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Adenomyomectomy Surgery
Removing Adenomyosis While Preserving Uterine Health
If you have severe menstrual pain and experience heavy bleeding, a specialized surgical procedure called adenomyomectomy, which removes adenomyosis (where the endometrial tissue grows inside the uterine wall), may be the right choice for you. This surgery is intended to relieve the symptoms while preserving the uterus for future pregnancy.
Who Can Benefit from Adenomyomectomy?
- Suffer severe pelvic pain and heavy menstrual bleeding.
- Have concerns about fertility and want to conceive naturally post-treatment.
- Have not responded to medications or hormonal therapy but still have symptoms.
- Desire a uterus-sparing alternative to hysterectomy.
How is Adenomyomectomy Performed?
Pre-Surgical Evaluation
- Pelvic ultrasound or MRI to assess adenomyosis severity.
- Blood tests to check for anemia caused by excessive bleeding.
- Fertility assessment if conception is a future goal.
Surgical Procedure
Laparoscopic Adenomyomectomy (Minimally Invasive Approach)
- Small incisions are made for a laparoscope (camera-assisted surgery).
- The affected adenomyotic tissue is carefully excised while preserving the uterus.
- Benefits: Faster recovery, minimal scarring, and reduced post-surgical discomfort.
Open Adenomyomectomy (Laparotomy) – For Extensive Adenomyosis
- A larger abdominal incision is made for deeper adenomyosis cases.
- Suitable for diffuse adenomyosis affecting a significant portion of the uterus.
- Required when minimally invasive surgery is not feasible.
Post-Surgery Recovery & Care
- Laparoscopic Recovery: 2-3 weeks with minimal downtime.
- Laparotomy Recovery: 4-6 weeks depending on the extent of surgery.
- Follow-up ultrasound or MRI to monitor healing and uterine integrity.
- Pregnancy planning guidance for women aiming to conceive post-surgery.
Benefits of Adenomyomectomy Surgery
- Relieves Chronic Pain & Heavy Bleeding – Significantly improves quality of life.
- Preserves the Uterus – Unlike hysterectomy, allowing future pregnancies.
- Enhances Fertility – Improves implantation potential and pregnancy outcomes.
- Minimally Invasive Options Available – Faster healing with laparoscopic techniques.
Why Choose Our Hospital for Adenomyomectomy?
- Expert Gynecological Surgeons – Specializing in uterus-preserving procedures.
- Advanced Laparoscopic & Open Surgery Options – Tailored to each patient’s needs.
- Personalized Fertility Planning – Post-surgical support for conception.
- State-of-the-Art Surgical Facilities – Ensuring precision and patient safety.
IVF & ICSI
Maximizing Conception Success with Advanced IVF & ICSI
- In Vitro Fertilization (IVF) and Intracytoplasmic Sperm Injection (ICSI) are the most effective assisted reproductive technologies (ART) for infertile couples.
- IVF and ICSI give hope to childless couples with severe male or female infertility, recurrent pregnancy loss, or idiopathic infertility.
Who is Most Likely to Benefit from IVF/ICSI?
They are helpful in:
- Blocked or Faulty Fallopian Tubes – Blocking conception.
- Severe Male Factor Infertility – Low sperm count, decreased motility, or abnormal morphology.
- Unexplained Infertility – When other fertility treatments have failed.
- Endometriosis – Uterine lining condition.
- Advanced Maternal Age – Women with reduced ovarian reserve.
- PCOS & Ovulatory Disorders – When ovulation induction and IUI fail.
- Genetic Disorders – Couples requiring Preimplantation Genetic Testing (PGT) to avoid genetic disease.
- Repeated Pregnancy Loss – To optimize implantation chances through embryo selection.
The IVF Treatment Process: Step-by-Step
1. Ovarian Stimulation – Egg Maxing
- Hormonal injections trigger the ovaries to release multiple eggs.
- Daily ultrasound checks and blood tests track follicle growth.
2. Egg Retrieval (Oocyte Retrieval) – Collecting Mature Eggs
- A simple surgical procedure under light anaesthesia.
- The eggs are collected using a fine ultrasound-guided needle.
3. Sperm Collection & Preparation
- An optimised frozen or fresh sperm sample is received.
- High-motility sperm are selected to fertilize.
4. Fertilization Process
- IVF: Eggs and sperm are left together in a laboratory dish for spontaneous fertilization.
- ICSI: One normal sperm is inserted into each egg individually.
5. Embryo Culture & Monitoring
- Fertilized embryos are cultured in a specially controlled lab environment for 3-5 days.
- Only the healthiest are selected to be transferred.
6. Embryo Transfer – Uterus Implantation
- A healthy embryo is inserted in the womb by means of a thin catheter.
- A very rapid, painless procedure without anaesthesia.
7. Luteal Phase Support & Pregnancy Test
- Hormonal drugs to aid implantation.
- The pregnancy test 10-14 days after the embryo transfer.
Success Rates of IVF & ICSI
- IVF Success Rates: 40-50% per cycle (medical history and age dependent).
- ICSI Success Rates: Same as IVF but more appropriate for severe male infertility.
- Higher Success with PGT: Preimplantation Genetic Testing is a way to improve the quality of embryo selection and implantation chances.
Risks & Considerations
- Increased risk of Multiple Pregnancies – if more than one embryo is transferred.
- Avoidable, rare syndrome of Ovarian Hyperstimulation Syndrome (OHSS) due to hormone stimulation.
- Time, planning required – Emotional & Financial Implications.
Why Choose Medcy IVF Hospital for IVF/ICSI Treatment?
- High success rates with best reproductive technologies – Expert Fertility Specialists.
- State-of-the-Art Laboratory Facilities – Cutting-edge embryology and genetic testing.
- Individualized Fertility Plans – Personalized treatment programs for optimal outcomes.
- Holistic Care – Counselling, nutrition, and holistic fertility treatment.
Oocyte Freezing
Oocyte Freezing: Step-by-Step Process
1. First Consultation & Fertility Test
- Ovarian reserve screening with AMH blood test and ultrasound.
- One-on-one consultation on the best strategy for freezing eggs.
2. Ovarian Stimulation – Stimulating Multiple Egg Growth
- Hormone shots stimulating the ovaries to grow more than one egg.
- Ultrasound and blood testing monitoring to check follicle growth.
3. Egg Retrieval (Oocyte Retrieval) – Harvesting Mature Eggs
- A minimally invasive procedure that is done with light sedation.
- Eggs are aspirated under ultrasound guidance with a fine needle.
4. Vitrification (Flash Freezing) – Egg Viability Preservation
- Eggs are flash frozen through the latest cryopreservation technology.
- Avoids ice crystal development, with very high post-thaw survival rates.
5. Future Use & Long-Term Storage
- Frozen eggs are safely stored in liquid nitrogen at very low temperatures.
- Eggs are ready to be thawed and used in IVF treatment when the patient is ready for conception.
What is the Success Rates of Egg Freezing?
- 90-95% Survival of Eggs with new vitrification methods.
- Greater Success for Young Women – Optimal when eggs are frozen prior to 35 years.
- Similar Pregnancy Rates to those obtained from fresh eggs when utilized in IVF.
What are the Advantages of Egg Freezing?
- Increases Reproductive Choices – Can become pregnant later in life.
- Saves Fertility from Surgical Procedures – Highly important in cancer patients.
- Empowers Women – Control over planning reproduction.
- Maintains Egg Quality – Younger eggs yield better success rates.
Risks & Considerations
- No Pregnancy Guarantee – Egg freezing raises chances but not pregnancy.
- Temporary Side Effects of Hormonal Stimulation – Bloating, mood swings, or mild discomfort.
- Cost of Storage – Ongoing fees for stored frozen eggs.
Why Medcy IVF Hospital for Oocyte Freezing
- Extensive Donor Screening – Healthy high-quality eggs.
- Highly Experienced Fertility Specialists – High success rates with individualized care.
- State-of-the-Art Lab Facilities – Advanced IVF and embryo selection technology.
- Holistic Patient Care – Emotional, psychological, and medical attention at every step
Endometrial Receptivity Analysis (ERA)
Optimizing Embryo Implantation Time for IVF Success
Endometrial Receptivity Analysis (ERA) is a sophisticated diagnostic procedure that is utilized in the field of assisted reproduction technology (ART) to identify the optimal time for embryo transfer. Through an assessment of the receptivity of the endometrium, ERA is utilized in order to attain optimal implantation rates and maximize the success rate of IVF cycles.
Who Should opt for Endometrial Receptivity Analysis(ERA) Treatment?
ERA should be taken by individuals:
- Who Have Undergone Multiple IVF Failures – Even after transferring high-quality embryos.
- Have a History of Recurrent Implantation Failure (RIF) – When embryos won’t implant on the uterus
- Have Irregular Menstrual Cycles – Which makes it hard to recognize the implantation window
- Want to Boost IVF Success Rates – By enhancing embryo transfer timing.
The Endometrial Receptivity Analysis(ERA): Step-by-Step Procedure
1. Initial Consultation & Uterine Assessment
- Medical check-up and evaluation of past IVF results.
- Ultrasound to review the lining of the endometrium.
2. Endometrial Biopsy Procedure
- A minute tissue specimen of uterine lining is obtained.
- Performed in a quick, minimally invasive procedure with minimal pain.
3. Personalized Molecular Genetic Analysis
- The biopsy specimen is examined under advanced genetic tests for endometrial receptivity markers.
- Determines if the uterus is pre-receptive, receptive, or post-receptive to implantation.
4. Customized Embryo Transfer Plan
- Results inform the exact timing of the embryo transfer for optimal implantation success.
- If needed, the endometrial preparation protocol is modified.
5. Optimized Embryo Transfer & Pregnancy Surveillance
- Embryo transfer time is guided by ERA results
- Post-transfer: follow-up and pregnancy test.
Advantages of ERA Treatment
- Improved IVF Success Rates – Maximizes chances of successful implantation.
- Tailored Embryo Transfer – Provides transfer at optimum receptive endometrial phase.
- Avoids Unnecessary IVF Failures – Particularly for patients with prior cycle failure.
- Non-Invasive & Risk-Free – Easy, outpatient biopsy technique.
Success Rates & Consideration
- 40-50% Increase in IVF Success – When ERA is applied for implantation timing determination.
- Successful for Multiple Failed Transfers Patients – Extremely effective in women who have a displaced implantation window.
- Minimal Discomfort during Biopsy – Comparable to a standard endometrial sampling process.
Why Choose Medcy IVF Hospital for ERA Treatment?
- State-of-the-Art Genetic Testing Facilities – Efficient and accurate endometrial receptivity analysis.
- Expert Fertility Specialists – Personalized IVF protocols created from ERA results.
- Increased IVF Success Rates – Personalized embryo transfer times for best results.
- Holistic Patient Care – Full fertility care from testing to treatment.
