IVF in India

IVF stands for in vitro fertilization. This is a highly advanced technology that helps childless couples conceive a baby successfully. This treatment is used as a treatment for both male and female infertility. During this treatment, an egg and a sperm are made to fuse in a Petri dish under laboratory conditions. The developing zygote is transferred to the womb of the mother at 8- or 16-celled stage, where further development takes place.

IVF Treatment in India

In vitro fertilization in India is conducted at some of the globally renowned hospitals. Thousands of infertile couples from across the world choose India as their destination for IVF because of several reasons. First, the cost of treatment in the country and the cost of overall living are quite affordable. Secondly, the best hospitals for IVF treatment in India are equipped with the latest technology and equipment used to conduct this procedure. Moreover, this procedure is performed by a team of highly experienced and skilled IVF experts.

Treatment and Cost

60

Total Days
In Country

2 No. Travelers

1 Day in Hospital

59 Days Outside Hospital

Treatment cost starts from

USD 3500

Hospitals

About the IVF (In Vitro Fertilization)

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.

Which conditions may need IVF support?

  • Blocked Fallopian tubes
  • Endometriosis
  • Advanced age of a woman
  • Decreased sperm count
  • Failure of the treatment with fertility drugs

Types of IVF treatment

The different types of treatments available for IVF are:

  • Natural cycle IVF procedure: In this treatment, the fertility drugs are not administered. The egg released during the normal monthly cycle is collected and then fertilized.
  • Mild stimulation IVF procedure: The lower dose fertility drugs are administered and then the eggs are collected and fertilized.
  • In vitro maturation (IVM): The immature ovaries are collected and then allowed to mature in the laboratory.
  • Embryo transfer: The fertilized embryos are taken and transferred to the mother’s womb.
  • Blastocyst transfer: The embryos are cultured in the laboratory until blastocyst stage and then transferred to the mother’s womb.

IVF with Laser Assisted Hatching

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:

  • The embryos do not have sufficient energy and nutrients to complete the hatching process
  • The woman is older than 37 years as they are more likely to have thick zona pellucida due to increased levels of follicle stimulating hormones
  • The candidate has had repeated IVF failure
  • The quality of the embryo is poor and demonstrated slow cell division and excessive fragmentation

It is performed by using infrared 1.48-μm diode laser. The technique does not cause any blastocyte damage. Laser assisted hatching has several advantages such as minimal handling of the embryo,  fast delivery, and exact control over the drilling of the hole.

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 on the area of zona pellucida. The microneedle is preloaded with Tyrode’s acid using mouth-controlled suction before each micromanipulation.

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 acid entering the embryo. The patients should be provided with antibiotics after implanting the embryo to reduce the risk of infections. 

IVF with Egg Donation

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 egg donation process, the ovaries of the donor are stimulated prior to the collection of suitable number of eggs from the ovaries. All the remaining stems in the donor egg IVF process are similar to the rest of the IVF procedure.

IVF with egg donation is mostly performed in the case of women who have insufficient number of eggs or whose eggs are compromised with respect to quality. The IVF specialist advices the woman to opt for donor eggs in case they believe that there are minimal chances of IVF success because of poor quality of her own eggs.

IVF with ICSI

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 uterus of the woman. It is the most successful infertility treatment used to treat sperm-related conception problems in couples.

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 depends on the quality of sperms used for fertilization. Overall, the success rate of ICSI is greater than any other technique used as a variation in the IVF procedure.

IVF with ICSI and Donor Sperms

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.

 

IVF with ICSI and Optical Spindle View

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 is complete using ICSI as a part of the IVF procedure. The use of this technique helps ensure that the ICSI procedure is successful and that no DNA damage taken place around the site of injection of the sperm.

 

IVF with ICSI and Testicular Biopsy

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 testicular biopsy procedure, a small sample of tissue from just one or both the testicles is removed and examined under a microscope. The specialist confirms whether the male partner is fertile or not and accordingly donor sperms are arranged for IVF and ICSI.

 

How is IVF (In Vitro Fertilization) performed?

The steps through which IVF procedure occurs are:

Step 1: Over-stimulation of ovulation

Stimulation of the ovaries occurs with the administration of fertility drugs. The natural process involves the production of one egg per month, but the fertility drugs hyperstimulate the ovaries to produce more number of drugs.

Step 2: Retrieval of eggs

Removal of the eggs from the woman’s body is done through a minor surgery called follicular aspiration surgery. Pain medications are given to the woman and with the help of ultrasound, a thin needle attached to the suction pump is inserted into the vagina. The needle is directed towards the follicles containing eggs and suctions the fluid and the eggs.

Step 3: Insemination

The inactive cells from the semen are removed. The ovum and the sperms are incubated in the ratio of 1:75,000.

Step 4: Fertilization

The sperm enters the egg and fertilization takes place. If the sperm is found to be weak, then Intra-cytoplasmic sperm injection (ICSI) is performed which involves direct injection of sperm into the ovum.

Step 6: Culture of the embryo

After fertilization, the egg divides forming an embryo. The embryo rapidly divides within five days after fertilization.

Genetic diagnosis is performed after 3-4 days of fertilization to rule out the genetic disorders.

Step7: Transfer of the embryo

The embryos are transferred into the mother’s womb after 3-5 days of fertilization. This transfer is done with the help of a thin tube containing embryos. The tube is inserted through the vagina, cervix, and to the womb. Pregnancy is resulted if the embryo starts growing.

Recovery from IVF (In Vitro Fertilization)

Care to be taken after the procedure

  • You can perform your daily living activities from the next day.
  • Continue to take Progesterone pills for 8 to 12 weeks as decrease in progesterone levels may cause miscarriage.

If you have experience symptoms such as fever, pelvic pain, bleeding, and blood in urine, consult your physician immediately.

Patient Stories

Frequently Asked Questions

Why should you go for IVF in India

IVF in India is one of the most popular procedures for which couples from abroad, especially from the Western, African, and Middle Eastern countries travel. It is a common procedure which is conducted at some of the best infertility hospitals and clinics in the country.

There are many reasons why one should travel to India for IVF procedure. Some of these reasons include the following:

  • India has some of the best IVF specialists in the world. A majority of the globally-renowned IVF specialists in India completed their specialization and training in assisted-reproductive technologies from abroad. They are known for their skills and experience.

  • The cost of IVF procedure in India is highly competitive in the world. It is one of the main reasons why childless couples from abroad the world flock to the country to get the procedure done.

  • The labs are the best IVF centers in India are well-maintained and possess the latest technology to conduct the procedure.

  • The IVF success rate in India is one of the best in the world, thanks to the experience of the specialists, the availability of the latest technology, and the quality if medications available.

What are the best cities in India for IVF

Some of the best IVF centers in India are located in Tier-1 cities such as New Delhi, Pune, Bangalore, Chennai, Mumbai, and Hyderabad. Even though these cities possess the maximum concentration of clinics and hospitals that conduct IVF in India, that does not mean that centers in Tier-2 cities are bad.

The advantage of opting for IVF in India in Tier-1 cities is that these are very well-developed when it comes to the infrastructure and other facilities such as hotels, cabs, restaurants, and money exchange facility. Even from the security point of view, these cities are safe and the police patrolling is common in all important areas of these cities even during the night.

Local transportation is not an issue in these cities. Also, all metropolitan cities in India have an international and domestic airport that connects it to the rest of the world through direct or indirect flights.

What are the top Doctors and Clinics for IVF

There are more than 100 hospitals and clinics in India that offer IVF to people from within the country and abroad. All of these hospitals and clinics possess state-of-the-art laboratories, equipment, and facilities to conduct the procedure.

Some of the best IVF clinics in India are located in the following hospitals:

  • Max Hospital, New Delhi

  • Indraprastha Apollo Hospital, New Delhi

  • BLK Superspecialty Hospital, New Delhi

  • SevenHills Hospital, Mumbai

  • Global Health City, Chennai

  • Gleneagles Global Hospital, Mumbai

  • Aster Medcity, Kochi

  • SRMC, Chennai

  • Kohinoor Hospital, Mumbai

  • Manipal MEMG Hospital, Goa

Some of the best IVF specialists in India include the following:

  • Dr. Richika Sahay Shukla, New Delhi

  • Dr. Nandita P. Palshetkar, Mumbai

  • Dr. Sonu Balhara Ahlawat, Delhi NCR

  • Dr. Ila Gupta, Delhi NCR

  • Dr. Aanchal Agarwal, New Delhi

  • Dr. Sarada M., Hyderabad

  • Dr. Sarah Oosman, Hyderabad

  • Dr. S. Sharada, Chennai

  • Dr. Surveen Ghumman Sindhu, New Delhi

What is the cost of IVF in India

IVF procedure cost in India starts from approximately $2800 per cycle at a good clinic or a hospital. It may go up as high as $5000 per cycle of IVF, depending on the choice of hospital or clinic, the location of the hospital, the experience of the doctor, and the success rates associated with the hospital and doctor.

The costing for one cycle of IVF usually includes up to five consultations during the process, monitoring ultrasounds (stimulation to pick up), ovulation induction injections (for ovulation stimulation),  anaesthesia and anaesthetist fee (for ovum pick up only), short stay room rent, operation theatre (OT) charges, fees of the embryologist, surgeon’s fees, and OT and IVF consumables for ovum pick up, and embryo transfer.

IVF cost in India is one of the lowest in the world. It is a fairly expensive procedure in Western countries and other developed nations, including Australia, New Zealand, the US, and the UK.

The total IVF cost in India could be more, depending on the need for any additional procedures such as repeat IVF cycle, embryo freezing, egg retrieval using medications, intracytoplasmic sperm injection (ICSI), and egg freezing.

What is the success rate of IVF in India

IVF success rate in India is one of the best in the world. Although there is no credible cumulative data available to exactly represent the success rates of IVF in India across different hospitals and clinics, it is believed to be somewhere around 60 to 70 percent.

The global average for the success rate of IVF is around 40 to 50 percent. Considering this ratio, the IVF success rate is still better. However, it greatly varies from one clinic to the other and the number of cases that they handle per month.

For example, a clinic may take up just one to two selected cases of IVF a month and may show a 100 percent success rate. On the other hand, the success rate is bound to be less in clinics and hospitals that take up 50 to 100 cases a month.

IVF is a very sensitive procedure, the success of which varies from one candidate to the other and depends on individual parameters and characteristics. For example, it depends on the age of the candidate, their overall health, stress levels, and individual body responses etc.

What is the health care infrastructure of India / Why should opt for India as a destination for your medical treatment?
India is a large country with a rapidly expanding system of healthcare. Like many other countries, there are public and private hospitals in India. This also includes healthcare at three levels.
  • The primary level of healthcare includes Sub Centres and Primary Health Centres.
  • At the secondary level are District Hospitals and smaller Sub-District hospitals. These are the first referral units, mostly from the primary healthcare centres.
  • Finally, the top level of health care provided is the tertiary level, which consists of Medical Colleges and Specialized Hospitals.
Since India boasts of housing a large number of people, the requirement for good healthcare and treatment in India is always there. And this also means prompt delivery of the service. Most of the treatment in India has to be offered at reasonable costs to enable people of all classes to access it. Hence, you can be assured that this country will be a great destination for your medical treatment whichever hospital in India you wish to choose.
What are the conditions of the hospitals in India? Are they JCI certified? What is the quality of the support staff in the hospitals?
The Joint Commission International (JCI) is a global leader in health care accreditation. JCI accreditation is considered a gold standard in worldwide health care. It provides the most skilled and experienced healthcare professionals in the medical industry, as evaluators of the rigorous international standards in healthcare quality and patient safety.
Here are some JCI certified hospitals in India:
  • Fortis Escorts Health Institutes, Delhi
  • Columbia Asia Referral Hospital, Bangalore
  • Fortis Hospital, Bangalore
  • Apollo Hospital, Chennai
  • Sri Ramachandra Medical Center, Chennai
  • Ahalia Foundation Eye Hospital, Kerala
  • Rajagiri Hospital, Kochi
  • Asian Heart Institute, Mumbai
  • Fortis Hospital, Mumbai
  • Kokilaben Dhirubhai Ambani Hospital, Mumbai
  • SevenHills Hospitals, Mumbai
  • Apex Heart Institute (A Unit Of TCVS Pvt)
  • Apollo Gleneagles Hospitals, Kolkata.
  • Fortis Hospitals Ltd, Mulund, Mumbai
  • Narayana Multispeciality Hospital Jaipur (A Unit of Narayana Hrudayalaya Ltd.)
Hospitals in India are ever-changing to accommodate more people with up to date technology. Hospitals in India also attract patients from other countries because of their diverse range of services. Apart from allopathy and conventional treatment procedures, the government of India, along with the hospitals in India also promote alternative medical treatment options like Ayurveda, homeopathy, and yoga. All in all, you will find great options for any kind of treatment in India.
Are the doctors/surgeons in India of the best quality?
Doctors and surgeons in India have to get through examinations and continue to uphold the standard of education that is provided to them. Since doctors get exposure to various patients during their course, they are able to diagnose and treat a wide range of diseases and illnesses. Therefore, one can rely on the doctors of India for their medical services.
What is the process for obtaining a medical visa in India?
The e-Medical Visa for India is an online travel authorization for foreign nationals who wish to seek medical treatment in the country. A medical Indian visa allows the holder to enter the country 3 times.

The e-Medical visa is a short term visa granted for medical treatment reasons. This type of visa is only granted to the patient and not to their family members.

Foreign nationals can acquire an India e-Medical visa by filling in an online application form. This simple process can be done from the comfort of the traveler’s home or office, avoiding a trip to an embassy or consulate.

Applicants must submit their basic personal information, including their full name, nationality, and date of birth. They must also provide a contact email address and phone number as well as their passport details. Finally, some security questions must be answered.

The form is quick and easy to fill out. The approved India medical visa is then delivered to the applicant’s email address within a few business days.
What support services does MediGence provide in India?
MediGence enables you to plan and manage your medical decisions better. These are some of our services offered:
  • Expert Opinion
    We help you seek an Expert Opinion on your diagnosis and treatment from an experienced team of doctors at MediGence and specialists from a reputable hospital.
  • Hospital Recommendation
    We recommend a hospital or a healthcare institution that is best suited for you, based on your ailment and its criticality.
  • 360-degree Hospital Review
    We give you a transparent and holistic view of the hospital and its infrastructure, accreditation, facilities, and expertise to give you confidence.
  • Doctor Validation and Communication
    We share a comprehensive profile of the treating doctor and also arrange a call to clear queries regarding treatment if needed.
  • Options to Choose From
    Based on your choice of destination and other preferences, we provide you multiple options with respect to hospitals and doctors to choose from.
  • 24X7 Patient Care Support
    A dedicated patient case manager stays in constant touch with you to help you at every step of the decision-making process and resolve queries that you may have.
  • Transparent Treatment Cost and Other Expenses
    We give a clear and accurate indication of the total cost of treatment including treatment, stay, meals, and other expenses.
  • Visa Assistance
    We provide and help prepare documentation for visa approval and coordinate with the embassy to expedite the visa process.
  • Accommodation Arrangements
    We propose to you a choice of accommodation based on your preference such as long stay, short stay, or luxury properties.
Which are the best cities in India for medical treatment?
India is a beautiful country spread across the vast expanse of the Asian subcontinent. Most of the metro cities have hospitals, in India, with varying levels of infrastructure. Depending on your need and medical service, you can visit your choice of city.
The capital of India is Delhi and has many renowned hospitals like the All India Institute of Medical Sciences, Max Super speciality Hospital Fortis Hospitals, etc.
Other cities offering effective medical care include Bangalore, Chennai, Mumbai, and Hyderabad. These cities come under some of the major metro cities of India.

Our team of healthcare experts would be happy to assist you

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