IUI, IVF, ICSI, Medical Genetics, Andrology and Sexology,
Laproscopic Surgery & Neonatology
Total Infertility Evaluation
Proper evalutaion of both partners is crucial in the identification of the cause of infertility and consequentially administration of appropriate treatment. The total evaluation includes:
Detailed clinical examinations of both the partners
Necessary fertility hormone assay is conducted depending on the cases
Trans-vaginal scan for the female partner and detailed semen analysis including study of morphologic evaluation with Krugar strict criteria is performed
Procedures can be conducted in one or two sittings
Prenatal Diagnosis & Genetics
Chorionic villi sampling, Amniocentesis and foetal blood sampling are used for chromosome analysis of the foetus.
Advanced maternal age
Previous child with a de novo chromosome abnormality
Presence of structural chromosome abnormality in one of the parents
Endoscopic procedures are mainly undertaken by Dr. Ashraf, Dr.Narendranath & Dr. Subhash.
The common Endoscopic procedures performed at CRAFT include:
Ovarian Cystectomy, Ovariotamy and PCO drilling
Reversal of Sterilizations
Tubal Cannulation and Tubal Ligations
Stress Incontinence Surgery
Laparoscopic Cervical Circlage for Repeated Pregnancy Loss
Hysteroscopic Septum Resection and Adhesiolysis
IUI - Intra-Uterine Insemination
We arrive at a working diagnosis following 2-3 patient visits during which time the following have to be done:
1. Detailed female evaluation with atleast 2 consecutive scans to assess anovulation, pelvic factor or response to hormones.
2. Male factor workup
3. Hormonal assay when indicated
IVF – In Vitro Fertilization
This has been a very popular method for the fertilization outside the womb of the mother. IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed. There has been over 17% successful IVFs at CRAFT.
ICSI - Intracytoplasmic Sperm Injection
This procedure is most commonly used to overcome male infertility problems, although it may also be used where eggs cannot easily be penetrated by sperm, and occasionally as a method of in vitro fertilization, especially that associated with sperm donation. ICSI is a very effective method of fertilization of eggs that have been retrieved from the female partner.
CRAFT has recorded a 30% to 40% success rate for ICSI procedures
CRAFT is the first infertility center in the State to successfully conduct an assisted hatching pregnancy. A 43 year old woman gave birth to a healthy baby in 2002 after an abortion following ICSI in 2001. Assisted hatching is advantageous to those who have a history of failed IVF or ICSI. This treatment can be conducted using a laser beam or even acid thyroid.
HLT(Husbands Leukocyte Transfer)
In cases of repeated abortions or repeated IVF failures, where you suspect a rejection phenomenon, the best available treatment is HLT. Here we separate lymphocyte, a special white blood cell from the husband’s blood. This is the memory cells in the blood. Its then concentrated and injected into wife’s lymphatics, by a simple method. Its done in 5 times, either at weekly or monthly intervals. After 2 months waiting period, your body will be sensitized. Then you can try for spontaneous conception or try IVF.
Now we are celebrating 500 successful deliveries following HLT. Many of them had several abortions ranging from 4 to 10 abortions, where they had lost their hopes, could get healthy babies after HLT.
Many among these had gone through repeated IVF-ICSI cases ranging from 3 to 9 IVF failed cases. Some of them got twins after HLT.
Pelic Endome ....