Specialized treatments to help you achieve your dream of parenthood
With specialist surgical suites, dedicated recovery and preparation rooms, comprehensive embryology and general laboratories, the fertility center provides world-leading technology and techniques, in a comforting environment that’s accessible, personalized and supportive.
Intra Uterine insemination involves preparing the semen of the prospective father in a laboratory, selecting only the highest quality sperms for insemination. Treated semen are then introduced into the womb just before ovulation. It can be used with either natural ovulation or in conjunction with clomid or injectable hormones, to induce ovulation.
What does Intra Uterine Insemination involve?
- A course of medication for the prospective mother to stimulate the ovaries. On day 2 or 3 of the menstrual cycle, an assessment is made through ultrasound and blood tests. Fertility medication is then prescribed to stimulate ovulation as needed.
- Monitoring and regular scans check follicle development. Ultrasound scans track development of the prospective mother’s eggs as well as endometrium assessment.
- As soon as an egg matures, a hormone injection stimulates egg release within a scheduled timeframe.
- The prospective father produces a semen sample two hours before the IUI. The sample is washed to remove fluid surrounding it while rapidly moving sperms are selected.
- Selected sperms are injected into the uterus.
- The whole process takes just a few minutes. It is usually painless but some women may experience a temporary menstrual-like cramping.
- If within 2 weeks the menstrual cycle did not start, the patient is advised to perform a pregnancy test.
Intra Cytoplasmic Sperm Injection (ICSI) is the technique of injecting a single sperm into the center of an egg. This overcomes any barriers that the sperm may have to penetrating the egg, and is beneficial for couples with levels of severe male infertility, or who have had previous failures in fertilization in an IVF cycle.
Surgical Sperm recovery technique is used to help couples where the male partner does not ejaculate sperm. A small number of sperm are obtained directly from the epididymis or testicles in a small surgical procedure sufficient for IVF treatment.
Reproductive surgery is used for treating fallopian tube obstruction and vas deferens obstruction, or reversing a vasectomy by a reverse vasectomy and more.
With the exception for tubal infertility, where reproductive surgery remains the main treatment, reproductive surgery in women is largely used complementary to other ART methods such as medication.
Pre-Implantation Genetic Diagnosis/Screening (PGD/PGS) is a technique that enables people with inherited conditions to avoid passing them on to their children. The process involves checking the genes of embryos created through IVF, for the specific genetic condition prior to implantation.
Genetic testing of the embryos may be recommended if;
- A patient has had a number of miscarriages because the baby had a genetic condition
- A patient already has a child with a serious genetic condition
- The husband or wife has a history of any serious genetic condition e.g. Thalassemia
When would you require sperm freezing?
Sperm freezing is a potential fertility treatment when any one of the following applies:
- If a potential father is about to undergo pelvic /testicular surgery.
- If he has a low sperm count or is producing sperms that are deteriorating in quality over time.
- If he has difficulty producing a sample on the day of the procedure.
- If he has a medical condition, which may result in infertility later in life
- If he is facing medical treatment that may affect his fertility, for example some forms of cancer treatment.
- If the husband has ejaculatory problems.
Sperm can be frozen for up to 5 years.
When would you require egg freezing?
Egg freezing is a potential fertility treatment when any one of the following applies:
- If the prospective mother is diagnosed with cancer and needs to start potentially toxic chemotherapy or radiotherapy.
- If she is diagnosed with medical conditions such as lupus or rheumatoid arthritis, in which case the ova may be damaged by treatments.
- If she has a family history of early menopause or endometriosis.
- If more eggs are retrieved then desired, the eggs will be frozen.
- Embryo transfer will be cancelled to avoid hyper stimulation.
We freeze surplus eggs:
- If more than 15 eggs were retrieved, half of the eggs will be frozen and the other half fertilized. Embryo transfer would be decided depending on the patient's condition.
- If more than 25 eggs are retrieved, the eggs will be frozen. Embryo transfer will be cancelled to avoid hyper stimulation.
All eggs can be frozen for up to 5 years.
The additional process of egg collection or ovum pick up is called laparoscopic ovum pick up, where a fiber-optic nerve with small video camera is placed into the abdomen by means of a tiny cleft just beneath the belly button. Then abdominal cavity is filled with carbon dioxide using a needle to overstate it and produce working space. When the egg retrieval is done, the clefts are stitched blocked with absorbable stitches.
The laparoscopy for ovum pick up involves the insertion of three instruments into the woman's abdomen, and therefore three small incisions, one or two of which may require a stitch. The laparoscope is inserted through a small incision at the lower edge of the navel. This enables the physician to see the ovaries and the follicles containing the eggs. A second small incision is made, usually on one side of the abdomen, through which an instrument is inserted to hold the ovaries in place. The needle for removing the eggs is inserted through a third small incision, again usually at one side of the abdomen.
The procedure is carried out on a day-case basis.