted for your chosen mother.
• After your final decision you need to register with us by paying a token fee. We will do all the legal processing and documentation for hassle free treatment and register in the court to enable you to take your baby home.
• In case of an Egg donor, only the husband can come. It can be short visit of a week or so.
• If you opt for own eggs, it will take 4-5 weeks. We can also develop embryo and if we have good quality, we can freeze them for your second attempt if at all required.
• We will maintain constant contact with you as per your dates of availability.
• After the confirmation of pregnancy, we will keep you informed about the development and progress of the pregnancy.
• We have a team of associated doctors to take care of the health of the mother and the baby during the entire pregnancy to ensure the birth of a healthy child
How to become a Surrogate?+
A potential surrogate mother must be in good overall health and should be able to undergo a pregnancy with the minimum amount of risk to her own health. Some medical conditions will prevent a woman becoming a surrogate mother, for example, high blood pressure, diabetes, etc.. Also those who are considerably overweight, are heavy smokers, drinkers or substance abusers are not suitable as surrogate mothers because of the associated risks both to the woman and the baby.
Surrogacy is not something to enter into lightly. Careful consideration must be given to the medical, emotional, legal and practical issues, and to the implications of surrendering the child at birth. Being a surrogate mother can be an emotionally and physically demanding task. It is important that a woman considering this option has the backing of a partner, family or friends to provide emotional support and practical help throughout and after the pregnancy. Careful thought must also be given to the effect on any existing children, the potential surrogate mother’s partner, family and friends.
As the risks of illness and problems are much higher in the first pregnancy it is strongly recommended that surrogate mothers should have borne at least one child previously and preferably have completed her own family. This also means that the woman is able to give her “informed” consent to the arrangement, since a woman who has experienced pregnancy prior to the surrogacy arrangement has that knowledge on which to base her decision.
Because of the increased risk of chromosomal abnormalities (eg. Down’s Syndrome) resulting from the eggs of an older woman, an upper age limit of 35 years is set for those donating eggs to other women. The same age should therefore apply to surrogate mothers whose own eggs are to be used, and because the risks of pregnancy increase with age, any woman over 35 should give careful consideration before deciding to become a surrogate mother.
Do you want to become a Surrogate? Act NOW…+
Fill up the ‘Contact Form’.
Speak to Dr. K.D. Nayar at: 0-9810398765