IVF Treatment Provided at Pulse Women's Hospital


Who needs IVF?


There are varieties of indications for IVF, some of them are mentioned below and then elaborated one by one.


Absent and Damaged Fallopian Tubes


Infections, inflammations and other conditions may cause irreparable damage to the Fallopian tubes. In some instances, tubes may be abnormally developed or absent since birth or removed during surgery. Since the Fallopian tubes are the only place in the female body where normal fertilization occurs, pregnancy becomes difficult or impossible in women with damaged or absent / removed fallopian tubes. IVF allows for successful fertilization bypassing the problem area.


Mild Male Factor


As IVF allows to concentrate sperms during fertilization, IVF can be carried out even when a male partner has a low count. Only, 50,000 – 100,000 sperms are required to fertilise an egg in IVF. In men with mild to moderate problems with sperm count and motility, IVF is the treatment of choice.


Pelvic Adhesions


Peritubal and periovarian adhesions [ due to infection, surgery ] interfere in the transport of egg by the fallopian tube. These problems are bypassed with IVF.


Endometriosis


It is a condition in which endometrial tissue , the tissue that lines the inside of the uterus , grows outside the uterus and attaches to other organs in the abdominal cavity such as ovaries and Fallopian tubes. Endometriosis is progressive diseases that tend to get worse over time. It is one of the common causes for infertility and when conventional treatment with surgery and medications fail, IVF offers an excellent chance of conceiving.


Unexplained Infertility


This is a condition when a couple fails to conceive even when all the tests are normal. When basic treatment in the form of ovulation induction, IUI fail, IVF is the best option.


Recurrent IUI failures


IUI is a simple treatment for some infertile couples and has a success rate of 10 - 15 %. Best results are obtained in the first 3 cycles. When 3 cycles of IUI fail, success rate with IUI is very low. In this situation, IVF is the best option.


Age Related Infertility


The success rate of all infertility treatment falls with advancing age, more so after the age of 35 years and very rapidly after 38 years. In these women, IVF is the best treatment option rather than wasting precious time on less effective treatment.


Who needs ICSI?


There are varieties of indications for ICSI. Among these are:


Male Factor Infertility


ICSI has become a powerful means of overcoming male factor infertility as ICSI needs only one sperm in order to fertilize an oocyte or an egg. The proposed indications are:

  • Oligospermia - Sperm concentration less than 2 million/ml.
  • Asthenospermia - Sperm motility less than 5 %
  • Teratospermia - Morphologically less than 4 % normal sperms.
  • Testicular failure - Use of surgically retrieved sperms from epididymus of testicle E.g. MESA, TESA, PESA.
  • Obstructive azoospermia - Due to congenital absence of vas deferens, failed vasectomy reversal etc.
  • Immunologic Infertility - Presence of Antisperm Antibodies in the semen.

Previous Poor Fertilization With IVF


ICSI can be successfully used in patients with fertilization failure after conventional IVF. Failure can also occur due to low sperm count.


IVF AND ICSI at Pulse Women's Hospital


When you are ready to start treatment, you should see a doctor at PULSE to confirm that all tests have been done and to have any special aspect of your own or recent changes explained and discussed. Screening tests will be checked and some times repeated.