Low Cost Infertility Treatment

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					                                  Email: enquiry@medicyatra.com



Infertility facts
 affects 1 in 6 married couples of
  childbearing age
 definition: have engaged in unprotected
  coitus for 1 year and haven’t become
  pregnant




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 Infertility Facts
 can be due to:
   – failure to conceive, loss of conceptus
 origin of problem:
   – 35% female
   – 35% male
   – 20% both partners
   – 10% unexplained




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Failure to ovulate
 often caused by low body fat or stress
 GnRH surge may be inadequate




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Tubal blockage
   Due to:
    – Endometriosis, scar tissue from STD,
      previous surgery
 Treatment: surgery
 If surgery unsuccessful, IVF, GIFT and
  ZIFT are best options




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Causes of male infertility
 low sperm count (oligospermia) or
  absence of sperm (azoospermia)
 male may produce antibodies to his own
  sperm
 accessory glands / ducts may
  malfunction




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Intracervical or intrauterine
insemination (ICI / IUI)
 Artificial insemination
 definition: sperm introduced into female
  reproductive tract by means other than
  coitus (near cervix or in uterus)
 sperm can come from donor / sperm
  bank or from husband
 Example of a sperm bank:
    – http://www.spermbankcalifornia.com/buy-
      sperm-online.html Forever
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ICI / IUI, cont’d.
 usually, several ejaculations are pooled
 60,000 babies / year born in US. as
  result of artificial insemination
 often used when male has low sperm
  count or antibodies present in ejaculate




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In vitro fertilization

 “test - tube babies”
 1st performed in 1978 (Louise Joy
  Brown)
 often performed on infertile women with
  tubal blockage



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 IVF Protocol
 GnRH agonist (e.g. Lupron) for 7 days
 FSH agonist (follistim, Gonal-F,
  Repronex) until follicles measure 17-20
  mm in diameter (8-14 days)
 hCG given to induce egg maturation
 Egg retrieval (transvaginally) 34-35 h
  later



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IVF protocol
 sperm and ova added to dish;
  fertilization occurs 12-14hrs.
 eggs transferred to new dish and cell
  division occurs
 embryos squirted into uterus (optimal
  stage: blastocyst)
 Preimplantation genetic diagnosis
  (PGD)

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IVF Protocol, cont’d.
 3 to 5 embryos are injected to increase
  chances of pregnancy
 woman given progestagen to prevent
  miscarriage
 Example of prices:
    – http://www.advancedfertility.com/ivfprice.ht
      m


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IVF Protocol, cont’d.
 new variations / improvements:
   – Intracytoplasmic sperm injection (ICSI)
   – use of frozen embryos
 27,000 attempts made per year; 18.6%
  successful (success rates are increasing)
 http://www.advancedfertility.com/sampleivfcal
  endar.htm




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IVF, cont’d.

   Ethical questions:
    – will it lead to selective breeding?
    – up to what stage can research be done?
    – if embryo dies in vitro, is it abortion,
      murder?
    – what should be done w/ unwanted
      embryos?
    – should government regulate research?

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GIFT and ZIFT
 GIFT = gamete intrafallopian transfer
 useful for tubal blockage
 ova are collected and inserted into
  oviducts below point of blockage
 husband’s sperm are placed in oviduct




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GIFT and ZIFT
 woman is treated with hormones to prevent
  miscarriage
 28% successful
 ZIFT = zygote intrafallopian transfer
 ZIFT is like IVF, only zygotes (1 cell stage)
  are inserted below blockage in oviduct (24%
  success rate)




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Others

 Ovarian stimulation protocol
 Surrogate pregnancy
 Adoption




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DOCUMENT INFO
Description: MedicYatra provides the safe & best Infertility treatment at its affiliate & trusted hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified doctors are extensively trained and vastly experienced and have performed hundreds of such cases at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com