www.mandakiniinfertilitycentre.com
Mandakini Fertility & IVF Centre
Assisted Reproductive Techniques
Infertility
Our goal is to identify the cause of the infertility, offer procedures available and initiate therapy as quickly, efficiently and inexpensively as possible. After a thorough examination you and your partner will undergo a series of tests that require joint investment of time, money, physical and emotional energy. For each diagnostic etiology there is indeed a proper approach. We can usually find a cause in 90% of couples after complete evaluation. Evaluation and treatment does not mean success but at least helps you understand the reason of your infertility better.

What is infertility?
Inability to have children is infertility after one year of regular unprotected coitus. Either Male or Female or both factors may be responsible for Infertility.

Initial consultation
All couples wishing to have fertility treatment attend an initial consultation with our consultant in Mumbai. Patients from other countries wanting infertility treatment in India can avail facilities of email consultation. At the initial consultation, the infertility, medical and surgical histories of both partners are reviewed. Both partners are given a full medical examination. Further tests that will be considered necessary are arranged immediately.

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Investigative and treatment facilities
Many of the patients have been fully investigated elsewhere. However, some patients have had some or none of the preliminary investigation and we offer all investigative facilities, including hormone profiles, detailed semen examination, laparoscopy with dye test & hysteroscopy at our clinic in Mumbai.
In addition, all endoscopic surgical treatment procedures such as division of adhesions, diathermy of endometriosis, laparoscopic tubal surgery & myomectomy are all performed at our centre. A list of investigations required will be provided to the patient at the time of initial / email consultation.
 
Wife
:
HB, CBC, ESR, Blood Group, Blood Sugar, HIV1&2,VDRL, HbSAg, HCV, X-ray Chest (if needed),
ECG (if age>30years), Urine,  Baseline hormonal evaluation of fertility hormones and a pelvic ultrasound.
Husband
:
HB, CBC, ESR, Blood Group, Blood Sugar, HIV1&2,VDRL, HbSAg, HCV,  Semen analysis and culture if needed.

What are the evaluations required?
Your fertility evaluation is designed to answer four basic questions, which correspond to the four phases of successful fertilization.

  1. Is there an egg?
    The female partner’s eggs need to be released regularly

  2. Are there enough sperm?
    The male partner must produce enough active sperm.

  3. Can egg and sperm meet?
    The egg and sperm must be able to meet in order for fertilization to occur

  4. Can implantation occur?
    A fertilized egg must implant in the uterus.

Male Factors
In approximately 40% of the couples, male factor is the sole contributory cause of infertility. Hence a proper semen analysis is very important. It is an accurate measurement of total number of sperms, their motility and their normality. Extended sperm function tests may be needed depending on the initial evaluation. A Testicular Biopsy may be needed in certain cases.

Female Factors
Approximately 40% of patients are infertile due to female factors. The common causes of female factor infertility are given below along with the tests needed for their evaluation. 

A
Ovarian Factor: This is the commonest cause of female infertility. Tests required for this include Basal Body Temperature chart, endometrial biopsy & follicular monitoring.
B
Uterine and Tubal Factors: Testing for both these is usually done in combination. This is to determine the size and shape of the uterus and any abnormality in it. It also tests for the tubal patency at the same time.
  • Hysterosalpingography (HSG) HSG is an X- ray procedure done under fluoroscopy control in the X - ray clinic. It involves placing a dye in the uterus and seeing the spill of this dye through the tubes. It usually causes slight discomfort and a cramping for 1-2 hours after the procedure. To minimize any discomfort, an injection will be given half an hour before the procedure and an antibiotic for 3 to 5 days, post procedure.
  • Hysteroscopy with laproscopy and chromopertubation. Hysteroscopy and Laparoscopy are done under anesthesia in the operation theatre & help in visualization of pelvic structures & patency of tubes. A single day's stay is required in hospital.
C
Hormonal evaluation: Tests to check the proper functioning of all the fertility hormones is done as a baseline on the day 2 or 3 of the period by a blood test.
D
Ultrasound of the pelvis (USG): This is done to evaluate and identify any abnormality in the pelvis. In certain cases we may also need 3-D USG
Procedures/Surrogacy services