MedicYatra provides the safe & best Infertility treatment at its affiliate & trusted hospitals & clinics in various metro cities of India, like Mumbai, Delhi, Bangalore, Chennai, Pune etc.Our Associate Board certified doctors are extensively trained and vastly experienced and have performed hundreds of such cases at our state of the art JCI accredited hospitals & Clinics. Our aim is to provide you the best of the services at the most affordable costs. Don't forget to say hi at info@medicyatra.com

1. Email: enquiry@medicyatra.com
Infertility facts
 affects 1 in 6 married couples of
childbearing age
 definition: have engaged in unprotected
coitus for 1 year and haven’t become
pregnant
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2. Email: enquiry@medicyatra.com
Infertility Facts
 can be due to:
– failure to conceive, loss of conceptus
 origin of problem:
– 35% female
– 35% male
– 20% both partners
– 10% unexplained
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3. Email: enquiry@medicyatra.com
Failure to ovulate
 often caused by low body fat or stress
 GnRH surge may be inadequate
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4. Email: enquiry@medicyatra.com
Tubal blockage
 Due to:
– Endometriosis, scar tissue from STD,
previous surgery
 Treatment: surgery
 If surgery unsuccessful, IVF, GIFT and
ZIFT are best options
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5. Email: enquiry@medicyatra.com
Causes of male infertility
 low sperm count (oligospermia) or
absence of sperm (azoospermia)
 male may produce antibodies to his
own sperm
 accessory glands / ducts may
malfunction
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6. Email: enquiry@medicyatra.com
Intracervical or intrauterine
insemination (ICI / IUI)
 Artificial insemination
 definition: sperm introduced into female
reproductive tract by means other than
coitus (near cervix or in uterus)
 sperm can come from donor / sperm
bank or from husband
 Example of a sperm bank:
– http://www.spermbankcalifornia.com/buy-sperm
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7. Email: enquiry@medicyatra.com
ICI / IUI, cont’d.
 usually, several ejaculations are pooled
 60,000 babies / year born in US. as
result of artificial insemination
 often used when male has low sperm
count or antibodies present in ejaculate
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8. Email: enquiry@medicyatra.com
In vitro fertilization
 “test - tube babies”
 1st performed in 1978 (Louise Joy
Brown)
 often performed on infertile women with
tubal blockage
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9. Email: enquiry@medicyatra.com
IVF Protocol
 GnRH agonist (e.g. Lupron) for 7 days
 FSH agonist (follistim, Gonal-F,
Repronex) until follicles measure 17-20
mm in diameter (8-14 days)
 hCG given to induce egg maturation
 Egg retrieval (transvaginally) 34-35 h
later
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10. Email: enquiry@medicyatra.com
IVF protocol
 sperm and ova added to dish;
fertilization occurs 12-14hrs.
 eggs transferred to new dish and cell
division occurs
 embryos squirted into uterus (optimal
stage: blastocyst)
 Preimplantation genetic diagnosis
(PGD)
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11. Email: enquiry@medicyatra.com
IVF Protocol, cont’d.
 3 to 5 embryos are injected to increase
chances of pregnancy
 woman given progestagen to prevent
miscarriage
 Example of prices:
– http://www.advancedfertility.com/ivfprice.htm
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12. Email: enquiry@medicyatra.com
IVF Protocol, cont’d.
 new variations / improvements:
– Intracytoplasmic sperm injection (ICSI)
– use of frozen embryos
 27,000 attempts made per year; 18.6%
successful (success rates are increasing)
 http://www.advancedfertility.com/sampleivfcal
endar.htm
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13. Email: enquiry@medicyatra.com
IVF, cont’d.
 Ethical questions:
– will it lead to selective breeding?
– up to what stage can research be done?
– if embryo dies in vitro, is it abortion,
murder?
– what should be done w/ unwanted
embryos?
– should government regulate research?
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14. Email: enquiry@medicyatra.com
GIFT and ZIFT
 GIFT = gamete intrafallopian transfer
 useful for tubal blockage
 ova are collected and inserted into
oviducts below point of blockage
 husband’s sperm are placed in oviduct
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15. Email: enquiry@medicyatra.com
GIFT and ZIFT
 woman is treated with hormones to prevent
miscarriage
 28% successful
 ZIFT = zygote intrafallopian transfer
 ZIFT is like IVF, only zygotes (1 cell stage)
are inserted below blockage in oviduct (24%
success rate)
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16. Email: enquiry@medicyatra.com
Others
 Ovarian stimulation protocol
 Surrogate pregnancy
 Adoption
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