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MEDICLINIC AL AIN HOSPITAL

IVF Centre
At the IVF Centre at Mediclinic Al Ain Hospital, we provide a comprehensive, individually-tailored service for couples aiming to conceive. We offer accurate diagnosis of the underlying causes of infertility and propose the most appropriate and effective courses of treatment.
Causes of infertility
Causes of infertility can include:
  • Male factor infertility
  • Advanced reproductive age
  • Ovulation problems
  • Tubal disease/occlusion
  • Uterine fibroids
  • Recurrent pregnancy loss
  • Intrauterine defects (scar tissue, polyps, fibroids, anomalies)
  • Unexplained Infertility
 
It is recommended that if an individual has irregular cycles and a history of any of the above that
They seek some infertility evaluation early when attempting pregnancy.

Infertility services
We provide the following comprehensive services for infertility and reproductive endocrine issues:

Infertility

  • Initial evaluation
  • Ultrasound evaluation
  • Ovulation Induction with injectable medications
  • Intrauterine insemination
  • Semen analysis CASA (computerised assisted semen analysis)
  • Testicular sperm aspiration (TESE)
  • Epididymal sperm aspiration
  • Reproductive immunology testing and treatment
  • Early pregnancy ultrasounds  
Supportive services
  • Psychologist
  • Nutritionist

Assisted reproductive technologies

  • In vitro fertilisation with ICSI (intra-cytoplasmic transfer)
  • In vitro fertilisation with pre-implantation genetic diagnosis (PGD)
  • Blastocyst transfer
  • Laser assisted hatching of embryos
  • Vitrification of oocytes (cryopreservation of oocytes)
  • Embryo transfer from cryopreserved oocytes
  • Cryopreservation of sperm
  • Fertility preservation for cancer patients to include oocyte and sperm


 Our process

1. Initial consultation: Meet our fertility specialist at an initial consultation
2. Pre-cycle evaluation: Initial diagnostic testing includes hormone testing, hysterosalpingogram
(evaluation of the uterus and tubes) and semen analysis Based on the results of the initial evaluations, a range of procedures are offered by the Mediclinic Fertility Centre. These include:

 Ovarian stimulation
Women generally produce one mature egg per month. There are women who have problems with this process and thus they are diagnosed with ovulatory dysfunction. There are three levels of treatment depending on the individual’s situation:

  • Level 1: Ovulation induction with Clomid
  • Level 2: Ovulation induction with injectable Gonadotropins (Gonal F, Puregon etc.) with intercourse or intrauterine insemination
  • Level 3: In vitro fertilisation (IVF) and embryo transfer

Intrauterine insemination (IUI)

IUI is a fertility procedure in which sperm are washed, concentrated and injected directly into a woman’s uterus. In natural intercourse only a fraction of the sperm make it to the woman’s genital tract. IUI increases the number of sperm in the fallopian tubes, where fertilisation takes place.

Studies show the IUI will not be effective in cases where the male has a very low sperm count or poor sperm shape (morphology), or poor sperm motility

 In vitro fertilisation (IVF)

IVF is indicated in cases where there are:

  • Blocked fallopian tubes or pelvic adhesions
  • Failed cycles (2-6) of ovarian stimulation with intrauterine insemination
  • Advanced female age of more than 38 years
  • Reduced ovarian reserve
  • Severe endometriosis
  • Male factors: low sperm counts, increased abnormal sperm, low sperm motility

The IVF procedure is based on a six step process:

  1. Preparation for treatment (required testing)
  2. Ovulation induction: stimulation of the ovaries in order to produce more than the one mature egg that occurs in a natural cycle
  3. Egg retrieval: removal of the eggs by an ultrasound guided needle aspiration
  4. Fertilisation: the sperm are introduced into the eggs resulting in fertilisation. ICSI–intra cytoplasmic sperm injection–involves the injection of a single egg in order to achieve fertilization resulting in an embryo. This process also allows us to achieve fertilisation and embryos in cases where there are very low numbers of sperm. We are able to select the best morphologically normal sperm. Pregnancy rates for IVF with ICSI have been shown to be higher than for IVF without ICSI
  5. Embryo transfer–after three to five days growing in the lab the embryos are transferred back into
  6. the uterus Post transfer support through injectable progesterone or orally and pregnancy tests

 Laser assisted hatching (AH)

Laser assisted hatching is a technique used in IVF cycles in which the shell around the embryo (the Zone Pellucida) is opened or thinned to facilitate the embryo hatching process. AH is not performed in all cases and is most usually recommended when one or more of the following criteria is present:

  • Advanced reproductive age (over 38 years)
  • Elevated basal FSH levels
  • Embryos with thick zone layers
  • Previous failed cycles
  • Embryos created from frozen eggs

The team at Mediclinic Fertility Centre The Mediclinic Fertility Centre is led Dr Majeed Aloum, Consultant in Obstetrics and Gynaecology/ Reproductive Endocrinology.
Dr. Aloum is a Member of the Royal College of Obstetricians & Gynaecologists, London and worked for many years as Consultant Obstetrician and Gynecologist, Reproduction Medicine, at the Queen’s Medical Centre – University Hospital in Nottingham, UK. He was also previously the clinical director of Nottingham University Research and Treatment Unit in Reproduction (NURTURE), UK.

The Embryology lab is led by Dr. Jayaparakash Divakaran who has more than 20 years’ experience in pioneer IVF centres in the UAE.

The Centre’s nurses have many years of experience working in areas of women’s health. Their training has included labour and delivery, the maternity unit and fertility unit with the majority of their time devoted to IVF. They are well equipped to assist you with concerns involving early pregnancy and those issues arising as a result of fertility treatments.

The Administrative IVF coordinator has knowledge of the financial aspects of managing the costs of fertility treatments. She can provide information on the financial options that are available to you.

Thank you for your interest in the Mediclinic Fertility Centre and we look forward to helping you achieve a happy and healthy pregnancy.
 

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