There are many people who contribute to your care while you are in hospital. Numerous people and services work together to provide you with successful treatment in a hospital, from medical assessments and daily treatment...
Primary infertility and IVF treatment. When a couple is already under pressure trying for kids, it’s always a blessing to have a doctor who can guide us in the right way. Dr. Rinki Tiwari has...
We met Dr. Rinke for consultation as I had a history of PCOS and endometriosis. What we liked was she was very thorough and clear in explaining the need for different tests, medicines and the...
Dr. Rinkee Tiwari is the best Gynecologist Specialist in Gachibowli, Hyderabad. She is expert and specialized in the treatment of Reproductive Endocrinology, Ovulation Induction, IVF Treatment, IUI Treatment, IVM Treatment, Embryo Transfer, ICSI, PICSI, IMSI
Today all our dreams had come true because of Dr.Rinkie madam me and my wife had consulted many doctors but no own has made our dream true but when we meet Dr.Rinkie madam for the...
B. Shekar Naidu
What is IVF ?
IVF is the process of taking out mature eggs from the ovary and sperms from male partner and fertilization of an egg outside the body in a lab. Then the implantation of fertilized egg (embryo) in the uterus. IVF is a invasive procedure
Step by Step IVF Process
- Fertility Specialist consultation-
At your first visit doctor will review your history, medical records, scans, investigations and will decide on the decision of IVF , as and when it is required. At this consultation doctor will advise you pre-IVF medications and investigations.
- Treatment beginning and monitoring –
Patient needs to report of day-2 of menses. After basic blood investigation and scans , Hormone injections are started daily up to 8-12 days till the follicles gets mature. These injections are painless and has to be taken on specific time daily. Almost alternate day you need to visit for scans for 8-10 days.
- Trigger injection-
Once you have the best possible number and size of follicles, we schedule your egg collection. You’ll have a trigger injection of hCG in the evening or night, and then we collect the eggs in a daycare surgery procedure 36 hours later.
- Egg collection ( OPU )-
Egg collection is a simple method. This procedure is done under short anesthesia in operation theater under ultrasound guidance with small needle. This procedure takes around 20-30 mins. While it’s a relatively short visit, we recommend you take the day off work. This procedure does not involve any cut or stitch.
- Fertilization in lab-
Retrieved eggs are incubated in culture media. The partner’s semen sample is taken on the morning of egg pickup. There are different methods of fertilization of eggs- conventional IVF or ICSI. But ICSI has better success rate.
- Embryo transfer-
The procedure is painless and can be done without anesthesia. Under ultrasound guidance best quality embryo is transferred in the uterus. Usually 2-3 embryo are transferred, rest embryos are kept for freezing. Embryo transfer can be done in same cycle or in next cycle depends on the patient endometrium.
- Embryo freezing –
If fresh transfer not possible or if after fresh transfer remaining embryos are there, then those embryos will be kept for freezing in lab. Freezing dosent have any impact on embryos.
- Pregnancy Test-
After embryo transfer medicines are given and after 2 wks of embryo transfer blood test is performed to check the result.
Who Need IVF ?
IVF can be used in following condition-
- Tubal pathology- Blocked tubes or impaired tubal function.
- Unexplained infertility-
-If the duration of unexplained infertility is 3 years or longer.
-If women is older than 36 yrs
- Male infertility-
Severe male factor.
Severe impaired count or motility.
- ENDOMETRIOSIS- severe endometriosis
-If mild to moderate endometriosis with duration 3 yrs or longer.
-Women older thn 36 yrs with mild to moderate endometriosis.
Success Rate of IVF ?
The success rate of IVF depends on number of factors including maternal age, the cause of infertility, lifestyle of patient. The women age is one of the most important factor. The pregnancy rates are approximately 45-50% in women less than 35 yrs and 30-35 % in women older than 35 yrs.
What is ICSI?
ICSI involves the injection of single sperm directly into the cytoplasm of oocyte by special ICSI microscope. The ability of ICSI to achieve higher fertilization rates regardless of sperm characteristic makes it the most powerful micromanipulation procedure to treat male factor infertility. After 12-17 hrs of injection eggs are analyzed for fertilization. After ward either fresh embryo is transferred or embryos will be kept for freezing.
Other recent advances in fertilization-PICSI, IMSI.
Today all our dreams had come true because of Dr.Rinkie madam me and my wife had consulted many doctors but no own has made our dream true but when we meet Dr.Rinkie madam for the first time she has given...
B. Shekar Naidu
Primary infertility and IVF treatment. When a couple is already under pressure trying for kids, it’s always a blessing to have a doctor who can guide us in the right way. Dr. Rinki Tiwari has been a blessing to us....
We met Dr. Rinke for consultation as I had a history of PCOS and endometriosis. What we liked was she was very thorough and clear in explaining the need for different tests, medicines and the treatment path that would work...