1. In vitro fertilisation (IVF) is a process by which an egg
is fertilized by sperm outside the body.
The process involves monitoring a woman's ovulatory
process, removing ovum or ova (egg or eggs) from
the woman's ovaries and letting sperm fertilise them
in a fluid medium in a laboratory and then
transferring it to the patient's uterus with the
intention of establishing a successful pregnancy.
The first successful birth of a "test tube baby", Louise
Brown, occurred in 1978. Louise Brown was born as a
result of natural cycle IVF. Robert G. Edwards, the
physiologist who developed the treatment, was
awarded the Nobel Prize in Physiology or Medicine in
2010.
What Is IVF….

2. In vitro fertilisation (IVF) is one of several techniques available to help couples with
fertility problems to have a baby.
Why IVF Is Needed….
Those Fertility Problems Includes :-
 Endometriosis
 Low sperm counts
 Problems with the uterus or fallopian tubes
 Problems with ovulation
 Antibody problems that harm sperm or eggs
 The inability of sperm to penetrate or survive
in the cervical mucus
 An unexplained fertility problem

3. Women under 40
women under 40 years should be offered three cycles
of IVF treatment on the NHS if:-
 you have been trying to get pregnant through
regular unprotected intercourse for two years.
Women aged 40 to 42
women aged between 40 and 42 should be offered
one cycle of IVF on the NHS if:-
 you have been trying to get pregnant through
regular unprotected intercourse for a total of two
years
 you have not been able to get pregnant after 12
cycles of artificial insemination
 you have never had IVF treatment before
 you show no evidence of low ovarian reserve (this
is when eggs in the ovary are impaired or low in
number)
Who Can Have IVF….

4. Step one:
Suppressing the natural monthly cycle
You are given a drug that will suppress
your natural menstrual cycle. This is
given either as a daily injection (which
you'll be taught to give yourself) or as
a nasal spray. You continue this for
about two weeks.
How IVF is performed….

5. Step two:
Boosting the egg supply
Once your natural cycle is suppressed, you
take a fertility hormone called FSH (follicle
stimulating hormone). These fertility
hormones are known as Gonadotrophins.
This is another daily injection that you give
yourself, usually for about 12 days, but it
can vary depending on your response.

6. Step three:
checking on progress
The clinic will keep an eye on you throughout the drug treatment. You will have vaginal
ultrasound scans to monitor your ovaries and, in some cases, blood tests. About 34-36
hours before your eggs are due to be collected, you'll have a final hormone injection that
helps your eggs to mature.

7. Step four:
Collecting the eggs
For the egg collection, you'll be
sedated and your eggs will be
collected under ultrasound guidance.
This involves a needle being inserted
through the vagina and into each
ovary. The eggs are then collected
through the needle.

8. Step five:
Fertilising the eggs
The eggs that have been collected are mixed
with your partner's or the donor's sperm in the
laboratory. After 16-20 hours they're checked
to see if any have been fertilised.
The cells that have been fertilised (embryos)
continue to grow in the laboratory for one to
five days before being transferred into the
womb. The best one or two embryos will be
chosen for transfer.
After egg collection, you will be given
medicines, either progesterone or hCG
(chorionic gonadotrophin), to help prepare the
lining of the womb to receive the embryo. This
is given either as a pessary (which is placed
inside the vagina) or an injection

9. Step six:
Embryo transfer
Women under 37 in their first IVF cycle should only have a single embryo transfer. In their
second IVF cycle they should have a single embryo transfer if one or more top-quality
embryos are available. In the third IVF cycle, no more than two embryos should be
transferred.
Women aged 37–39 years in the first and second full IVF cycles should also have single
embryo transfer no more than two embryos should be transferred.
For women aged 40-42 years, double embryo transfer can be considered.
All multiple embryo replacements carry the risk of a multiple pregnancy and birth.

10. In Short….

11. Hospitals You Can Contact….

14. Doctors On Panel….
DR. Nalini Mahajan
Dr. Nalini Mahajan is one of the most renowned and
experienced infertility experts in India having special
interest on Interests Infertility and IVF, Endoscopy &
Recurrent Pregnancy Loss.
She has been treating the patients of infertility at her
Center, for the last 2 decades. She was instrumental in
setting up the IVF Centre at Nova Specialty
Surgery, New Delhi.

15. Dr. Aanchal Agarwal
She is an established Obstetrician and Gynaecologist
with post doctoral fellowship of the National Board in
Reproductive Medicine. She has special interest and vast
experience in the field of infertility and IVF. Dr Aanchal’s
methodical as well as humanitarian approach to the
problems of her patients combined with high pregnancy
rates has made her one of the most sought after IVF
specialists.

16. Dr. Hrishikesh D. Pai
Dr. Hrishikesh D. Pai M.D., F.C.P.S., F.IC.O.G., MSc (USA) has
been in the field of IVF since 26 years. He did his one year
fellowship in Reproductive Biology from the University of
Melbourne Australia, in 1989. He is the scientific director of
Two IVF units in Mumbai- 'The Babies & Us' Fertility, IVF &
ICSI Centre at Opera House & 'The Advanced Fertility
Centre' At the Lilavati Hospital, Bandra. He is one of the
pioneers in the field of Micromanipulation in India. His was
the third unit in India to have started the procedure of
Micromanipulation- ICSI in 1996 in Mumbai.

17. For More Details…….
HBG Medical Assistance Pvt. Ltd.
810 Udyog Vihar, Phase-v, Gurgaon – 122001,
(Haryana)
Phone:+ 91- 9899980057; +91 9990066728
Email: hbgcare@highbeamglobal.com
abhik@highbeamglobal.com
nandita.gupta@highbeamglobal.com
Website: http://www.hbgmedicalassistance.com
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