Dr Parul Katiyar is an experienced Gynecologist specializing in infertility, reproductive medicine and reproductive endocrinology. She has over 9 years of clinical experience in these fields and has successfully treated over 1000 infertile couples from all over India and abroad. Dr Parul’s special areas of interest include Polycystic Ovarian Syndrome (PCOS), Endometriosis and Male infertility. She has worked extensively on such clinical cases and has presented her work and experience in these fields at various national and international forums. Dr Parul has been an invited faculty at various national level training courses and conferences and has also contributed chapters for two books published by leading medical publishers.
Dr Parul Katiyar has a dedicated practice in Infertility and Reproductive Medicine at Max Hospitals, Delhi and Gurgaon. She is also available for consultation for infertility at Rewari, Jammu and Guwahati as a visiting consultant. Dr Parul was formerly associated with Fortis Hospitals as the Head and Clinical In-charge for Fortis Bloom IVF centers at Fortis Hospitals across Delhi NCR region and prior to that she was associated with Lilawati Hospitals, Mumbai.
Steps in Egg Donation: The important steps in the egg donation program include
1. Egg donor screening and selection
The egg donors are selected from a pool of egg donors available with the egg donor agency. They are generally in the age of 21-31 yrs with preferably having at least a child and as stipulated by the draft guidelines of ICMR the procedure is a confidential and anonymous process. The identity of the donor and recipient is kept confidential and not revealed to each other at any point of treatment or later. However, we make every effort to select and match the donor profile according to the recipient.
The process involves a comprehensive physical and psychological evaluation of the donors, as it is important that they understand the whole treatment and also understand that they will have no right on the child conceived through their eggs.
A detailed medical history is obtained and the patient is tested for infections, ultrasound evaluation is done for evaluation of ovarian reserve and hormonal status of the donor is also tested.
2. Synchronisation of Donor’s and recipient Cycle
The next step is the synchronisation of the cycle so as to simultaneously prepare the uterus of the recipient for the embryo transfer along with the donor’s egg. This is done by first programming the cycle of both women using birth control pills which is given for 2- 3 weeks and stopped simultaneously so that they start menstruating around the same time.
3. Ovarian stimulation of donor and endometrial preparation
The donor undergoes stimulation (as mentioned above) and recipient’s uterine lining is prepared using Estradiol tablets to achieve an optimal lining of 8 mm or more.
4. Egg retrieval and fertilisation
The egg retrieval and fertilisation steps remain the same as in standard IVF cycle, and on the same day of egg retrieval we start progesterone (either vaginal tablets or daily injections ) to induce the final changes in the lining of the recipient and prepare it for implantation, the embryos are transferred back in the recipient’s uterus.
The pregnancy test is due 2 weeks after the embryo transfer. This is one of the most successful ART treatments with up to 60% success rates and 40-45% pregnancy rates.
Surrogacy is an arrangement when another woman carries and gives birth to a baby for the couple who want to have a child. It is a means of third party reproduction in which the surrogate is only a “gestational carrier”, a gestational carrier is woman who accepts to bear (or be pregnant with) the child of another woman who is incapable of becoming pregnant using her own uterus. The gestational carrier provides a host uterus for the offspring, and does not contribute genetic material, i.e. is not the egg provider. The offspring’s genetic material may come from the egg and the sperm provided solely by the aspiring man, woman or couple, referred to as the “intended parents,” or in combination with donor egg and/or donor sperm, depending on the needs of the intended parents.
It is an accepted treatment option for couples and recognized by the government of India. The various reasons for doing surrogacy include those women who:
1. Do not have a uterus like in congenital absence of uterus or post hysterectomy.
2. Have an abnormal uterine cavity
3. Have had several recurrent miscarriages
4. Have had recurrent failed IVF cycles
5. Have a medical reason for which pregnancy is inadvisable
At blessings fertility we adhere to the guidelines laid by the government of India and always refer our patients to the surrogate agency / ART bank to help find an appropriate surrogate. Once the appropriate surrogate is finalized we synchronize their cycles and take care of every step in the treatment till the embryo transfer is done.
Surrogacy services at Blessings Fertility Center are provided as per the provisions of the Govt. regulations under the ART services bill if India. In short, this bill provides for the following rules to govern surrogacy practice in India:
1. Surrogacy by ART should be considered only for patients for whom it is physically or medically impossible / undesirable to carry a child to term.
2. Individuals or couples may obtain the service of a surrogate through an ART bank.
3. The person or persons who have availed of the services of a surrogate mother shall be legally bound to accept the custody of the child / children irrespective of any abnormality that the child / children may have, and the refusal to do so shall constitute an offense.
4. A couple or an individual shall not have the service of more than one surrogate at any given time.
5. A couple shall not have the simultaneous transfer of embryos in her and the surrogate.
The governing rules and regulations for treatment of infertility are same for all patients irrespective of their nationality, except for treatment involving surrogacy. Surrogacy for non-Indian patients is not permissible as per the latest regulations by the Govt of India.
The chances of success of IVF in a specific case depend on a number of factors. We offer individualized treatment options for each couple so as to maximize their chances of success. Overall, our success rate is at par with the best centers in the world.
A "clinical pregnancy" has a pregnancy sac seen in the uterus on ultrasound exam.
The "live birth rate" is the percentage of all IVF cycles that lead to a live birth. This rate does not include miscarriage or still birth and multiple-order births such as twins and triplets are counted as one pregnancy.
|Fresh donor egg embryos||Thawed donor egg embryos|
Learn more about success rates.
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