Fertile Solutions IVF & Research Center Adarsh Nagar, Delhi

IVF (In Vitro Fertilization) is a process in which the sperm fertilizes the egg in a laboratory, rather than inside the woman's fallopian tubes. An egg from the female partner is placed together in a culture dish with many thousands of sperm prepared from a semen sample provided by the male partner. Over the next few hours, fertilization takes place and a number of embryos are formed. Further, the fertilized embryos are developed in the laboratory over a period of two to five days, and then transferred to the woman’s uterus by a simple procedure called an embryo transfer. We usually grow embryos in the laboratory until Day 5, known as the Blastocyst stage, because there is strong evidence that these embryos are more likely to implant into the uterus during a fresh transfer. If more than two embryos develop, we can freeze those that are surplus for use in subsequent cycles. Equipped with advanced technologies, we offer a complete solution for the best IVF Treatment.

Intracytoplasmic sperm injection (ICSI) is a method that is a part of IVF treatment. ICSI Treatment is meant for cases where the sperms of the male partner are very poor in quality, the movement of the sperm is not less or the sperm count is nil or very low. Basically, ICSI Treatment is the most successful form of treatment for the men who are infertile. ICSI Treatment only requires one sperm, which is artificially injected to the egg. The fertilized egg (embryo) is then transferred to your uterus (womb). The major advantage of ICSI Treatment is that even immature sperm retrieved from the man's testicles can be used for conceiving the child. What is best about ICSI Treatment is that the couples facing infertility problem can still have their genetic child. We are a trusted name that has been catering to many such successful Fertility Treatments.

Ovulation Induction Treatment (OI) is a Fertility Treatment for couples who have sexual dysfunction, for men with minor semen abnormalities and for women tested to have cervical hostility to sperms. Ovulation Induction Treatment with controlled ovarian stimulation is mostly recommended for women who rarely or never ovulate but have normal tubes and have a partner with a normal semen analysis.   OI may also be used for women who do ovulate regularly for increasing the chance of pregnancy by increasing the number of follicles that develop fully and therefore the number of eggs that are ovulated during a cycle. Using a very thin flexible tubing, a concentrated preparation of the husband’s or donor’s sperms is injected into the uterus. Two types of hormones may be used to stimulate ovulation, which are tablets of clomiphene citrate (Clomid or Serophene) and injections of follicle stimulating hormone, or FSH (Gonal-F or Puregon).

Artificial Insemination Treatment is a method in which the sperm is artificially implanted into the female’s reproductive part for the purpose of impregnating her. No sexual intercourse or natural insemination is involved in this method. In the course of Intrauterine Insemination (IUI) or Artificial Insemination Treatment, the semen from the ejaculate is washed to place a concentration of the best of all sperm into a catheter. The catheter is passed through the cervix into the uterus where the sperm is deposited.   It is up to the sperm at this point to find their way into the fallopian tube to find the egg to fertilize so that as to achieve pregnancy. IUIs can only be performed for those with open fallopian tubes and are usually combined with some form of ovarian stimulation, such as Clomid and/or Injectable Gonadotropins. This treatment can be used to treat, in some cases, unexplained infertility and moderately low sperm counts. With the help of the most modern technology, we, at Fertile Solutions IVF & Research Center, have helped many childless couples to enjoy the pleasant experience of parenthood.

For few cases of infertility that become severe, special Fertility Surgery Treatments have been developed. Fertility Surgery thoroughly investigates the symptoms and conditions for the necessary treatment. Many couples facing infertility and oligospermia have benefited from the Fertility Surgery Treatments. Depending upon your initial testing and assessments, our fertility specialists will advice you to have Fertility Surgery. This could be to further investigate the cause of infertility for you or your partner, or to overcome the problems making it difficult for you to conceive.   Fertility Surgery Includes : Diagnostic Laparoscopy And Hysteroscopy : This test is an important step for fertility evaluation, but as it is quite invasive it is usually one of the last tests done. If your history or other tests show an obvious need for IVF, we may not need to carry out the laparoscopy. For a laparoscopy, you will be under general anesthetic. Small incisions are made at the navel and the pubic hairline, and a laparoscope (a fibreoptic telescope) is passed through the incision so we can check your ovaries, fallopian tubes, uterus and pelvic cavity for abnormalities. We also check your tubes are open (tubal patency) by injecting dye through the uterus and observing it spill through the ends of the fallopian tubes. Hysteroscopy uses another fibreoptic device, called a hysteroscope. This helps us see into the uterine cavity to check for growths, adhesions and abnormal anatomy. Treatment For Endometriosis : If your fertility specialist suspects you to have endometriosis, they may recommend a laparoscopy to confirm this diagnosis. Treatment options depend on how serious this disease is. We might remove the endometriosis and associated scar tissue at the time of the laparoscopy, or give you hormone treatment to suppress the menstrual cycle and inhibit the growth of endometriosis. Sometimes this treatment for endometriosis will result in a successful pregnancy. If not, IVF may be a good treatment option. Several of our fertility specialists have an interest in the treatment of endometriosis, including advanced laparoscopic skills for removing the disease. Surgery For Fallopian Tubes : If you have any damage to your tubes, we will usually diagnose this during a laparoscopy. If it is likely to affect the success of your IVF, your doctor may recommend tubal surgery before starting treatment. In some cases, your doctor may recommend surgery to remove scar tissue or to correct tubal damage. Some types of tubal surgery may be performed through the laparoscope, while other procedures (such as tubal surgery) may require microsurgery (see below). If tubal surgery does not result in a successful pregnancy – or where damage to the tubes and other pelvic organs is so severe as to make surgery unlikely to be successful – IVF will be the treatment option with the best chance of success. Microsurgery : Microsurgery procedures include reversing sterilization, re-opening of blocked tubes and removing scar tissue around the uterus, tubes and ovaries. Microsurgery involves specialized operative techniques, including the use of an operating microscope. Surgeons trained in microsurgery use these skills and techniques for the repair of very small structures or obstruction, in the fallopian tubes.

Ovarian Stimulation is very effective to treat problems related to ovulation and cervical factor infertility. During the IVF treatment, we must be able to control the timing of the egg release from the ovaries. We must also increase the chance of collecting more than one egg. To do this, we use special drugs to stimulate the ovaries. We then use an ultrasound scanner (it takes a picture from sound waves, like a submarine's sonar) to keep track of the development of follicles (the structures on the ovary that contain the eggs).   We will also be taking blood samples to monitor hormone levels. This information is used to calculate the timing of the egg release. When the time is right, the female receives an injection of HCG (human chorionic gonadotropin). This substance induces the follicles to undergo their final maturation and prepares the egg (s) for release and collection. On the last day of stimulation, an ultrasound evaluation of the endometrium (lining of the uterus) will be performed. In rare cases, the lining may not develop adequately. In this circumstance, cryopreservation and return of the embryos to a more normal appearing endometrium may be suggested.

We specialize in offering the most reliable IVF Egg Retrieval Treatment to the patients. Although we will know the appropriate number of maturing follicles on your ovaries from our ultrasound scan, we will not always be able to determine the number of eggs you will produce for collection. There currently is not a guaranteed method for assessing and harvesting eggs; therefore, in rare cases, no eggs are retrieved. In the average case, eight to twelve eggs may be obtained.   We use a technique called "Ultrasound Guided Aspiration" to retrieve mature eggs from the follicles that requires the use of intravenous sedation. Ultrasound guided aspiration allows us to remove the follicular fluid containing the eggs. This procedure must be performed at exactly the right time. If the egg is collected too early, it will not develop properly and might fail to fertilize. If we delay the procedure too long, the egg may be released from the follicle and lost. Unfortunately, not every follicle contains an egg. Also, many eggs are not healthy, and some will fail to fertilize for no apparent reason. When the fluid is removed from the follicles, it is taken to the laboratory where the embryologist identifies the egg(s) and places it in a special substance called culture medium.

Fertile Solutions IVF & Research Center is a renowned fertility center that carries out accurate Female Infertility Test. Female Infertility Test becomes extremely crucial for the couples who are suffering from infertility. The Female Infertility Test helps in finding out the causes of an unsuccessful pregnancy even after a year of unprotected intercourse. After an intensive examination, our team of learned fertility experts suggests the best treatments to the childless couples. Various medications are given during an IVF cycle, and your own drug protocol will be highly individualized based on your unique medical history. In vitro fertilization (IVF) is an option for many people who cannot conceive naturally or who have failed to conceive after attempting ovulation induction therapy.   IVF in its simplest terms is the process of stimulating the ovaries into producing multiple mature eggs, retrieving them from the ovaries, combining the eggs with sperm in the laboratory and once fertilization occurs, transferring the early embryos back into to the woman's uterus. Recently, the American Society of Reproductive Medicine has recommended IVF as the first line of therapy for several types of infertility patients. The patient's diagnosis and history are the primary determining factors in choosing the appropriate course of treatment.

It is a fact that around 15% couples meet with failure when they attempt their first pregnancy. Even if after an unprotected intercourse for one year, the couple is unable to achieve a pregnancy then such patients are defined as primarily infertile. Conception normally is achieved within twelve months in 80-85% of couples who use no contraceptive measures, and persons presenting after this time should therefore be regarded as possibly infertile and should be evaluated. Data available over the past twenty years reveal that in approximately 30% of cases pathology is found in the man alone, and in another 20% both the man and woman are abnormal. Therefore, the male factor is at least partly responsible in about 50% of infertile couples. Important issues related to the evaluation of the male factor include the most appropriate time for the male evaluation, the most efficient format for a comprehensive male exam, and definition of rationale and effective medical and surgical regimens in the treatment of these disorders.   We, at Fertile Solutions IVF & Research Center, carry out Male Infertility Test that is extremely important in the evaluation of infertility to consider the couple as a unit in evaluation and treatment and to proceed in a parallel investigative manner until a problem is uncovered. It has been shown that the longer a couple remains sub fertile, the worse their chance for an effective cure.   Many couples experience significant apprehension and anxiety after only a few months of failure to conceive. Unduly prolonged unprotected intercourse should not be advocated before a workup of the man is instituted. Initial screening of the man should be considered whenever the patient presents with the chief complaint of infertility. This initial evaluation should be rapid, non-invasive and cost effective. Of interest is the fact that pregnancy rates of up to 50% have been reported when only the woman has been investigated and treated even when the man was found to have moderately severe abnormalities of semen quality.

Surrogate Arrangement is a process in which a woman carries and delivers a child for another couple or person. The surrogate may be the child's genetic mother (called traditional surrogacy), or she may be genetically unrelated to the child (called gestational surrogacy). In a traditional surrogacy, the child may be conceived via home artificial insemination using fresh or frozen sperm or impregnated via IUI (intrauterine insemination), or ICI (intracervical insemination) performed at a health clinic.   A gestational surrogacy requires the transfer of a previously created embryo, and for this reason, the process always takes place in a clinical setting. The intended parent or parents, sometimes called the social parents, may arrange a surrogate pregnancy because of female infertility, other medical issues which make pregnancy or delivery impossible, risky or otherwise undesirable, or because the intended parent or parents are male. The sperm or eggs may be provided by the 'commissioning' parents, but donor sperm, eggs and embryos may be used. Although the idea of vanity surrogacy is a common trope in popular culture and anti-surrogacy arguments, there is little or no data showing that women choose surrogacy for reasons of aesthetics or convenience.   Monetary compensation may or may not be involved in surrogacy arrangements. If the surrogate receives compensation beyond the reimbursement of medical and other reasonable expenses, the arrangement is called commercial surrogacy; otherwise, it is often referred to as altruistic surrogacy. The legality and costs of surrogacy vary widely between jurisdictions, which results in high rates of international and interstate surrogacy activity.

Sperm Collection is a process that involves the use of various methods to obtain the semen from the males for artificial insemination. The man will be asked to collect a sample for insemination at the time of egg retrieval. The sample must be received within 45 minutes of collection. The semen is then processed to allow us to select and concentrate the most active sperm cells. After the eggs are collected and the sperm sample has been received and prepared, we then place these active sperm and the eggs inside an incubator where fertilization takes place and the embryo begins to develop. If ICSI (intracytoplasmic sperm injection) is required, it will be performed at this time. Males can opt for Sperm Collection at our clinic or any place that they feel comfortable in. The best chance of avoiding a problem with collection is to assess your issues and plan for alternatives. Please feel free to discuss these issues with the doctor or the IVF nurse coordinator.

Fertilization and Embryo Culture is a part of In Vitro Fertilization (IVF). Under the Fertilization and Embryo Culture procedure, resultant embryos are kept in an artificial medium for growth for some time. After a thorough testing, these embryos are inserted into the uterus. Our embryologist(s) examine the culture at regular intervals to make sure fertilization has taken place and the embryo is dividing properly. Normal fertilization (70-75%) is evident by the presence of two pronuclei, which represents genetic material from one egg and one sperm. In some cases, abnormal fertilization may occur (5-7%) as evidenced by the presence of more or less than two pronuclei. Micromanipulation (ICSI) may be indicated in a subsequent IVF cycle in cases of poor fertilization.

Using the most advanced technology, we carry out the most successful Embryo Transfer procedures. After assessment of embryo growth, the embryos that have the best morphology (or appearance) are transferred to the woman's uterus. This usually happens on the fifth day after the eggs are collected (at the blastocyst stage). Embryo transfer is simpler than egg retrieval. The patients need no anesthetic. We will use a speculum inserted in the vagina to look for the opening of the uterus. Then, a very thin plastic tube, called a catheter, carrying the embryo(s) will be gently guided through the cervix into the uterus. The embryo(s) passes from the tube to the top of the uterus. The patients are asked to lie flat for twenty minutes and then may return home. Instructions regarding medication such as progesterone support will be given by our experienced doctors.