Assisted Reproductive Techniques (ART)
Intrauterine Insemination (IUI)
In IUI the semen is collected from the partner and is prepared in the lab and then inserted into the uterine cavity at the time of ovulation to facilitate fertilisation.
In Vitro Fertilisation (IVF)
In IVF the egg and the sperm are extracted and allowed to fertilise under lab conditions in a petri dish, post which the embryos are transferred to the uterus.
Intracytoplasmic Sperm Injection (ICSI)
In ICSI, fertilisation is achieved by injecting a single sperm into the egg with the help of a micromanipulator. The resultant embryo is later transferred to the uterus for implantation.
Frozen Embryo Transfer (FET)
This procedure involves embryos that are frozen in a previous cycle and can be thawed and transferred in another cycle. Success rates for FET are better than fresh embryo transfers.
Advanced Reproductive Techniques
Embryos are cultured in a lab until they reach the blastocyst stage (day 5) , post which, best quality blastocysts are transferred into the uterus for implantation. This process ensures that only best quality embryos are transferred, which results in better success rates.
Cryopreservation of Sperms and Oocytes
This is especially useful for couples planning to postpone pregnancy or undergoing cancer treatment, wherein, the sperms or oocytes are extracted and frozen for later use.
Intra-Cytoplasmic Morphologically Selected Sperm Injection (IMSI)
A single good quality sperm is selected based on its morphology and is injected directly into the ooplasm to ensure that fertilisation occurs using the necessary laboratory tools.
Endometrial Receptivity Array (ERA)
Endometrium is the inner lining of the uterus which thickens during the menstrual cycle, preparing the uterus for embryo implantation. ERA is a test carried out to check the window of implantation for best results.
Uterine Nk (Natural Killer) Cell Activity Tests
NK cells are the immune cells of the uterus. During fertilization, the body suppresses the NK cell activity in order to ensure the embryo is implanted. However in some cases, these cells may show high levels of activity which attack the embryo and prevent it from implantation. This test is done for patients who have had recurrent implantation failure.
Laser Assisted Hatching
The embryo has a protective outer shell which usually thins out to facilitate hatching in the uterus. In assisted reproduction, this shell (zona pellucida) is thick and does not allow the embryo to hatch. Laser assisted hatching is used to thin the wall to enhance the chances of hatching, thereby assisting implantation.
Pre-Implantation Genetic Screening / Diagnosis
Embryos are screened to identify 'good embryos' which helps us increase pregnancy rates
Male Infertility Treatment
At Milann, we provide solutions for male infertility problems like erectile dysfunction, ejaculatory problems, varicocele, low sperm count, azoospermia, oligospermia, etc., using surgical techniques such as Percutaneous Epididymal Sperm Aspiration (PESA), Testicular Sperm Aspiration (TESA) as well as through medical management.