Andrology and Infertility
Male infertility affects up to 50% of all couples having problems starting a family.We feel it is important for men to have a broad ranging diagnostic and treatment service tailored to individual needs.We believe that appropriate testing and in depth interpretation of your results is the key to a successful diagnosis of male infertility. Our experts can assess your fertility potential and help you take the right steps to maximise your reproductive health and increase your chances of a successful pregnancy with your partner.
Our services include state-of-the-art diagnostic testing, sperm freezing and storage for preserving fertility, and assisted conception using intrauterine insemination with partner or donor sperm. We co-ordinate testicular sperm retrievals for men with no sperm in their ejaculate and electroejaculation procedures for spinal cord injury
We understand the very sensitive nature of male infertility and you can be assured that discretion and confidentiality are our priority.
Facilities available at Virinchi Hospitals:
- Fertility Testing
- Fertility Treatment
- Sperm Retrieval
- Sperm Storage
- Counselling and Hypnotherapy
Our highly trained professional staff of board-certified physicians, nurses, and technologists provides our patients with personalized care second to none. We specialize in assisted reproductive technology, but also offer infertility testing services and options for cryopreservation of reproductive tissue. Our affiliated Reproductive Endocrinologists provide a complete spectrum of fertility evaluation and management services.
In Vitro Fertilization (IVF)
We have performed many of IVF procedures. We are always available to discuss with you and your partner the medical, emotional, and financial aspects of IVF. It is our greatest hope that your IVF experience with us will be a pleasant and successful one.
Ovarian stimulation – IVF is a more successful process if the woman can produce multiple oocytes. To achieve this goal, she is placed on a regimen of daily injections of medication (gonadotropins) to stimulate the ovaries to produce oocytes. While on these medications, she will be monitored a number of times in our office with ultrasound to look at the developing egg follicles and blood work to check hormone levels. When it appears that the egg follicles are an appropriate, mature size, she is given an injection of human chorionic gonadotropin (hCG) to trigger the final maturation of the oocytes and prepare for oocyte retrieval.
Oocyte retrieval – This is the process in which the oocytes are removed for fertilization with your partner’s sperm. The process is done at our outpatient IVF facility. The process is done under conscious sedation anesthesia by a certified anesthetist to ensure your comfort and safety. Under vaginal ultrasound guidance using a special device, your doctor will insert a needle into the egg follicles and remove the eggs. The process generally takes between 30 – 60 minutes.
Fertilization – After removal, the oocytes will be incubated for a period of time and then mixed with your partner’s sperm in the IVF laboratory to achieve fertilization. The day following the oocyte retrieval we will know how many of the oocytes have fertilized normally. The technical laboratory aspects of IVF are complex, and we are fortunate to have a talented embryology staff with decades of IVF experience.
Embryo transfer – The transfer of embryos can occur 3 days following the egg retrieval when the embryos are at the 6 – 8 cell stage, or 5 days following the egg retrieval when the embryos are at the more advanced blastocyst stage. If embryos are transferred at day 3 instead of day 5 (or day 5 instead of day 3 for that matter) it only means that your physician believes that this is the best time to do the transfer in your case. You and your physician will discuss the best day to transfer the embryos and the number of embryos to transfer. Except for special circumstances.
Intracytoplasmic Sperm Injection (ICSI) – In certain circumstances it may be determined that simply mixing oocytes and sperm outside the body will not achieve fertilization and creation of embryos. In these instances, ICSI is utilized in which a single sperm is injected into the oocyte using a special needle. The most common indication for ICSI is a sperm issue, but the process may be utilized with unexplained infertility, suspected egg problems, a history of failed fertilization with IVF in the past, or low oocyte number.
Testicular Sperm Extraction (TESE) – In situations where a man has extremely low sperm counts or no sperm in the ejaculate (such as having a vasectomy or failed vasectomy reversal) it may be possible for a urologist to perform a testicular biopsy and to retrieve immature sperm that can be used for IVF with ICSI. our embryology staff is available to work in conjunction to make sure that sperm are present in the biopsy and processed appropriately.
Assisted Hatching – This process is generally performed when embryos are transferred 3 days after retrieval. Hatching is performed by creating a hole in the outer membrane (zona pellucida) of the embryo using an acid solution or laser just prior to transfer.
Embryo Cryopreservation – The freezing of embryos has tremendously added to the success of IVF, and we are fortunate to have a very successful embryo cryopreservation program. Since more embryos are often created than will be transferred to the uterus during a fresh cycle, embryo cryopreservation (or freezing) allows couples the opportunity to have multiple embryo transfers following a single retrieval of oocytes.
Oocyte Cryopreservation – Unlike embryo cryopreservation the cryopreservation of oocytes (eggs) is a relatively new process. Candidates for oocyte freezing are generally young patients without a partner who need to freeze their eggs because of a medical condition that might affect their eggs in the near future (such a planned radiation or chemotherapy for cancer or some other serious medical condition). While some may consider this process experimental, we have achieved pregnancies and deliveries using oocytes that have previously been cryopreserved.
Oocyte Donation – Many times a couple cannot conceive because the woman is not producing healthy oocytes. As women mature, the quantity and quality of their oocytes decrease. Some women have diminished ovarian reserve and cannot produce healthy oocytes though they are relatively young. Other women have had their ovaries surgically removed or the ovaries are not surgically accessible to retrieve eggs. Some women have had repetitive IVF failure of unknown cause. In these situations donated oocytes may be used to allow a couple to achieve pregnancy.
The success rate of having a live birth following the use of oocyte donation is the highest of all IVF procedures performed.
Embryo Donation – Some couples who have completed their family with IVF and have frozen embryos remaining elect to donate their embryos to another couple. Embryo donation may allow certain couples an opportunity to achieve pregnancy when other methods have been unsuccessful.
Preimplantation Genetic Diagnosis (PGD) – PGD is a process in which embryos are screened for specific genetic diseases or chromosomal abnormalities prior to transfer into the uterus. The process involves removing a single cell from the each embryo, having the cells analyzed for certain defects, and then only transferring embryos that have tested normally using the PGD technique.