REPRODUCTIVE MEDICINE ,INFERTILITY AND IVF





REPRODUCTIVE MEDICINE ,INFERTILITY AND IVF .


Reproductive Medicine, Infertility and IVF. We also specialize in critical care in obstetrics. All Gynaecological procedures and Oncology


Name of the Consultants :
  • Dr. Indrayani Hatwar, IVF Specialist

  • Dr. Nishad Chimote, Embryologist

  • Dr. Namrata Rathod, Obstetrician & Gynaecologist

  • Dr. Meera Har Prasad, Obstetrician & Gynaecologist




  • In Vitro Fertilization (IVF) is an extremely effective procedure for people hoping to build their family. It is a complex process with multiple phases. In vitro fertilization (IVF) the eggs (oocytes) are retrieved from a woman's ovaries after she has undergone controlled ovarian hyperstimulation. Then the sperm and the eggs (oocytes) are combined in a laboratory. The resulting embryos are assessed for quality, and one or more are placed in the uterus through the cervix.
    IVF is by far the most commonly used high-tech fertility treatment, accounting for more than 99 percent of assisted reproductive technology (ART) procedures. About 1.5 percent of babies born in the United States are conceived using ART.
  • When to see Fertility Specialist:
    There are many things to consider as you plan for pregnancy and parenthood. Throughout your decision-making process, many factors affect you physically, emotionally, and financially. When you are ready, our dedicated team of experts can help you develop a customized treatment plan that works best for your family. When faced with a complex condition called infertility, we help you in identifying the basic cause of infertility in either male or female partner or plan out a multidisciplinary approach to deal with the issue successfully.
  • Life style factors:
    Life style factors also plays an important role in treatment of infertility. Proper nutrition and adequate exercise Yoga and Pranayama are important factors in preparing your body for conception and a healthy pregnancy. Cutting out unhealthy habits such as smoking, drinking, and substance or drug abuse is important for your general wellness, and takes on an added level of importance if you are trying to conceive.
  • Why Choose us:
    Center of Excellence coupled with compassionate and personalized approach. We are honored to join you on your path to parenthood. From your first visit and consultation we strive to ensure that every interaction you have with us will be full of only trust, positivity, commitment and fulfillment.
    ICON IVF Center is a special blend of medical expertise, pioneering technology, stringent standards along with most recent technology and methods promising and enhancing the results of fertility treatment at par with international standards.
  • ivf

  • • This is a most useful tool for the diagnosis and management of female infertility.
    Within a matter of a few seconds it is possible to diagnose problems in the uterus such as a thin endometrium, intrauterine adhesions, endometrial polyp, submucous fibroid, uterine septum, arcuate or subseptate uterus.
    With the newly acquired 4-D machine (Samsung R7) we can reconstruct the entire womb (uterus) in a 3-D fashion to accurately diagnose problems with uterine structure and receptivity.
    Also, color Doppler would show the blood flow to the uterus and help in the timing of the embryo transfer and predict the chances of pregnancy.
    Also, TVS can diagnose problems with the fallopian tube if a hydrosalpinx is seen (indicative of a blocked tube) and diagnose ovarian conditions such as ovarian simple cyst, endometriosis (chocolate cyst) and other such pelvic pathologies. It is possible to predict the nature of the lesion as to whether it is benign or malignant in nature and whether any surgical correction is required for the same. With this kind of detailed evaluation it is possible to avoid unnecessary hysteroscopies and laparoscopies before proceeding with IVF. The clinic tries to avoid unnecessary surgical procedures. Furthermore, in most cases of tubal factor infertility such as blocked tubes it is mandatory to rule out the presence of a proximally patent hydrosalphinx (blocked tube which is filled with infected water which can still enter the uterus). This would imply drainage of potentially infected fluid draining into the uterine cavity thereby reducing IVF implantation rates from 40% to 5%. If we diagnose a hydrosalphinx on TVS ultrasonography we know that the patient needs an operative laparoscopy to first rectify this condition before embarking upon the IVF program.

  • TVS is also the main tool for interventional surgical work such as oocyte retrieval (egg recovery) for IVF and ICSI. We also offer TVS ultrasonography for monitoring of early pregnancy, diagnosing twins, and presence of a tubal pregnancy or complications such as ovarian enlargement, hyperstimulation, ascites and ovarian torsion for our pregnant patients.
    • Sonography during pregnancy for fetal wellbeing

    • Sonography for screening fetal anomalies

    • Follicular study

    • Sonography guided Ovum pickup

    • Sonography guided Embryo transfer

    sonogrophy

  • Female Infertility:
    Countless factors affect fertility in women. Some of the most common include ovarian aging, ovulation disorders, fallopian tube damage, and uterine abnormalities.
    Women are born with a finite number of eggs, and it is normal for the egg supply to decline in both number and quality over time. The chance of pregnancy decreases about 3–5% each year after the age of 30, and women above the age of 40 may find it challenging to conceive. Ovulation disorders may cause irregular cycles and make conception difficult. Damage to the fallopian tubes can prevent fertilization and make getting the embryo to the uterus a challenge. Anatomic differences in the uterus, such as polyps or fibroids, may disrupt the normal implantation process.

  • Male Infertility:
    Statistics show that up to 50% of infertility problems among couples can be traced to male medical conditions. Nearly one in ten men will experience infertility. It is critical for men to be tested as soon as a couple realizes they are having trouble conceiving.
    At ICON IVF and test-tube baby center, men with an abnormal semen test are evaluated by a experienced male surgeon with knowledge of male reproductive issues and experience in overcoming those issues.
    Male infertility can be caused by a number of problems:
    Smoking , Alcohol, Diabetes
    Erectile dysfunction
    Hypospadias / Epispadias
    Undescended testis or torsion testis or cancer
    Abnormal / retrograde or premature ejaculation,
    Varicocele (varicose veins of the testicle),
    Blockage of the vas deferens (following vasectomy or surgery for hernia or hydrocele or infections)
    Abnormal hormones,
    Our evaluation includes a detailed history, physical exam, and semen analysis. Further testing may include hamonal tests (blood test), an ultrasound, or genetic testing. Depending on the cause of male infertility, we treat patients with a combination of lifestyle changes, medications, and sometimes surgery. Our goal is to do everything we can to maximize a couple’s ability to achieve a pregnancy.

    • Female Patients
    • Hysteroscopy
      With the help of telescope and endocamera placed inside the uterine cavity via the vagina, various theurapeutic procedures like removing fibroids, polyps, scar tissue, or a uterine septum can be performed
    • Laparoscopy
      Minimally invasive modality to remove fibroids, ovarian cysts, abnormal fallopian tubes, scar tissue, and endometriosis.
    • Laparotomy/Open Surgery
      A larger incision on the lower abdomen (similar to a cesarean section type of incision) may be necessary to safely perform your surgery in case of removing huge fibroids & very complicated endometriosis, Tubal Recanaliztion For tubal reanastamoses (reconnecting previously surgically blocked fallopian tubes). A 1–2 night hospital stay is typical for these types of surgeries.
    • Egg Retrieval
      The procedure to remove eggs from ovaries is routinely used for patients undergoing IVF or egg freezing. Ultrasound is used to guide a small needle into the ovaries. Fluid in the follicles is aspirated through the needle, the eggs detach from the follicle wall and are removed from the ovary.
      Male Patients
    • Varicocelectomy
      Dilated veins in the testicle can affect sperm quality. Surgeons at ICON infertility center will surgically remove or ligate the dilated veins via a very small incision in the groin area.
    • Vasectomy Reversal (Vasovasostomy or Vasoepididymostomy)
      The surgically separated vas deferens are reconnected via a small incision made on the testicle, allowing sperm to return to the seminal fluid.
    • Sperm Retrieval
      Depending upon the specifics of your case, your surgeon may need to perform a surgical procedure in order to make sperm available for conception, as opposed to traditional ejaculation. Sperm can be retrieved directly from the testicle via a small incision. A larger incision is sometimes required in cases where there are few sperm and they are hard to locate.
    fertility
    IUI is a common fertility treatment option used for a number of different infertility issues, including:
  • Male-Factor Infertility,

  • Unexplained Infertility,

  • Cervical-factor Infertility

  • Sexual Dysfunction, and

  • Use of Donor Sperm.

  • IUI is a simple OPD procedure whereby the sperm is prepared by various semen washing techniques, and then placed directly inside a woman’s uterus. This can boost the chance of becoming pregnant. The male partner provides a semen sample the day his partner ovulates. The sperm are washed, analyzed, concentrated, and prepared. In the case of frozen donor sperm, the specimen is thawed, analyzed, and prepared.
    A speculum and a small catheter are used to place the sperm directly into the uterus. At least one fallopian tube must be open for conception to occur. The procedure is painless and does not require activity restrictions afterward. We recommend a pregnancy test two weeks after IUI.
      It is a complex process with multiple phases; we are committed to helping you understand what to expect in each phase and will support you every step of the way.
    • Ovarian Stimulation
      In a normal menstrual cycle, just one egg develops and matures. The egg matures within a fluid-filled sac called a “follicle” which can be seen on ultrasound. In an IVF cycle, injectable gonadotropins are used, for approximately 8 to 12 days, to cause multiple eggs/follicles to develop. On day 3 of cycle, blood samples are tested every 1 to 3 days to monitor the level of estradiol (a form of estrogen) in your blood. Vaginal ultrasound monitoring of the ovaries will also be used to follow follicular growth.
    • HCG/Lupron Injection and Egg Retrieval
      When ultrasound and blood estradiol levels indicate that the follicles are ready, you will be notified to give the hCG or Lupron injection at a specific time. The egg retrieval is usually performed 36 hours after the injection. Typically, under short general anaesthesia for a pain free procedure a transvaginal ultrasound is used to guide a needle biopsy of both ovaries in order to remove the eggs, without any incision or scar. The male partner then collects a fresh semen specimen the day of egg retrieval. You will go home the day of procedure, but we recommend that you do not return to work or do anything strenuous.
    • Fertilization of the Eggs and Embryo Culture
      The eggs are fertilized the afternoon of the egg retrieval, either by direct incubation next to sperm, or with intracytoplasmic sperm injection (ICSI). The eggs will then be incubated overnight. Over the next few days, the eggs will be examined for signs of fertilization, and growing embryos will be tracked as they divide and grow. Some patients require special therapy such as assisted hatching to enhance implantation.
    • Embryo Transfer
      The final step of IVF is the embryo transfer, where the embryo(s) is gently placed inside your uterus. You will be awake while a soft fine catheter is used to place the embryo inside with ultrasound guidance. Your partner or a friend may be with you during the transfer.
    • Embryo Freezing
      Any remaining viable embryos will be frozen/cryopreserved. These embryos can be used in the future without the above procedures (ovarian stimulation and egg retrieval) thus simplifying future attempts. Embryos survive freezing and thawing extremely well.
    • Follow-Up Blood Tests and Obstetrical Appointment
      Your pregnancy test will be 10–12 days after the embryo transfer. When we have determined that the hCG level is rising appropriately, we will schedule an obstetric ultrasound with your primary obstetrician Fertility Preservation:
      At ICON IVF you have the option for fertility preservation -
      • embryo freezing
      • Egg freezing
      • Sperm freezing
      • Testicular tissue aspiration and freezing
      • Donor egg treatment
      • Hormonal treatment
    • Egg Freezing
      Freezing your eggs is a simple process with minimal discomfort. Begin with birth control pills to “quiet” the ovaries. Stimulate the ovaries with medication for 10 days. Retrieve the eggs under light anesthesia (takes about 20 minutes). Then freeze eggs for future use. Who can freeze the eggs:
      • Any Women who want a baby someday, just not today
      • Those who’ve experienced major illness or life changes o that haven’t allowed them to have children
      • Women building their career or completing their education
      • Women who haven’t met their partner yet or late marriages

    Transferring the sick and critically ill newborns carries a high risk of morbidity and mortality. In utero transfer of babies who are detected with life threatening anomalies on antenatal screening tests is the best ever modality that can be offered to the parents.
  • ICU Backup
  • Placenta previa
  • Medical diseases in pregnancy
  • Eclampsia
  • Post Partum Haemorrhage
  • Intra-Operative and Post-Operative Critical Care

    • Hysterectomy
    • Fibroids , Myomectomy
    • Ovarian tumour
    • Cervical Cancer – Screening & Treatment
    • Uterine Cancer
    • Breast Cancer – Surgery and Chemotherapy

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    For direct appointment and Enquiry please feel free to call us on:  0712-2562222, 2525619,
    +(91)-8275044877

    OUR DOCTORS

    Department Doctor Name
    Reproductive Medicine, Infertility and IVF Dr. Indrayani Hatwar
    Dr. Nishad Chimote
    Dr. Namrata Rathod
    Dr. Mira Har Prasad

    Pediatric & Neonatal Surgery, Urology,
    Laparoscopy & Bronchoscopy
    Dr. Sandeep Hatwar

    Join Replacement &
    Orthopaedic Surgeon
    Dr. Karan Kishor Mane

    Anaesthesia & Critical Care Dr. Ravi Gurbani
    Dr. Poonam Patil
    Dr. Gunjan Badwaik
    Dr. Jagdish Rathod

    Pathology Dr. Vikas Ingale

    Bariatric & Minimal Access Surgery Dr. Ahsan Badar

    General Surgery & Laparoscopy Dr. Madhukar Thakare
    Dr. Yunus Shah
    Dr. Pitambar Masram

    General Medicine & Critical Care Dr. Saurabh Rathi
    Dr. Sameer Dasarwar

    Opthalmology Dr. Rahul Tiwari

    Plastic Surgery Dr. Manish Zade

    Urology Dr. Sandeep Deshmukh

    Neurosurgery Dr. Pankaj Sarda
    Dr. Yogesh Shende

    ENT Dr. Bhagyeshree Lonkar

    Faculty
    IVF Specialist
    Embryologist
    Obstetrician & Gynaecologist
    Obstetrician & Gynaecologist

    Pediatric Surgeon

    Joint Replacement & Orthopaedic Surgeon

    Anaesthetist & Intensivist
    Anaesthetist
    Anaesthetist
    Anaesthetist

    Pathologist

    Bariatric Surgeon

    Laparoscopic & General Surgeon
    Laparoscopic & General Surgeon
    Laparoscopic & General Surgeon

    Intensivist & Physician
    Intensivist & Physician

    Vitro-Retinal Surgeon

    Plastic Surgeon

    Urologist

    Neurosurgeon
    Neurosurgeon

    ENT Surgeon