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The Department of Infertility & IVF offers the most sophisticated and advanced Assisted Reproduction Unit (IVF Lab) with latest technology. We have highly skilled and experienced fertility specialists, in-house competent embryologists and the support of the best diagnostic modalities and laboratory services to give you better advice regarding your treatment options and help you decide the treatment that best suits you.
Parenthood is one of the major transitions in an adult’s life. It has been seen that about 20% of couples face some kind of problem in conceiving and need help. In recent times infertility is on rise due to lifestyle problems and changing environment conditions. Infertility, though not a life threatening condition, is very stressful condition in a couple’s life. We at Jaypee hospital understand this and try to make your journey from treatment to success as comfortable as possible.
Endoscopy is a procedure where a thin, lighted tube (Endoscope) is inserted into the uterus to examine it for infections, diseases or any abnormalities. The two frequently carried out endoscopy procedures are Hysteroscopy and Laparoscopy
Hysteroscopy is the inspection of the uterine cavity by passing the endoscope through the cervix. It allows for the diagnosis of problems in the cavity of the uterus and also serves as a method for correction of most problems (operative hysteroscopy). Common conditions that can be treated through Hysteroscopy are tumours like polyps, fibroids, abnormalities like septum, etc.
Laparoscopy involves placement of the endoscope in to the abdominal cavity, generally through the umbilicus to visualize the uterus, tubes, ovaries and the pelvis. The patency of the tubes is also checked at the same time by injecting a blue dye. Certain abnormalities like fibroids, endometriosis, adhesions etc can also be treated at the same time [operative laparoscopy].
It is the process of placing processed semen sample containing motile sperms through the cervix into the uterine cavity around the time of ovulation.
IUI is generally the first line of treatment when medication and timed intercourse does not succeed. It is recommended for patients with mild to moderate decrease in sperm count and /or motility, or if there is mild endometriosis. For women who do not ovulate regularly, ovulation induction maybe combined with IUI. Also, in some couples in whom there is no apparent cause for infertility (unexplained infertility), IUI may be advised.
You will generally be advised medications from Day 2 or 3 of your menses for 5 – 10 days. Your response will be monitored by sonography every 3-4 days.
When the follicle/s are of appropriate size, the final process of ovulation will be triggered with an injection of hcg and the IUI procedure will be planned approximately 36 hours later.
Your partner needs to provide his semen sample on the day of an IUI. If a problem is anticipated, previously preserved sample can also be used. The semen sample is processed in the laboratory and then injected into the uterus.
You may then be given medications for support for the next 14 days at the end of which a serum Beta-hCG test is done to confirm pregnancy.
Since this is a relatively simple and safe procedure, it does not require any special precautions. Only a few minutes rest after the procedure and then you can resume your routine.
Apart from mild pain and spotting on the day of an IUI, there are no major complications. Around five to ten percent of the patients have multiple [generally twin] pregnancies. Sometimes, a patient may respond excessively to medications and produce more eggs, putting her at risk for multiple pregnancies and a condition called Ovarian Hyper Stimulation Syndrome (OHSS). If there is a risk of this occurring, your doctor will advise you accordingly and the cycle may be cancelled or converted to an IVF cycle. Infection is a very rare complication.
Worldwide, the success rates for IUI average about 15%. Most of the pregnancies occur within the first three IUI cycles. We generally recommend a maximum of three IUI cycles