Our affiliated team of Fertility specialists, Gynaecologists, Obstreticians, Urologists and Pediatrcians provide are highly skilled with huge experience and ina position to handle all your infertility related problems.They are trained abroad at pioneer institutions and have gained valuable knowledge, skills and experience to deliver clinical outcomes at par with global standards.
Our affiliated IVF centre staff boasts of one of the best success rates of 64% success in IVF in the world. They are highly skilled and have gained tremendous experience over the years.
Highly advanced lab with latest, IMSI assisted laser hatching technology and embryoscope. Spindle view technology top improve pregnancy rates
Complete package of ART services like Egg donation, Embryo donation, surrogacy and oocyte freezing. We also provide Ovarian tissue freezing for young women undergoing Chemo or Radiation.
Advanced technology for sperm retrieval and storage for long periods. Sperm donors are also provided at complete discretion to the parents with matching ethnicity and geographies.
Fertility refers to the natural capability of any male/female to produce offspring’s. Age affects a man’s and woman’s fertility wherein after puberty, the fertility first increases and then decreases. A woman is considered to be most fertile around early 20’s or mid 20’s. The fertility suddenly drops after the age of 35. Considering today’s hectic lifestyle and problems, there are various factors that might affect fertility in a women. We have been offering fertility treatments in India for over a decade. Our patients have regarded our care and services as the best in the industry. We, along with our trained specialists with highly equipped centers, have joined hands to bring about a revolution in fertility treatments in India.
Commonly known as In vitro fertilization, it is a popular treatment for infertile couples. It is a process in which sperm and eggs are fertilized outside the body. Here, vitro refers to glass. In this process, a women’s ovulatory process is stimulated after which her eggs are kept in a liquid in the laboratory. Here, the sperms are fertilized with the eggs and the zygote is cultured for 2-6 days. Then the zygote is transplanted back in the uterus of the woman. This procedure is beneficial for couples who are not able to achieve pregnacy at all.
Intrauterine insemination is a process which involves placing of male sperms in women’s uterus to facilitate the process of fertilization. This increases the number of sperms reaching the fallopian tube thus increasing the chances of pregnancy. In this process, the sperm gets a head start but it still needs to get the rest of the job done on its own. This process due to less involvement of complexities is much less expensive and invasive than the IVF.
It is somewhat similar to the IVF in the sense that a sperm is placed directly onto an egg. The difference here is that only one sperm is placed in this process. This is usually done in cases where either the sperm cannot get to the egg or is not able to fertilize it for some reason. It is also recommended in cases where the male partner faces problem in ejection, erection, poor mobility of sperms or even poorly shaped sperms.
Surrogacy is an arrangement where another woman conceives a baby for a couple who are unable to produce on their own. There are two kinds of surrogacy namely gestational and traditional. In gestational surrogacy, the embryo is conceived via in-vitro fertilization so that the child is genetically unrelated to the surrogate. In traditional, the surrogate is genetically related to the child, who is conceived either naturally or artificially.
Reproduction is a very natural and rather easy process for most of the couples. But for some people, it can be very difficult and pain inducing. If there are no or very fewer sperms in male ejaculate, or sperms are unable to fertilize the egg, then the male might be suffering from infertility. Male and female infertility may be somewhat tedious to diagnose, but a number of treatments are available. They may be medication, assisted reproductive technology or surgical.
Our staff is sensitive to the needs of the patients and stand with you every step of the way. They are capable to deliver assistance 24*7 in case of emergencies.
Pre-arrival, no-obligation free quote for your medical condition along with consultations and selection of best doctor/hospital
At H&H, all our assistance services are complimentary and you are not charged extra at the hospital if you go through us or go directly. Rather we have the capability of getting you the best prices.
Dedicated case manager as one-point contact for all your needs while you are here with us,also responsible to help you get the best price for your procedure
Complimentary Airport Pick-up/Drop, Translation,Interpretation services and assistance in choosing the best accommodation.
Complete assistance in making the right decisions when choosing the best procedure and full support during your stay at the hospital
When you’re back in your home country, we are always a click/call away for your regular follow-up, your visit was just the beginning of our relationship
In most cases we advise our patients to arrive at specific dates that are aligned with the female patient’s menstrual cycle. Patients when they arrive at our centre our throughly investigated to confirm the diagnosis and to see which person out of the couple needs more of our assistance in the treatment. Investigations include a wide array of blood tests to figure out the source of the problem, certain imaging test for the females and at times for males too, sperm analysis for males. Depending on the results of these a patient may be advised further extensive investigations or be advised a treatment plan. The treatment plan too once again is aligned with the female’s menstrual cycle.
The fertility treatment as mentioned are accurately aligned with the patient’s menstrual cycle. Most of the fertility treatments require no admission per say and can be easily performed on a daycare basis. The patients however are advised to remain under follow-up for a week to a month’s time depending on the treatment being offered.
What are the options available for helping conception in case of a low sperm count?
What is Surrogacy?
Surrogacy is when another woman carries a pregnancy and gives birth to a baby for the couple or person who wants to have a child.
Why choose surrogacy?
You may require having a surrogate if you have a medical condition that makes it difficult, dangerous or impossible to get pregnant and give birth. Some of the medical conditions that may make surrogacy necessary include:
Types of surrogacy
Traditional surrogacy (TS)
This involves using natural or artificial insemination to implant the embryo in the surrogate. The new child has genetic relation to the intended father and the surrogate. The intended father’s sperm can be artificially inseminated using IUI, IVF, and home insemination.
Traditional surrogacy and donor sperm (TS/DS): The surrogate is artificially inseminated with donor sperm using procedures which include ICI, IUI or IVF. The new child has genetic relation to the surrogate but not to the intended parents.
What are the chances of having a baby with a surrogate?
The success rate of surrogacy is difficult to determine. Relevant factors that affect the success of surrogacy include:
Where do I start?
What is the financial implication of surrogacy?
What is Artificial Insemination (AI)?
AI may employ assisted reproductive technology and sperm donation techniques. It is also called intrauterine insemination (IUI). It is the deliberate introduction of sperm into a female’s uterus so as to achieve pregnancy through IVF, by means other than sexual intercourse.
It will be quarantined and frozen and will need to be thawed before use; semen used in insemination can be fresh, raw or frozen. If the donor sperm is supplied by a sperm bank. When an ovum has been released by the female, semen is introduced into the female’s vagina, uterus or cervix. This is determined by the method being used.
Who can choose artificial insemination?
What to expect
Your doctor will confirm that you are ovulating by use of ovulation kits, ultrasound, or blood tests. Your partner will provide a sample of his semen. Make sure sperm count is high; the doctor may ask him to avoid sex 2-5 days prior to the procedure.
The sperm is then washed in a laboratory. The sperm removes chemicals in the semen which may cause discomfort to the woman as well as increase the chances of getting pregnant.
Risks : Mild cramps may be experienced, Bad reaction to medication used ,Multiple pregnancies
What is Assisted Hatching?
This is used in the IVF procedure in order to increase the chances of pregnancy. Assisted hatching assists the embryo in hatching from the outer protective layer (called the zona pellucida) so it can implant itself on the womb’s wall. It makes a small hole in the protective layer of the embryo.
How is Assisted Hatching carried out?
Who is a suitable candidate for Assisted Hatching?
Assisted hatching is most commonly used with IVF in the following cases:
Assisted hatching is not usually carried out due to risk of damaging the only viable embryo, If only one embryo is available for transfer.
The chances of success with Assisted Hatching
Believing assisted hatching does not improve the chances of pregnancy, others disagree. IVF procedures are believed to result in higher pregnancy rates using assisted hatching According to some clinicians.
According to Embryology Authority and the Human Fertilization, in 2006 the percentage of cycles of IVF or ICSI that received assisted hatching resulting in a live birth were as follows:
Duration of procedure/surgery : It may take about 4 to 6 weeks to complete. One full cycle of IVF, where assisted hatching takes place at the incubation stage.
Days admitted :None. Assisted hatching and IVF procedures don’t require an overnight stay.
Anesthesia : In the IVF Egg collection cycle may take place under sedation or a general anesthesia.
Risks :– Damage to the embryos.
– Multiple births and increased likelihood of identical twins.
– Negative reaction to fertility drugs.
– Cramps and bleeding following egg collection.
– Ovarian hyper-stimulation syndrome.
After care :– Take antibiotics, if prescribed, to lessen the chances of infection.
– With pain killers Ease cramps following egg collection.
What is Blastocyst Culture?
Blastocyst transfer and culture is a procedure used in IVF in order to maximize the chance of pregnancy and cut down the risk of multiple births. While embryos in IVF are normally cultured in a laboratory for three days before transfer into the woman’s uterus, with blastocyst culture the embryo is kept in culture for up to five or six days. The blastocyst stage, the embryologist is better able to select the most advanced embryos that have survived and have a better chance of implantation, and transfer fewer into the uterus.
How is Blastocyst Culture carried out?
This transfer is a similar procedure to IVF.
The chances of success with Blastocyst Culture:-
Many women don’t have any surviving embryos at day six and the loss-rate for embryos is high – according to the Human Fertilisation and Embryology Authority, around 50 percent of embryos die after day three. The clinic requires to be proficient at the blastocyst culture procedure for effective transfer to take place.
Survival of embryo upto day six have a 50 percent chance of success, compared with 35 percent in IVF without blastocyst transfer.
In women receiving IVF using the blastocyst culture procedure, the percentage of cycles that resulted in a live birth was:
Duration of surgery or procedure :One full cycle of IVF, where blastocyst culture is used at the incubation stage, takes around 4 to 6 weeks to complete.
Days admitted: None – the entire IVF procedure is carried out on an outpatient basis.
Anesthesia: No anesthesia is used
Recovery: You will be able to return to everyday activities immediately after all stages of the IVF procedure.
Risks: This is type of procedure difficult but if it is carried out in a fully-equipped laboratory with the correct expertise, risks are low and it is more likely the embryos will survive and successfully implant.
– Cramps and bleeding after egg collection.
– Loss of embryos before the blastocyst stage.
– Ovarian hyper-stimulation syndrome.
– Risks of multiple births (lower than with traditional IVF).
– Bad reaction to fertility drugs.
– If you have a negative reaction to fertility drugs, speak to your clinician
– Control any cramps after egg collection with painkilling medication.
– Rest for a few minutes after egg collection if you experience discomfort.
What is Cryo-Preservation for Embryos?
Cryo-preservation for embryos is also known as embryo storage or embryo freezing. This is a procedure for the storage of embryos. Cryo-preservation is used in IVF when more embryos than currently required are produced. The procedure preserves embryos through cooling to sub-zero temperatures, which stops the biological activity that leads to cell death. The embryos are taken out of storage in a later treatment cycle for transfer into the uterus. Frozen embryos can also be donated.
How is Cryo-Preservation for Embryos carried out?
Who is a suitable candidate for Cryo-Preservation for Embryos?
Days admitted :None – the IVF and cryo-preservation procedure doesn’t require a hospital stay.
Anesthesia : In IVF Egg collection may be carried out under sedation but generally no anesthesia is used in IVF or in the cryo-preservation procedure.
Recovery : With IVF you may rest for a short period after egg collection and egg implantation. There is no recovery period following cryo-preservation for embryos.
Risks :– Not every embryo will survive the freezing process.
– With IVF in general, you may experience a bad reaction to fertility drugs or cramps following egg collection.
– The risk is lower than with IVF using fresh embryos. There is a risk of multiple births following IVF using frozen embryos .
After care :– Ease cramps after egg collection in IVF with pain killers.
– Report any side effects from fertility drugs to your doctor.
What is ICSI?
ICSI stands for Intra Cytoplasmic Sperm Injection. ICSI is a fertility procedure used within the IVF (in vitro fertilization) process. ICSI fertility treatment is carried out by injecting a single sperm into an egg, which is then transferred into the womb.
This is used as a fertility procedure when the man has a low sperm count, doesn’t produce enough good-quality sperm that are able to reach and penetrate the egg, or has problems concerning anti-sperm antibodies.
ICSI helps bypass the need for donor sperm. Some couples move from IVF treatment to ICSI if they can’t retrieve enough viable eggs to be fertilized in vitro.
How is ICSI carried out?
The woman first extracts fertility drugs to stimulate the ovaries for fertilization while the man produces a sample of sperm. If he has no sperm in his semen, doctors extract it under anesthesia using a needle. The fertilized eggs become embryos and are transplanted into the uterus. The woman’s eggs with a needle and a single sperm is injected into an individual egg, the doctor removes. Any remaining embryos may be frozen for possible use in the future.
How often is ICSI used?
ICSI is one of the most successful procedures for treating male infertility.
What are the chances of success with ICSI?
The number of chances of a successful ICSI are dependent on the woman’s age, male and female reproductive health, doctor’s experience and methods used, among other factors and varies by clinics.
Duration of surgery/procedure: One full cycle of ICSI takes between 4 and 6 weeks to carry out.
The sperm and egg retrieval process takes a full day and couples return two days after for the embryo implant.
Around two weeks later the woman takes a pregnancy test.
Days admitted : None.
Anesthesia : Egg collection may be performed under general anesthesia or local anesthesia.
Recovery : This procedures are carried out on an outpatient basis and require a short recovery time of around a day, when the patient is advised to avoid strenuous activities.
Risks : It is a comparatively new procedure, There are fewer consensuses regarding risk than with more established procedures.
– Embryos that are frozen are less likely to result in a live birth than newly-fertilized embryos.
– Long-term health of children may be affected, although research has been mostly reassuring.
– Possibility of the male child born through ICSI inheriting his father’s infertility.
– Increased risk of multiple pregnancy.
– Possible higher rates of miscarriage.
After care :–
– Doctors advise patients to relax as much as possible for the day following egg extraction and implantation.
Take pain killers to minimize any discomfort following the ICSI procedures.
What is IUI?
This abbreviation for IntraUterine Insemination is a treatment for infertility and a form of artificial insemination. IUI is carried out by injecting sperm that has been specially treated directly into the uterus.
It is used to treat mild male infertility, women with cervical mucus problems and couples where the infertility is unexplained, as well as enabling the use of donor sperm.
How popular is IUI relative to other types of fertility treatment?
This is the most common kind of artificial insemination because it is a relatively simple procedure with minimal side effects. This is often the first fertility procedure couples try.
Doctors may advise a couple to have three to six months of IUI treatments before moving on to another fertility procedure if the treatment was not successful.
How is IUI carried out?
Sperm are ‘cleaned’ to remove chemicals and semen and to separate the most viable sperm – also called sperm preparation or sperm spinning.
Washed sperm are inserted into the uterus using a thin tube called a catheter the day after the ovaries release an egg for fertilization.
Sometimes fertility drugs are used to increase the chance of pregnancy.
What affects the chances of success of an IUI procedure?
Duration of surgery / procedure : The IUI procedure is quick and straightforward – the insemination takes around 15 to 20 minutes, with another 15 minutes of rest following the procedure.
Days admitted : None.
Anesthesia : This procedure doesn’t require any anesthesia or pain relieving medications.
Recovery: The woman will lie down for around 15 to 30 minutes after the IUI procedure to rest and enable the sperm to work. After procedure she will be able to resume all normal activities.
Risks: This is a comparatively painless procedure and carries few risks.
– Hyperstimulation due to the use of fertility drugs
– Catheter may be uncomfortable if it is difficult to insert.
-Discomfort due to cramps, spotting and bleeding.
After care :
– Patients can resume intercourse soon after the IUI procedure.
– There may be some light bleeding immediately after the IUI procedure.
What is IVF?
IVF stands for In Vitro Fertilization. IVF is treatment to assist couples with fertility problems .
This is a procedure where eggs are fertilized outside the body in the laboratory and then the fertilized eggs are inserted into the uterus to develop.
This can be an infertility treatment option when the man has a low sperm count, the woman has problems with the uterus or fallopian tubes, or the reason for infertility is unexplained.
How is IVF carried out?
Conditions of the chances of success of an IVF procedure
Duration of procedure/surgery: One full cycle of IVF takes around 4 to 6 weeks.
Typically egg collection takes between 30 minutes and an hour.
Days admitted: You may be asked to rest for a few hours at the clinic but the IVF procedure doesn’t require an overnight stay.
Anesthesia: Egg collection in IVF takes place under a sedation anesthesia, or a general anesthesia if it is required.
Recovery: The health center may advise a short period of rest after egg collection and egg implantation but others will allow you to carry on with normal activities straight away.
Risks: This is related with a few risks.
– Multiple births.
– Older women are at increased risk of miscarriage and birth defects.
– IVF may be less successful with age.
– Reaction to fertility drugs including hot flashes, mood change and headaches.
– Cramps and a small amount of bleeding may occur after egg collection.
– Ovarian hyper-stimulation syndrome.
– Ectopic pregnancy.
– Calm cramping after egg collection with appropriate pain killing medication.
– Monitor any side effects arising from fertility drugs and consult your doctor if you are experiencing problems.
How is Sperm Banking carried out?
Who is a suitable candidate for Sperm Banking?
In the future sperm donor want to store their own sperm for their own use because they are undergoing chemotherapy, surgery for testicular or prostate cancer or a vasectomy, or they have a high-risk occupation.
Days admitted: None
Risks:– Sperm may not suitable to be used in artificial insemination.
What is Sperm Washing?
This is type of procedure to separate sperm from other components in the seminal fluid before the washed sperm is used in IUI (intrauterine insemination).
What are the types of Sperm Washing?
Sperm washing is carried out using the following procedures:
Who is a suitable candidate for Sperm Washing?
This is used for couples where the male partner is HIV positive and the female partner is HIV negative, in order to reduce the risk of transmitting HIV through pregnancy.
It (Sperm washing) is also used to prepare sperm for IUI in couples with male infertility, unexplained infertility, and where the man has anti-sperm antibodies.
What are the chances of success with Sperm Washing?
Inseminations treatment and Fertility treatment have been carried out using sperm washing and no cases have been reported where the female partner or child has become infected with HIV.
Success chances for IUI increase after sperm washing because only the healthiest sperm are used in the procedure.
Duration of procedure/Surgery:
Swim up sperm washing procedure takes around two hours.
– Sperm washing normally takes around 20 to 40 minutes.
– Density gradient sperm washing takes around one hour.
Number of sessions required: Washed sperm can be stored for use in future IUI procedures one session.
Days admitted: None – sperm washing is an outpatient procedure.
Recovery: Sperm washing doesn’t have a recovery period – patients resume normal activities immediately after sperm is collected.
Risks:– there is no 100% guarantee that HIV infection will not be transmitted to the woman or child.
– Washed sperm may not contribute to a viable pregnancy.
Cost Estimate for Investigations – $500 – 1500
Cost Estimate for treatment – $2000 – 6000 depending on the treatment being offered from IUI to IVF. Surrogacy however costs anywhere around $22000-25000 over and above the costs of IVF if required.
The above costs include doctor’s fee, procedure charge on outpatients basis, drugs and consumable,certain post procedure investigations. Complimentary airport Pick and Drop.
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