In Vitro Fertilization-(IVF)
IVF Center in Hyderabad With Advanced Technology
Prasad Infertility Solutions IVF treatment center is one of the Best IVF Center in Hyderabad with Specialized procedures for infertility in men & women to improve the chances of conceiving. Here we have a high success rate in IVF Treatment. In Prasad Infertility solutions we have an excellent team of nationally as well as internationally recognized IVF Specialists. We treat patients with affordable cost and friendly environment. Treatment is done under the experienced doctors. We have advanced solutions for every complicated infertility issue. From the past two decades, our chief doctor Dr.Suma Prasad is successfully dealing with infertility cases in Hyderabad.
1. Before starting treatment
When you are ready to start treatment you
should see a doctor at Prasad Infertility
Solutions to confi rm that all tests have been
done and to have any special aspect of you
own treatment or recent changes explained
and discussed. Screening tests will be
checked and sometimes repeated.
Wife: Complete Hemogram, Blood Sugar, Hormone profi le, Ultrasound
Husband:Blood sugar, Semen Analysis.
2. Start of the treatment
You should come for a check up on the second day of period between 9 am to 12 noon. It is preferable if you take an appointment. If this day falls on a Sunday or a holiday; please call your doctor for an appointment.
3. Ovarian Stimulation
Drugs are used to stimulate the ovaries to produce several eggs to
increase the chances of pregnancy. Many different protocols are used
and yours may be diff erent from others. Your doctors will advice you
regarding your drugs and their usage.
i) Long Protocol Women receiving the Long Protocol start injections on the 18th day of the previous cycle. She is asked to come to Prasad Infertility Solutions on the 2nd or 3rd day of her next period for starting the actual ovarian stimulation. Sonography and sometimes a blood test are done and the stimulation is then started.
ii) Antagonist Protocol Injections for ovarian stimulation are started from the 2nd day of cycle. As compared to the long protocol, this requires fewer injections. In both the protocols,
injections are to be
taken at approximately the same time every day. To minimize disruption,
many women prefer their husbands or another relative/family doctor to
give their injections at home or even do it themselves.
therefore, it is not necessary to come to the hospital daily for injections. Our nurses will teach you how to take the injections. It is common to have some discomfort and mild side effect while taking the drugs. The main serious side effect is a hyper response, which is severe in about 1 in 100 stimulated cycles.
4. Ultrasound Examination
A vaginal ultrasound examination is done after 5 days of taking the drugs to measure the response of your ovaries with regard to the size of the follicles. The drug dosage may have to be altered depending on your response. Sometimes, ultrasound scans will be carried out during the stimulation protocol for monitoring purposes.
5. hCG Injection
hCG injection is given to trigger the final maturing of the eggs when they are ready for collection. Eggs collection is planned approximately 24-36 hours after hCG injection. On the day hCG is planned, the time for injection that night together with details for your hospital admission for the eggs collection will be informed to you by your doctor. They will inform you about the time for sperm collection by your husband.
6. Ovum Pick Up (OPU)
The procedure of removing the eggs is carried out using Transvaginal Sonography under general anesthesia. The procedure takes about 15 to 30 minutes. Sometimes there is a possibility that a fresh semen sample cannot be produced on the day of egg collection, freezing a semen sample prior to egg pick up is a good plan. Use of frozen semen does not reduce the chances of a pregnancy. It is common to have some vaginal bleeding after egg collection from where the needle passes through the vaginal wall. This usually settles in one to two days and does not affect your chances of pregnancy. Some discomfort from the swelling of the ovaries is common and any painkiller can be safely used. Although this is a very minor surgery, it is not without risk. You will be able to go home about 3 to 4 hours after the procedure..
7. Semen collection
A fresh semen sample is collected on the day of egg collection. This can be done just before or just after egg collection. The semen sample is best produced by masturbation and there is a separate and private room for this purpose. Lubricants should not be used as they can affect fertilization. It is difficult sometimes for some men to produce the sperm sample on request. If you live close to hospital it may be possible for you to produce the sperm sample at home. Sexual activity between the couples should not continue during the treatment cycle. Unless advised otherwise, it is better not to ejaculate for 2 days before the egg collection. However, more than 4 or 5 days without ejaculation may reduce sperm quality.
8. After Egg Collection
Following egg collection, the eggs will be fertilized either by standard IVF or by ICSI. On the next day, the embryologist examines the eggs for fertilization.
9. Embryo Transfer (ET)
ET is done 2 or 3 days after egg collection. You will be able to see your embryos before transfer. It is simple procedure needing no medication and is carried out under sonography control and requires a moderately full bladder. The women’s legs are rested in stirrups and the embryo is passed through the cervix into the uterus through a very fine soft plastic tube. It takes only a few minutes. There is no need to rest afterwards, you may go straight to home or back to work and resume all normal works. However, heavy work like lifting weights, climbing staircase, etc., should be avoided. Our good ambience in the clinic will help you in making the period after ET as stress free as possible.If there are more than three good quality embryos left after ET, it may be possible to freeze them for later transfer. This is discussed with you before ET. Separate consent form must be signed for embryo freezing. The wife will be asked to take some injections and/or tablets after embryo transfer to support the luteal phase.
10. Pregnancy Test
A blood test is carried out on the date given after embryo transfer. You should meet the doctor with the results to decide further treatment. If the test is positive, we will arrange an ultrasound examination 7-10 days later. If the test is negative, further treatment will depend on whether you have frozen embryos stored or not. Our counselor will help to support you throughout this period.
INTRACYTOPLASMICSPERM INJECTION (ICSI)
What is ICSI?
ICSI is a process in which the embryologist collects a single sperm using a highly specialized microscope and micromanipulator and specially developed fine glass needles and injects it directly into the center of an egg. This process is repeated for each of the mature eggs that have been collected.
Whom is it for?
ICSI is mainly used for couples with extremely poor sperm count or where there has been poor fertilization in a previous IVF cycle or where is reason to believe that ICSI will be the only way to achieve fertilization. It is also used in patients with azoospermia, where sperms are obtained by testicular biopsy or epididymal aspiration.
FROZEN EMBRYO TRANSFER CYCLE
Treatment protocol for transfer of frozen embryos is very simple. Thewife is put on medication from the 2nd day of her periods for proper development of the lining of the uterus. She will have to come for sonography once or twice to monitor the response. When the lining has developed properly, progesterone tablets are added and embryo transfer is carried out 2 or 3 days later. Presence of husband is not required during the hospitalization.