This lady undergone IVF treatment, she conceived with twin pregnancy,. The pregnancy went well till 6th month. But she started bleeding and aborted both the baby one after another. The second baby was alive for one month ,but died due to prematurity in nursery. We vitrified her extra embryos and transferred two of them after she recovered completely from that episode. One embryo implanted and she had a full term live baby. Now baby is grown so beautiful and intelligent.
When IVF is performed, in many centers, after egg retrieval, they start injection Progesterone daily for at least 15-20 days till the day of pregnancy confirmation. It is really a painful phase of fertility treatment. Injections of progesterone are usually oil based and they dissolve slowly. When you inject it , it makes a small lump in the muscle, either in buttock or arm. It is very painful experience for the female partner.
Can we make this luteal phase little pain free, or can we make Fertility treatment little bit more comfortable.
Female partner suffers the most in IVF treatment, even if the fault may be in male partner, She has to receive injections for the growth of the eggs , undergo egg retrieval, and then injections for luteal phase support. And if she achieves pregnancy, then she might have to receive this injection may be for three months.
Here at Ideal Fertility center , we use vaginal progesterone and we usually or mostly do not use injections of progesterone for luteal support, and our pregnancy rate is at par with the best centers in world performing infertility treatment.
We try to make the IVF treatment comfortable as far as possible for the female partner. We try to make it more user friendly. Minimum visits, minimum blood tests, minimum injections, without compromising the outcome
Cryopreservation technology can be applied to Sperm, Embryo and Oocytes
The advantage of Sperm preservation is , easy to obtain in most patients, It has excellent results, and having a long track record of good success, but he bad part is , it is only for the male.
On the other hand , Embryo cryopreservation or freezing advantages are , excellent results in young patients and again a long good an successful track record. But the disadvantages are , it requires in vitro fertilization to obtain eggs, and may be financially costly and requires female patients to choose sperm donor before cryopreservation.
In Oocyte freezing or cryopreservation, the advantages are very good result in young patients and it does not require female patients to choose sperm donor before cryopreservaion, but bad part is, again it requires IVF to obtain eggs, it may be financially costly and relatively short track record.
Even ovarian cryopreservation is on its way, thin slices are stored and frozen.
Freezing or cryopreservation is now a days are done by rapid freezing, a procedure called ” Vitrification”
In our center, Ideal Fertility Center , we are doing vitrification of embryos since long with very good result of “Blastocyst Freezing” with almost 100% recovery for transfer.
Sperms are stored long and before actual IVF procedure, so that if the male partner is not able to provide semen on the oocyte recovery day, we can use the frozen ones successfully.
We have started oocyte vitrification, and achieved one pregnancy too, but we are at a beginning , in future , soon we are starting our ” Egg Banking” services for those females, who because of their carrier demand can not reproduce in younger age and they can have their own child in later part of life.
Mostly , IVF fails due to ” either defect in soil or the seed”, It is very difficult to accept for a couple when we say , that your embryos are not good and we cancel the embryo transfer.
The problem may be in Sperms or in Eggs. But most of the time , if sperm count is good , the eggs are responsible. ( here I should say that, we might also be responsible if our lab conditions are not appropriate, but at our center, we usually do quality control every day, and moreover, if there are two or three cases in one day, and others are appropriate, then we might feel, that we are not at fault).
Most of the time , couple asks a question: What went wrong, why my test is negative, Even they might ask , who is responsible for this failure?
We always do a egg quality and egg number estimation before commencing the treatment, esp, in little older females.
It is done by Day 2 , transvaginal sonography and a blood test called AMH, that i anti mullerian hormone. It can be done in any day of the menstrual cycle
Prenatal diagnosis of Beta-Thalassemia is one of the procedure, by which we can reduce the load of thallasemic babies, and help the couple to get or select a baby with thalassemia free or atleast carrier babies. Beta thalassemia is one the common genetic hemoglobinopathy .
Egg banking and oocyte freezing is a reality now at Ideal Fertility.
We did an IVF with frozen eggs of a lady. The egg were vitrified because , they were excessive. She did not conceive in that cycle, but conceived lateron with frozen eggs.
It is a small clip of Embryology laboratory of Ideal Fertility IVF and Genetic Center private limited , Jabalpur MP,India. It is managed by Dr.Mrs. Rinku Banerji, embryologist .