Why you should consult Javitri hospital for your infertility treatment ?

  • list-info-icon Successful results up to 80% – Best in U.P.
  • list-info-icon World class modern, modular IVF lab. Doctor trained in cleaveland cline USA & Brussels University Belgium.
  • list-info-icon Internationally trained & skillful team working in this field for last 18 years.
  • list-info-icon Ist IVF center in U.P. to use Embryoscope to deliver better results.
  • list-info-icon Laser hatching for elderly patient.
  • list-info-icon Computerized ICSI machine for males with very low sperm count.

Infertility Treatments

Infertility is a complex problem and affects one out of ten couples. The cause may be attributable to both partners. This frequently leads to a feeling of misery, guilt and loss of self confidence. Many couples in this situation feel the need for very personal care without having to wait for months for the appropriate tests to be carried out.
Javitri Hospital aims to provide private and completely confidential care during which both partners can be fully investigated and the appropriate treatment instigated. The specialist consulting the couple may arrange following investigations within professional and comfortable atmosphere of our clinic.

Male factors

Female factors

Uterine factors

Ovulation disorder factors

Tubo-peritoneal factors

Immunological factors

Endocrino & metabolic disorders

Unexplained Infertility

A couple should conceive by 2 yr. of marriage is they are staying together. A detailed fertility counseling will give a cause in most cases. If all tests give normal reports then couple is asked to consult infertility and go in for (A.R.T.) Assisted reproductive techniques.

The therapy recommended by your fertility specialist will depend on your diagnosis. For this reason, it is important to have a complete “fertility evaluation” prior to undergoing treatment.For example, if a micro-organism that can cause infertility, such as “Ureaplasma” is found, you may only need a course of antibiotics.

If the tests show a problem with ovulation, your doctor may recommend ovulation-induction medication. “Fertility pills” are usually recommended first. If they do not correct the ovulation problem (or if they appear to be correcting it, but you still do not become pregnant), fertility injections will be recommended. These are potent hormones, and you must be carefully monitored by an experienced fertility specialist while you are taking them.

If you are found to have a uterine abnormality, such as fibroids, polyps, adhesions, or a congenital abnormality of the uterus, surgery can be done to correct this.Similarly, pelvic adhesions can be removed with surgery, or blocked fallopian tubes can be opened surgically. If severe disease is found in the tubes then your doctor may feel that you are better off not attempting surgery, and you may go straight to In Vitro Fertilization (“IVF”) instead.

Infertility Services

We provide following services

  • list-info-icon Amtroscope
    • list-info-icon ICSE- Laser Hatching
      • list-info-icon Freesing- Perman Ambrio
      • Centre is equipped to diagnose and treat infertility with related problems in the most modern ways. We take special precautions so that unnecessary and duplication of investigations does not take place.

        Between 8 and 12 percent of couples around the world have difficulty conceiving a child at some point in their lives, and in some areas that figure reaches one-third or more of couples. In some developing countries, for example Nigeria, infertility is the leading reason for gynecological consultations. Where infertility is widespread, couples seeking help can place a heavy burden on limited health care resources.

        Couples are considered infertile if they do not conceive over a 12-month period of unprotected intercourse, but experience shows that many of these supposedly “infertile” couples will eventually conceive, even without treatment. For example, 38 percent of couples attending an infertility clinic in India conceived before any treatment began, and another 27 percent conceived before their treatment was completed. Similarly, a Chilean study found that only 4 percent of women were infertile after their first eight years of marriage, although 26 percent had experienced a delay in conception that lasted longer than 12 months.

In WHO study it has beeen found that about five percent of couples who suffer from anatomical, genetic, endocrinological, and immunological problems that cause infertility. The remainder are infertile largely because of preventable conditions, including:

  • list-info-icon list-info-icon
  • list-info-icon Sexually transmitted, infectious, and parasitic diseases
  • list-info-icon Health care practices and policies
  • list-info-icon Exposure to potentially toxic substances in the diet or the environment.
  • The factors that contribute to these conditions vary from region to region.

    Reproductive tract infections, particularly sexually transmitted diseases (STDs), are the leading preventable cause of infertility. The WHO multinational study found that 64 percent of infertile women this diagnosis could be attributed to infection, about double the rate of other regions . Tubal problems and other infection-related diagnoses also are associated with postpartum and post. abortion complications.

    We here at our Centre make every effort to avoid unnecessary duplication of investigations carried out elsewhere although we almost always carry out a seminal analysis.

We have our own Imported Semen Quality analyzer.
It automatically analyzes the sperms, counts them, check their mobility status and also given complete information about abnormal sperms.
This has greatly helped in standardizing our semen assesment report and requirement for ICSI.

We offer the following modes of treatment:

We are acutely aware of the special nature of our work. Because the desire to have a child is so strong, difficulties with conception can create stress, anxiety and tension. Many people come to us with high expectations and, fortunately, we are often able to help them – but there will often be disappointments along the way and not all our patients are successful.At all stages of your consultation, diagnosis and treatment you can be sure we will respect your feelings and care for your emotional as well as your physical wellbeing. All our clinical staff is able to provide informal counseling it is followed up by counseling by a doctor. The matter discussed during the counseling session are strictly confidential and all patients are expected to have full faith in confidentiality of the system.

One of the very strong reason for you to choose Javitri for your infertility treatment is strong antenatal checkup team and centre for high risk pregnancy management.
We follow up pregnant patient for 3 months routinely.
If everything is normal she is advised to consult her gynecologist after 3 months.
If any problem occurs during pregnancy at any time patient is taking up by the high risk pregnancy management team.

The test tube baby centre has its own sperm bank. Sperm preparations are preserved in liquid Nitrogen Jar where they can be kept for many years if needed. There samples are marked so that there can never be a mistake and the physical characters and the race of the person is noted for use as donor sperm.Sperm can be stored for a number of reasons including
• For use by couples requiring fertility treatment
• To provide storage after surgical methods of collection
• Before a vasectomy
• Prior to cancer treatment
• For the use in patients with psychiatry disorders

About 1.5% of women who have undergone tubal ligation decide to have surgery to reverse the procedure. Most commonly, these are women who have remarried and want to start a family with their new husband.Depending on the method of sterilization utilized, success following reversal of tubal ligation can range from 50-65%.

Male Infertility

We provide following Male infertility services

Infertility is caused by a male factor in approximately 30%-40% of cases. An additional 20% of couples are found to have a combination of male and female factors contributing to their infertility about three quarters of cases of male infertility are related to either low sperm count, poor motility (i.e.: the number of sperm which are viable and moving), or abnormal morphology (i.e.: malformed sperm). While there are many theories about what causes these conditions, it is not always possible for the fertility specialist to identify the cause. Sometimes an infection may be indicated by finding white cells in the semen and can be effectively treated by a Urologist. At other times, stress can cause temporary erectile or ejaculatory problems.

The remaining one-quarter of male infertility results from obstructions in the testes, environmental causes (such as smoking and hot tubs), hormonal deficiency, or auto-immune factors.

Unlike female infertility, which requires a battery of tests to diagnose, male infertility is a relatively simpler evaluation consisting of medical history, physical examination and a semen analysis. If it is normal, usually, no other testing of the male partner is required.

Of course, the couple should ensure that the laboratory performing the semen analysis is highly experienced in this procedure and that they check the motility and morphology as well as the count.

If the semen analysis shows that there is a problem, an evaluation by a urologist- ideally one who specializes in infertility is necessary. Your partner can expect to undergo a careful examination, blood tests and an ultrasound to try to pinpoint the cause.

Many tools are available to the fertility specialist for treating male infertility.In mild cases, super-ovulation (a procedure in which the wife is given fertility drugs to stimulate formation of multiple eggs, thus increasing the possibility that any one will fertilize) with Intrauterine Insemination (IUI). With IUI, the husband’s semen is washed, capacitated and concentrated and then injected directly into the uterus.
When auto-immune factors are present, the sperm are first purified in a technique called “sperm washing.”

In Vitro Fertilization (IVF) is also frequently utilized to treat severe male factor infertility or in cases where superovulation and insemination has not been successful.

Recently, two high-tech breakthroughs have increased the odds significantly for couples with severe male infertility undergoing IVF:

Utilizing “ICSI” (pronounced “icksy”), which stands for intracytoplasmic Sperm Injection, a single sperm is all that is needed. It can be injected, using microscopic techniques (micromanipulation), directly into an egg. In this procedure, the wife undergoes a normal IVF cycle. However, when it is time to fertilize the egg, a single sperm is drawn into a very thin-tipped pipette. The tip of the pipette is inserted into the egg and the sperm is then released directly into the egg. This process can be repeated for each egg.

Or, if a man has no sperm whatsoever in the ejaculate, it is now possible to remove a few sperm cells directly from testicular tissue, utilizing a procedure called “TESA” (Testicular Sperm Aspiration). These cells can then be injected into an egg using the ICSI procedure described above.

For couples who do not want to undergo IVF, Artificial Insemination by donor sperm (AID) can be used. Modern sperm banks use very careful screening procedures before accepting a man as a donor. The couple never meets the donor or knows his identity, but they are provided with a description and medical history. AID has been used for many years by fertility specialists with much success.
For treating Male Infertility Sperm Aspiration is also a useful technique.

Diet of a to-be-father is extremely important. Nutrition has a direct impact on the potency of your sperm. Poor eating habits and regular consumption of alcohol, for instance, can lower the quality and quantity of sperm, making conception more difficult. And since infertility is nearly as much a man’s issue as a woman’s issue – up to 40 % of infertility problems can be traced to men – eating healthfully now will boost your chances of conceiving a child What’s a healthy diet for dads-to-be? Generally, it should be every bit as balanced, varied, and nutritious as a mom-to-be’s diet during conception.
Get more zinc in your diet, at least 12 to 15 mg a day.

Increase your intake of calcium and vitamin D. Good sources of calcium include low-fat milk and curds. You’ll find vitamin D in milk and salmon fish.

Cut out or cut back on alcohol. While an occasional drink is generally considered safe, daily consumption can decrease testosterone levels and sperm counts, and increase the number of abnormal sperms.

Go cold turkey on recreational drugs, such as marijuana and cocaine

Sampling of the worst offender
Testicles function best when they keep their cool. Hot tubs, saunas, synthetic shorts, tight-fitting clothes and bikini underwear can all overheat your testicles and inhibit sperm production. Wear loose fitting pants and boxer shorts. They look better, too.

Avoid riding bicycles, rough sports such as football, hockey, soccer, basketball, baseball, horseback riding and even sex. When you’re training for the bedroom Olympics, just remember: Gentle is best when your goal is a baby.

Keep stress below minimal. Chilling out can power up your potency. If you’re exposed to any hazards like radiation or chemicals on the job, take a break. Prescription drugs can expose you to fertility problems. Seek advice from your doctor.

Do you need one more reason? Quit smoking. Kicking the habit now can help your family out later.

The bottom line is, if you commit yourself to a few months of clean living, healthy eating – plenty of fruit, vegetables, whole grains, low-fat dairy products, and lean meats – and a safe lifestyle, you’ll be in top shape to father a child.

In Vitro Fertilization (I.V.F.)

This is a technique where ovum is collected from female and it is kept with the sperm of male. Fertilization takes place outside the body. The fertilized embryo is implanted in the uterus of the female where is grows into a baby.Female is first subjected to hormonal tests to confirm that she has the capability to produce ovum. Then from 4th day of the menstrual cycle, onwards hormonal injections are given to get good quality and number of ovum. These ova when fully developed are taken out of the ovaries by a needle seeing it under the ultrasound. The ovum is then incubated with the sperms in a carbon di oxide incubator under strict environment control for 48 hrs. During this time, fertilization occurs and embryo of four-cell develops. This in implanted in the uterus of the female here it grows into a baby.

The embryos produced by the IVF techniques can be implanted in the uterus of another woman it is then called embryo transfer. Similarly elderly female who has stopped producing the ovum but wishes to have a baby can have it by taking ovum from another woman and Getting them fertilized by her husband’s semen by the IVF technique. The fertilized embryo is the implanted in the uterus of this elderly woman.

Intra Uterine Insemination (IUI)

This technique is very useful in patients where male partner has a poor quality of semen – the sperm counts may be low or semen may contain many dead or unhealthy sperms or there may be pus cells because of infection the male. IUI can be done by the husband’s semen or from a donor if husband has no sperm in the semen. Semen sample from the centre own sperm bank is also used after couple’s consent. Another technique is also useful in males who do not have any sperm in the semen sample. Here sperms are collected by a needle from the testis and used in ICSI. This way even one sperm can produce a child.

Centre runs clinic for high risk pregnancy. The patients who have had repeated abortions and the patients who have conceived by IVF are seen in this clinnic. The timings for this clinic are 2 to 3 Pm on all the days except Sundays at Javitri hospital.

This another very important service of this Centre. A woman after menopause undergoes many changes in her body due to the changes in the hormones. This results in many medical and psychological problems. One common problem for example is back pain which is due to the loss of calcium from the bones, these woman can be helped by giving hormones similarly the loss of young look can also be restored by hormones. But patients taking the hormone replacement therapy must take it under strict medical supervision. This clinic is conducted every Sunday 10Am to 2 Pm.

Intra Cytoplasmic Sperm Injection (I.C.S.I.)

This technique is used in the patients where male has poor sperm count. Here few sperms are taken in a very fine tube and then a needle injects one sperm into each ovum under a special microscope. This is very useful were woman has also very few ovum. Because fertilization is almost 100% by this technique. Centre has the best quality ICSI unit of Olympus make and Mr. D. Kamath is the embryologist to perform ICSI at the Javitri test tube baby Centre.

We have facility for freezing the embryo to preserve it. Since we have, a high yield of good embryos and all of them may not be used in a woman, so we mark them and keep them for future use. If the implantation fails these embryos are used with out extra financial burden on the patient. The embryos are kept at minus 70 degree centigrade in liquid Nitrogen in embryo freezer. They can be preserved for several years in this way.

Testicular Sperm Aspiration- Read as below

Both of these techniques are for collecting sperms in patients where sperms are absent in semen due to closure of tubes which carry sperms out of the testis like after sterilization operation in the males or due to some infection, which is a very common cause of closure of these tubes. Sperm collected in this way is of use in ICSI technique to achieve fertilization.

It is optimal way of obtaining sperm in those men who have reproductive tract blockage (i.e., after a vasectomy, congenital absence of the vas deferens).

Sperm Banking

We have a very good sperm bank. Here semen sample is purified and kept at minus 70 degree centigrade. One can have his semen preserved at the bank. It is especially useful for patients who have to undergo testicular surgery if they fear sperm count may fall or in patients of testicular tumors.

These surgeries are done to improve the fertility of infertile couples. These surgeries are all done laparoscopically in the Centre. Many defects like those that of closed fallopian tubes can be opened if the obstruction is due to adhesions due to pelvic infection, at times obstruction is at the fimbrial end of the tube, in these cases fimbria are opened by fimbrioplasty. Similarly, tubes closed at the uterine end can be opened by hysteroscopic cannulation of the tubes. Uterine tumors if present in the uterine cavity are responsible for infertility. These tumors can now safely be removed by hysteroscope.

Centre runs clinic for high risk pregnancy. The patients who have had repeated abortions and the patients who have conceived by IVF are seen in this clinnic. The timings for this clinic are 2 to 3 Pm on all the days except Sundays at Javitri hospital.

This another very important service of this Centre. A woman after menopause undergoes many changes in her body due to the changes in the hormones. This results in many medical and psychological problems. One common problem for example is back pain which is due to the loss of calcium from the bones, these woman can be helped by giving hormones similarly the loss of young look can also be restored by hormones. But patients taking the hormone replacement therapy must take it under strict medical supervision. This clinic is conducted every Sunday 10 AM to 2 PM

Hormones play the main role in reproductive life of a woman right from menstrual cycle to ovulation , fertilization and later pregnancy are all dependent on the hormonal levels. Most often infertility patients have disturbed level of these hormones and these will have to be corrected to restore the normal reproductive cycle of woman. Therefore, a correct value of these tests cannot be over emphasized.
We get these tests done in the best lab.

Follicles of the ovary contain the developing ovum. They start growing from the 4th post menstrual day and grow in size till 14th day when they rupture and free ovum is let out which is carried down into the tube, it is on this day that it must come in contact with sperm to fertilize. Therefore, we monitor the size of the follicle from the 10th day of the cycle to give it the maximum chance of fertilization. Follicular monitoring is done by high-resolution ultrasound using the color Doppler as it gives additional information about the endometrial vascularity. Even a normal intercourse done on the day of follicle rupture can produce pregnancy if other factors are O.K.

Hystero salpingography is done to see the shape of the uterine cavity and the patency of the fallopian tubes. A radio opaque dye is pushed into the uterus from below and X-ray is done. It is very simple and inexpensive technique

Sonosalpingography is done to again for testing the patency of the tubes here ultrasound color Doppler is used instead of X-ray. It has the advantage of avoiding exposure to X-rays.

Semen from the male partner is at times low in the quantity of sperms or it may have many dead sperms or may contain pus cells, in these cases fertilization may not occur and may be cause for infertility. Semen in these cases is purified and concentrated to give good fertility rates. The semen preparation thus prepared is used in I.U.I. (Intrauterine uterine insemination). In our lab, semen preparation is done in strict aseptic conditions under the laminar flow, which in not available in most infertility Centres to give you the best results.