Is it in common belief that ART is an expensive method. While it is indeed expensive, not all patients require complex treatments. At times, depending on cases, simpler methods like TI and IUI is all that is needed. We offer a variety of services to be used based on the diagnosis of patients.
Thorough Subfertility Couple Counselling
We understand that ART is a stressful process, involving a lot of physical and emotional tension. Our endeavour is to relax the couple by minimizing the number of clinical visits and investigations and offering the best advice by interaction. Anyone can approach Creator’s IVF Nepal for their fertility treatment without any hesitation. The treatment starts from the discussion of all the previous history of both the partners and thorough examination is done for both male and female partners.
Comprehensive Subfertility Workup of Subfertile Couple
Detailed clinical history is taken. Basic investigations i.e. blood tests for both partners are done. Detailed semen analysis is done. Instead of performing Hysterosalpingography (HSG) or SSG (Sonohysterosalpingography) routinely, it is advised only to those who have positive history for tubal damage.
Transvaginal Sonography (TVS) of Subfertile Couple
All female partners are advised for basic TVS to exclude any pathology. As per need they are referred to radiologist for further detailed sonography.
Sonohystero Salpingo Graphy (SSG)
Those patients who have positive history for tubal damage are suggested to undergo SSG under Power Doppler Ultrasound.
Timed Intercourse (TI)
This is the first line of infertility treatment in this centre for couples who have unexplained infertility. In this protocol, female partner gets ovarian stimulation if their Menstrual Cycle (MC) is irregular (no stimulation if MC is regular) and then is advised for serial TVS to monitor follicular development. As soon as follicle becomes mature, ovulation is induced and their sexual intercourse is timed.
Intra Uterine Insemination (IUI)
IUI is mainly for those couples who have mild male factor infertility i.e. low sperm count and motility. In this procedure, concentrated and processed sperms with high motility are placed directly in the uterus. This protocol is also advised for unexplained infertility, who have failed three cycles of TI and with cervical factor for subfertilty.
In-Vitro Fertilization and Embryo Transfer (IVF-ET) (Regular/Batch)
IVF-ET or In-Vitro Fertilization and Embryo Transfer involves retrieval of eggs from the ovaries of the female under ultrasound guidance, fertilizing these eggs in the controlled environment of the laboratory with the sperm of the male partner and after a short time interval transferring the embryo back into the uterus. This procedure is best suited to the needs of:
- Women with blocked fallopian tubes
- Persistent anovulation
- Unexplained infertility after 3-6 failed IUI cycles
Regular and Batch IVF
We offer regular and batch IVF depending on the case and suitability of the patient. In case of regular IVF, IVF protocols can be adopted according to the need of the patient like IVF Long Protocol, IVF Short Protocol, IVF Antagonist Protocol, etc whereas in case of batch IVF, the only protocol that can be used is the given ultra long protocol.
Patients for whom regular IVF is suitable find that the treatment time is shorter and the required quantity of hormonal medicines is also less. This makes regular IVF comparatively cost effective than batch IVF.
Intra Cytoplasmic Sperm Injection (ICSI)
Intra-Cytoplasmic Sperm Injection (ICSI) differs from conventional In Vitro Fertilisation (IVF) in that the embryologist selects a single sperm to be injected directly into an egg, instead of fertilisation taking place in a dish where several sperms are placed near an egg. More than 90% of couples treated will have the same chance of a healthy pregnancy and delivery as in conventional IVF.
Two main groups of patients may be suggested ICSI:
- Patients who have a severe sperm problem, which prevents them in even attempting conventional or a modified form of IVF.
- Patients who have previously attempted IVF but have failed to achieve fertilisation (generally on more than one occasion
Cryopreservation of Sperm
Sperm from ejaculated samples or from surgically retrieved samples can be stored for future use either for artificial insemination or other fertility treatments, or be donated. Sperm cells have been frozen, thawed and successfully used in treatment for more than 40 years, although not all sperm survive the freezing process. Freezing of sperm is suggested to the male patient who choose to freeze their sperm prior to starting treatment or prior to a vasectomy and to those who are opting for medical treatments such as chemotherapy which can affect fertility and sperm quality.
Vitrification (Oocytes & Embryos)
Vitrification is a new method of preserving oocytes (eggs) and embryos. Once vitrified, oocytes and embryos may be preserved for many years. Patients worried about having to preserve extra embryos that are not transferred may now choose to vitrify prior to conception, allowing for many different options after the fresh cycle is complete. This new technology also allows patients a way to preserve their fertility for later in life.
- Sperm Donation: Sperm Donation is done with couples informed consent and is advised for severe male factor as well as to them whom ICSI is not affordable.
- Oocyte Donation: Analogous to the donor insemination programme for males, this procedure is for females suffering from premature ovarian failure and for women with advanced age. In this programme, the patient receives donor oocytes in lieu of using her own for the IVF-ET process.
- Embryo Donation: Embryo donation is done with full consent of both partners.
TESA (Testicular Sperm Aspiration)
Sperm is surgically extracted directly from the testicles by passing a fine needle directly into the testicle. A small amount of seminiferious tubules is extracted and examined for spermatozoa.
This centre offers sperm banking service to men who may want to have children in the future, but current circumstances prevent them from becoming parents through traditional methods. This service would help military personnel deployed overseas, men suffering from cancer or other disease treatments which cause infertility, and many other situations.