Recurrent IVF failures- 'A burning issue of society'

Indian medical fraternity lacks guidelines for IVF regarding the type & standard of lab and instrumentation required. Also, no specific education and qualifications are fixed for an embryologist and the biggest menace is free lancing of embryology which directly impacts the results negatively and thereby increases IVF failures in the society.

Main issue in the recurrent failure cases is female egg quantity and quality as multiple attempts depletes the ovarian reserve thereby leading to more failures and thereby needing third party donation. So a structured method adopted from day one of IVF treatment can guarantee a lesser need for third party donation.

To improve the IVF results and reduce recurrent failures couples should keep a track of the below:

(1) Visit only experienced IVF specialist which cannot be a routine Gynecologist.
(2) Need to choose state of the art and advanced IVF lab with high tech instruments with proper QA/QC in the lab
(3) In house experienced embryologist team
(4) Only Day 5 embryo transfer
(6) Freeze more embryo and spare more qualitative embryo transfer after one month period.
(7) Use of advance technique like PGS and ERA in selected patient

At WINGS, we offer patients 'least trial concept', our own smart IVF concept where we are interested to give pregnancy in less than two trials which will decreases the financial, physical and psychological trauma to the patients.

You can know more by logging onto www.wingshospitals.com

Comments

When and where to start the IVF treatment?

Patients are confused about the time to start the IVF treatment. Should the age be considered as the parameter or the duration of the treatment? In Indian female, age beyond 35, IVF will be a better option. More than 5 years of infertility period again strongly indicates IVF treatment . At any point, if AMH is less than 2.0, IVF is strongly indicated. In the era of IVF treatments, 3 IUI attempts are enough. Due to lack of regulations, patients are confused where to start the IVF treatment. There are no set parameters to indicate which is the best centre for IVF treatments. But according to me, the following criteria is important in a IVF centre: • More than 5 years of specialty infertility experience of the doctor. • Most latest technology with 0.3 micron clean air modular lab. • In-house and more than 5 years experience of embryology team. • Atleast one triple gas bench incubator. • Day 5 embryo transfer & freeze more strategy for all. Advanc...

How can we treat zero sperm count...???

Male Infertility increased day by day in which out of 50-100 percent of patients can get pregnancy by their own sperm. 2 variety can be seen in the population : 1) problem in production 2) travelling obstruction Maximum result and confidence can be explained to those who are having obstruction.which means there will be a obstruction from testis to ejaculation in the travelling component. So Doctor can obtain sperm by small needle aspiration. In difficult condition we can do Micro Tessa to retrieve best sperm.The most difficult scenario is problem in production. Our strong belief is to give minimum two month medical management on the basis of testosterone and estrogen. 25-30 percent can retrieve healthy sperm by a technique MicroTessa if required.we offer only Day 5 transfer and PGS & ERA in a recurrent failure and previous two abortion cases. Best Infertility Treatment in Ahmedabad - Wings Hospitals

What are the latest trends in infertility management?

The most important and critical advancement is “only day 5 embryo transfer with freeze more strategy” • As at WINGS, we promote own egg pregnancy in any difficult situation through latest trends in infertility. As mentioned earlier, embryo freezing in advance maternal age (>35y) is the answer. We have to decide clinically whether we do it with or without PGT which is another current advancement option to increase the results. • Currently, egg freezing has also passed the experimental stage. Egg freezing is a good option specially in women detected with any cancer and also for young unmarried women with endometriosis and women who want to plan pregnancy at advance age. • Ovarian Tissue cryo preservation will be also possible in the near future. • Before going for surrogacy option, platelets rich plasma(PRP) and stem cell therapy are possible treatments in very thin uterine lining with multiple ivf failures. • We offer a Kid's embryo scoring software that h...

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