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Monday, 8 May 2017

Hysteroscopy For Infertility In Hyderabad

Hysteroscopy For Infertility In Hyderabad

Women having difficulty in continuing their pregnancy can be benefited through this procedure. We provide both diagnostic and operative Hysteroscopy. It is a procedure, a small telescope like instrument – narrow in size called hysteroscope. It is more accurate to analyse the abnormalities present if any, in the uterine cavity and in the uterine region. Mild to Severe complications in the uterus like fibroids, polyps, scars, shape of uterus, septum and endometriosis can be diagnosed.
Diagnostic Hysteroscopy has become an essential part in the infertility evaluation. After completely analyzing the reason of infertility it can treated through Operative Hysteroscopy.

                                   Hysteroscopy



We provide both Diagnostic Laparoscopy and Operative Laparoscopy at our Ferty9 Hospital and Research Center [FHRC]. Laparoscopy is useful in detecting abnormalities present in uterus, fallopian tubes and ovaries. Laparoscopy is a surgical procedure. In this procedure a small telescope like instrument is inserted through small cut near abdomen / navel to visualize the pelvic and internal organs inside abdomen, uterus, fallopian tubes and ovaries. Through Diagnostic Laparoscopy we can investigate endometriosis, uterine adhesions, scars, gall bladder, appendix, liver. Most of the clinics show priority towards Hysteroscopy in overviewing infertility among women.

Generally Operative laparoscopy is advised after complete evaluation of detected problem like removal of fibroids, adhesions, scar tissue, severe cases of endometriosis grade 3 or grade 4, tubal blockage removal, tubal ligation and ectopic pregnancies , gall bladder stones removal, appendectomy

Assisted Hatching for Embryos

Assisted Hatching for Embryos


Assisted Hatching for Embryos: When an egg is fertilized in the laboratory, the cells begin to divide. During these initial stages of development, the embryo is contained in a layer of proteins known as the zona pellicuda. It is a newer lab technique that was developed when fertility experts observed that embryos with a thin zona pellucida had a higher rate of implantation during IVF. With assisted hatching, an embryologist uses micromanipulation under a microscope to create a small hole in the zona pellucida. This happens on the fourth day of embryo development when the embryos contain an average of six to eight cells.

                Assisted Hatching


The embryos are stabilized by a holding pipette, and on the opposite side, a small pipette containing an acidified solution creates a small defect in the zona pellucida.

We use the latest cutting-edge laser technology to provide our patients with the fastest, safest and most uniform way of Assisted Hatching available today referred to as Laser Assisted Hatching.
During Laser Assisted Hatching, the outer shell of the embryo is breached by firing a few laser pulses. The laser is fired far away from the cells of the embryo so that the cells are not damaged. This process only takes a few seconds to complete per embryo minimizing the time each embryo is exposed outside of the incubator.

Once the resultant embryos are performed after IVF procedure at least 50 % of embryos undergo laser assisted hatching under infrared 1.48 microns diode laser. Day 2 / Day 3 embryos are placed in droplets of specially designed media under oil. Through specially designed laser equipment this is performed at least one hour before embryo transfer.

Embryo Transfer

Embryo Transfer

Embryo Transfer: An embryo is a multicellular diploid eukaryote in its earliest stage of development, from the time of the first cell on until birth hatching, or germination. In humans, it is called an embryo until about eight weeks after fertilization (i.e. ten weeks after the last menstrual period or LMP), and from then it is instead called a fetus.

 

                               Embryo Transfer


The development of the embryo is called embryogenesis. In organisms that reproduce sexually, once a sperm fertilizes an egg cell, the result is a cell called the zygote, which possesses half the DNA of each of its two parents.In plants, animals, and some protists, the zygote will begin to divide by mitosis to produce a multicellular organism. The result of this process is an embryo.

In Vitro Fertilization [IVF] In Hyderabad

In Vitro Fertilization [IVF] In Hyderabad

In IVF, Eggs collected from a woman are mixed with their partner spermatozoa and are kept in a petri-dish (glass) and cultured under incubator. The resultant embryos are transferred into a woman’s uterus.

Is IVF for me?

Through complete infertility assessment, we can streamline the right approach for going through In Vitro Fertilization treatment with us.
  • Tubal problems
  • Ovulatory problems
  • Failed IUI Cycles
  • Cervical and immunological factors
  • Endometriosis
  • Male infertility cases
  • Painful intercourse ( vaginisms)

                   In Vitro Fertilization 


Choosing Us for IVF:

  • We provide state of art equipment and also under ICMR guidelines
  • Best designed IVF lab with Air Handling Units (AHU) to provide clean room environment to give good quality embryo
  • Excellent structural design of IVF lab with ZERO VOC to acquire Best quality embryos
  • Positive frame of mind in dealing with infertile couple to deliver the same set of mind throughout the treatment for high success rates
  • Best supported Doctors team to assist and guide you from initiation of treatment till end
  • High success rates in single attempt of In Vitro Fertilization
  • Usage of High-quality products, medicines, and disposables

Steps Involved in IVF:

  1. Initial assessment of both male and female
  2. Depending on hormone and other blood work results initiation of fertility drugs
  3. Once follicles are of 17-18mm allotment of trigger ( Human Chorionic Gonadotrophin- HCG injection
  4. Commencement of Ovum Pickup program around 34-36 hours post trigger/HCG
  5. Retrieved eggs mixed with partners spermatozoa after suitable sperm preparation technique
  6. Culture of gametes in culture dishes inside incubator for three to five days
  7. The resultant embryo/blastocyst are transferred back to woman’s uterus with the help of ultrasound-guided embryo transfer through specially designed catheters.

Poly Cystic Ovarian Syndrome (PCOS) Treatment In Hyderabad

Poly Cystic Ovarian Syndrome (PCOS) Treatment In Hyderabad

Poly Cystic Ovarian Syndrome [PCOS] – Women with 18 – 35 years are affected with this PCOS problem. PCOS means the presence of multiple cysts in the ovaries of a woman due to hormonal imbalance. Among many women, 18-20% are suffering from this PCOS problem.
Main factors for the cause may be insulin resistance, genetics, hormonal imbalance.

    Poly Cystic Ovarian Syndrome


Women with these symptoms need to consult  an endocrinologist/ gynecologist/fertility specialist:

  1. Irregular menses
  2. Acne
  3. Increased hair growth on face and other parts of body
  4. Overweight
  5. Thinning of hair
  6. Failing to conceive (infertile)

Diagnosis of PCOS:

According to the woman’s symptoms, there are 5 types to diagnose PCOS like Type 1, 2, 3, 4 & 5. Generally, it is tricky to evaluate the presence of PCOS. But with the transvaginal scan, acne, excessive hair growth and insulin tests it can be evaluated.

Poly Cystic Ovarian Syndrome & Infertility:

Women with irregular menses may also face ovulation problems making them difficult to conceive.  With the help of fertility specialist, the PCOS treatment is started initially and simultaneously with infertility treatment women can achieve their dream of parenthood.

PCOS treatment:

Under best gynecologist and fertility specialist, suitable treatment options are planned considering their type of Poly Cystic Ovarian Syndrome as explained earlier.

Treatment Through:

  1. medications using metformin /clomiphene citrate/birth control pills
  2. Laparoscopy
  3. Ovarian drilling
  4. Advanced fertility treatments using  IUI  / IVF
  5. Living a healthy lifestyle
  6. PCOS management
We at FHRC have treated many PCOS patients, with infertility who are now proud parents.

Surrogacy In Hyderabad

Surrogacy In Hyderabad

We at Ferty9 Hospital are providing Gestational surrogacy in Hyderabad to many couples. The procedure remains simple if you are approaching us. We have a spacious area where our surrogate mothers live comfortably under good support and care till their complete nine months pregnancy to delivery.
Gestational Surrogacy is a Third Party Reproduction. The genetic material is of needy parents and third party (surrogate) only pregnancy is carried for nine months. Generally, women with absent uterus, uterine abnormalities or repeated miscarriages are benefited through this gestation surrogacy program.

Surrogacy

Steps Involved:

  1. Selection of suitably qualified egg donors under ICMR guidelines.
  2. Selection and arranging suitable gestational surrogate mothers under ICMR guidelines.
  3. Medical and psychological screening of surrogates.
  4. Synchronizing of LMP of egg donors with that of surrogates.
  5. Explanation of laws and regulations of different countries to the needy couple.
  6. Legal work up with all the respective consents and agreement with the parents and surrogate.
  7. Assisting the needy couple to get a medical visa.
  8. Surrogate mother welfare, nutritional support, and accommodation.
  9. Explanation of conditions involved in surrogate mother compensation.
  10. All the care providing up to nine months till delivery.
  11. At least one of the intended parents needs to have a genetic link with the child.

Intracytoplasmic Morphological Sperm Injection (IMSI) In Hyderabad

Intracytoplasmic Morphological Sperm Injection (IMSI) In Hyderabad

This Intracytoplasmic Morphological Sperm Injection procedure is performed in conjunction with IVF. Here one egg is injected with one best morphological selected sperm under high power magnification X6000 under the inverted microscope with the use of micro-manipulator. The complete internal characteristics of spermatozoa can be analyzed. If there are any tiny defects in the sperms through this IMSI it cab is detected. We provide best IMSI procedure treatment for infertility problems in Hyderabad

Is it right for me?

Intracytoplasmic Morphological Sperm Injection (IMSI)


  1. Couples with two failed ICSI cycles.
  2. Having poor morphology of spermatozoa-like abnormal shape and structure of spermatozoa can be benefited through this IMSI procedure.
Improves the chances of obtaining high success rates in couples

Intra Cytoplasmic Sperm Injection (ICSI) In Hyderabad

Intra Cytoplasmic Sperm Injection (ICSI) In Hyderabad

This Intra Cytoplasmic Sperm Injection procedure has been a boon to many men who were trying to achieve parenthood. For couples with prominent malefactors problems like low sperm count and low sperm motility, this is the best treatment.
  1. Previous failed IVF cycles
  2. Men with low sperm count – Oligospermia
  3. Men with poor sperm motility – Asthenozoospermia
  4. Men with Zero sperm count – Azoospermia
  5. Men who underwent surgical sperm revival techniques like TESA/TESE/MESA/PESA
  6. High values of Sperm DNA abnormalities
  7. More than 50 % fertilization failure with IVF cycle.
    Intra Cytoplasmic Sperm Injection (ICSI)

Suitable for ICSI treatment?


ICSI treatment is performed parallelly with IVF where after suitable stimulation the retrieved eggs from a woman is mixed with partners sperm. In this ICSI procedure, one egg is injected with one sperm under the microscope with the help of micro-manipulator and kept for culture, three to five days. we provide best ICSI treatment in Hyderabad at an affordable cost. Through careful record and case history observation, apt treatment is planned for you to take home a healthy baby.

IUI In Hyderabad

IUI In Hyderabad

Ferty9 provides best treatments for IUI in Hyderabad, intrauterine insemination (IUI) is the placing of sperm into a woman’s uterus during ovulation. This procedure is used for couples with unexplained infertility, minimal male factor infertility, and women with cervical mucus problems. IUI is often done in along with ovulation-stimulating drugs. IUI can be performed by using the husband’s sperm or donor sperm. Before IUI, the woman should be evaluated for any hormonal imbalance, infection or any structural problems.
In the case of husband insemination, the male partner produces a specimen, at home or at the clinic or doctor’s office. The sperm is then prepared for IUI. Sperm from the male partner or third-party donor is “washed” or separated, ferty9 have the sperm donation center in Hyderabad. Separation selects out motile sperm from the man’s ejaculate and concentrates them into a small volume. Sperm washing cleanses the sperm of potentially toxic chemicals which may cause adverse reactions in the uterus. The doctor uses a soft catheter that is passed through a speculum directly into the woman’s uterus to deposit the semen at the time of ovulation.
IUI may be used in along with ovulatory medications, such as clomiphene citrate, gonadotropins, or urofollitropin. If injectable ovulation Stimulating drugs are used in an IUI cycle, careful monitoring is essential. Monitoring includes periodic blood tests and ultrasounds beginning around day 6 of the woman’s cycle. Results of these tests will indicate when eggs are mature, prompting the hCG shot. Ferty9 is the best IUI center in Hyderabad

IUI is also used with specially prepared donor sperm. The sperm bank sends the doctor’s office sperm that is already prepared for IUI. IUI is a relatively quick procedure and is performed in the doctor’s office without any anesthesia. It should not be painful, although some women report mild discomfort.

Saturday, 6 May 2017

In Vitro Fertilization [IVF]

In Vitro Fertilization [IVF]

Eggs collected from a woman are mixed with their partner spermatozoa and are kept in a petri-dish (glass) and cultured under incubator. The resultant embryos are transferred into a woman’s uterus.

Is IVF for me?

Through complete infertility assessment, we can streamline the right approach for going through IVF treatment with us.
  • Tubal problems
  • Ovulatory problems
  • Failed IUI Cycles
  • Cervical and immunological factors
  • Endometriosis
  • Male infertility cases
  • Painful intercourse ( vaginisms)
In Vitro Fertilization


Choosing Us for IVF:

  • We provide state of art equipment and also under ICMR guidelines
  • Best designed IVF lab with Air Handling Units (AHU) to provide clean room environment to give good quality embryo
  • Excellent structural design of IVF lab with ZERO VOC to acquire Best quality embryos
  • Positive frame of mind in dealing with infertile couple to deliver the same set of mind throughout the treatment for high success rates
  • Best supported Doctors team to assist and guide you from initiation of treatment till end
  • High success rates in single attempt of IVF
  • Usage of High-quality products, medicines, and disposables

Steps Involved in IVF:

  1. Initial assessment of both male and female
  2. Depending on hormone and other blood work results initiation of fertility drugs
  3. Once follicles are of 17-18mm allotment of trigger ( Human Chorionic Gonadotrophin- HCG injection
  4. Commencement of Ovum Pickup program around 34-36 hours post trigger/HCG
  5. Retrieved eggs mixed with partners spermatozoa after suitable sperm preparation technique
  6. Culture of gametes in culture dishes inside incubator for three to five days
The resultant embryo/blastocyst are transferred back to woman’s uterus with the help of ultrasound-guided embryo transfer through specially designed catheters

Surgical Sperm Recovery

Surgical Sperm Recovery

Surgical sperm recovery might be a treatment choice for men In the initial three conditions, which are delivered by the testicles

  •          In instances of non-obstructive azoospermia (finish nonattendance of sperm), little measures of sperm might be delivered and can be gathered specifically from the testicles

  •         In men with obstructive azoospermia, there is a high possibility of recouping by this technique (>90%).

  •          In men with non-obstructive azoospermia, the odds of recuperating is around 40%.
Surgical Sperm Recovery



Testosterone (T)

  •          Ancillary testing

  •         Postejaculate urinalysis

  •          Transrectal ultrasound


·         Scrotal ultrasoundHormone Levels:

Ø  Sertoli cell-just disorder.


1. History:

Cryptorchidism; Chemotherapy; Genetic variations from the norm

2. Physical Examination:

Little, delicate testicles (< 15 ml); Empty or level epididymis

3. Semen Analysis:

Typical volume; Fructose show; No spermatozoa

4. Hormone Levels:

Raised levels of follicle-animating hormone Borderline to low testosterone

Ovarian Reserve Tests

Ovarian Reserve Tests

Ovarian hold is a term that is utilized to decide the limit of the ovary to give eggs that are fit for preparation bringing about a solid and effective pregnancy. The expression "ovarian hold" alludes to a lady's present supply of eggs and is nearly connected with regenerative potential. When all is said in done, the more noteworthy the quantity of residual eggs, the better the shot for origination. Then again, low ovarian save extraordinarily decreases a patient's odds for origination.. ovarian save tests were proposed to be utilized to screen patients before starting a cycle of is a term that is utilized to decide the limit of the ovary to give eggs that are equipped for preparation bringing about a sound and effective pregnancy. 

                     Ovarian Reserve Tests

The expression "ovarian hold" alludes to a lady's present supply of eggs and is nearly connected with regenerative potential. As a rule, the more prominent the quantity of residual eggs, the better the possibility for origination. On the other hand, low ovarian save incredibly lessens a patient's odds for origination.. ovarian hold tests were planned to be utilized to screen patients before starting a cycle of in vitro preparation (IVF) and to treat just those patients falling inside a typical range as characterized by each middle. In any case, contemplates Examining the execution of ovarian hold tests have utilized heterogeneous patient populaces and result measures, tremendously muddling their understanding. While some have screened a general IVF populace, others have focused on populaces of more established ladies.

TREATMENT:

  • Estradiol
  • Clomiphene Citrate Challenge Test
  • Antim ullerian Hormone
  • Antral Follicle Count
  • Inhibin B
  • combined Ovarian reserve tests
  • Ovarian Volume

Sperm Donor Program

Sperm Donor Program

Sperm giver program in Hyderabad: Sperm might be given secretly and specifically to the planned beneficiary, or through a sperm bank or fruitfulness center. The essential beneficiaries of benefactor sperm are hetero couples experiencing male fruitlessness, lesbian couples, and single ladies.

Irreversible azoospermia

  •          A past vasectomy

  •        Past radiation or chemotherapy treatment or another irreversible male ripeness calculate

  •         Transporters of a known innate or hereditary issue

  •         On the off chance that the female is Rh-sharpened and the male is Rh positive

  •         Single ladies who fancy pregnancy.



Sperm given by the sperm giver is known as contributor sperm, and the procedure for bringing the sperm into the lady is called manual sperm injection, which is a type of outsider multiplication. The expanding scope of administrations which is accessible through sperm banks all things considered empowers more individuals to have options over the entire issue of proliferation. Ladies may utilize a mysterious contributor who won't be a piece of family life, or they may pick known benefactors who might be reached further down the road by the giver youngsters.

Ladies may utilize a surrogate to endure their kids, utilizing eggs given by the lady and sperm from a benefactor. Sperm banks regularly give administrations which empower a lady to have resulting pregnancies by a similar give, however similarly, ladies may have youngsters by various diverse contributors. Spermbanks once in a while empower a lady to pick the sex of her kid, empowering much more prominent control over the way families are arranged. Sperm banks progressively embrace a less formal way to deal with the arrangement of their administrations consequently empowering individuals to adopt a casual strategy to their own particular individual prerequisites.