Dr. R.K. Sharma is one of the finest infertility specialists in India. He has more than 30 years of clinical experience and has brought the joy of parenthood to thousands of families. Dr. Sharma is presently working as Director and HOD of the Institute of Reproductive Medicine and IVF Center at Primus Superspeciality Hospital, New Delhi. He has also been associated as Head of the Department at Command Hospital (Southern Command) AFMC Pune & Army Hospital (R&R) Delhi. Dr. Sharma had completed his MBBS from Pune University in the year 1981. Later, in 1989, he completed MD in Obstetrics & Gynecology from Pune University. In the year 1995, he had undergone training in IVF at Bombay Hospital. Apart from the clinical field, Dr. Sharma is also very much active in the education field. He is the supervisor for Ph.D. in reproductive medicine and is the examiner for the UPSC board. He is the examiner for Post-Doctoral fellowship in Reproductive Medicine DNB India and is also an advisor to many ART programs of Government Medical College & Pvt. Institutes in India.
Dr. R.K. Sharma is an expert in handling complex infertility cases. He has the experience of performing more than 15000 IVF cases with a high success rate. He established the IVF centers at Army Hospital R&R and Command Hospital (Southern Command) Pune. His area of interest includes IVF, gynecology and obstetrics, and endoscopy. He is involved in developing protocols and guidelines for IVF processes in India. He has delivered several lectures and presentations on various aspects of infertility. He had attended several conferences nationally and internationally and is the reviewer of various national and international journals. Dr. Sharma is an esteemed member of various organizations such as the Endoscopy Society of India, ISAR, and Federation of Obstetric and Gynecological Societies of India (FOGSI).
The natural process of fertilization involves the conjugation of an egg and sperm inside the woman’s body. In-vitro-fertilization (IVF) is the procedure that involves the conception of an egg outside the body in a laboratory. IVF comes under assisted reproductive technology (ART) that involves the use of advanced medical technology to help with pregnancy in the woman.
The different types of treatments available for IVF are:
Assisted hatching is a technique used in IVF where a gap or a hole is created on the outer shell of the embryo called zona pellucida before transferring the embryo into the mother’s womb. Before the implantation of the embryo, the developing embryo should “hatch” out of its outer shell (zona pellucida).
Sometimes the embryo is thick, which decreases its ability to hatch on its own. Making a hole or thinning the outer layer may help the embryos to hatch, which increases the chances of pregnancy. Pregnancy cannot occur unless the embryo hatches. Thus, assisted hatching IVF success rates are higher than simple IVF success rates.
Because of the use of additional technology, IVF with laser assisted hatching cost is higher than just IVF cost.
IVF with laser assisted hatching is recommended when:
It is performed by using
It is performed before transferring the embryo into the mother’s womb on day 3, 5, or 6 after fertilization. An opening in the zona pellucida is created by drilling it with acidified tyrode’s solution.
The embryo is held firmly using holding pipette and a microneedle is applied
The acid is expelled over a small area of zona pellucida until it is breached. Suction is applied immediately after the breach of zona pellucida to prevent excess
This procedure Is exactly the same as the usual IVF procedure with a difference that the egg used for fertilization comes from a different candidate than the one undergoing IVF. This procedure involves a process known as female egg donation in which a suitable candidate donates an egg for successful fertilization with the retrieved sperms.
The egg donation procedure is similar to how the eggs are retrieved from the womb of the future mother. The only difference is that during
IVF with egg donation is mostly performed in the case of women who have
Intracytoplasmatic sperm injection (ICSI) is an IVF variation in which the sperm is directly injected into the egg for fertilization. The resulting fertilized egg is placed in
ICSI procedure does not require the sperm to penetrate the layers of the egg. It is highly useful to treat infertility problems in couples who suffer because the male partner’s sperms are either not able to get into the egg or are unable to fertilize the egg even when they are able to get through it.
During IVF with ICSI procedure, the eggs are extracted and held in one place with the help of a glass tool. A single sperm is injected into each egg using a small glass tube. The eggs are cultured and checked for fertilization overnight. The fully fertilized eggs are selected. A few fertilized eggs selected are placed in the uterus with the help of a catheter. The leftover embryos are preserved for future use.
While in simple IVF, the eggs and sperms are mixed together and allowed to fertilize naturally, in ICSI, a sperm is forced into the sperm for fertilization.
ICSI success rates largely
IVF with ICSI is also performed when the sperms come from a suitable donor and not from the male partner of the female undergoing IVF procedure. ICSI IVF treatment is the same when conducted with donor sperms as it is with sperms that come from the male partner.
ICSI treatment involves the injection of a single sperm directly into the egg from the female partner or a donor. In the case of ICSI with donor sperms, a semen sample from a suitable donor is retrieved. The sperm sample is processed and viable and good quality sperms are extracted from for further procedure.
Next, the entire ICSI procedure is conducted in a similar manner. ICSI success rates are the same whether the sperm comes from a donor or the actual male partner. ICSI treatment cost is separate from the cost of IVF.
Optical spindle view is a specialized technique used at the time of IVF and ICSI. This technique helps the fertility specialists view the division of cells carefully to ensure that the entire process goes on smoothly.
The optical spindle view technique is used after the fusion of the eggs and the sperms
Sometimes during IVF and ICSI, the fertility specialist may order a testicular biopsy to assess testicular function in the male partner before using his sperms. During
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