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Infertility is defined as the inability to conceive after one year of trying actively. Worldwide, it is estimated that 1 in 6-7 couples has problems conceiving. Women become less fertile as they get older. Women who are able to get pregnant but then have repeated miscarriages (pregnancy losses) are also thought to be infertile.

How do doctors treat infertility?

Infertility can be treated with oral or injectable medication, surgery, intrauterine insemination or assisted reproductive technology. Often times these treatments may be combined. About two-thirds of couples who are treated for infertility are able to have a baby.
At CREF, we recommend specific treatment options for infertility based on test results, the cause and duration of infertility, age of the female partner, overall health of both partners, and the couple's preference.

What is Assisted Reproductive Technology (ART)?

ART has become an increasingly common resource for infertile couples and refers to various treatment methods used to help infertile couples achieve a pregnancy by artificial or partially artificial means. ART involves removing eggs from a woman's body, mixing them or injecting them with sperm in the laboratory and putting the embryos back into a woman's body by procedures such as In Vitro Fertilization (IVF) and Embryo Transfer (fresh and frozen). Other ART options such as GIFT, ZIFT, and TET are much less commonly performed nowadays. ART also applies to oocyte (egg) donation and gestational surrogacy.

What are the different types of Infertility Treatment?

There are various treatment options for male and female infertility. After an initial and thorough work-up to determine the cause of your infertility, recommendations are made regarding the appropriate treatment options that would increase your chances of conceiving. The various treatment options offered by reproductive endocrinologists include:
  • Fertility drugs to induce / enhance ovulation (pills or injections)
  • Intrauterine insemination
  • ART procedures:
    • In Vitro Fertilization (IVF)
    • Intracytoplasmic Sperm Injection (ICSI)
    • Assisted Hatching (AH)
    • Blastocyst transfer
    • Pre-implantation Genetic Diagnosis (PGD)
    • Embryo cryopreservation
    • Sperm cryopreservation
    • Testicular tissue cryopreservation
    • Third Party Reproduction
      • Donor oocytes
      • Donor sperm
      • Gestational Surrogacy
      • Donated Embryos

Infertility Services

At CREF, we provide state-of-the-art services at one single location making it a 'one-stop-shop' for patients in terms of medical care, convenience and in maintaining confidentiality.

Diagnostic Tests

We offer a comprehensive range of diagnostic tests, right from basic to advanced tests at CREF and at KDAH.

Billing and Registration

For your convenience we have a dedicated Billing Officer on the 7th floor.

Phlebotomy Services

For CREF patients, we offer a phlebotomy service within the department. Trained and efficient nurses draw blood and send it to the laboratory, so patients do not experience undue delays.

Ultrasound Facilities

We have a dedicated ultrasound machine located at CREF with the latest software technology specifically designed to better assess the ovaries and uterus in women with infertility. Ultrasound service is available for both basic and specialized procedures performed within the department by an appropriately trained and qualified physician.

Andrology and Embryology Laboratories

Our Andrology laboratory is equipped to perform various tests from basic semen analysis to advanced sperm function tests when a detailed analysis and evaluation are required. There is a collection room located within the department and adjacent to the Andrology lab for convenience and privacy.

We are proud to house within the department one of the few state-of-the-art Embryology labs in the country with cutting-edge technology based on international standards. We also have well-qualified, skilled and experienced embryologists who have trained in the West. We currently offer embryo, sperm and testicular tissue cryopreservation (freezing) on-site.

Operating Room, Pre-op and Recovery Room facilities

Within the department and adjacent to the Embryology lab are dedicated pre-op and recovery room areas for patients undergoing procedures such as oocyte retrievals and embryo transfers, and for acupuncture treatments performed in conjunction with their procedures.

Additional Facilities

For patients who wish to avail of the various educational materials, we have DVDs and printed materials with general information about infertility, instructions regarding fertility drugs and administration of injections, etc. IVF orientation seminars by the physician are held on a regular basis for detailed information about IVF cycles in a comfortable and patient-friendly setting.

Counseling and Support Services

Infertility touches all aspects of a woman's/couple's life. It may be difficult to balance the infertility treatment process with the rest of one's life. We can help you and your partner find this balance and cope better with the emotional aspects of infertility. Patients can receive individual counseling sessions with a licensed Psychologist and social workers at KDAH.

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