3. In Vitro Fertilization ( IVF )
In vitro fertilization is an accepted medical treatment for
many causes of infertility.
“In vitro” literally means “outside of the body”, hence this is a
reproductive technology in which a female egg is joined with a
male sperm cell in a test tube (in vitro). The first IVF baby, Louise
Joy Brown, was born in England in 1978. It is most often tried
when other, less expensive fertility techniques have failed.
Why the procedure is performed ?
IVF is done to help a woman become pregnant. It is used
to treat many causes of infertility, including:
4. • Advanced age of the woman (advanced maternal age)
• Damaged or blocked fallopian tubes (can be caused by
pelvic inflammatory disease or prior reproductive surgery)
• Endometriosis
• Male factor infertility, including decreased sperm count
and blockage
• Unexplained infertility
For IVF to be successful it typically requires healthy ova, sperm that
can fertilize, and a uterus that can maintain a pregnancy. Due to
the costs of the procedure, IVF is generally attempted only after
less expensive options have failed.
5. What happens if a female dosent produce healthy eggs or if male
is sterile ?
IVF may be done with a couple’s own eggs and sperm or
with donor eggs, sperm, or embryos. Some couples choose to use
donor eggs, sperm, or embryos because of genetic concerns.
Donor eggs are used in approximately 10% of all assisted
reproductive technology (ART) cycles.
IVF can also be used with surrogacy where the woman providing
the egg isn't the same who will carry the pregnancy to term. This
means that IVF can be used for females who have already gone
through menopause. The donated oocyte can be fertilized in a
crucible. If the fertilization is successful, the embryo will be
transferred into the uterus, within which it may implant.
There are five basic steps to ivf
6. Step 1: stimulation / super ovulation
Medicines, commonly called fertility drugs, are given to
the woman to boost her egg production. Normally, a woman
produces one egg per month. Fertility drugs tell the ovaries to
produce several eggs. During this step, the woman will have
regular transvaginal ultrasounds to examine the ovaries and blood
tests to check hormone levels.
Step 2: egg retrieval
A minor surgery, called follicular aspiration, is done to
remove the eggs from the woman’s body. The surgery is normally
done as an outpatient procedure in the doctor’s office. The
woman will be given medicines so she does not feel pain during
the procedure. Using ultrasound images as a guide, the health care
provider inserts a thin needle through the vagina and into the
ovary and sacs (follicles) containing the eggs. The needle is
connected to a suction device, which pulls the eggs and fluid out of
each follicle, one at a time.
7. The procedure is repeated for the other ovary. The woman may
have some cramping after the surgery, but it usually goes away
within a day. In rare cases, a pelvic laparoscopy may be needed to
remove the eggs.
If a woman does not or cannot produce any eggs, donated eggs
may be used.
Step 3: insemination and fertilization
The man’s sperm is placed together with the best quality
eggs and stored in an environmentally controlled chamber. The
mixing of the sperm and egg is called insemination. The sperm
usually enters (fertilizes) an egg a few hours after insemination. If
the doctor thinks the chance of fertilization is low, the laboratory
staff may directly inject the sperm into the egg. This is called
intracytoplasmic sperm injection (ICSI). Many fertility programs
routinely do ICSI on some of the eggs even if everything is normal.
8. Step 4: embryo culture
When the fertilized egg divides, it becomes an embryo.
Laboratory staff will regularly check the embryo to make sure it is
growing properly. Within about 5 days, a normal embryo has
several cells that are actively dividing.
Couples who have a high risk of passing a genetic (hereditary)
disorder to a child may consider pre-implantation genetic
diagnosis (PGD). The procedure is done about 3 -4 days after
fertilization. Laboratory scientists remove a single cell from each
embryo and screen the material for specific genetic disorders.
According to the American Society for Reproductive
Medicine, PGD can help parents decide which embryos to
implant, which decreases the chance of passing a disorder onto a
child. The technique is controversial and not offered at all centers.
9. Step 5: embryo transfer
Embryos are placed into the woman’s womb 3 - 5 days
after egg retrieval and fertilization. The procedure is done in the
doctor’s office while the woman is awake. The doctor inserts a thin
tube (catheter) containing the embryos into the woman’s
vagina, through the cervix, and up into the womb. If an embryo
sticks to (implants) in the lining of the womb and grows, pregnancy
results.
More than one embryo may be placed into the womb at the same
time, which can lead to twins, triplets, or more. The exact number
of embryos transferred is a complex issue that depends on many
factors, especially the woman’s age. Unused embryos may be
frozen and implanted or donated at a later date.
Prognosis
After embryo transfer, the woman may be told to rest for
the remainder of the day. Complete bed rest is not
10. Most women return to normal activities the next day.
Women who undergo IVF must take daily shots or pills of the
hormone progesterone for 8 - 10 weeks after the embryo
transfer. Progesterone is a hormone produced naturally by the
ovaries that helps thicken the lining of the womb (uterus). This
makes it easier for the embryo to implant. Too little
progesterone during the early weeks of pregnancy may result
in a miscarriage.
About 12 -14 days after the embryo transfer, the woman will
return to the clinic so that a pregnancy test can be done.
Call your health care provider right away if you had IVF and
have:
11. • A fever over 100.5 F (38 C)
• Pelvic pain
• Heavy bleeding from the vagina
• Blood in the urine
How successful is in vitro fertilization
The success rate of IVF clinics depends on a number of
factors including patient characteristics and treatment approaches.
It is also important to understand that pregnancy rates are not the
same as live birth rates. In the United States, the live birth rate for
each IVF cycle started is approximately:
12. • 30 to 35% for women under age 35
• 25% for women ages 35 to 37
• 15 to 20% for women ages 38 to 40
• 6 to 10% for women ages over 40
What is medical tourism?
Medical tourism, also known as health tourism or health travel, is
a term that describes travelling to a foreign country for
medical, dental, or cosmetic treatment. It involves the benefit of
cost effective treatment, private medical care, in collaboration with
the tourism industry. The concept of medical tourism is fast
growing in India and people from different part of the world are
choosing India as their desired destination.
13. Why Choose India?
Medical tourism is a rapidly growing sector in India and millions of
medical tourists from all over the world have come here to
experience a world-class healthcare service.
In 2010, about 600,000 patients travelled to India from over 30
countries for treatment, including the USA, Canada, UK, Russia, the
Middle East and Africa.
According to a study by the Confederation of Indian Industry (CII)
on healthcare, after software, the medical tourism industry is
poised to be the next big success story in India. It has predicted
that the industry will grow to earn additional revenue of $2.3
billion by 2012 and will soon account for a major share of the
country’s revenue.
14. There are several reasons behind this tremendous growth:
Patients come to India to get specialized treatments not
available in their home country. Indian hospitals excel in
performing complex cardiac surgeries, kidney
transplants, bone marrow transplants, orthopedic
surgeries, infertility treatments amongst their wide repertoire.
India provides world-class quality treatments at a fraction of
the priceof developed countries. The cost of medical treatment
in India is generally one tenth of western countries and among
the cheapest in Asia.
India has state of the art medical institutes and hospitals of
international standards with highly qualified medical
professionals.
15. These centers are backed by high quality equipment and
technology. This fusion of highly qualifiedstaff assisted by the latest
equipment gives India the edge over other countries.
With hospitals and clinics in every region including urban, semi-
urban, or rural parts of the country, India has ample choice in
terms of preferred destinations.
In countries such as Canada and the UK, patients almost always
have to wait weeks and sometimes months to avail of medical
treatments. In India the consultations with the doctors are prompt
and patients receive a turnaround to their treatment plan at a
quicker pace.
As English is a commonly spoken language in India, the patient will
be comfortable communicating with the doctors.
16. Medical tourists find that the cost of their treatment (including the
return airfare, holiday and accommodation) leaves them with a
total bill substantially less than they would have spent just on
having the procedure in the UK.
Why Arman
There are several concerns that flicker in the minds of the
foreigners who come for treatment to India, particularly for first
time fliers. The first among them is which hospital to choose for
their treatment.
India is flooded with hospitals, medical centers and hotels which
have their websites that attract the foreign patients. This makes
them even more confused and the complexity of decision making
becomes a challenging task.
We, at Arman can address all these concerns and issues by acting
as intermediary with hospitals, clinics, surgeons, hotels.
17. Arman is a healthcare facilitator that has painstakingly brought
together highly qualified professionals and hospitals of repute and
health care providers.
We take the responsibility of screening the hospitals by checking
their track record, accreditations, associations and have partnered
with the best internationally accredited hospitals in India.
Arman update and monitor our network of hospitals on a regular
basis and maintain a database on the hospital’s certifications, type
of facilities and other factors critical in choosing a medical center.
Arman also negotiate a lower price from the hospital which foreign
patients would not get by directly approaching the hospitals This
helps the patient to save a lot on the medical procedure costs
We provide assistance with logistics, documentations, permits
and other travel arrangements required for medical tourism.
18. Our coordinators are highly trained to foresee every need of the
patient and make the entire process hassle free from start to finish.
They help the patient plan his medical procedures before leaving
home, and schedules all his appointments, surgery, treatments
and plans for recuperation.
This in turn helps the patient to choose the hospital according to
his convenience and also get a clear picture of the cost of
treatment, accommodation beforehand that helps them to
arrange their finance.
We are aware that a lot of trust is put in our hands and ensure that
this trust is well placed by serving each patient individually with
care and comfort.
How We Work
Patient query received by the patient himself or his doctor/
hospital.
19. This query along with medical reports is forwarded to the
concerned hospitals to get expert opinions
After the hospitals respond, we create a package for the patient
which includes recommendation on the treatments, duration of
stay, and the costs involved.
The patient reviews the various options presented to him and
makes a decision based on budget and the line of treatment
recommended by the doctors. Occasionally, a patient may clarify
his concerns or questions he may have regarding the treatment
with the doctor by telephone.
In liaison with the patients, Arman representatives will make prior
bookings with the hospital, airlines, hotels.
Patient travels and checks into hospital to start the treatment. We
provide assistance through out your stay in the hospital which
include pre and post opeartive care.
20. Once fit and able to travel, the patient if wishes can enjoy the vast
tourist destinations within India before returning to their home
country fully rejuvenated. (at an additional
cost)(ebranding/mum/ts/19)
Arman Health Care Facilitators
OUR OFFICE IN INDIA
422, Bonanza, 'B' Wing,Sahar Plaza Complex, Next to Kohinoor
Hotel,
Andheri Kurla Road, Andheri East Mumbai India 4000059.
Contact: land line No: ( 022-28387433 )
Email :enquiry@armancare.com
21. OUR OFFICE IN CONGO
Arman Health care Facilitators,Gallery Saint-Pierre, 36 local
UtexAfrica Advanced ,AV 374 VolonelMondjiba,Kinshasa /
Ngaliema,DRC Mobile : +243998290384
OUR OFFICE IN KENYA
Arman Health Care Facilitators C/O Doctor Pharma Kenya Limited
Vision Tower, Muthithi Road,
Westlands, Nairobi,Kenya.Contact: Telefax:(+254)722330329
Email : doctorpharmamt@gmail.com
Web:-
http://www.armancare.com/gynecology_fertility_treatments.html
ebrandingindia_s21
