Evaluation and treatment of male and female infertility
The inability to achieve pregnancy after one year of regular, unprotected intercourse is defined as infertility. Traditionally, infertility was thought to be solely due to female factors, but it is now clear that infertility is not solely a female issue. Evaluation and treatment can begin after one year of unprotected intercourse in females under the age of 35, and after six months in females over the age of 35. Male factors such as Azoospermia (seminal fluid without sperms), reduced sperm cell number and motility, and morphological defects are major causes of infertility in men. The most common causes of infertility in women are ovulatory dysfunction, uterine abnormalities, tubal obstructions, peritoneal factors, or cervical factors.Our reproductive specialists at bliss evaluate your history and perform physical tests to diagnose the underlying causes of infertility and design a personalized treatment plan to achieve pregnancy in a short period of time.
Hormonal Evaluations
Hormones are important in both male and female infertility. Variations in luteinizing and Follicular stimulating hormones can lead to infertility in both men and women. In females of childbearing age, anti-Mullerian (AMH) hormone acts as a marker for ovarian reserve. TSH and Prolactin are two other important hormones that affect female fertility. We offer a comprehensive evaluation of a variety of hormones that affect fertility in both sexes at bliss.
Ovulation Induction
Ovulation induction assists women suffering from anovulation for a variety of reasons in achieving ovulation and pregnancy. Ovulation induction is accomplished through the use of a variety of medications that stimulate the ovary to produce and release eggs, increasing a woman's chances of conceiving a child through timed intercourse or intrauterine insemination. Ovulation induction is beneficial for women with PCOS and infrequent ovulation. Our reproductive specialist at Bliss conducts preliminary investigations and health tests to determine whether or not ovulation induction should be used.
Semen Analysis
Obstacles to pregnancy can be frustrating and heartbreaking for both partners. Infertility can affect both men and women, and issues with male fertility play a role in half of all cases of infertility. Because low sperm count is often the cause of male infertility, sperm analysis may be the only gold standard investigation in male factor assessment. To diagnose male infertility, it consists of a series of tests that evaluate the quality and quantity of sperm as well as semen. Bliss uses a precise collection and measurement method, as well as WHO 2010 guidelines, to assess the sperms, and reports are provided in print format.
Sperm DNA Fragmentation Test
One of the most common causes of paternal-derived repeated reproduction failure is sperm DNA fragmentation. Sperm DNA fragmentation is completely independent of sperm count, motility, or morphology, and in cases where routine sperm analysis reveals normal parameters, estimating sperm DNA integrity may predict male infertility. Data on DNA integrity could aid in the clinical diagnosis, management, and treatment of male infertility. Bliss provides a cost-effective analysis of sperm DNA integrity.
Intrauterine insemination (IUI)
Intrauterine insemination, also known as artificial insemination, is a fertility treatment that involves inserting washed and concentrated sperms directly into the uterus near the time of ovulation in order to facilitate fertilisation. The next step is to keep an eye out for pregnancy signs and symptoms. IUI is most commonly used in couples experiencing unexplained infertility, subfertility, cervical factor infertility, or ovulatory factor infertility. The IUI procedure takes only a few minutes and is painless. It may cost less than other types of fertility treatments.
In vitro fertilisation (IVF) and Intracytoplasmic Sperm Injection (ICSI )
Invitro fertilization or IVF is a method of assisted reproduction, in which a man’s sperm and a woman’s egg are combined in a laboratory dish. Resulting embryos may be transferred into the woman’s uterus. IVF can be used to treat infertility inpatients with blocked or damaged fallopian tubes, male factor infertility, women ovulation disorders, premature ovarian failure, uterine fibroids and in the case of unexplained infertility. Ovarian stimulation, egg retrieval, fertilization, embryo culture and embryo transfer are the basic steps in an IVF treatment cycle. Intracytoplasmic sperm injection is an assisted reproductive method where a single sperm is picked up with a needle and injected directly into oocytes. ICSI is absolutely necessary in the case of male factor infertility with abnormal semen analysis, previous poor fertilization with IVF, variable sperm count and unexplained infertility Bliss is equipped with the latest state- of- the art IVF/ICSI lab to keep up with international standards. All the procedure in our lab are documented. Our IVF /ICSI treatments are cost effective and guaranteed high success rate.
PESA, TESAs
PESA and TESA are two techniques that have revolutionised male infertility treatment in the last decade. PESA (percutaneous sperm aspiration) and TESA (testicular sperm extraction) do not require a surgical incision and can be performed under sedation or local anaesthesia. ICSI is performed using the retrieved sperm cells. PESA/TESA benefits men with azoospermia (both obstructive and non-obstructive).
Cryopreservation of Gametes and Embryo
Cryopreservation—the ability to freeze and thaw while retaining viability—provides flexibility in human infertility treatment because frozen tissues can be stored in liquid nitrogen at -1960 C for an extended period of time. Bliss has a very successful cryopreservation programme that includes sperm, oocyte, and embryo cryopreservation, resulting in a very accurate birth rate, lower treatment costs, and preservation of fertility potential.
Preimplantation Genetic Diagnosis (PGD)
PGT is the pre-transfer examination of an embryo for genetic problems that can lead to recurrent implantation failure, miscarriage, and birth defects. Embryos with such flaws are not allowed to be transferred to the mother's womb. Our fertility specialist meets with couples interested in PGT testing to discuss the procedures available, as well as the benefits and risks.
Fertility Enhancing Endoscopic Surgery
Hysteroscopy and laparoscopy provide a direct view of the pelvic organs and important information about female infertility. They can also be used for diagnostic and surgical purposes. It is a straightforward procedure that is carried out under general anaesthesia. Curative action can be taken at the same time if necessary. Bliss provides both diagnostic and surgical procedures to help identify and treat tubal patency, adhesions, fibroid and ovarian mass removal, and other conditions.