Delhi Clinic

We are now serving at South Delhi, E-14, 1st Floor, Defence Colony, PIN - 110024.

 

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Gurugram Clinic

We are now operational at Gurugram, Medanta Complex, SAS Tower, Sector -38, PIN 122023

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Why ART Fertility Clinics?

At ART Fertility we have designed all our medical services & protocols, patient care systems, and infrastructure on a patient-centric approach.  We have achieved the highest levels of success rates (pregnancies and live births) whilst adhering to the most stringent safety standards. The below factors illustrate the key differentiators that help us achieve the best medical outcomes along with the highest levels of patient satisfaction:

Personalized Treatment Plans.

Our physicians focus on understanding the root cause of your infertility issues and design specific treatment plans to suit your needs. This includes understanding your medical history, lifestyle, endocrine profile, doing detailed sperm analysis, and Ultrasound. Our stimulation protocols are completely individualized based upon your hormone levels and the dosages are modified during each treatment. This ensures that we can harvest the maximum number of mature oocytes. Similarly, our embryology lab scientists and technicians select the most appropriate culture media and lab techniques and tools to ensure the healthy development of your embryos.

Science and Innovation Program  

Advanced Reproductive Technologies (ART) embodies our core thesis of providing our patients the latest proven medical technologies in the field of Human Reproduction.  We have a very wide science and innovation program where our clinicians our undertaking research in a diverse field of topics including basic research, prospective clinical studies, new medical techniques that enhance outcomes, genetics, and the use of Artificial Intelligence in analyzing medical data and defining treatments based upon empirical findings.  We currently have forty-one (41) areas of active investigative research.

Peer-Reviewed Research Publications

At ART Fertility Clinics, we are extremely prolific in publishing our research findings in the highest impact international journals in the field of Human Reproduction. In our brief history of five years, we have published over 75 articles in international journals including Fertility and Sterility, Human Reproduction, Reproductive Biomedicine Online, etc. These scientific papers are peer-reviewed by leading IVF luminaries and are an endorsement of the work being undertaken by our clinicians, embryologists, and geneticists.   

Experienced and Well-trained Clinical Staff delivering the highest success rates globally.

At ART Fertility Clinics, we strongly believe in evidence-based medicine and our physicians and embryologists follow this doctrine diligently. All our clinicians and embryologists are alumni of distinguished Medical and Human Reproduction programs including ESHRE certifications. Our training regimen is extremely rigorous and ensures that all our practitioners adhere to the highest quality standards.

At ART Fertility Clinics, we have achieved amongst the highest success rates (pregnancy rates of 68%, live birth rates of 51%, avg ET Rate of 1.36) and have become international referral clinics attracting patients from all over the world. Our clinicians understand the underlying reasons for recurrent miscarriages and can successfully treat patients with multiple failed IVF cycles.  

Independent, third-party Audits to ensure Quality Standards and Success Rate Claims

At ART Fertility clinics, we assign an independent third party to undertake a comprehensive audit of our Clinical work including the embryology lab to ensure adherence to high standards and continuous improvements. Our Success rates are validated by these auditors to ensure there is no bias or misrepresentations in our published success rates.

State of the ART Infrastructure

At ART Fertility Clinics, we have designed the most efficient facility layouts to ensure patient safety and the best medical outcomes. We have invested in the latest and most technologically advanced infrastructure including incubators, Microscopes,  Next Generation Sequencer,  the OR equipment and Tools, the Air Handling Unit that ensure a healthy environment for growing embryos, 4 Dimensional Ultrasound M/Cs, the RI Witness system to ensure no mixing of embryos/sperms amongst patients and an electronic alarm system that is fitted with sensors to continuously monitor temperature, humidity, gases associated with key equipment and VOCs.

Ethics and Transparency in treatment and Pricing

At ART Fertility Clinics the cornerstone of our clinical practice is ethics and transparency. We have published package rates for various medical conditions and adhere to them strictly. For all recommended treatments and tests there is a documented medical requirement. Patient records and billing records are provided on all instances. No superfluous testing or procedures are recommended or undertaken at any of our clinics.  

Compassionate and caring Nursing Staff and Counsellors

Our Nursing staff and Counsellors are trained to understand the needs and requirements of our patients and ensure that treatment plans and options are explained clearly to them. They are available around the clock to provide medical services including medications, answer questions and provide support.

The most comprehensive range of services including diagnosing female & male infertility and genetic testing.

At ART Fertility Clinics we provide the most comprehensive range of services to cover all the requirements at a Fertility clinic including in-house blood lab, consultations and Ultrasound imaging, embryology lab, OR and recovery, Genetic testing, and counseling. Our physicians are trained and qualified to diagnose and treat male infertility including undertaking FNA, TESE, and Micro TESE.

 

 

 

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What we do best
IVF

 

ICSI

 

Geneomics

 

IUI

 

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Science Assisting Nature

 

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X-ray
Andrology Services

 

Diagnostic
Hormonal Assessment

 

Nuclear magnetic
Oocyte Cryopreservation

 

Blood test
Ovarian Reserve Testing

 

  • Frequently Asked Questions

     

    What are the causes of female infertility ?

    Infertility is gender neutral. It affects the male and the female population. 1/3rd of the infertility issues are contributed by the female partner. In the world 50-80 million suffer from infertility. Most common causes of female infertility are as follows.

     

    When should I opt for IVF ?

    IVF was originally developed for women with blocked tubes or missing fallopian tubes and it is still the procedure of choice for these situations. It is also used when other conditions are present, including endometriosis, male factor infertility and unexplained infertility in which no medical cause for infertility can be found. Our experts will review your history and help to guide you to the treatment and diagnostic procedures that are most appropriate for you.

     

    Does age affect women’s fertility

    Women are born with approximately 2 million eggs in their ovaries. Before a girl reaches puberty, about 11,000 eggs die every month. Thus, in her teenage years, a woman has only about 300,000 to 400,000 eggs available. From this point onwards, about 1000 eggs are utilized every month. This has nothing to do with any form of birth control, pregnancy, hormone production, health, lifestyle, or nutritional supplements. Eventually, a woman reaches menopause when she has no viable eggs left.

     

    What are the causes of Male infertility

    1/3rd of the infertility issues are contributed by the male partner. Male factors also influence the increased rate of miscarriages. The most common causes of male infertility are as follows. • Abnormal sperm count or low sperm motility • Chronic ailments such as cancer • Environmental factors: Exposure to radioactive chemicals • Lifestyle factors: Being overweight, smoking, drinking alcohol • Age

    Our Fertility Treatments

    In-Vitro Fertilization (IVF) refers to the process of fertilization that occurs outside the human body. This process takes place in a plastic dish in the embryology laboratory where the woman’s oocytes (egg) and man’s sperm is fertilized together in culture media for embryo development. Thus, IVF technology increases the chances of conception for couples with fertility problems.

    When is IVF treatment recommended?

    IVF treatment is recommended for

    What are the screening processes followed before beginning the IVF cycle?

    Before initiating the IVF cycle various screenings procedures are carried out. They include:

    What are the procedures required for IVF treatment?

    Below procedures are performed for IVF treatment:

    At ART Fertility Clinic, the "RI-Witness" system is used to make sure that the sperm and eggs are not mixed up. The “Xiltrix system” monitors all the incubators in the laboratory continuously to ensure a safe environment for the embryos.

    The physician and the embryologist decide when it is best to transfer the embryo(s) to achieve the highest chance of a successful pregnancy. The embryo(s) is/are transferred under ultrasound guidance into the uterus by using a thin catheter. The process is simple and painless. No sedation or anesthesia is used for this purpose. After the embryo transfer, it is recommended to move immediately instead of remaining in the bed.

    After embryo transfer, the patients can reach out to our qualified experts for any concern and will be contacted and reminded to do a blood pregnancy test 14 days later.

    Intracytoplasmic sperm injection (ICSI) is a technique that has been developed by implementing assisted reproductive technology to overcome male infertility caused due to impaired semen quality. In this process, a motile, normal shaped sperm is selected, immobilized, and placed inside the egg using a fine needle.

    When is ICSI recommended?

    ICSI is recommended for conception in the following cases:

    How is ICSI carried out?

    The steps involved in ICSI are similar to those in IVF. Following steps are performed for IVF treatment:

    At ART Fertility Clinic, the "RI-Witness" system is used to make sure that the sperm and eggs are not mixed up. The “Xiltrix system” monitors all the incubators in the laboratory continuously to ensure a safe environment for the embryos.

    The physician and the embryologist decide when it is best to transfer the embryo(s) to achieve the highest chance of a successful pregnancy.  The embryo(s) is/are transferred under ultrasound guidance into the uterus by using a thin catheter. It is a simple and painless procedure and is carried out without any sedation or anesthesia. After the embryo transfer, it is recommended to move immediately instead of remaining in the bed.

    How successful is an ICSI procedure?

    The ICSI procedure plays a key role when the sperm is unable to reach the egg to fertilize it. In this process, sperm is directly injected into the egg which increases the chance of successful pregnancy for couples where male factor or previous failure to fertilize with IVF is the cause of infertility. However, the rate of successful births varies depending on the woman's age and the man's infertility conditions.

    What makes ICSI the best technique to conceive artificially?

    The success rate of ICSI is high and it also has certain advantages that make it superior:

     

    IUI is a technique provided by the ART Fertility clinics to help couples conceive. In this technique, washed and prepared sperm are injected into the wife’s uterus through the cervix during the menstrual cycle.

    IUI can be done in natural cycles or in controlled ones, where the wife takes hormones to stimulate the ovaries to produce a few oocytes instead of one or two in a natural cycle.

    The growth of the follicles is monitored by ultrasound to ensure that there is no risk of multiple pregnancies and to determine the right time for the IUI. Once the follicle (s) have reached the correct size, ovulation is triggered by another injection called human Choronic Gonadotrophin (hCG). This trigger shot allows the egg(s) to mature in the follicle(s) get them ready for release 36 hours later. The IUI will be scheduled 24 - 36 hours later.

    IUI is recommended when:

    If there is no pregnancy after three insemination treatments, further IUI-treatments are not recommended.

    Preimplantation genetic testing for aneuploidies (PGT‐A), formerly known as preimplantation genetic screening, is an alternative method to select embryos for transfer in IVF. This test identifies the preimplantation embryos with a normal chromosome complement (euploid) during IVF. PGT-A improves pregnancy success by sifting out embryos with abnormal chromosomes.

    What are the reasons to do PGT-A?

    Generally, women have embryos with normal chromosome numbers, achieve full-term pregnancy resulting in the delivery of a healthy baby. Most of the time, it is difficult to identify the normal embryo visually using a microscope. The normal appearance of an embryo cannot confirm the genetic abnormality of the embryo. Hence, PGT-A helps to select the embryos with a normal chromosome number.

    Who should consider PGT-A?

    The PGT-A is considered in women who.

     

    How and when is PGT-A done?
    PGT-A test should be done on the cells from the embryo. Hence, the biopsy procedure has two steps:

    The biopsy is performed on either day 3 or day 5. Day 3 old embryo has nearly 6 to 8 cells whereas 5-day old embryo (blastocyst) has a few hundred cells. Therefore, several cells can be safely removed during the biopsy. The cells of the embryo will be tested with different methods including the FISH technique, PCR technique, aCGH technique, and NGS.

    How safe is PGT-A?

    It is a safe procedure. The process should be handled correctly by a skillful embryologist and then the embryo develops normally even after the embryo biopsy.

    Does PGT-A assess all genetic diseases?

    PGT-A testing can only assess numerical changes in chromosome number and other imbalances in genetic material including deletions (part of a chromosome is missing) and duplications (part of the chromosome is double).

     

    Preimplantation genetic testing for a monogenic gene (PGT‐M) is formerly known as Preimplantation genetic diagnosis (PGD).  PGT-M is a diagnostic tool for detecting single-gene disorders in patients with a high risk of passing genetic abnormality to their children. This test helps to reduce the risk of having genetic diseases in children.

    Why should PGT- M be done?

    This test helps couples in conceiving a healthy pregnancy. The procedure is performed before a female conceives. PGT- M:

    Who should consider PGT-M?

    PGT-M is recommended in:

    What are the necessities for performing PGT-M?

    A genetic disorder results in an altered gene function by an altered DNA sequence (or, mutation).

    How and when is PGT-M performed?

    Embryo cells are required for the test; thus the biopsy process completes in two steps:

    The biopsy is performed on either Day 3 or Day 5.

    Different approaches for testing the embryo cells include PCR-technique, FISH-technique,  aCGH-technique and NGS.

    Is it safe to perform PGT-M?

    It is safe to carry out PGT-M. No birth defects have been observed in IVF babies. The procedure needs to be handled by a skilled embryologist. Normal embryo development can be seen after the embryo biopsy.

    Are all the hereditary disorders covered under PGT-M?

    No, this test can only examine all possible genetic deformities. PGT-M will test an already known deformity.

     

    An analysis of the semen reveals the characteristics of sperm; its amount and quality in order to measure a patient’s fertility. Usually, couples having trouble getting pregnant get themselves tested so as to know the cause of the problem. Sperm analysis is a way of getting a good idea of the male partner’s sperm health.

    What are the characteristics of a healthy sperm?

    The health of the sperm is critical in order to achieve a successful pregnancy. A healthy sperm sample needs an adequate sperm count, motility, and a good number of normal sperm in order to fertilize the egg.

    When is it required?

    A sperm analysis is usually performed when a couple is trying to get pregnant and despite trying for a while has not been successful. It helps in concluding whether or not the sperm quality of the male partner is affecting conception. In case of fertility issues, this test helps doctors determine the cause of fertility and helps them overcome problems, if any, through various treatment options.

    How is the sperm analyzed?

    The first and most important step of sperm analysis is sperm collection. The patients coming in for a sperm analysis are told to abstain from intercourse for 2-3 days before the test. There are a number of ways to collect sperm samples but the most recommended way is masturbation. Lubricants must not be used as it may kill the sperm.

    Further, the semen is stored at room temperature in order to get the most accurate results. Taking samples when the patient is stressed or ill could have adverse effects on the test results. Following this, the sperm is analyzed and undergoes various tests by expert lab technicians to derive results.

    WHO Standards for Semen Analysis:

    Parameter

    WHO 2010

    Volume

    1.5 ml

    Concentration

    15 million/ml

    Progressive motility

    32%

    Normal forms

    4%

    At ART Fertility Clinics, we strictly use the standards outlined by the WHO to analyze the sperm.

    What do the results indicate?

    The results are either normal or abnormal. A normal test result shows the vitality of the sperm with good swimming ability, healthy sperm count, and good morphology (normal shape). In the case of couples trying to get pregnant, a normal result could mean the problem lies elsewhere.

    An abnormal result on the other hand can have other implications. For instance, a severely low sperm count or low motility could mean the patient may have to undergo fertility treatments as per the recommendations and the fertility status of the patient.

     

    Laparoscopy surgery is an invasive diagnostic procedure that uses a telescopic camera system to visualize the abdominal organs such as the bowel, liver, and reproductive organs such as the uterus, fallopian tubes, and ovaries.

    Laparoscopy in Women with Infertility

    Nowadays, laparoscopy is not done routinely in the infertility workup of female patients. It should be done when the previous examinations have shown:

    Laparoscopy should always be combined with a hysteroscopy to assess the uterine cavity.

    Laparoscopy is also known as “key-hole” surgery and it is performed under general anesthesia. Through a small cut in the region of the belly button a laparoscope will be inserted into the abdominal cavity and pelvis area and Carbon Dioxide (CO2) gas is introduced. If further laparoscopic surgery is required, additional small incisions may be made and a variety of instruments can be inserted to perform diagnostic and corrective surgery.

    After the operation, most experience symptoms that could last for several days. The symptoms are tiredness, mild nausea and pain around incision sites, abdominal pain or cramps, tenderness, shoulder pain and abdominal bloating as well as small amount of vaginal discharge or bleeding.

    Laparoscopy should be avoided if not necessary as there might be complications, even if the risks are low. The risk of serious complications is less than 1% especially if the laparoscopy is performed by a highly trained fertility surgeon.

    Complications associated with laparoscopy include the possibility of damage to other organs in the abdominal cavity and/or the pelvis such as bladder, uterus, ureter, bowel and blood vessels. Unnecessary interventions on the uterus or the ovaries should be avoided as they could even decrease the chance of pregnancy or increase the risks during pregnancy.

    What are the advantages of the laparoscopic approach?

    Laparoscopy involves small incisions with far less postoperative discomfort and a rapid recovery time, with less adhesion formation and markedly reduced hospital stay.

    Want more information?

    To discuss more information about laparoscopy, book an appointment with us. We are available to answer any questions about laparoscopy or other fertility diagnostic and /or treatment procedures.

     

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