Significant Advantages of Frozen Embryos

Significant Advantages of Frozen Embryos

Frozen embryos offer patients who are suffering from infertility problems, an opportunity to expand their families in the future. There is no decline in embryos quality while they are in frozen state, therefore it maintain their reproductive potential. The embryos are associated with the age of the woman’s egg at the time of its fertilization; this can be an additional advantage. If a 35 years old patient goes through a full IVF cycle, she will be using eggs from her 35 years old with subsequent FET’s at the age of at 37 and again at 39. Younger eggs result in higher chances of chromosomal normalcy and higher pregnancy rates, so younger eggs are always preferred.

Women suffering from polycystic ovary syndrome (a hormonal disorder that often leads to fertility problems) can improve their chances of a successful pregnancy with the help of frozen embryos rather than fresh ones for in-vitro fertilization. Historically, the use of fresh embryos is preferred over that of frozen embryos, but study suggested that elective embryo freezing followed by frozen embryo transfer is an effective treatment for women with polycystic ovary syndrome. According to the studies, the success behind frozen embryos depends on the fact that frozen embryos take longer than fresh embryos to implant in the uterus. This is necessary for the better fertility environment because it allows hormone levels in the uterus to return to normal before the embryo is implanted. Frozen embryos increases pregnancy success rate in women, additionally women treated with frozen embryos also had fewer instances of hyperstimulation syndrome(a condition in which the ovaries swell and become painful and may also results in  other pregnancy complications) than women given fresh embryos. If a woman can able to freeze and store their embryos while attempting a fresh cycle transfer, and if accidently the fresh cycle is unsuccessful, she always has an option to try again without undergoing another ovarian stimulation or egg retrieval. Therefore, her cumulative pregnancy rate increases overall from one IVF cycle. Multiple frozen embryo transfer or FET cycles are less costly than fresh IVF cycle because medication is relatively less and there is no egg retrieval or anesthesia involved in this process. With Single Embryo Transfer or SET there may be an opportunities for multiple FET cycle after just one egg retrieval which again increases the cumulative pregnancy rate from one IVF.  FET cycles can be easily scheduled when it is more suitable and convenient for most of women. After scheduling FET, women are prescribed oral estrogen so that the uterine lining become ready for the transfer and this is administered only once every three days. Progesterone injections are applied, so that the women body can able to support a successful pregnancy. Daily intramuscular progesterone can be prescribed later in the cycle.

But at the same time, there are also few risks associated with women who received frozen embryos. It slightly increase risk of potentially dangerous high blood pressure during pregnancy and can increase death rate in newborn babies.

Indian Council and Medical Research (ICMR) Guidelines for Sperm Donation

sperm donation

Sperm donation is a method in which a man donates sperm via semen, the fluid released during ejaculation to help infertile couples and individuals to become parents of healthy baby. Donor sperm can be used either for intrauterine insemination or in vitro fertilization.

Donor sperm is often used by:

  • A couple experiencing male infertility (little or no sperm, produces unhealthy sperm, male suffering from some genetic disease and vasectomy)
  • A single woman who want to be mother.

Donor sperm may be obtained at a sperm bank or fertility clinic. Sperm banks or clinics may be subjected to state or professional regulations, including restrictions on donor anonymity and the number of offspring that may be produced, and there may be other legal protections of the rights and responsibilities of both recipient and donor. Some sperm banks, either by choice or regulation, limit the amount of information available to potential recipients.A desire to obtain more information on donors, is one reason why recipients may choose to use a known donor or private donation. However, conception is achieved, the nature and course of the pregnancy will be the same as one achieved by sexual intercourse, and the male donor will be the biological father of any child born from his donations.

Before starting the infertility treatment, infertility experts evaluate ethical, legal, mental and emotional aspects of utilizing donor sperm.They also help to make couples mentally and emotionally strong enough to hassles free fertility treatment.

Indian Council and Medical Research directs the following requirements to become sperm donor:

  • Donor age must not be below 21 or above 45 years.
  • Donor blood group and Rh status must be determined and placed on record.
  • Donor must be free from HIV, Hepatitis B/C, Infections, Hypertension, Diabetes, STD and common genetic disorders such as Thalassemia.
  • Donor semen analysis of the individual must be carried out using a semen analyzer according to WHO method.
  • Other relevant information of the donor, such as height, weight, age, educational qualifications, profession, color of the skin and the eyes, record to major diseases including any psychiatric disorder and the family background in respect of history of any familial disorder, must be recorded in an appropriate Performa.

Apart from sperm donor guidelines, ICMR also recommends other screening guidelines for sperm donation (PDF):

  • To keep all information about sperm donors, recipients and couples confidential and secure.
  • Use of sperm donated by relative or a known friend of either the wife or the husband shall not be permitted.
  • It will be the responsibility of the clinic to obtain sperm from appropriate bank.

Sperm should be donated only in government authorized sperm bank. After sperm donation and screening process sperm either frozen in liquid nitrogen for future use in bank till 180 days or used by infertility clinics for treatment.

Higher success rate getting pregnant by donor sperm reported in women, who have no infertility problems, are under 35 years old. Lower success rates are reported where there is a female factor (ovulation problem, endometriosis, DES, etc.) or the women is over 35.

Long-Awaited Child

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

Twins by Surrogacy

Dr Denis Mukwege Invited to Dr Shivani Sachdev Gour at His Infertility Clinic in Africa

Congratulations for the Nobel Prize to Dr Denis Mukwege. It was a great honour to be invited by him for the Infertility clinic in his hospital in DR Congo. Hillary Clinton Foundation was supporting the endeavor of his hospital for Gynaecological treatment of women who were war survivors in Africa.

DR shivani with dr Denis

DR shivani with dr Denis team

DR shivani with dr Denis staff

DR shivani with dr Denis teams

The Most Asked Questions about IVF Treatment

Many people who are unable to conceive on their own or are struggling any fertility issues are provided with the option of IVF Treatment. Though this process is quite common and many people have successfully got the blessing of a child through IVF, there are many questions that people have regarding this treatment.

1. What is IVF?
In-Vitro Fertility Treatment is the process in which the egg and sperm are fused together, outside of the body and into a glass vial. After a few days, when the embryo has been formed, it is then placed back into the woman’s womb. This treatment enables the people struggling with infertility to conceive.

2. When should a person make an appointment for the IVF Treatment?
If a couple is unable to conceive a child for more than a year, even without using any sort of contraception, then they can try for the IVF Treatment. Anyone struggling with any sort of fertility issue can try for the IVF.

3. For how many times, a couple can try the IVF treatment?
There is no such limit on how much time a person can try for the IVF, but it should be kept in mind that each IVF Treatment reduces the possibility of pregnancy. Though most of the IVF treatments are successful, it still might not work and that will be waste of time, money and emotions.

4. Is IVF treatment very costly?
Tough the cost of IVF varies from clinic to clinic, the average cost of IVF treatment lies between 1,00,000 to 3,00,000. Yes, some people might consider it as costly, but it is well worth it.

5. What are the basic side effects of IVF?
Some of the side effects of the IVF treatment are bloating, shortness of breath, mood swings, nausea, faintness, a little bleeding, cramping, weight gain, cramps etc. These are the normal symptoms that a woman feels over the pregnancy. But normally as the embryo is formed within the body, the body gets used to these symptoms. But in IVF, the embryo is placed within the woman’s womb after it has been formed, the body takes a bit of time to accommodate to the sudden change and hence these normal symptoms are felt twice as much as in the normal pregnancy.

6. Does IVF increase the chance of giving birth to twins or triplets?
As the chance of a single embryo getting successfully implanted in the uterus is not very great, and also because they can’t afford multiple IVF cycles, many women ask their doctors to try to implant multiple embryos in a single IVF cycle. This increase the chances of at least one embryo getting implanted and also, in some cases, leads to the birth of twins and triplets.

7. How to select a good IVF clinic?
Though there are many expensive IVF clinics around, one must always do a thorough research before deciding to go with the one. You should check the success rate of the clinic and also the qualifications and practice of the doctor. You must also check the previous patient’s experiences and reviews.

8. How much time does it take to implement IVF?
An IVF cycle normally takes about 6-8 week to implement. The cycle starts with the consultation and ends after the implantation of the embryo is done in the woman’s body.

We hope we have covered the questions going around in your mind regarding the IVF treatment and were able to answer your doubts.

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Dear Dr. Shivani, Dr. Vishal & SCI Team

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

Thank you Card from Indian Parents!!

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

Thankyou Card to SCIIVF Clinic

Modinagar Obstetrics and Gynecology Society and Delhi State | ISAR (Indian Society of Assisted Reproduction)

Modinagar Obstetrics and gynecology Society and Delhi State chapter of ISAR (Indian Society of Assisted Reproduction) organised a CME program on Female Infertility on 14th November at Hotel Royal Inn. Approx 29 gynaecologists from Modinagar attended and the Chief Guest was Dr Manju Sivach MLA. She emphasized the need for improvement in doctor patient communication which is causing problems in doctor patient relationship.  She said infertility is leading to breakdown of family structure and it’s essential to have good treatment available in smaller towns like Modinagar.  Dr Kavita from Modinagar Obs Gyn Society quote “we are seeing a larger number of women with Infertility about 20 percent of women have this problem and we do not have advanced treatment facilities here so women habe to travel to Delhi Noida. Dr Shivani Gour General Secretary of Delhi ISAR said Surrogacy IVF is under debate now a day’s approximately 5 percent of women who fail routine treatment need surrogacy to get pregnant.  In Delhi it is because women are having children late after 35 years so the egg quality is poor. Dr Nupur Garg senior consultant SCI IVF centre Noida said women from Modinagar travel to Noida for treatment very late by that time success tates are lower and we want to raise awareness for specialist referral early at correct time. Simple techniques like exercise 20 minutes per say avoid junk food and taking high protein diet and vitamin c like in tomatoes citrys fruits can promote fertility.

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