Advance Fertility Treatments | Hegde Fertility
                     Advance Fertility
Treatments
Blastocyst culture
⮚ Embryo transfer following IVF or ICSI took place two or three days after egg collection when the 
embryo contains around six to eight cells
⮚ The word ‘blastocyst’ refers to the stage that the human embryo reaches approximately five to six 
days after fertilisation. The blastocyst stage embryo typically has between 50 and 200 cells
⮚ Embryos can be cultured for five or six days. By this stage, the embryos have numerous cells 
(approximately 80 – 100) and start to form two distinct layers. The embryos are then known as 
blastocysts
⮚ Blastocyst culture media that mimic the changing environment of the reproductive tract and meet 
the unique requirements of the embryo. Culturing embryos in the laboratory to day five or six gives 
the embryos more opportunity to prove their developmental potential
⮚ Some fertilized eggs may even arrest (stop developing) prior to day 5. This ‘natural 
selection’ enables the embryologist to more accurately choose the best embryo for transfer which 
offers the most likely chance of pregnancy is 60% using Blastocyst where as 40% on Day 3 embryo 
transfer
⮚ The biggest advantage of the Blastocyst Culture and Transfer method is that it significantly reduces 
the risk of multiple pregnancies and implantation success rate is higher in this technique
Laser 
Assisted 
Hatching
▪ LAH a technique to hatch the embryo
▪ An embryo breaks out of an eggshell called “Zona Pellucida” after which the embryo implants itself on to the uterine 
wall. In certain cases, the egg cannot hatch and implant
▪ LAH there is a technique that assists the embryo to hatch out and implant to the uterine lining thus increasing the 
chances of a successful pregnancy
▪ The procedure essentially involves, making a small hole in the shell or the outer tough layer with the help of a laser 
and this facilitates the embryo to come out of the zona pellucida. The LAH procedure is done while the embryos are 
in the lab and then implanted into the uterus
LAH Is Advised To
Advantages 
Procedure 
Ovarian Rejuvenation PRP 
(Platelet Rich Plasma )
In Ovarian Rejuvenation PRP is directly injected into a patient's ovaries with her own platelet-rich 
plasma (PRP), infusing the ovaries with proteins rich in growth factors and stem-cell chemoattractant
Ovarian PRP Is Advised To
Advantages 
⮚ This treatment can also 
help women conceive a 
pregnancy if they are 
older or are 
experiencing 
menopause
⮚ women with low egg 
reserves who are 
experiencing infertility
OOCYTE FREEZING
Egg freezing, or oocyte cryopreservation, is a process in which a woman's eggs (oocytes) are 
extracted, frozen and stored as a method to preserve reproductive potential in women of reproductive age.
Is Advised To
Procedure 
Controlled These Oocytes Selected oocytes 
Evaluation of 
ovarian can be thawed are frozen with All the mature 
ovarian reserve, Oocyte retrieval 
hyperstimulation in future to use the latest oocytes are 
general health under 
with frequent with partner's freezing selected for 
status and Viral anaesthesia
follicular sperm for method- freezing 
screening
monitoring fertilization Vitrification
Advantages 

Sperm 
FREEZING
Is Advised To
Chemotherapy or radiotherapy for any cancer
❖ Sperm  freezing is the process of collecting, 
analyzing, freezing and storing a 
man's sperm. The samples are later used for 
fertility treatments or donated to other Testicular Surgery
couples or individuals, including same-sex 
female partners. This overall process is 
known as cryopreservation and is sometimes 
referred to as sperm banking. In High-risk occupations(army/police or sports)
❖ According to ART guidelines we can store 
sperms up to 10 years. Men with Diabetes
If male partner is not available during the treatment, 
frozen semen can be used for IUI/IVF/ICSI
Procedure 
The Vials are 
named with 
A written Need to The sample is The sample is your full name 
Sexual 
consent is produce a fresh tested for washed. The The sample and date of 
abstinence of 2-
needed in order sample of sperm count, cryoprotectant semen is then freezing which 
5 days is 
to freeze the semen on the motility ,and is added to stored in vials are placed in 
advised
semen day of freezing morphology semen. liquid nitrogen 
at temperature 
of -196 C
FALLOPIAN TUBE 
CATHETERIZATION 
FALLOPIAN TUBE CATHETERIZATION helps open a woman's blocked fallopian tubes. This 
improves chances of getting pregnant. When sperm meets an egg in a fallopian tube, the egg 
is fertilized. The fallopian tubes carry eggs from ovaries to uterus (womb). 
INDICATIONS 
• History of infertility due to tubal factor
• Tubal block diagnosed by HSG or laparoscopy
Procedure 
FTC require both Hysteroscopy and laparoscopy 
⮚ Laparoscopy is performed by making a small incision on the abdomen. A long thin tube(telescope) with an 
attached camera is passed into the abdomen. The pelvic and abdominal; organs are visualized.
⮚ Hysteroscopy allows a surgeon the inside the uterine cavity. The tubal ostia(opening of the fallopian tube into 
the uterine cavity)is noted. A fine guidewire is passes into tubal ostia. This guidewire is carefully used to unforce 
the tube. A dye is passed into the fallopian tube to check where the fallopian tube is patent. This passage of dye 
can be observed through the laparoscope.
Postoperative care
⮚ Day care procedure
⮚ Patient must avoid intercourse until the bleeding from vagina stops.
⮚ Patient should avoid lifting of heavyweights for 6 weeks.
Infection
Injury Injury to 
to Complications blood 
organs vessels
Ectopic 
pregnancy
Surrogacy 
Surrogacy is an arrangement, often supported by a legal 
agreement, whereby a woman (the surrogate mother) agrees to 
bear a child for another person or persons, who will become the 
child's parent(s) after birth
● women who are medically unfit to carry the pregnancy or go 
through labor
● women who have Medical Problem with the uterus
● Couple who tried multiple assisted reproductive techniques
● Malformation of the womb
● Recurrent Miscarriages 
● women who had undergone hysterectomy (hysterectomy is 
an operation to remove the uterus)