Best IVF Specialist in India

(Dr. Beena Muktesh)

Clinical Director Fertility at Silver Leaf Fertility Centre, Gurgaon





IVF BABIES



Why Choose Us

  • The Silver Leaf fertility centre follows strict international protocols for the procedures and provides standard facilities to the patients for the best treatment experience.
  • Silver Leaf fertility centre has been providing its medical services for more than thirty years now with utmost passion and care
  • The hospital has a team of highly-trained and skilled infertility specialists which provides all the infertility treatments with high success rates.
  • Silver Leaf Fertility Centre is equipped with state-of-art technologies and has all the modern amenities at a nominal price.
  • Dr. Beena Muktesh is known for providing personalized treatment to all her patients with utmost attention, compassion and care.

Success Stories

Sonia Aggarwal

"Nice doctor.took care of all my concerns"

Somya

"Dr. Beena is very nice and listens patiently to our complaints . She understands the patients well and treat accordingly."

Manisha

I wish to express my profound gratitude to Dr. Beena for a well done job during and after my IVF treatment. She treated me like family by always being there and supporting in every which way. I will be obliged forever.

Amrita

"Very good doctor ,I m very Happy with Dr.Bina, She is very friendly and of good nature."

Shaina Khera Kohli

"Good experienced doctor…and found her analysis nice….she was confident as well patient to listen your queries."

Laxmi

"Dr beena is very cooperative in nature. No long time waiting for consultation. She recommended good medicine i am feeling improvement in my case. Thanku so much."

Reshu

"Really like the doctor… She advised so well and cleared all my queries related to IVF. She made me comfortable too."

Subhadra

"I wish to express my profound gratitude to Dr. Beena for a well done job during and after my IVF treatment. She treated me like family by always being there and supporting in every which way. I will be obliged forever."

Priya

"We appreciate the help rendered by Dr. Beena & will always remember her with gratitude"

Our Services

In Vitro Fertilization

The I.V.F (or a “test-tube baby” treatment ) is the most advanced treatment in reproduction. The fertilization of eggs occurs outside of the female body, in a Petri dish. Multiple eggs are removed from the woman’s ovary using a needle guided by ultrasound under anesthesia and then mixed with her partner’s sperm. Resulting embryos are kept in the incubator for several days and allowed to divide and multiply their cells. The well developing embryos are then placed into the uterus by introducing a thin plastic catheter through the cervix.. If the woman fails to develop good quality eggs in her ovaries, the couple may decide to use eggs obtained from a healthy and fertile donor. The resulting embryos are then placed into the woman’s uterus.

The process for IVF:

  • The ovaries are stimulated by hormone injections to produce multiple eggs (in a natural cycle, mostly only one egg is produced every month)
  • The growth of the eggs in the ovaries is monitored by ultrasound and hormone tests.
  • When the follicles reach large enough sizes, a hormone (hCG) injection is given that causes the eggs to mature
  • 34-38 hours after the hormone (hCG) injection, the eggs are removed (or aspirated) from the ovaries by a needle introduced via the vaginal route under ultrasound guidance
  • The fertilized eggs known as embryos are placed into the uterus 2-5 days after fertilization
  • A pregnancy test can be done two weeks later to find out if the IVF procedure has been successful

Intracytoplasmic Sperm Injection

  • During ICSI, a single sperm is injected directly into an egg. ICSI may be used as part of an IVF treatment.
  • In normal IVF, many sperm are placed together with an egg, in hopes that one of the sperm will enter and fertilize the egg. If the quality of the man’s semen is very poor, his sperm may not be able to fertilize female eggs on their own. In these cases, one individual sperm can be injected into the egg directly using a microscopic needle (ICSI). With ICSI, the embryologist takes a single sperm and injects it directly into an egg. For this a specialized ICSI machine is used. Success rate is more in ICSI in certain indications.

What is the Procedure for ICSI?

  • As with regular IVF, you’ll take ovarian stimulating drugs, while your doctor will monitor your progress with blood tests and ultrasounds. Once you’ve grown enough good-sized follicles, you’ll have the egg retrieval, where eggs are removed from your ovaries with a specialized, ultrasound-guided needle.
  • Your partner will provide his sperm sample that same day (unless you’re using a sperm donor, or previously frozen sperm.)
  • Once the eggs are retrieved, an embryologist will place the eggs in a special culture, and using a microscope and tiny needle, a single sperm will be injected into an egg. This will be done for each egg retrieved.
  • If fertilization takes place, and the embryos are healthy, an embryo or two will be transferred to your uterus, via a catheter placed through the cervix, two to five days after the retrieval
  • Pregnancy check by B-Hcg (14 days)

Intrauterine Inseminaiton

Intrauterine insemination (IUI) is an infertility treatment that is often called artificial insemination. In this procedure, the woman is injected with specially prepared sperms. Sometimes the woman is also treated with medicines that stimulate ovulation before IUI.

  • Mild male factor infertility
  • Women who have problems with their cervical mucus
  • Couples with unexplained infertility

Embryo Transfer

  • Patients undergoing In Vitro Fertilization (IVF) have numerous appointments, medications and procedures to navigate. Before a cycle begins, patients can feel intimidated about all the steps ahead of them.
  • After ovarian stimulation, egg retrieval and embryo development in the lab, it’s finally time for the embryo to be transferred back into the patient’s uterus. The embryo transfer is a simple procedure that takes about 5 minutes to complete. There’s no anesthesia or recovery time needed. This experience will be similar to the mock embryo transfer performed prior to starting the cycle. The ‘mock’ transfer provided a map of the uterine anatomy, the physician will use that road map to place the embryo in the correct location to help increase the odds of implantation.

Embryo Cryopreservation

Cryopreservation of embryos is the process of preserving an embryo at sub-zero temperatures, generally at an embryogenesis stage corresponding to pre-implantation, that is, from fertilisation to the blastocyst stage

Indications

Embryo cryopreservation is useful for leftover embryos after a cycle of in vitro fertilisation, as patients who fail to conceive may become pregnant using such embryos without having to go through a full IVF cycle. Or, if pregnancy occurred, they could return later for another pregnancy. Spare oocytes or embryos resulting from fertility treatments may be used for oocyte donation or embryo donation to another woman or couple, and embryos may be created, frozen and stored specifically for transfer and donation by using donor eggs and sperm.

Method

Embryo crypreservation is generally performed as a component of in vitro fertilization (which generally also includes ovarian hyperstimulation, egg retrieval and embryo transfer).

The main techniques used for embryo cryopreservation are vitrification versus slow programmable freezing (SPF). Studies indicate that vitrification is superior or equal to SPF in terms of survival and implantation rates.

Pregnancy outcom

In current state of the art, early embryos having undergone cryopreservation implant at the same rate as equivalent fresh counterparts.[1] The outcome from using cryopreserved embryos has uniformly been positive with no increase in birth defects or development abnormalities,[3] also between fresh versus frozen eggs used for intracytoplasmic sperm injection (ICSI)

Semen Cryopreservation

Semen cryopreservation is a procedure to preserve sperm cells. Semen can be used successfully indefinitely after cryopreservation. For human sperm, the longest reported successful storage is 21 years. It can be used for sperm donation where the recipient wants the treatment in a different time or place, or for men undergoing a vasectomy to still have the option to have children.

Freezing

Semen is frozen using a newer flash-freezing process known as vitrification. Vitrification gives superior post-thaw motility and cryosurvival.

Thawing

Thawing at 40°C seems to result in optimal sperm motility. On the other hand, the exact thawing temperature seems to have only minor effect on sperm viability, acrosomal status, ATP content, and DNA.

Egg Donation

Egg donation is the process by which a woman provides one or several (usually 10-15) eggs (ova, oocytes) for purposes of assisted reproduction or biomedical research. For assisted reproduction purposes, egg donation involves the process of in vitro fertilization as the eggs are fertilized in the laboratory. Egg donation is part of the process of third party reproduction as part of ART.

Procedure

Egg donors are first recruited, screened, and give consent prior to participation in the IVF process. Once the egg donor is recruited, she undergoes IVF stimulation therapy, followed by the egg retrieval procedure. After retrieval, the ova are fertilized by the sperm of the male partner (or sperm donor) in the laboratory, and, after several days, the best resulting embryo(s) is/are placed in the uterus of the recipient, whose uterine lining has been appropriately prepared for embryo transfer beforehand. The recipient is usually, but not always, the person who requested the s ervice and then will carry and deliver the baby and keep it.

Results

Nationwide, egg donor cycles have a success rate of upwards of 60%. When a “fresh cycle” is followed by a “frozen cycle”, the success rate with donor eggs goes up to approximately 80%. With egg donation, women who are past their reproductive years or menopause can become pregnant.

Psychological and social issues

Common reasons to donate are to help childless couples, and, for some, the monetary compensation. Reluctance to donate may be caused by a sense of ownership and responsibility for the well-being of the offspring

Assisted Laser Hatching

  • • We can use “embryo surgery” called zona drilling or assisted hatching to “soften” the shell of the embryo ( Laser Hatching Video ) . This helps to increase pregnancy rates by improving implantation rates, since embryo hatching is facilitated.
  • • In the past, this was done using acid (acid Tyrode’s) , but this can damage the embryo.
  • • Today, we can precisely create an opening in the zona safely and effectively with the use of a laser.

Follicular Monitoring

  • It is useful for assessing the size of the follicle that supports the growing egg and for determining the thickness of the uterine lining . Follicular Monitoring is the process of serial ultrasonic monitoring of the ovarian follicles used to identify maturation status of eggs.. In women taking fertility medication, follicle monitoring is essential to assess her response to treatment. In order to safely proceed, it is important to know how many eggs will ovulate and how high the estradiol level is . Additionally, the dose of the fertility medication can be adjusted during treatment if there is an inadequate response or if too many eggs start to mature. If the estradiol level gets very high, a woman may be at an increased risk for developing ovarian hyperstimulation syndrome.
  • The goal of follicle monitoring is to provide information about the number of mature eggs that will ovulate and to ensure that this is accomplished safely.
  • When the eggs are mature, patients are advised to have planned relations, or Intrauterine Insemination or proceed with egg collection in case of an In-Vitro Fertilization Cycle.
  • Ultrasound Monitoring enables the Doctor to understand present status of the uterus, endometrium and ovaries. Abnormalities in these findings could help to explain why a woman may have difficulty conceiving. It also identifies ovarian cysts, pelvic collection, hydrosalpinx etc.

Surgical Sperm Recovery

Men who have no sperm in the ejaculate may undergo a direct sperm aspiration from the epididymis or testis These are different procedures to retrieve sperms from the male testes and epididymus ,if no sperms are found in semen sample. These retrived sperms are used for IVF /ICSI. Both these procedures should to be coordinated with their female.

P.E.S.A: (Percutaneous Epididymal Sperm Aspiration):

P.E.S.A is a procedure performed for men who have obstructive azoospermia from either a prior vasectomy or infection. In this procedure, a needle is inserted into the epididymis and sperm is withdrawn. It is done under local anesthesia in the OT .

T.E.S.A: (Testicular sperm aspiration):

If sperm cannot be found in the epididymis( PESA), TESA is used to extract sperm from testicular tissue, and the needle is inserted directly into the testis. This procedure is performed on the male under local anesthesia in the OT. In this procedure a needle is inserted directly into the testicles and the tissue or sperms are aspirated from there. TESA is performed for men with obstructive azoospermia. TESA at times may not provide enough tissue or sperms and an open testis biopsy may be required.

Informative Videos





Reach out to Silver Leaf Fertility Centre (Dr. Beena's Clinic)