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What is Max Department of Reproductive Medicine and Assisted Conception centre? Is it the test tube baby-IVF centre?
What is Max Department of Reproductive Medicine and Assisted Conception centre? Is it the test tube baby-IVF centre?
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This is a super-specialty one stop single window centre called the Department of Reproductive Medicine and Assisted Conception. We help couples desirous of bearing children and need help to conceive. We have internationally trained and experienced infertility gynecologists, skilled and experienced embryologists and other specialist technical staffs. We have specialized “Assisted fertility clinic OPDs”.
This is a test tube baby center-IVF centre. We also offer semen banking and storage including donor sperms, donor eggs and donor embryos. We have specialized programmes such as egg sharing, donor egg and surrogacy. |
What are the facilities offered at this centre?
What are the facilities offered at this centre?
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Multiple specialized facilities are offered here including andrology, ultrasonography, ovulation induction, assisted reproduction techniques and cryopreservation amongst others.
Andrology |
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Advanced semen analysis |
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Advanced semen morphology (Differential Staining) |
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Semen antibody test (MAR Test) |
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Seminal leukocyte screening test |
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Sperm DNA integrity test |
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Seminal plasma citric acid test |
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Seminal plasma fructose test |
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Seminal plasma alpha glucosidase test |
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Cervical mucus penetration test |
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Sperm survival test (SST) |
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Sperm wash |
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Semen culture and sensitivity |
| Ultrasonography |
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Advanced follicular monitoring (3D USG and Doppler) |
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Sonohysterosalpingography (SHG) |
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Hystero contrast sonography (Hy-Co-Sy) |
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Foetal reduction |
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Uterine biophysical profile scoring |
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USG scrotum with colour doppler |
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Trans-rectal ultra sonography (TRUS) |
| Ovulation Induction |
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Super ovulation |
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Controlled ovarian hyper stimulation |
ART
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Intra cervical insemination |
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Intrauterine insemination (husband/donor) |
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In-vitro fertilization (IVF) (husband/donor) |
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Intra cytoplasmic sperm infection (ICSI) (husband/donor) |
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Gamete intra fallopian transfer (GIFT) |
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Assisted hatching (Laser, Chemical, Mechanical) |
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Zona free blastocyst transfer |
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Optical spindle imaging of oocyte using polarized microscope |
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Invitro maturation of oocytes (IVM) |
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Surgical sperm retrieval (SSR)
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Micro surgical epidydymal sperm aspiration (MESA) |
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Percutaneous epidydymal sperm aspiration (PESA) |
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Testicular sperm aspiration (TESA) |
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Testicular sperm extraction (TESE) (Testicular biopsy) |
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Testicular mapping biopsies & FNAC testis |
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Programmes
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Egg sharing programme |
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Donor oocyte (egg) programme |
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Donor embryo programme |
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Donor semen programme |
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Frozen embryo replacement |
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Uterine surrogacy |
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Soft minimal stimulation protocols |
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Foetal reduction programme |
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ART in infectious diseases |
Procedure
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Electroejaculate semen collection |
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Retrograde ejaculation semen collection |
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Postcoital test |
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Office endometrial sampling / biopsy |
Cryopreservation
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Test freeze-thaw cycle of cryopreserved semen |
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Semen cryopreservation |
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Oocyte cryopreservation |
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Embryo cryopreservation (including pronuclear and blastocyst) |
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Testicular biopsy cryopreservation |
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Cryopreservation in Malignancy
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Testicular tissue/Ovarian tissue |
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Semen/Oocyte cryopreservation |
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How to fix an appointment?
How to fix an appointment?
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We have specialized “Assisted Fertility Clinics”. You may call our Department of Reproductive Medicine and Assisted Conception at our direct telephone number-66116611. Our front desk officer shall attend your call and help fix an appointment with the centre or with any of the Assisted Fertility Clinics of our Max Hospital chain at Panchsheel Park, Noida, Pitampura, Patparganj and Gurgaon.
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Are we the only couple struggling to have a baby?
What are the statistics?
Are we the only couple struggling to have a baby?
What are the statistics?
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| You are not the only odd one out. One in every seven couples has a problem in conceiving. There are millions of other couples like you. The statistical distribution of the causes is female factor in 40%, male factor in 35%, combination of both in 10-20% and rest is unexplained. In 15% females, more than one female factor is responsible. |
What are the chances of a normal couples conceiving on their own?
What are the chances of a normal couples conceiving on their own?
A couple’s chances of conception after one year of regular unprotected intercourse are 80% and 90% after eighteen months.
When does a couple need help to achieve pregnancy?
When does a couple need help to achieve pregnancy?
Women less than 35 years old, unable to conceive after one year of unprotected regular intercourse and women over 35 years old, unable to conceive after 6 months, need help. Couples after an initial phase of fertility, if unable to become pregnant for 1 year, should also visit their doctor.
We are childless despite trying for long. What are the indications in a man/woman, which causes inability to conceive?
We are childless despite trying for long. What are the indications in a man/woman, which causes inability to conceive?
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| The causes for a woman, not being able to achieve pregnancy, can be hormonal disorders like not producing an egg as in polycystic ovary syndrome, fallopian tube damage or blockage, endometriosis, premature menopause, uterus abnormality, cervical problems or even unexplained causes. There can be many problems in men like low sperm count, poor sperm motility, abnormal shape of sperms, absent sperms, problems in having sexual relationship or even unexplained causes. Both the partners can have problems as well. |
What do I expect in the initial workup consultation at Assisted Fertility Clinic?
What do I expect in the initial workup consultation at Assisted Fertility Clinic?
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Detailed review of previous patients’ history, symptom evaluation, medical examination, investigation discussion, screening tests to establish reproductive health and infertility evaluation for accurate diagnosis and treatment options |
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Pre-treatment advice and counselling |
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Pre-treatment tests including hormonal analysis, screening for infections, routine health tests for surgical and anaesthesia fitness (if required), tubal assessment such as hysterosalpingography and sonosalpingography (if required); uterine tissue biopsy (if required) and lapro-hysteroscopy for females. For men, semen analysis, advanced spermiogram and semen culture (if required). |
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Ultrasonography |
What is ART?
What is ART?
ART involves the manipulation of gametes i.e. sperms and/or oocyte (egg) or embryos which are transferred into uterus or fallopian tubes to obtain pregnancy, by means other than natural intercourse. ART includes Intrauterine Insemination (IUI), In-vitro fertilization (IVF), Intra Cytoplasmic Sperm Injection (ICSI) and other techniques.
What is Intrauterine Insemination (IUI)?
What is Intrauterine Insemination (IUI)?
IUI involves collection of semen emitting during procedures other than intercourse (usually masturbation), processing semen and transferring it directly into the uterus with the help of a catheter.
I am advised IUI treatment. Is it available and what's the pregnancy success rate after IUI treatment?
I am advised IUI treatment. Is it available and what's the pregnancy success rate after IUI treatment?
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| Yes, Intrauterine Insemination (IUI) treatment is available. Its pregnancy rate is 10–20% per cycle. However, this treatment indicates requirements to be discussed with the infertility specialist. |
I need donor sperms/semen for Intrauterine Insemination (IUI).
Is it available?
I need donor sperms/semen for Intrauterine Insemination (IUI).
Is it available?
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| Yes, donor insemination based IUI is available. For semen donor details and our semen bank please see Q.33. |
What is In-vitro fertilization (IVF)?
What is In-vitro fertilization (IVF)?
Commonly known as test tube baby. IVF is the most widely practised assisted conception in the world after the first IVF baby was born in 1978. IVF means fertilization of an ovum (egg) outside the body and then transferring the embryo(s) into the uterus of the woman. An egg is exposed to 50,000 to 100,000 sperms in a test tube to assist fertilization.
Are there any side effects?
Are there any side effects?
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All antibiotics have some side effects. Some people are allergic to certain antibiotics. If you have had a reaction to antibiotics before, or if you know you have an allergy to any of them, you should tell your doctor or nurse.
Your doctor should tell you more about the risks and side effects of any treatment they recommend for you. The benefits of having treatment for PID are much greater than any of the risks in taking antibiotics. |
Do you offer the facility of IVF?
Do you offer the facility of IVF?
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| Yes, we offer IVF i.e. in-vitro fertilization or test tube babies, as an assisted reproduction facility. |
What is Intra Cytoplasmic Sperm Injection (ICSI)?
What is Intra Cytoplasmic Sperm Injection (ICSI)?
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| A technological breakthrough in 1992 overcame the inability of sperm to fertilize an egg due to suboptimal sperm parameters, egg defects, etc. Micromanipulation is done wherein a single sperm is directly injected into the cytoplasm of an egg to fertilize it. |
Do you offer ICSI procedure?
Do you offer ICSI procedure?
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| Yes, Intracytoplasmic sperm injection i.e. ICSI, an advanced technique in IVF procedure with better pregnancy results, is available. Further, consultation with the infertility specialist for this treatment is advised. |
What are the steps followed in IVF and/or ICSI procedures?
What are the steps followed in IVF and/or ICSI procedures?
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| The steps are: |
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Controlled ovarian hyperstimulation (COH): Hormonal injections medication to stimulate ovaries for obtaining eggs |
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Follicular development tracking with sonology and blood test |
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Egg retrieval from follicles in ovary under local or general anaesthesia |
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Collecting semen sample |
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Fertilization of eggs in the laboratory |
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Embryo(s) transfer into the uterus under ultrasound guidance |
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Pregnancy testing |
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What are the risks involved in IVF/ICSI treatment?
What are the risks involved in IVF/ICSI treatment?
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| The risks are multiple pregnancy, ovarian hyperstimulation syndrome(OHSS), ectopic(abnormal site) pregnancy, bleeding, infection and anaesthesia risk. |
Is there any physical risk during egg collection procedure?
Is there any physical risk during egg collection procedure?
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| With vaginal route ultrasound guided egg collection, you are assured that this procedure is certainly no more risky than a properly performed laparoscopy. The test-tube baby treatment is relatively a very safe procedure. |
Will there be any hormonal imbalance due to the excessive hormones given?
Will there be any hormonal imbalance due to the excessive hormones given?
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| No proven long-standing effects occur after the treatment cycle. However, during the course of treatment one may have symptoms related to ovarian hyper stimulation which can rarely be life-threatening. |
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Can I exercise as per my usual routine during stimulation in IVF/ICSI?
Can I exercise as per my usual routine during stimulation in IVF/ICSI?
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| Yes, but swimming, heavy gymming and strenuous exercises should be withheld. |
How much time does one successful treatment of IVF take?
How much time does one successful treatment of IVF take?
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| 1½ to 2 months depending upon individual case and follow up monitoring till pregnancy test. |
I am living abroad. I need IVF/ICSI treatment. What is the duration of the treatment, its cost and when do I need to arrive in India?
I am living abroad. I need IVF/ICSI treatment. What is the duration of the treatment, its cost and when do I need to arrive in India?
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| The treatment takes 1½ months depending on the individual case. The time of commencement of your treatment shall be determined as per individual case. Long distance communication needs to be done before hand, preferably by consulting your doctor in your country/city. A long distance monitoring can be done through consultation with the doctor and then you can arrive at the correct time for further treatment procedure and stay for 2-3 weeks. However, if post-procedure you wish to stay in India till pregnancy results, another 2–3weeks will be needed. If you wish you can travel back after the main procedure and take prescription with you and do pregnancy tests in your country/city. We have advanced technology of egg spindle viewing and laser assisted hatching to increase pregnancy rates. |
What is the pregnancy rate/success rate in IVF (test tube baby)?
What is the pregnancy rate/success rate in IVF (test tube baby)?
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| Our team has achieved pregnancy results at par with the best in the world. We are equipped with the best technology and clinical expertise. For women aged less than 30years, pregnancy rate is approximately 40%. This rate, however, cannot be generalized as it depends on individual case. |
What is the pregnancy rate/success rate in ICSI?
What is the pregnancy rate/success rate in ICSI?
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| Our team has achieved pregnancy results at par with the best in the world. We are equipped with the best technology and clinical expertise. Average pregnancy rate at our centre is 50%. This rate, however, cannot be generalized as it depends on your individual case. |
If I become pregnant through IVF/ICSI, will my baby be normal?
If I become pregnant through IVF/ICSI, will my baby be normal?
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| Thousands of babies have been born following first IVF in 1978. There is no definite evidence of any particular type of abnormality; but slightly increased risk of abnormality in IVF and higher in ICSI babies has been found compared to those conceived naturally. |
If IVF/ICSI fails the first time how many times can I undergo it?
If IVF/ICSI fails the first time how many times can I undergo it?
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| You can undergo the procedure as many times as you desire; but it is advisable not to exceed three to four cycles. After this it is better to consider other options such as oocyte, sperm, embryo donation or surrogacy as it may appear to be the most feasible procedure for a successful pregnancy outcome. |
What is optical spindle viewing and is it available?
What is optical spindle viewing and is it available?
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It is an advanced technology that uses polarized microscope to view genetic material of eggs and ensures safe ICSI with higher pregnancy results.
Yes, it is available and we have a world-class polarized microscope which is not available in most advanced centres in India. |
What is assisted hatching and is it available?
What is assisted hatching and is it available?
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| Assisted hatching is a higher technology to help the aged or thick walled eggs to achieve fertilization. It also helps the minute babies (i.e. embryos) stick and attach better to the lining of the woman’s womb (uterus). For this, we are equipped with a world-class laser which is a unique feature of our centre and is not available in most advanced centres in India.* |
What is Blastocyst Culture and is it available?
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| Normally, following IVF or ICSI embryo transfer is performed when embryo contains two to eight cells. Improvements in culture media have allowed selective growth of embryos to blastocyst, i.e. embryo age of five or six days, the stage at which embryos are implanted in the womb. Thus natural selection by leaving embryos in culture for longer time allows better implantation and higher pregnancy rate. Yes, it is available at ours centre. |
My semen sample shows no sperms. Do you have any methods to extract my sperms and use them to achieve pregnancy?
My semen sample shows no sperms. Do you have any methods to extract my sperms and use them to achieve pregnancy?
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| Interventional surgical sperm retrieval (SSR ) techniques are available to obtain sperms in absence of sperms in ejaculate or absent ejaculate by |
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Micro surgical epididymal sperm aspiration (MESA) |
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Percutaneous epididymal sperm aspiration (PESA) |
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Testicular sperm aspiration (TESA) |
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Testicular sperm extraction (TESE) (Testicular biopsy) |
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Testicular mapping biopsies |
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Do you offer donor Embryos?
Do you offer donor Embryos?
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| Yes, we have a donor embryo programme for couples with severe male and female infertility, recurrent IVF or ICSI failures, genetic disease and chromosomal abnormality. They may opt for donor embryo to achieve conception wherein both egg and sperm are donated; or either egg or sperm is donated. This embryo may be frozen or fresh. |
I need donor semen/sperm. My husband/I have no sperms. Do your have a semen bank for providing donor semen?
I need donor semen/sperm. My husband/I have no sperms. Do your have a semen bank for providing donor semen?
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| Yes, we have a large semen bank offering many variables as per the choice for matching particular features like race, ethnicity, physical features, blood group etc. These donors have been carefully and thoroughly screened for most possible medical diseases, inherited disorders and infectious diseases like HIV (AIDS), Hepatitis B and C etc. Also, the child/children produced using the donated sperms shall be legally yours as the semen donor has signed a contract relinquishing his legal rights on these children. The donor semen is of very high quality and stringent quality measures are undertaken. |
I need an egg donor or donor eggs. Can you provide me?
I need an egg donor or donor eggs. Can you provide me?
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Yes, we have donor egg programme and egg sharing programmes to provide donor eggs to women. Donor for eggs can be an unknown donor registered with us or a known donor that you bring with you. In our egg sharing programme, if you provide help for majority of the treatment cost of another woman needing IVF (test tube baby), then she can share her extra eggs with you as per the predefined norms. However, certain terms and conditions apply.
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Do you have an egg sharing programme?
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| Yes, we have an egg sharing programme which is very transparent and fair. In our egg sharing programme, if you provide support for the majority of treatment cost of another woman needing IVF (test tube baby), then she can share her extra eggs with you as per the predefined norms. However, certain terms and conditions apply. |
Do you have provisions to freeze embryos?
Do you have provisions to freeze embryos?
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Yes, we have a frozen embryo replacement programme and we use frozen embryos. Embryos are frozen and stored at ultralow temperatures, when there are healthy surplus embryos or there is a risk of hyperstimulation syndrome.
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Do you have a long term freezing system for semen of patients who need to preserve their fertility and use it later?
Do you have a long term freezing system for semen of patients who need to preserve their fertility and use it later?
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| Yes, we preserve the semen for up to 10 years with full confidentiality. With most advanced freezing techniques we freeze the semen in the best cryopreservation tanks. It is mainly indicated for men who want to have children, but are suffering from a malignancy requiring surgery, chemotherapy or radiotherapy. |
I need a surrogate mother. Can you help me?
I need a surrogate mother. Can you help me?
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| Yes, we do have a surrogacy programme. The surrogate mother can be known (brought by you) or unknown (registered with our centre). There are certain legal formalities which need to be understood and fulfilled. |
I need to have a semen analysis done. Can you guide?
I need to have a semen analysis done. Can you guide?
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Yes, we offer advanced semen analysis. You can fix an appointment with us for this. However, to get the best results of your test, it is advisable that you have taken appointment with our infertility specialist for proper guidance and indication of this test (unless you already have a prescription with proper instructions for semen collection). We also offer other advanced semen tests. |
A diagnosis of retrograde ejaculation has been made. Can I have a baby with my own sperms?
A diagnosis of retrograde ejaculation has been made. Can I have a baby with my own sperms?
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| Yes, retrograde ejaculate sperms can be used for achieving pregnancy. Failing this, other methods are also there to retrieve sperms. |
What are the multidisciplinary services offered by you?
What are the multidisciplinary services offered by you?
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| For higher pregnancy results we have close liaison with the urologist, sonologist, radiologist, biomedical team, legal counsellor and psychological counsellor, and have specialized sex clinic and andrology clinic. |
What is a our motto as a ART Clinic and bank?
What is a our motto as a ART Clinic and bank?
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| Our motto is to treat every couple and their gametes (eggs and sperm) individually, so that they can take home a healthy baby. |
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For further queries, you may contact:
Direct telephone no. 66116611
Email ID: mybaby@maxhealthcare.com
Department of Reproductive Medicine and Assisted Conception,
Max Medcentre,
N - 110, 3rd Floor,
Panchsheel Park,
New Delhi - 110017.
Phone: 91 11 2649 9870
Fax: 91 11 2649 9860 |
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