Frequently Asked Questions

1. What is IVF?

In-Vitro Fertilization (IVF) is a procedure where Eggs are removed from a woman’s ovaries and inseminated outside the body. Any Embryo(s) that result are then placed in the woman’s uterus where they may implant and grow. For more information on our IVF Program, please visit http://kiranivfgenetic.com/the-ivf-procedure

2. What happens with extra Embryos after I achieve Pregnancy?

We at KIC value all our Intended Parents as the most important part of KIC and priorities and concerns of all I.P’s will always be considered when such decisions are made.

As a result, the Physician at KIC will give you a report on the quality and number of Embryos, and will discuss with you a safe number of Embryos to transfer. Any extra Embryos can be frozen for use at a later time. These Frozen Embryos can be thawed at a future date either for another child or to try again without the need for doing the entire process of IVF, or are destroyed or used for research purpose after obtaining a written consent from IP.

3. Is IVF-related procedures painful? Can I view them?

KIC desire is to make your IVF procedure as comfortable as possible. Adequate pain relief is provided as you require or request it. You will be awake for the procedure but will be in a “partial sedated state.”

4. What are the risks associated with IVF Treatment?

Like all medical treatments, IVF carries some risks. The same of which is discussed with the patient before the go-ahead is given for the Treatment process. Risks can include reactions to fertility drugs that may be prescribed, and also the risks associated with any pregnancy.

5. What Drug Reactions can be expected?

You may experience a mild reaction to fertility drugs such as ovulation-inducing drugs, pituitary stimulators and ovary-stimulating hormones. Discuss these in advance with your Doctor, so that you will get to know what a ‘normal’ reaction is. Symptoms can include any of the following: hot flushes, nausea, feeling down or irritable, headaches or restlessness, weight gain and heavy periods.

6. How long does an IVF cycle take? How many days of work will I need to take off?

Generally an IVF cycle takes about 2-3 weeks. You are only required to come to KIC Clinic on some of these days and Appointments will be provided to minimize the time you will spend for cycle monitoring (Blood Test and Ultrasound).

However, we recommend for you to be assessed at KIC Clinic near the end of your cycle. It would be necessary to be off from work on the day of the retrieval.

7. Can Fibroids interfere with IVF?

Fibroids are benign tumors consisting of fibrous tissue and muscle which grow in the Uterus. The significance of Fibroids relates to not only their size but also their location.

Even small fibroids located inside the cavity of the Uterus where Embryos need to implant, may interface with success and need to be removed. Fibroids that do not encroach on the cavity of the Uterus are generally not significant unless they are larger than 5 cm in diameter and also if there are many Fibroids causing significant Uterine enlargement.

8. I have Endometriosis, does this affect my fertility & also success with IVF?

Endometriosis is a condition where cells that usually remain confined to the cavity of the Uterus, grows outside of the Uterus usually on or in the Ovaries and also on the surface of the Pelvic Plain and may also decrease the chances of natural conception by about one-third.

Patients who require IVF AND who have Endometriosis still have the same chances of a successful outcome as patients of the same age without Endometriosis as long as immunological factors that may accompany Endometriosis are identified and treated appropriately.

9. What are the risks associated with IVF Treatment?

Like all medical treatments, IVF carries some risks. The same of which is discussed with the patient before the go-ahead is given for the Treatment process. Risks can include reactions to fertility drugs that may be prescribed, and also the risks associated with any pregnancy.

10.What Drug Reactions can be expected?

You may experience a mild reaction to fertility drugs such as ovulation-inducing drugs, pituitary stimulators and ovary-stimulating hormones. Discuss these in advance with your Doctor, so that you will get to know what a ‘normal’ reaction is. Symptoms can include any of the following: hot flushes, nausea, feeling down or irritable, headaches or restlessness, weight gain and heavy periods.

SURROGACY SERVICES

11. Do you provide Surrogacy Services?

Yes, we do provide services for patients requiring a Gestational Carrier for Medical or other related reasons. Please call or write to us to obtain further information.

12. What type of Surrogacy Services is offered?

There are two types of surrogacy, Traditional Surrogacy and Gestational Surrogacy.

In Traditional Surrogacy, the Surrogate is herself the Egg Donor, AND as such is the genetic mother of the baby. In this case, she can be directly impregnated with the sperm of the male partner by a process called Intrauterine Insemination OR will have to undergo the process of IVF and Egg Retrieval which will then be fertilized in the laboratory with the male partner’s sperm. The embryos formed will thus be transferred into her womb.

On the other hand, Gestational surrogacy involves the Surrogate being the only “Womb” Donor and genetically unrelated to the baby she carries. The egg comes from either the female partner of the infertile couple OR from an anonymous egg donor. The process will have to essentially be an IVF technique. As per the ICMR regulations, KIC offers Gestational Surrogacy in India.

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Yes, KIC does and is perhaps the only clinic in India that helps IP’s from start to finish. Add to this, KIC offers an in-house Legal Department and a Case Manager who are assigned to patients.

14. What exactly does the Surrogacy Procedure involve? Please provide the overview of the steps that are taken herein.

To begin with, a Surrogate will first be recruited. The Recruitment is done by an Assisted Reproductive Technology Bank (ART). Then the Surrogate is screened to find out whether she has any infectious diseases as well as find out about her general wellbeing, and fitness for the procedure.

Then she undergoes a Hysteroscopy, a procedure by which her uterus is visualized. The above process can take about 15 days to 1 month. Her cycle is coordinated with that of the Egg Donor and later she is put on Medications to develop her endometrial lining to be able to accept the Embryos while the Egg Donor undergoes her ovarian stimulation cycle. After the Egg Pick-up of the Donor, she is put on hormones to support pregnancy. The Embryo transfer is then generally performed on the third day. She continues to be on hormonal support thereafter AND tested for pregnancy after 12 days.

15.What Surrogate follow-up is done during her pregnancy?

The Surrogate is monitored once every fortnight. A clinical update of the same is sent to the Intended Parents through Email according to a predesigned protocol informed earlier to Intended Parents.

While Second trimester anomaly is done at 18- 20 weeks. Amniocentesis is not routinely performed.

OTHERS – MEDICAL

16. What is ICSI?

It is an acronym to describe Intracytoplasmic Sperm Injection, the injection of a single sperm that is injected directly into the cytoplasm of an oocyte.

For more information, please visit https://kiranivfgenetic.com/intra-cytoplasmic-sperm-injection-icsi

17. How to Diagnose Infertility related issues and age Women should try for Natural Pregnancy?

If you have regular periods and are 30 years of age or less, the general recommendation is to attempt pregnancy naturally for one year before exploring fertility treatment options.

Menstrual irregularity, on the other hand, is a clear sign of irregular ovulation and would be one reason not to wait, as most ovulation problems can be corrected with medication.

For women who are over the age of 35, it would be reasonable to do some preliminary fertility testing right away. This would ensure that there are no problems that need to be treated immediately, given the limited number of years left for child-bearing.

18. What are the options for woman like me of age over 40 years?

To begin with, the Physician will first do a complete assessment including hormonal blood work to determine if your ovaries are still fertile, and whether they would respond to fertility drugs likely leading to pregnancy.

Fertility decreases as you age. There is also a significantly higher rate of miscarriage and genetic abnormalities (such as Down’s Syndrome) occurring in pregnancies with advancing maternal age. Pre-natal testing is available at an early stage of the pregnancy to detect the more common abnormalities.

19.What are the options for a Male like me with Low Sperm Count?

To begin with, a careful assessment of your partner will be done including blood work and semen analysis to further evaluate the specific abnormality in the sperm (i.e. low sperm count and/or low motility).

KIC’s team will also work closely with the Urologists who may perform further specialized testing in order to present you and your partner with the full range of treatment options available.

20. What is Ovarian-Hyperstimulation Syndrome (OHSS)?

This is a potentially dangerous over-reaction to fertility drugs used to stimulate egg production before your eggs are collected for IVF treatment. Cysts develop in the ovaries and fluid collects in the stomach. In rare cases, the ovaries become very swollen and fluid can fill the stomach and chest cavities. A fall in the concentration of red blood cells can lead to blood clots. An HFEA report in 2005 found that severe OHSS occurs in approximately 1% of cycles.

Blood flow to the kidneys may also be reduced. The symptoms include a swollen stomach and stomach pains. In severe cases, this is accompanied by vomiting, shortness of breath, faintness and reduced urine. OHSS is potentially very serious, so if you start to experience any of these symptoms, contact KIC, Bengaluru clinic immediately.

21.What is the Medical Protocol for Ovarian Stimulation in an IVF Cycle?

Female patient needs to take Fertility injections for 10-11 days and the Egg Pick-Up happens on day 13 of the cycle However, the patient should be in Hyderabad from day 5 of her periods and the Medication to be taken from day 1 of periods till day 5 will be provided to her at her place of residence. Alternatively she can do the full IVF cycle here

22. On what day after Oocytes Retrieval is the Embryo Transfer done?

The Embryo Transfer is generally done on day 3. In few cases, on day 5 when Blastocyst may be transferred.

23. What is Ectopic Pregnancy?

It takes place when an Embryo develops in your Fallopian Tube rather than in the Womb, and can happen in a natural pregnancy or when you have become pregnant through Fertility Treatment. The chances of having an Ectopic Pregnancy seem to be slightly higher in Women having fertility treatment, especially if they have existing problems that affect their fallopian tubes.

Symptoms include vaginal bleeding and low pregnancy hormone levels. If the pregnancy continues, there is a risk of miscarriage and the fallopian tube bursting.

You as a patient, need to report any vaginal bleeding or stomach pain to KIC Clinic, where a Blood Test to check the hormone levels is performed. Then the scan is done at Six Weeks to check for the baby’s heartbeat and to make sure it is growing properly in the womb.

24. What is the maximum number of Embryos to be transferred FOR Multiple Pregnancies?

At KIC, 3- 5 embryos is transferred in an attempt. Any pregnancies which are more than that of Twins are subjected to Embryo reduction. The highest order of pregnancy carried by the Surrogate is Twins

25. Do you perform Amniocentesis routinely?

No, we do not perform amniocentesis routinely on the Surrogates. If there is a reason to do so, like an abnormal triple marker test, abnormal ultrasound, then we do the Amniocentesis.

26. Can the Intended Parent terminate pregnancy, if there is any malformation in the baby?

. The pregnancy will be terminated in the event there is an anomaly found in the baby that is found to be incompatible with life or is dangerous for the health of the Mother or the Baby.

The Intended Parents will be consulted before any such decisions are taken. All terminations are done prior to 20 weeks of gestation as per Indian Law.

27. . What is the current wait-time to actually start the procedure once the signing is done?

The program at KIC is very active and as such can be started whenever you want.

28. s it safe to take Herbal Products along with my Fertility Medications?

. Many Herbal Medications have powerful biological effects and some may actually inhibit fertility. We suggest you refrain from using any herbal medications during your fertility treatments at KIC.

GENERAL

29. What information is needed by KIC prior to setting up of an appointment?

If you have undertaken treatment previously, any documents relating to your infertility, i.e. operative reports, semen analysis, blood work, hysterosalpingogram reports, previous IVF cycles, would be essential to be submitted.

You also need to include your Address and Phone Numbers (home and work) so we may contact you for a consultative appointment.

30.How do I get copies of my medical records?

As a patient, you must complete an Authorization for the release of Information-form, and submit it to the Centre. You will need to be specific about the records you wish. Please note it takes 10 business days to complete these requests within 1 Year of completion of your treatment and 20 business days after one year and within 4 Years of completion of your Treatment.

31. In your informational packet, there are 4 retrieval cycles mentioned. Can you explain what exactly that means?

1 IV cycle means: 1 egg retrieval and fresh embryo transfer and frozen transfers if applicable. 4 IVF’s mean 4 egg retrievals and multiple embryo transfers.

32. For all 4 cycles in the package will YOU use the same Surrogate for all 4 or can we change the Surrogate, if we wish?

No, the Surrogates are different; hence our time requirement for the second attempt is 15 to 20 days. If we had to use the same Surrogate over and over again then the time gap between 2 transfers would be 2 months.

33.Do you have Cryopreservation Facilities?

Yes, we offer the same and also Cryopreserve Eggs, Embryos and Sperm Samples. These samples will be with us to be used at later dates.

34. Do you have Caucasian Donors?

Yes, we have Donors from various Races and Ethnicities.

35. If we work with an outside Egg Donor, will the Surrogacy through you will you help facilitate that process?

Yes, we will help facilitate the process.

36.In terms of the legal representation for the surrogate, IP’s and the donor do we have to provide all of the legal representation ourselves or do you help assist in the process?

We have our own in-house legal counsel, who assists with your legal needs throughout the duration of our Surrogacy Program.

37. Do you assist Clients with getting passports for the new born baby/exit visa?

Yes, we do and have a Legal Department and Case Managers specifically assigned to these things. For further details, please Contact Us.

38. What forms of payment do you accept?

Currently we accept Wire-Transfers & Credit Card Payments AND also through PayPal.

For Details, CONTACT

  • Mr. Singh- 9963596941
  • Mr. Sai- 8919608402

Kiran Infertility Centre
www.kicbengaluru.com