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20/Feb/2020

InVitro Fertilization (IVF)

IVF is the solution on major struggles a childless couple are facing today. 

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Infertility can prove to be a major struggle in the lives of couples, especially those who really want to conceive a child. Infertility is the major hurdle in the dream of parenthood and not only cause mental trauma, but can also put a strain on your relationship with your partner. The problem of infertility is very common either; around 10-15% couples in India face some issues in conceiving a child. Sometimes, these issues could be extreme and beyond the help of regular treatment. This is where IVF steps in.

In-vitro fertilization has proved to be a boon for countless infertile couples across the world. IVF can not only help in case of infertility in one or both partners but also if any of you suffers from other reproductive conditions. In India, IVF has seen great increase in popularity in the past 2 decades.

 

Explaining IVF

In-vitro fertilization is a combination of many steps that aim to assist couples in conceiving a child. The steps usually include processes like eggs induction, retrieval, sperm retrieval, fertilization and embryo transfer. The primary feature of IVF is that the fertilization of eggs by sperm occurs outside a woman’s body. After that, the fertilized embryo is placed inside the womb for the gestation period.

Despite its complexity, IVF can be a very flexible process with regards to its participants. Couples can give their own eggs and sperm, or look for donors for one or both of these things. Even if the first cycle fails, further cycles could be tried with different strategies.

 

Success Rate of IVF

One of the primary concerns of couples is “what are the chances for success?” While IVF has an ideal success rate of almost 1-in-4, there are many factors which can affect the outcome. Broadly, the factors affecting the success could be categorized as:

  • Patient Factor

The question of success or failure largely depends upon the couple in question. For the woman, age is the biggest factor in IVF. Women less than 30-35years of age have a fairly high success rate. The older the woman is, the more difficult the procedure becomes. Marriage period of the couples also play a role here. Longer the period of infertility, lesser are the chances to succeed.

The cause and nature of the infertility also decides how successful IVF is going to be. Condition likes ovulatory defect (like PCOD), tubal blockage, unexplained infertility etc. all have a high success rate. But in case like poor ovarian reserve, poor egg quality or poor sperm quality, the success rate goes down.

 

  • Clinician Factor

It must always be remembered that the IVF procedure is very different from regular gynaecological treatment. Here, the expertise of the clinician can make a huge difference – in fact, it can even bring success in the first cycle itself. Furthermore, IVF can be a very intimate experience for the couple. As such, the friendliness and concern of the clinician play a role in the success of the procedure.

 

  • Lab Factor

IVF is, after all, a procedure – and all procedures depend upon their tools. A good lab can increase the success rate by up to 80%, while a poor lab can drop it by 20-25%. The lab you are looking for should possess, good embryologist, high-end equipment, good facilities, great hygiene etc. These seemingly trivial features actually play a significant role in the treatment itself.

 

Reasons for IVF

In-vitro fertilization is usually the last resort for couples when traditional treatments of infertility fail. IVF is prominently used among couples who face the following issues:

  • Poor ovulation which leads to a smaller number of eggs.
  • Damage or blockage in the fallopian tube which hinders fertilization.
  • Endometriosis – the growth of uterine tissues outside of the uterus.
  • Poor sperm production, including low sperm mobility or sperm count.
  • Existence of uterine fibroids.
  • Unexplained infertility.
  • Existence of a genetic disorder. Couples might not want to pass on genetic conditions to their offspring, and hence opt for donor eggs/sperm via IVF.
  • Some people opt for later IVF if they suffer from cancer. Cancer treatment can destroy fertility, so frozen eggs could be used later for IVF.

 

IVF Procedure

In-vitro fertilization is a complicated procedure which includes many steps. You can expect to encounter the following steps, though not all are necessary in every case:

  • In case you are using your own eggs for the IVF procedure, you would need to undergo an ovarian induction process. Normally, the ovary produces a single egg per month; however, for IVF, you would need multiple eggs. For this, your doctor would put you on various medications and do routine check-ups.
  • Before the eggs ovulate, they would be retrieved from your ovaries and stored for further procedure.
  • In case you are using your partner’s sperms, he would need to undergo sperm extraction. Donor sperms could also be easily used for the purpose.
  • Fertilization is the most important stage of the procedure, where sperm and eggs are combined. Conventional fertilization simply mixes the two samples and incubates them. However, in case of limited sperm count or failure of previous IVF attempts, the ICSI method might be used.
  • The last step of the procedure is the embryo transfer. You might be given a sedative, after which a thin tube would be inserted in your uterus and the embryo transferred inside you.

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Ovarian induction process begins on Day 2 of the treatment and continues for 10-12 days. On Day 14, the egg is retrieved from the ovary. In the next 5 days, the sperm is also retrieved and fertilisation occurs. On Day 19 or 20, the embryo transfer take places. In the next 9 days, pregnancy could be confirmed. Hence, the whole IVF procedure (single cycle) takes around a month.

 

Choosing the Clinic

As mentioned earlier, clinician and lab play a very vital role in determining the success of the IVF procedure. Thus, choosing the right clinic becomes all the more crucial. Here are few things you should be looking for:

  • The success rate of the clinic. Most IVF clinics display their success rate on the forefront, backed by previous results.
  • The expertise of the doctor. Experienced clinicians have a much higher chance of succeeding in the first round of IVF, compared to the amateur ones.
  • The friendliness of the clinician. IVF treatment is a very intimate procedure, leading to one of the most intimate things a couple can go through – pregnancy. Hence, a friendly and caring attitude of the clinician is a very important feature.
  • Transparency and discussions. IVF treatment is rather complicated, and most couples are completely clueless about it. Existence of doubts and confusion can actually harm the chances of success. Thus, couples must look for clinics that are transparent and willing to explain everything in great detail.
  • State of the lab. As previously mentioned, the equipment and services at your disposal can play an important role in the outcome of the IVF treatment. Couples must be looking for clinics possessing the right equipment and all essential facility for its patients.

 

Preparing for IVF

Given the complexity of the IVF procedure (and the strain it can put on you if not done correctly), most experts suggest certain steps of preparation before the actual procedure starts. These might include:

  • Ovarian testing is done to check the quality of eggs and the capacity of the ovaries (which would be tasked with producing multiple eggs during IVF).
  • Semen analysis would be required in case your partner is opting to use his own sperm.
  • The couple is checked for any infections that might complicate or obstruct the IVF process.
  • Sometimes a mock embryo transfer is carried out to familiarize the women with the process as well as checking the depth of uterus.

 

Donations in IVF: When is it okay?

Most couples prefer using their own eggs and sperms for the IVF procedure. However, there are certain circumstances when this is not possible, and hence donations are used for the purpose. The two common types of donations you can encounter in IVF are:

  • Donor Eggs

Women with very poor egg quality, low number of eggs or poor ovarian reserve can opt for donor eggs. Post-menopausal women can only use donor eggs to get pregnant. In case multiple IVF cycles have failed, the doctor might suggest using donor eggs.

 

  • Donor Sperms

Men suffering from poor sperm motility, low number of sperm or zero sperm count can opt for donor sperm. In case multiple embryos get arrested after sperm retrieval, the doctor could suggest using donor sperm. Sometimes, the male partner is suffering from a genetic disorder which he doesn’t want to pass to the child; in such cases too donor sperm could be used.

 

Who to choose as a donor: Medical norms dictate that the person should be completely healthy, without any serious illness in the past or genetic disorder, in order to be eligible to become a donor. Harmful habits like drug addictions can make you ineligible to be one.

Generally, clinics routinely store eggs and sperms in their banks, which can be used by the couple. By default both parties are anonymous to each other, but they can choose to get acquainted with mutual consent.

 

Risks and Side-Effects

Certain risks exist with IVF, even though they are uncommon and rarely a concern. However, these risks can become more prominent among older women:

  • In case multiple embryos are transferred inside you, it might lead to multiple births.
  • Pregnancies in IVF might often lead to premature birth and low birth weight of the child.
  • Miscarriage is a possibility in IVF, though the rate is similar as in case of normal pregnancies.
  • About 2-5% of the IVF pregnancies might turn into ectopic pregnancies – where eggs is implanted outside the uterus. Some pregnancies cannot continue and have to be terminated.
  • The ovarian induction step employs many drugs, which can lead to ovarian hyperstimulation syndrome. It causes the ovaries to swell and cause mild pain.
  • The egg retrieval step can cause complications like bleeding and infection if not done correctly.

 

Aftermath

After the IVF procedure, you are immediately free to leave. For a few days, you might experience pain while doing vigorous activities as your ovaries are still enlarged. After a period of 9-12 days, the doctor checks if you are pregnant.

Your success rate depends on the factors discussed previously. If you are pregnant, the procedure is considered successful. If not, the doctor would stop the medications blocking your menstrual cycle. You and your doctor would also discuss future rounds and how to increase your chances.

In case there are any left-over embryos, you have to decide what to do with them. You can freeze them for later IVF rounds, donate them to other infertile couples, or ask the lab to destroy them.

 

Cost of IVF

Cost is often one of the primary concerns of patients when they choose a treatment. However, the cost of IVF really depends on many factors. Cases with relatively straightforward causes of infertility are easier to treat and hence cost lower. The treatment in such cases does not usually exceed 1.5-1.7 lacs. Couples suffering from multiple causes of infertility would obviously increase the cost, as would the requirement for donor eggs/donor sperm. The number of cycles also play a significant role in determining the cost.

However, despite all of this, IVF is still easily affordable by most couples. The treatment of IVF is especially cheap in India, almost 5x lower compared to the western nations. In case couples from economically backward classes need some financial help, many clinics offer discount/loans to aid them.

 

Conclusion

In-vitro fertilization has emerged as a major solution to the woes of many couples struggling to conceive a child. It must be kept in mind that IVF is not an easy procedure, and so it should be opted for only when all other treatments have failed. But its high success rate, especially in case of elder women, has really made it a boon for couples.


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20/Feb/2020

Best IVF Treatment Clinic In Delhi NCR is what is intended to understand, what all it takes to be it. In-vitro fertilisation has emerged as a boon for countless infertile couples. It has been a blessing of parenthood for those who had lost all their hopes. But IVF treatment is not a simple procedure; it is a complicated process with varying success rates. You need to have the best clinic to get the best results.

However, choosing the Best IVF treatment clinic in Delhi NCR is not an easy job. There is a plethora of IVF clinics in the region, all claiming to be the best. So, how do you find the most suitable option for you? Well, there are a lot of factors that determine the suitability and quality of an IVF clinic. Let’s delve deeper and understand all the various ways you can find the IVF clinic right for you.

 

The importance of the Best IVF Treatment Clinic In Delhi NCR?

Before we begin, we must stress the importance of Best IVF Treatment Clinic In Delhi NCR for you and your treatment. 

Best IVF Treatment Clinic In Delhi NCR

Perhaps the primary importance of a good IVF clinic is the success rate. On average, the first cycle of IVF treatment has a success rate of around 25%. However, the Best IVF Treatment Clinic In Delhi NCR can make a significant difference. In fact, components of a good clinic – expert doctors, helpful staff, latest lab equipment – can improve your chances by up to 80%! Since every couple wants to get results in the fewest possible cycles, you can understand the importance of choosing the right clinic.

In-vitro fertilization can be a very intimidating procedure – and not just physically as well as emotionally. A single cycle of IVF lasts for about a month, during which you undergo tests, take injections, give eggs/sperm and then wait for the final result. It is an emotionally-investing process which needs great support and care from the clinic’s side. A lack of it from a poor clinic can easily break your spirit, increases stress and negativity after the results.

There are also a few other reasons. IVF treatment is a costly affair, with subsequent cycles only adding up to the cost. A good clinic ensures that you are getting value for your money in terms of the treatment. Getting the right clinic also saves you from hassles like long travels and running around for tests.

Getting the information about the Best IVF Treatment Clinic In Delhi NCR

Before you understand what information you need about an IVF clinic, you need to first understand how to get it. There are various sources at your disposal, offering an incremental level of details. Thus, you should select them in order, thereby narrowing the circle:

 

  1. The website of an IVF clinic is easily the first impression you would have in this digital age. Clinics (like most businesses) understand this well; thus, they try to present their best selves on their website. While not all information available on a website should be taken at face value, it certainly offers some insights. You can know significant details like lab equipment, services and doctors from the webpages alone, without bothering to visit the facility.
  2. A phone call with the clinic is the logical next step, to get more clarity on their services and plans. A phone call converts a one-way communication into a dialogue. It also offers the clinic a chance to offer you more personalised options. A phone call can even give you insights into their support staff’s behaviour.
  3. A formal appointment with the doctor is generally the last step. The clinician is your ultimate source of information – a point for raising all your doubts and clarifying them. This should be the last step because setting a formal appointment costs money, and doing it with too many clinics will be tough for you for obvious reasons.
  4. An optional step, but former/current patients are also an excellent source of information about the clinic. You can find them either in the clinic itself or via local common-interest groups. They can be an excellent source of information that the clinic might not want to share with you.

 

Choosing the Best IVF Treatment Clinic In Delhi NCR

Selecting the Best IVF Treatment Clinic In Delhi NCR can be a daunting task. However, there are many factors that decide the quality of the clinic, its personnel, and treatment. Here are the things you should consider while choosing the best clinic for you:

  • IVF Success rate

The success rate of a clinic is its most important indicator of quality. IVF is a complicated and intimate treatment, so you would want someone who has a high chance of succeeding in minimal cycles. Fortunately, most clinics know this and thus are quite transparent about their success rates.

There is no magic number that decides the ‘best’ success rate. A lot depends upon factors like the woman’s age, egg/sperm count, infertility causes etc. You would need to compare the success rate of clinics and shortlist the highest ones. Though the success rate is not the only factor in choosing the right clinic, it should be under your foremost consideration during the selection.

 

  • Expertise of doctor

The clinician/doctor is the person who will handle the majority of your treatment, so it goes without saying that a lot hinges  his expertise. Checking the qualifications of the doctor is a good place to start, but you will have to dig more details. Generally, you would want a person who has years of experience in the field AND who has been associated with the clinic for quite some time. Being friendly and patient with the details would only be a cherry on the cake. A good doctor can make all the difference on your IVF results.

 

  • IVF Clinic staff

The staff of the clinic is almost as important as the doctor for your treatment. From the administration of the injections to the handling of your eggs/sperm, the staff is responsible for all of it. Apart from the most urgent concerns, it would mostly be the staff who would deal with you during the treatment. Hence, the standard of the clinic staff should be an important factor while choosing the Best IVF Treatment Clinic In Delhi NCR. You should expect a concerned staff that takes care of your needs and have a friendly attitude. Staff members who have worked in the same clinic for many years tend to also be more efficient.

 

  • Lab and equipment

The biggest non-human factor affecting the success rate of IVF treatments is the lab and equipment. Many IVF clinics don’t have in-house labs, which force patients towards other locations to get the test done. If you want to avoid that hassle, you might want to look for a clinic with all testing facilities available. Old and faulty equipment are red flags too. It is natural to expect that the best clinic must also have the best equipment. A formal tour of the facility will allow you to guess the state of all lab equipment.

  • Facilities and Various IVF Treatments

While you are looking for an IVF treatment clinic, it does no harm in being open to other ideas. Afterall, your end goal is getting pregnant. If the clinic offers other assisted reproductive treatments other than IVF, it would become much easier for you. Often, such features would be mentioned on the website itself; if not, feel free to ask the clinic. Look for ICSI, blastocyst and other such procedures. Also, in case you might want to freeze extra egg/sperm, it would be much better if the clinic has a built-in facility.

 

  • Cost-Result trade-off

In any treatment, the cost is always a factor. Now, given the importance of IVF treatment for a couple, the cost can often take a backseat. However, at the end of the day, nobody wants to spend an exorbitant amount of money and not get the worth of it in return. After understanding all the procedures and costs associated with it, you might want to chart the tradeoff b/w the money you would spend and the services you would get in return. Even an expensive clinic is justified if it offers equally elite services for you in the duration of the treatment. But if the clinic charges for a lot more than it is offering, you might want to take a rain-check.

Tricks to identify Best IVF Treatment Clinic In Delhi NCR

  • Look for their success rate on the clinic’s website. Every IVF clinic understands the importance of success rate and wants to boast about their own. A lack of that information, or other relevant information about success in the past, can be the first red flag.
  • Observe how easy it is to get an appointment with the doctor. If the clinic delays an appointment and says that the doctor is unavailable, you can assume that a similar pattern would follow during your treatment. Another red flag.
  • Check the volume of treatments the clinic does. While “quantity is not equal to quality”, as the old wisdom says, it can be a decent indicator. If a number of patients continue to opt for the clinic every day, it indicates a general level of trust.

Best IVF Treatment Clinic In Delhi NCR specialists

IVF treatment is a miracle that can bless infertile couples with the joy of parenthood. But you should only aim for the best option. We hope that with the help of our inputs, you can find the Best IVF Treatment Clinic In Delhi NCR.


20/Feb/2020

Dear DR SHIVANI GOUR

We would like to express our heartfelt Gratitude to you & your Staff who have helped us in the difficult journey towards achieving Parenthood.

We took the IVF route and was Successful in the FIRST attempt baby GIRL “Deevanshi” was born on 13th November 2018 weighing 2.6 Kg, she is healthy and doing great.

We greatly appreciate all the work that you & your staff Performs daily to make Dream come true for many Parents.

Thanks you & your Staff again from bottom of our heart.

Shailja & Rahul

thankyou card from india


20/Feb/2020

Dear Dr Shivani and Her Team,

We are very glad and thankful to Dr Shivani for giving us such a beautiful gift of our life our Son ‘Triyaksh Arora’. She is like a God to us who came to our life to enlighten it with loads of happiness and Sunshine.

We are very thankful to her. She is doing such a great job in her life.

Thank you so much.

Mrs. & Mr. Mohit Arora
Little Sister Prodnya and Triyaksh Arora


20/Feb/2020

Long-Awaited Child is the story of my 8 year journey to have a family of my own. Our journey began with trying to fall pregnant naturally, to trying IVF several times, to seeking foster care and adoption as an option & finally to surrogacy to have our long-awaited babies. I aspire to make the journey easier for others.

In my story I cover my personal emotions knowing the only option for me to have a baby was to use a donor egg and surrogate. Dealing with infertility can be a lonely and very sad time, I hope my story helps those going through a similar journey to not feel so alone plus to consider other options and not rely on IVF as the only answer. If we had given up after IVF failed in Australia we would not have our gorgeous twins and we are so thankful for your clinic and especially our Surrogate Mother for giving us our family. In my book I have also included some information and research we had done to make our journey easier to hopefully help others.

Below is the link to my website. My book can be purchased worldwide by paperback or downloaded on e-book versions:

https://longawaitedchild.com/

 

Note: For SCI clients, there is a special discount of 15% who purchases this book. Code SCI15 needs to be entered on the discount box on checkout.

Author Kellie Harriden

Kellie Harriden


20/Feb/2020

Whenever we used to see such…. Thank you…cards on walls of SCI Hospital or other IVF Clinics from where we undertook earlier IVF cycles (and they failed EVERYTIME), we used to wonder that when would that Day come when I would be writing my own such card……. and now when this day has come, I find myself SPEECHLESS to how to express my happiness.

Only because of you…. Dr. Shivani, we have got success in our IVF cycle and I tell you that for US, you are only next to God!!

What touched me most is your personalized and humane approach.

You always patiently heard our concerns & fears and gave us your honest advice…which is a rare commodity these days.

Your staff too is very gentle…an exception in this brutally commercialized world.

Best of all…was ‘follow up process’ of SCI Hospital staff where they reminded us about Medicines, Injections, and Visit to Hospital etc.

Please be this way forever….

Kalpana & Anand


20/Feb/2020

Thank you so much SCI for making our dream come true.

We had heard such horror stories about IVF & have been so surprised and thrilled with our experience & success in FIRST ATTEMPT. We have been blessed with a healthy baby boy on 12th Feb 2017. We will never forget what you did for us. Specially, Dr. Shivani Mam, Dr. Smita Mam & Dr. Sujata Mam your Support & co-ordination are unforgettable during the treatment.

 

Thank you once again to the entire SCI Team.

 

With Regards,

Moushmi & Sudhir


20/Feb/2020

Dear Dr Shivani & Staff

I just thought I need to take a moment to thank you all!  Every one of you have been so kind, friendly, helpful, professional & caring!  I am so please to have been referred to you & I am already delighted with the result. I will certainly thankful to you.

THANK YOU    So appreciated by:-
For helping us welcome our                                     Pooja & Siddharth
Sweet baby into this world

SCI IVF Card


SCI IVF Centre is a brand new, state-of-the-art IVF Centre located at Kailash Colony, South Delhi started in 2011. It provides comprehensive fertility services to both male and female patients as per the Government of India Guidelines and Policies. SCI IVF Centre is a unit of SCI Healthcare and is ISO 9001:2008 accredited.

SCIIVF Hospital
A-1, Ground Floor, Kailash Colony
New Delhi 110048, India
Phone number : 011-41022905/7/9 | 011-41034631

Zygon Square, 3rd Floor, Sector - 63, Noida (U.P.)
Phone number : 0120-4318757

Copyright 2019 SCI IVF. All rights reserved.

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