IVF services

At the IVF Centre at Mediclinic Al Ain Hospital, managed by Bourn Hall Fertility Centre, we provide a comprehensive, individually-tailored service for couples aiming to conceive. We offer an accurate diagnosis of the underlying causes of infertility and propose the most appropriate and effective courses of treatment.

Causes of infertility can include:

  • Male factor infertility
  • Advanced reproductive age
  • Reduced ovarian reserve
  • Ovulation problems
  • Tubal disease/occlusion
  • Endometriosis
  • Uterine fibroids
  • Recurrent pregnancy loss
  • Intrauterine defects (scar tissue, polyps, fibroids, anomalies)
  • Unexplained Infertility

It is recommended that if an individual has irregular menstrual 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
  • Assessment of tubal patency
  • Ovulation induction with oral and injectable medications
  • Intrauterine insemination
  • Semen analysis CASA (computerised assisted semen analysis)
  • Testicular sperm aspiration (TESE)
  • Microscopic Testicular Sperm Extraction (Micro-TESE)
  • Epididymal sperm aspiration (PESA)
  • Reproductive immunology testing and treatment
  • Early pregnancy ultrasounds

Assisted reproductive technologies

  • In vitro fertilisation with ICSI (intra-cytoplasmic transfer)
  • In vitro fertilisation with pre-implantation genetic diagnosis (PGD)
  • In vitro fertilisation with pre-implantation genetic screening (PGS) including gender selection.
  • 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 fallopian tubes) and semen analysis.  Based on the results of the initial evaluations, a range of procedures are offered by the Mediclinic Fertility Centre which 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 oral medication such as clomiphene or letrozole
  • 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 makes 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 (2-3) 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 sperm into each 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.
  5. Embryo transfer–after two to five days growing in the lab the embryos are transferred back into the uterus
  6. Post transfer support through vaginal, injectable or oral progesterone and pregnancy tests

The IVF Centre at Mediclinic Al Ain Hospital, managed by Bourn Hall Fertility Centre, is staffed with fertility experts, embryologists and nurses, who are leaders in Reproductive Medicine and who guide patients at every stage of their way towards parenthood.

Thank you for your interest in our services and we look forward to helping you achieve a happy and healthy pregnancy.