SlideShare a Scribd company logo
1 of 90
 
Dr Aniruddha Malpani, MD www.DrMalpani.com
Egg plus sperm = baby !
 
 
Traditional approach ,[object Object],[object Object],[object Object],[object Object]
 
Need to change ! ,[object Object],[object Object],[object Object]
 
IVF cycle   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVF cycle 1. Superovulation   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
IVF cycle   Superovulation ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
IVF cycle   ,[object Object],[object Object],[object Object]
 
 
 
 
IVF cycle ,[object Object],[object Object],[object Object],[object Object]
IVF cycle   ,[object Object],[object Object],[object Object],[object Object]
 
 
IVF cycle   ,[object Object],[object Object],[object Object],[object Object]
 
Risks of IVF    ,[object Object],[object Object],[object Object],[object Object]
Limitations of IVF ,[object Object],[object Object],[object Object],[object Object]
Advanced fertilisation  techniques ,[object Object],[object Object],[object Object],[object Object]
ICSI ,[object Object],[object Object],[object Object]
 
Blastocyst transfer ,[object Object]
[object Object]
Freezing - cryopreservation
Vitrification ,[object Object],[object Object],[object Object],[object Object],[object Object]
The promise of ART   ,[object Object],[object Object],[object Object],[object Object],[object Object]
PGD – the newest ART ,[object Object],[object Object]
Procedure for preimplantation genetic diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
 
 
 
 
Signal interpretation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Normal  blastomere
Trisomy 21
 
Comparative Genomic Hybridisation
PCR
Indications for preimplantation genetic diagnosis ,[object Object],[object Object]
Indications for preimplantation genetic diagnosis ,[object Object],[object Object],[object Object]
Cloning ,[object Object],[object Object]
Embryonic stem cells ,[object Object],[object Object],[object Object],[object Object],[object Object]
We’ve come a long way, baby !
 
Playing God ? ,[object Object],[object Object]
Should embryo research be  banned ? ,[object Object],[object Object],[object Object],[object Object]
 
 
ART is a medical success story ! ,[object Object],[object Object],[object Object]
Human Fertilisation and Embryology Authority (HFEA) Act, UK ,[object Object],[object Object],[object Object]
UK v/s US ,[object Object],[object Object]
Doctors v/s politicians ,[object Object],[object Object],[object Object]
Global picture ,[object Object],[object Object]
Law of unintended consequences ,[object Object],[object Object],[object Object]
IVF laws and doctors ,[object Object]
Doctors are trusted professionals ,[object Object],[object Object]
Useful regulation ,[object Object],[object Object]
In real life ,[object Object],[object Object],[object Object],[object Object],[object Object]
Real life problem - How many embryos to transfer ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Surrogacy ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object]
Solution ? ,[object Object],[object Object],[object Object]
Going too far ?
3 principles of medical ethics ,[object Object],[object Object],[object Object]
 
Simplifying IVF to make it affordable ,[object Object],[object Object],[object Object],[object Object],[object Object]
Low cost innovations ,[object Object],[object Object],[object Object]
Intravaginal Culture ,[object Object],[object Object],[object Object],[object Object]
 
What society can do ,[object Object],[object Object]
 
 
 
 
 
 
 
 
 

More Related Content

What's hot

In vitro fertilization methods
In vitro fertilization methodsIn vitro fertilization methods
In vitro fertilization methodsSELINA SRAVANTHI
 
In Vitro Fertilization - IVF
In Vitro Fertilization - IVFIn Vitro Fertilization - IVF
In Vitro Fertilization - IVFAreej Abu Hanieh
 
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)Muhammad Anas Shamsi
 
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
PROTOCOLSIntra Uterine Insemination  (sharing personal experience) PROTOCOLSIntra Uterine Insemination  (sharing personal experience)
PROTOCOLS Intra Uterine Insemination (sharing personal experience) Lifecare Centre
 
Ivm Of Oocytes Study
Ivm Of Oocytes StudyIvm Of Oocytes Study
Ivm Of Oocytes Studyguest7f0a3a
 
Semen Preparation Methods - Principles & Techniques
Semen Preparation Methods - Principles & TechniquesSemen Preparation Methods - Principles & Techniques
Semen Preparation Methods - Principles & TechniquesIndore Infertility Clinic
 
Assisted reproductive technology
Assisted reproductive technologyAssisted reproductive technology
Assisted reproductive technologySalini Mandal
 
Oocyte donation or Egg donation
Oocyte donation or Egg donationOocyte donation or Egg donation
Oocyte donation or Egg donationSoumyaroop Dash
 
Sperm preparation by Dr.Renukadevi
Sperm preparation by Dr.RenukadeviSperm preparation by Dr.Renukadevi
Sperm preparation by Dr.RenukadeviMorris Jawahar
 
An overview of IVF/ICSI
An overview of IVF/ICSIAn overview of IVF/ICSI
An overview of IVF/ICSIMorris Jawahar
 
Embryo grading
Embryo  gradingEmbryo  grading
Embryo gradingsunitafeme
 
In vitro fertilization (ivf)
In vitro fertilization (ivf)In vitro fertilization (ivf)
In vitro fertilization (ivf)University of Duhok
 
Intracytoplasmic sperm injection(2)
Intracytoplasmic sperm injection(2)Intracytoplasmic sperm injection(2)
Intracytoplasmic sperm injection(2)Mian Numan
 
Blastocyst transfer
Blastocyst transferBlastocyst transfer
Blastocyst transferAntima Rathore
 
ICSI Lab procedures for gynecologist
ICSI Lab procedures for gynecologist ICSI Lab procedures for gynecologist
ICSI Lab procedures for gynecologist Aboubakr Elnashar
 
Day3 versus Day5 Embryo Transfer
Day3 versus Day5 Embryo TransferDay3 versus Day5 Embryo Transfer
Day3 versus Day5 Embryo TransferSujoy Dasgupta
 
In vitro fertilization
In vitro fertilizationIn vitro fertilization
In vitro fertilizationAnwar Siddiqui
 

What's hot (20)

In vitro fertilization methods
In vitro fertilization methodsIn vitro fertilization methods
In vitro fertilization methods
 
Embryo transfer
Embryo transfer Embryo transfer
Embryo transfer
 
In Vitro Fertilization - IVF
In Vitro Fertilization - IVFIn Vitro Fertilization - IVF
In Vitro Fertilization - IVF
 
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)
The Assisted Reproductive Techniques - ART (IVF, IUI, ZIFT, GIFT, ICSI etc.)
 
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
PROTOCOLSIntra Uterine Insemination  (sharing personal experience) PROTOCOLSIntra Uterine Insemination  (sharing personal experience)
PROTOCOLS Intra Uterine Insemination (sharing personal experience)
 
Ivm Of Oocytes Study
Ivm Of Oocytes StudyIvm Of Oocytes Study
Ivm Of Oocytes Study
 
Semen Preparation Methods - Principles & Techniques
Semen Preparation Methods - Principles & TechniquesSemen Preparation Methods - Principles & Techniques
Semen Preparation Methods - Principles & Techniques
 
Ivf
Ivf Ivf
Ivf
 
Assisted reproductive technology
Assisted reproductive technologyAssisted reproductive technology
Assisted reproductive technology
 
Oocyte donation or Egg donation
Oocyte donation or Egg donationOocyte donation or Egg donation
Oocyte donation or Egg donation
 
Sperm preparation by Dr.Renukadevi
Sperm preparation by Dr.RenukadeviSperm preparation by Dr.Renukadevi
Sperm preparation by Dr.Renukadevi
 
An overview of IVF/ICSI
An overview of IVF/ICSIAn overview of IVF/ICSI
An overview of IVF/ICSI
 
Embryo grading
Embryo  gradingEmbryo  grading
Embryo grading
 
In vitro fertilization (ivf)
In vitro fertilization (ivf)In vitro fertilization (ivf)
In vitro fertilization (ivf)
 
Intracytoplasmic sperm injection(2)
Intracytoplasmic sperm injection(2)Intracytoplasmic sperm injection(2)
Intracytoplasmic sperm injection(2)
 
Blastocyst transfer
Blastocyst transferBlastocyst transfer
Blastocyst transfer
 
Single Embryo Transfer
Single Embryo TransferSingle Embryo Transfer
Single Embryo Transfer
 
ICSI Lab procedures for gynecologist
ICSI Lab procedures for gynecologist ICSI Lab procedures for gynecologist
ICSI Lab procedures for gynecologist
 
Day3 versus Day5 Embryo Transfer
Day3 versus Day5 Embryo TransferDay3 versus Day5 Embryo Transfer
Day3 versus Day5 Embryo Transfer
 
In vitro fertilization
In vitro fertilizationIn vitro fertilization
In vitro fertilization
 

Similar to IVF - what everyone needs to know about IVF

Baby-making : what the new reproductive treatments mean for families & society
Baby-making : what the new reproductive treatments mean for families & society Baby-making : what the new reproductive treatments mean for families & society
Baby-making : what the new reproductive treatments mean for families & society V Somasundram
 
Doctor, will I be able to have a baby ? Fertility after cancer
Doctor, will I be able to have a baby ? Fertility after cancer Doctor, will I be able to have a baby ? Fertility after cancer
Doctor, will I be able to have a baby ? Fertility after cancer Dr Aniruddha Malpani
 
Do laws and guidelines designed to regulate IVF help ? or hurt ?
Do laws and guidelines designed to regulate IVF help ? or hurt ?Do laws and guidelines designed to regulate IVF help ? or hurt ?
Do laws and guidelines designed to regulate IVF help ? or hurt ?Dr Aniruddha Malpani
 
Dr. indranil saha
Dr. indranil sahaDr. indranil saha
Dr. indranil sahaHarmeet Ela
 
Dr. indranil saha
Dr. indranil saha Dr. indranil saha
Dr. indranil saha Harmeet Ela
 
Dr. indranil saha
Dr. indranil saha Dr. indranil saha
Dr. indranil saha Harmeet Ela
 
Recent Advances and Trends in IVF Technology.pdf
Recent Advances and Trends in IVF Technology.pdfRecent Advances and Trends in IVF Technology.pdf
Recent Advances and Trends in IVF Technology.pdfThe Lifesciences Magazine
 
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile Pupil
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile PupilIVF Treatment in India: IVF is Like a Beam of Hope for Infertile Pupil
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile PupilMedMonks
 
Dr. meghana athale
Dr. meghana athaleDr. meghana athale
Dr. meghana athaleHarmeet Ela
 
In Vitro Fertilization & Family Planning Method
In Vitro Fertilization & Family Planning MethodIn Vitro Fertilization & Family Planning Method
In Vitro Fertilization & Family Planning MethodRozelle Mae Birador
 
medical ethics of reproduction
medical ethics of reproductionmedical ethics of reproduction
medical ethics of reproductionRamiAboali
 
Challenges - In management of infertility
Challenges - In management of infertilityChallenges - In management of infertility
Challenges - In management of infertilityDrRokeyaBegum
 
Fertility Options: IVF Overview
Fertility Options: IVF OverviewFertility Options: IVF Overview
Fertility Options: IVF OverviewMark Perloe
 
Bioethics
BioethicsBioethics
BioethicsKripaJ1
 
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdf
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdfConceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdf
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdfCrysta IVF
 
Reproductive Technology Ok.
Reproductive Technology Ok.Reproductive Technology Ok.
Reproductive Technology Ok.chengying
 
Ethical issues associated with fertility treatment
Ethical issues associated with fertility treatmentEthical issues associated with fertility treatment
Ethical issues associated with fertility treatmentChris Willmott
 

Similar to IVF - what everyone needs to know about IVF (20)

Baby-making : what the new reproductive treatments mean for families & society
Baby-making : what the new reproductive treatments mean for families & society Baby-making : what the new reproductive treatments mean for families & society
Baby-making : what the new reproductive treatments mean for families & society
 
Doctor, will I be able to have a baby ? Fertility after cancer
Doctor, will I be able to have a baby ? Fertility after cancer Doctor, will I be able to have a baby ? Fertility after cancer
Doctor, will I be able to have a baby ? Fertility after cancer
 
Do laws and guidelines designed to regulate IVF help ? or hurt ?
Do laws and guidelines designed to regulate IVF help ? or hurt ?Do laws and guidelines designed to regulate IVF help ? or hurt ?
Do laws and guidelines designed to regulate IVF help ? or hurt ?
 
Dr. indranil saha
Dr. indranil sahaDr. indranil saha
Dr. indranil saha
 
Dr. indranil saha
Dr. indranil saha Dr. indranil saha
Dr. indranil saha
 
Dr. indranil saha
Dr. indranil saha Dr. indranil saha
Dr. indranil saha
 
Recent Advances and Trends in IVF Technology.pdf
Recent Advances and Trends in IVF Technology.pdfRecent Advances and Trends in IVF Technology.pdf
Recent Advances and Trends in IVF Technology.pdf
 
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile Pupil
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile PupilIVF Treatment in India: IVF is Like a Beam of Hope for Infertile Pupil
IVF Treatment in India: IVF is Like a Beam of Hope for Infertile Pupil
 
Dr. meghana athale
Dr. meghana athaleDr. meghana athale
Dr. meghana athale
 
Dr. chia yee tien
Dr. chia yee tienDr. chia yee tien
Dr. chia yee tien
 
In Vitro Fertilization & Family Planning Method
In Vitro Fertilization & Family Planning MethodIn Vitro Fertilization & Family Planning Method
In Vitro Fertilization & Family Planning Method
 
medical ethics of reproduction
medical ethics of reproductionmedical ethics of reproduction
medical ethics of reproduction
 
Challenges - In management of infertility
Challenges - In management of infertilityChallenges - In management of infertility
Challenges - In management of infertility
 
Fertility Options: IVF Overview
Fertility Options: IVF OverviewFertility Options: IVF Overview
Fertility Options: IVF Overview
 
The Science of Hope.pdf
The Science of Hope.pdfThe Science of Hope.pdf
The Science of Hope.pdf
 
Bioethics
BioethicsBioethics
Bioethics
 
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdf
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdfConceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdf
Conceiving Dreams_ The Journey at Kanpur’s IVF Clinics.pdf
 
Notes on ART.pdf
Notes on ART.pdfNotes on ART.pdf
Notes on ART.pdf
 
Reproductive Technology Ok.
Reproductive Technology Ok.Reproductive Technology Ok.
Reproductive Technology Ok.
 
Ethical issues associated with fertility treatment
Ethical issues associated with fertility treatmentEthical issues associated with fertility treatment
Ethical issues associated with fertility treatment
 

More from Dr Aniruddha Malpani

Contrarian views on coronavirus
Contrarian views on coronavirus  Contrarian views on coronavirus
Contrarian views on coronavirus Dr Aniruddha Malpani
 
From IVF specialist to Angel Investor
From IVF specialist to Angel Investor   From IVF specialist to Angel Investor
From IVF specialist to Angel Investor Dr Aniruddha Malpani
 
Frugal innovation for Indian entrepreneurs
Frugal innovation for Indian entrepreneursFrugal innovation for Indian entrepreneurs
Frugal innovation for Indian entrepreneursDr Aniruddha Malpani
 
What investors want from healthcare startups
What investors want from healthcare startups What investors want from healthcare startups
What investors want from healthcare startups Dr Aniruddha Malpani
 
What Health-tech startups can do to Put Patients First !
What Health-tech startups can do to Put Patients First !What Health-tech startups can do to Put Patients First !
What Health-tech startups can do to Put Patients First !Dr Aniruddha Malpani
 
Putting Patients First - what doctors expect from healthcare startups
Putting Patients First - what doctors expect from healthcare startupsPutting Patients First - what doctors expect from healthcare startups
Putting Patients First - what doctors expect from healthcare startupsDr Aniruddha Malpani
 
Why an IVF cycle is like driving a car
Why an IVF cycle is like driving a car Why an IVF cycle is like driving a car
Why an IVF cycle is like driving a car Dr Aniruddha Malpani
 
How to be a kind angel investor
How to be a kind angel investor  How to be a kind angel investor
How to be a kind angel investor Dr Aniruddha Malpani
 
Preventing patient errors and promoting medical safety - a guide for medical...
Preventing patient errors  and promoting medical safety - a guide for medical...Preventing patient errors  and promoting medical safety - a guide for medical...
Preventing patient errors and promoting medical safety - a guide for medical...Dr Aniruddha Malpani
 
Learning to be a kind angel investor !
Learning to be a kind angel investor !Learning to be a kind angel investor !
Learning to be a kind angel investor !Dr Aniruddha Malpani
 
What doctors should know about angel investing
What doctors should know about angel investingWhat doctors should know about angel investing
What doctors should know about angel investingDr Aniruddha Malpani
 
Malpani Ventures Learning Day
Malpani Ventures Learning DayMalpani Ventures Learning Day
Malpani Ventures Learning DayDr Aniruddha Malpani
 
When a top quality embryo and poor quality embryo look similar
When a top quality embryo and poor quality embryo look similarWhen a top quality embryo and poor quality embryo look similar
When a top quality embryo and poor quality embryo look similarDr Aniruddha Malpani
 
How to get an investor to fund you
How to get an investor to fund youHow to get an investor to fund you
How to get an investor to fund youDr Aniruddha Malpani
 
What lawyers need to know about startups
What lawyers need to know about startups What lawyers need to know about startups
What lawyers need to know about startups Dr Aniruddha Malpani
 
From IVF specialist to angel investor
From IVF specialist to angel investorFrom IVF specialist to angel investor
From IVF specialist to angel investorDr Aniruddha Malpani
 
When to do SET ( Single Embryo Transfer)
When to do SET ( Single Embryo Transfer)When to do SET ( Single Embryo Transfer)
When to do SET ( Single Embryo Transfer)Dr Aniruddha Malpani
 
Quality control in the IVF Lab
Quality control  in the IVF LabQuality control  in the IVF Lab
Quality control in the IVF LabDr Aniruddha Malpani
 
Reinventing medical education
Reinventing medical education Reinventing medical education
Reinventing medical education Dr Aniruddha Malpani
 

More from Dr Aniruddha Malpani (20)

Contrarian views on coronavirus
Contrarian views on coronavirus  Contrarian views on coronavirus
Contrarian views on coronavirus
 
From IVF specialist to Angel Investor
From IVF specialist to Angel Investor   From IVF specialist to Angel Investor
From IVF specialist to Angel Investor
 
Frugal innovation for Indian entrepreneurs
Frugal innovation for Indian entrepreneursFrugal innovation for Indian entrepreneurs
Frugal innovation for Indian entrepreneurs
 
Exit options for Startups
Exit options for StartupsExit options for Startups
Exit options for Startups
 
What investors want from healthcare startups
What investors want from healthcare startups What investors want from healthcare startups
What investors want from healthcare startups
 
What Health-tech startups can do to Put Patients First !
What Health-tech startups can do to Put Patients First !What Health-tech startups can do to Put Patients First !
What Health-tech startups can do to Put Patients First !
 
Putting Patients First - what doctors expect from healthcare startups
Putting Patients First - what doctors expect from healthcare startupsPutting Patients First - what doctors expect from healthcare startups
Putting Patients First - what doctors expect from healthcare startups
 
Why an IVF cycle is like driving a car
Why an IVF cycle is like driving a car Why an IVF cycle is like driving a car
Why an IVF cycle is like driving a car
 
How to be a kind angel investor
How to be a kind angel investor  How to be a kind angel investor
How to be a kind angel investor
 
Preventing patient errors and promoting medical safety - a guide for medical...
Preventing patient errors  and promoting medical safety - a guide for medical...Preventing patient errors  and promoting medical safety - a guide for medical...
Preventing patient errors and promoting medical safety - a guide for medical...
 
Learning to be a kind angel investor !
Learning to be a kind angel investor !Learning to be a kind angel investor !
Learning to be a kind angel investor !
 
What doctors should know about angel investing
What doctors should know about angel investingWhat doctors should know about angel investing
What doctors should know about angel investing
 
Malpani Ventures Learning Day
Malpani Ventures Learning DayMalpani Ventures Learning Day
Malpani Ventures Learning Day
 
When a top quality embryo and poor quality embryo look similar
When a top quality embryo and poor quality embryo look similarWhen a top quality embryo and poor quality embryo look similar
When a top quality embryo and poor quality embryo look similar
 
How to get an investor to fund you
How to get an investor to fund youHow to get an investor to fund you
How to get an investor to fund you
 
What lawyers need to know about startups
What lawyers need to know about startups What lawyers need to know about startups
What lawyers need to know about startups
 
From IVF specialist to angel investor
From IVF specialist to angel investorFrom IVF specialist to angel investor
From IVF specialist to angel investor
 
When to do SET ( Single Embryo Transfer)
When to do SET ( Single Embryo Transfer)When to do SET ( Single Embryo Transfer)
When to do SET ( Single Embryo Transfer)
 
Quality control in the IVF Lab
Quality control  in the IVF LabQuality control  in the IVF Lab
Quality control in the IVF Lab
 
Reinventing medical education
Reinventing medical education Reinventing medical education
Reinventing medical education
 

Recently uploaded

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...Miss joya
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...narwatsonia7
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingNehru place Escorts
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbaisonalikaur4
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Miss joya
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Availablenarwatsonia7
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Gabriel Guevara MD
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceNehru place Escorts
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptxDr.Nusrat Tariq
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000aliya bhat
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliRewAs ALI
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowRiya Pathan
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknownarwatsonia7
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersnarwatsonia7
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...narwatsonia7
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girlsnehamumbai
 

Recently uploaded (20)

College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
College Call Girls Pune Mira 9907093804 Short 1500 Night 6000 Best call girls...
 
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Electronic City Just Call 7001305949 Top Class Call Girl Service A...
 
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
Russian Call Girls Chickpet - 7001305949 Booking and charges genuine rate for...
 
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service MumbaiLow Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
Low Rate Call Girls Mumbai Suman 9910780858 Independent Escort Service Mumbai
 
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment BookingCall Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
Call Girls Service Nandiambakkam | 7001305949 At Low Cost Cash Payment Booking
 
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service MumbaiVIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
VIP Call Girls Mumbai Arpita 9910780858 Independent Escort Service Mumbai
 
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
Low Rate Call Girls Pune Esha 9907093804 Short 1500 Night 6000 Best call girl...
 
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service AvailableCall Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
Call Girls ITPL Just Call 7001305949 Top Class Call Girl Service Available
 
Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024Asthma Review - GINA guidelines summary 2024
Asthma Review - GINA guidelines summary 2024
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort ServiceCollege Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
College Call Girls Vyasarpadi Whatsapp 7001305949 Independent Escort Service
 
Glomerular Filtration and determinants of glomerular filtration .pptx
Glomerular Filtration and  determinants of glomerular filtration .pptxGlomerular Filtration and  determinants of glomerular filtration .pptx
Glomerular Filtration and determinants of glomerular filtration .pptx
 
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000Ahmedabad Call Girls CG Road 🔝9907093804  Short 1500  💋 Night 6000
Ahmedabad Call Girls CG Road 🔝9907093804 Short 1500 💋 Night 6000
 
Aspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas AliAspirin presentation slides by Dr. Rewas Ali
Aspirin presentation slides by Dr. Rewas Ali
 
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call NowSonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
Sonagachi Call Girls Services 9907093804 @24x7 High Class Babes Here Call Now
 
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service LucknowCall Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
Call Girl Lucknow Mallika 7001305949 Independent Escort Service Lucknow
 
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbersBook Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
Book Call Girls in Kasavanahalli - 7001305949 with real photos and phone numbers
 
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
Call Girls Kanakapura Road Just Call 7001305949 Top Class Call Girl Service A...
 
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Servicesauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
sauth delhi call girls in Bhajanpura 🔝 9953056974 🔝 escort Service
 
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy GirlsCall Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
Call Girls In Andheri East Call 9920874524 Book Hot And Sexy Girls
 

IVF - what everyone needs to know about IVF