Infertility is not just a medical problem as it has long social commitments as well. And you are not alone in this battle. About 7% of the eligible couples are infertile across the globe.

We at CRAFT, where a team of dedicated specialists in this field having long & rich experiences, and with the help of wide range of diagnostic & therapeutic armamentarium, makes a perfect diagnosis within one or two visits. After that we make a plan of action in every couple according to the diagnosis, severity of the disease, age of the couple and duration of the infertility. Hence every couple is given an individual approach.

We welcome you once again to CRAFT web page to know more about infertility& to come close to us.

7500+ babies following laparoscopic surgery

6000+ babies after IUI

1900 + babies after IVF-ICSI

500+ FROZEN ET deliveries

400+ babies for azoospermic fathers

IVF-ICSI
If the semen sample is very poor that even after semen preparation the count and motility and morphology are too low, then there is no point in repeating IUI. In such cases and in patients who have no sperms in their semen but live sperms can be collected from the testicles, (ICSI) Intracytoplasmic sperm injection is employed to get pregnancies.

Other indications for IVF ICSI

1. Tubal block
2. Anovulation
3. Pelvic endometiosis
4. Unexpected infertility

Total Infertility Evaluvation
Includes detailed clinical examinations of both the couples. Necessary fertility hormone assay depending on the cases.

Trans vagainal scan for the female partner and detailed semen analysis including his morphologic evaluation with Krugar strict criteria.
All these can be done in one or two sittings. So that a complete diagnosis can be arrived at and also the future plan of action can be charted out.

Endoscopic Surgery
Also known as Key hole surgery is a day – care procedure where in we can visualize all the internal reproductive organs like Uterus, tubes, ovaries, Pelvic Peritoneum etc.And any diseases or fault in any of these can be corrected in the same sittings. We were the first in the state to have the full fledged Video Endoscopic system and we started in 1990 and till now we have completed more than fifteen thousand procedures of these about 70% are of Infertility problems and 30% are of Gynaec problems. The largest uterus removed at laparoscopic Hysterectomy weighed about 2.5 Kg, which is a record in the history of laparoscopic surgery. The oldest women we did aged 88years for a large ovarian cyst. The heaviest ovarian cyst we removed through laparoscopy weighed about 8 Kg.

IVF
After assessment of both partners, we stimulate the ovaries of the female partner with hormone injections so that we may get 10-12 eggs. When the eggs are mature as evidenced by scan and by blood E2 test, they are transferred from the ovaries by a special technique, under trans-vaginal scan guidance. This is done under general anesthesia. These eggs are then examined in the IVF laboratory by the embryologists and assessment of their maturity and quality are done. If it is for IVF, for each egg about 1,000,000 good sperms are inseminated and kept in the Co2 incubator for about 14-16 hours. In ICSI, into each egg one high good looking sperm is injected and is then kept in incubator for 14 to 16 hours.

So the advantages of ICSI over IVF are:
1. Very few number of sperms is required. These sperms may be collected from semen or from the epidydymis or from testicles in Azoospermic men.

2. In IVF the fertilization rates is 50 to 60% where as in ICSI it is 80 to 100%. So at the end we will have more number of embryos and the excess left behind after Embryotransfer may be frozen for Cryopreservation to be used after some time.

3. The quality of embryos are better after ICSI than after IVF and the implantation rate and consequently the pregnancy rate is also higher after ICSI. Because of all these factors we always prefer to do ICSI rather than IVF.

4. Unexplained infertility: One major cause of infertility in unexplained infertility may be fertilization failure. This can be corrected only at ICSI.

Our success rate after IVF is 17% and after ICSI it varies from 30% to 40% in different batches. The 1st PESA ICSI and TESE ICSI pregnancies in the state of Kerala are from CRAFT.

Sperm freezing and Embryo freezing
CRAFT is equipped with the latest version of freezing machines from PLANER-U.K, a highly sophisticated freezing machine with very high survival rate. Semen in case of husbands working abroad or males who cannot give the sample on demand are frozen, to be used for ICSI later on. If there are excess embryos left behind after transfer they also can be cryo-preserved and used later on. Chromosome analysis and karyotyping Peripheral blood culture used for chromosome analysis.
Indications
1. Repeated pregnancy loss
2. Azoospermic cases
3. Severe oligospermic cases
4. Identification of syndromes like klinefetter syndrome, down syndrome etc.