Dubai

Basics of Infertility Testing at a Top Dubai Fertility Clinic

Infertility tests at our Dubai fertility center are used to help find why a woman cannot get pregnant. These tests help the fertility specialist determine whether the problem is related to a male factor or female factor or both.

 

Should I be tested?

 

Many women use fertility awareness methods to find the best time to get pregnant. A woman is most fertile during ovulation and 1-2 days before ovulation occurs. A woman should keep a record of her menstrual cycle, including ovulation. Consider having testing for you or your partner if:

 

  • You are in your mid 30s or older, have not been using birth control for 6 months, and are not able to get pregnant.
  • There is a physical problem, such as no ovulation, not being able to ejaculate, or having irregular menstrual cycles.
  • You are in your 20s or early 30s, have not used birth control for 12 months or more, and cannot conceive.

 

Do fertility tests cost a lot?

 

Infertility tests are quite expensive, and they can be stressful. Before undergoing testing, talk with your partner about how much testing you are willing to do, and make a decision together regarding what you wish to spend.

 

What are the benefits of fertility tests?

 

Fertility tests can find exactly what is causing the problem, and you may be able to be treated during the tests. A blocked fallopian tube can be opened during a hysterosalpingogram. When tests do not uncover the cause of infertility, the fertility specialist may recommend assisted reproductive therapies that can help.

 

What tests are done first?

 

Both partners will undergo a comprehensive medical history, which involves questions about your sex life, history of sexually transmitted infections, medication use, substance/drug use, and birth control methods. The doctor will check the woman’s menstrual cycle also. The woman must also undergo a Pap test and pelvic examination. For men, the physical includes a testicular examination.

 

Both partners have certain hormonal tests including luteinizing hormone (LH) and progesterone levels. For women, LH is evaluated to see if a woman is ovulating, and for men it could show a pituitary problem. Thyroid function tests assess for gland dysfunction, and prolactin levels are checked. Prolactin is a hormone that helps regulate the woman’s menstrual cycle. For men, a semen analysis checks for the number of sperm (sperm count), the number of sperm that move normally (motility), and if the shape appears normal.

 

What tests are done if the initial testing does not find a cause?

 

For the woman, a pelvic ultrasound is used to check the structure and size of the uterus and ovaries. It is also used to check ovarian reserve, which is a woman’s egg supply. This involves counting the number of follicles in both ovaries during a certain time of the cycle. A hysterosalpingogram is a special x-ray that looks inside the uterus and fallopian tubes. This is used to assess for blockages and growths. Another procedure used for female infertility is the laparoscopy, which involves making a small incision so a scope can be inserted into the pelvic region.

 

For the man, a transrectal and scrotal ultrasound is used to assess for certain medical conditions, including retrograde ejaculation and ejaculatory duct obstruction. A testicular biopsy involves surgical removal of samples from the testicle using a needle. The result of this biopsy will tell if sperm production is normal. If it is, the man’s problem could be related to a blockage or other problem with sperm transport.

Overview of Ovulation Induction with Artificial Insemination

Ovulation induction, also known as controlled ovarian hyperstimulation (COH), is used to improve chances for pregnancy. Ovulation induction is often used before intrauterine insemination (IUI) or in vitro fertilization (IVF). The procedure involves the controlled stimulation of the woman’s ovaries by use of medications. This increases the number of eggs that can be fertilized.

Who is a candidate for ovulation induction?

Ovulation induction can be used for couples who have:Fertility Clinic Dubai

 

  • Cervical factor infertility
  • Unexplained infertility
  • Mild endometriosis
  • Male factor infertility
  • Anovulatory infertility
  • Persistent infertility in spite of other treatments

 

What medications are used with ovulation induction?

Ovulation induction allows for precise timing of artificial insemination, where sperm are placed into the uterus through the cervix. Medications will induce ovulation of many eggs. Clomid (clomiphene citrate) is an oral medication used for this procedure. An injectable medication can be use, containing follicle-stimulating hormone (FSH) or human menopausal gonadotropins (hmg) which induce multiple egg development. Human menopausal gonadotropin is given at the time selected by your doctor to mature the eggs and bring on an ovulatory response.

Are ovulation induction medications safe?

FSH, hmg, and Clomid all have been used extensively and are proven safe and effective when administered at a certified fertility clinic. No increase in birth defects and congenital abnormalities has been associated with any of these medications. You will also receive GnRH antagonist by daily injection to enhance the ovarian response. The side effects of Clomid include hot flashes, headaches, mood changes, and vaginal dryness.

Do ovulatory stimulation drugs work?

Clomid with IUI has an 8-10% success rate per cycle when used for unexplained infertility of 3 years duration, with only an 8% chance of multiples (twins, triplets, etc.) Gonadotropin with IUI has a 15-18% success rate when used for unexplained infertility of 3 years duration, with a 15% chance of multiples.

What can I expect during ovulation induction therapy?

During the time you are takin medicines to induce ovulation, you will be carefully monitored to improve success of pregnancy and ensure your safety. In addition to a clinical examination, you will be monitored using:

 

  • Laboratory tests – Blood samples are taken to assess for hormonal response of the ovaries during ovulation induction. The blood is drawn early in the day for estradiol levels at intervals scheduled by your fertility specialist.

 

  • Ultrasound scans – This noninvasive technique assesses the size and number of ovarian follicles. A vaginal probe is inserted to emit sound waves. The computerized device takes pictures for evaluation, and the images are recorded in real-time.

 

How is artificial insemination performed?

Artificial insemination involves placing sperm directly into the woman’s uterus. Studies show that artificial insemination can improve chance of pregnancy for couples with unexplained and male infertility, especially when combined with ovulation induction. Intrauterine insemination involves the use of a small catheter to insert sperm through the cervix and into the uterus. Around 14 million sperm are deposited using IUI.

After the male partner gives a semen sample, the specimen is prepared using specialized laboratory techniques to collect the most active and motile sperm. Preparing the sperm takes around 2 hours, but the actual insemination only takes a few minutes.

3 Highly Successful Fertility Treatments To Help Your Become A Parent

fertility clinic

There is great news for couples struggling to become parents in Dubai. After 25 years of success in the United States, PRC Fertility Center is now working in Dubai to help couples make their dream, of parenthood, come true. Using an amazing range of the most modern treatments at world class facility, the best fertility specialists and embryologists, help you achieve your fertility goals at Dubai Fertility Clinic, PRC Dubai.

IVF or In Vitro Fertilization

 

Although a lot of clinics offer IVF as a solution to infertility, only few have great success rates. Fertility treatment with PRC Dubai ensures you undergo the procedure using cutting edge technology with certified and highly experienced fertility doctors and a compassionate staff. With more than twenty five years of experience in fertility treatment, PRC Dubai’s doctors have high success rates helping you become pregnant. IVF is greatly beneficial in problems with egg quality, ovulation, endometriosis, or blocked fallopian tubes or low sperm count.

IUI or Intrauterine Insemination

 

IUI helps many women conceive when the male partner has a low sperm count, problems with sperm motility or with erection or ejaculation. Other fertility problems treated with intrauterine insemination at the top fertility treatment clinic, PRC Dubai, include cervical scarring, cervical mucus abnormalities, and unexplained infertility in women.

ICSI or Intracytoplasmic Sperm Injection

 

Fertility specialists at Dubai Fertility Clinic, PRC, use Intracytoplasmic sperm injection along with IVF to combine a woman’s eggs with her partner’s sperm in a lab, and then the resulting embryo is implanted back into the uterus.The pregnancy success rate with IVF with ICSI has been shown to be higher than IVF without ICSI.

Amazing Benefits Of Acupuncture In Fertility Treatments

Fertility Treatments

Infertility often occurs due to certain medical conditions and structural disorders in the body. The ancient Chinese technique of Acupuncture has proven effective when used together with other fertility treatments in Dubai. Acupuncture is based on the theory that energy flows through the body along designated routes. This energy restores health. Acupuncture involves the use of small, thin needles, inserted in the skin and deeper tissues along specific points on the body. This stimulates the release of endorphins and restores the body’s energy.

HELPS IN VARIOUS INFERTILITY CONDITIONS

Acupuncture can help to increase the rates of pregnancy for couples with:

  • Thyroid problems
  • Repeated pregnancy losses
  • Spasmed tubes
  • Sperm count and motility issues
  • Stress

Higher rates of pregnancy have been seen during treatment cycles of IVF when acupuncture is done on the day of embryo transfer at the top fertility clinic in UAE, PRC Dubai.

ACUPUNCTURE HELPS TO REDUCE STRESS

There is evidence to support that acupuncture is effective for reducing stress. During stressful situations, the secreted hormones interfere with fertility and pregnancy. Reducing tension through acupuncture improves the chances of a couple to conceive. The top fertility treatment clinic in Dubai, PRC, offers acupuncture so that women going through fertility treatments can manage stress effectively.

ACUPUNCTURE HELPS OTHER FERTILITY TREATMENTS

At Dubai, acupuncture is used with other fertility treatments. Acupuncture

  • Increases blood flow, to improve the chances of the embryo to implant in the uterine wall.
  • Regulates ovulation.Acupuncture can normalize the endocrines hormones of the body, especially for women with polycystic ovary syndrome.
  • Stabilizes the hypothalamic-pituitary-ovarian (HPO) axis. This plays an important role in fertility and regulates the menstrual cycle.

 

3 Top Infertility Conditions That Stop Women From Getting Pregnant

Getting Pregnant

Have been trying to get pregnant for over a year? Struggling to get pregnant despite all efforts? There is a possibility that there may be a fertility issue preventing you or a loved one from reaching your pregnancy goals. PRC Fertility Center at Dubai can help you with the most modern infertility treatments. Thanks to the advancements in fertility medicine, most infertility issues can now be treated by world class fertility experts providing infertility treatments in Dubai.

PCOS

 

Polycystic ovary syndrome (PCOS) is a common problem, affecting 10% of all women. PCOS is a hormone imbalance that causes irregular menstrual cycles, acne, and excessive hair growth. Infertility treatments in Dubai’s top clinic, PRC Dubai, can treat PCOSwith medication, oral contraceptives and hormonal therapy and correct imbalances produced by PCOS.

Endometriosis

 

Endometriosis is a common cause of chronic pelvic pain and infertility. This disease affects one out of 10 women of reproductive age and is the cause of infertility for three of every 10 women. Treatment of endometriosis is done by infertility treatment experts in Dubai’s fertility clinic, PRC, with drugs, surgery, IVF and other healing modalities.

Diminished ovarian reserve

 

Responsible for one-fifth cases of infertility in women, Diminished ovarian reserve (DOR) means the ovary loses normal reproductive potential, which can compromise fertility. DOR can occur from injury or disease, but it is most often the result of normal aging. A woman with DOR can cryopreserve (freeze) eggs or embryos for later use. When ovaries do not respond to drugs, donor eggs are recommended by the fertility doctor. Alternatively, women with DOR can use eggs donated from other women.IVF is a treatment option for women who have poor egg quality, as well as few viable eggs.

Infertility treatments start with a comprehensive workup which will lay out a customized treatment plan. Both male and female infertility conditions are evaluated and treated with state-of-the-art treatments at PRC Dubai.

4 Most Effective Male Infertility Treatments Now At Dubai

Infertility Treatments

Studies show that more than third of all infertility cases are caused due to male infertility.  Male infertility can be caused due to a variety of reasons which could be hormonal, testicular and erectile or sperm disorders such as issues with sperm quality, function or transport. The best fertility clinic in UAE, PRC Dubai offers several modern male infertility treatments.

Hormone imbalance correction 

Because hormone imbalances cause male reproductive issues, they can be treated using hormone replacement therapy or medications that restore body hormones.

Medication

Many medications help with achieving and maintaining an erection. Medication is also used in cases of anti-sperm antibodies.With anti-sperm antibodies, the female’s immune system attacks the sperm. This is treated with 3-6 months of steroid therapy at the top male infertility treatment clinic at UAE, PRC Dubai.

Sperm Issues

When sperm count is low, or the sperm are not as motile as they should be, artificial insemination can be used. Also called intrauterine insemination (IUI), this is a procedure where concentrated sperm are inserted into the woman’s uterus. Another option is in vitro fertilization (IVF), where the sperm and eggs are combined in a laboratory dish, and the resulting embryo is placed back into the woman’s uterus. Both IUI and IVF are offered by highly experienced specialists at a world class facility at male and female infertility clinic, PRC Dubai.

Surgery 

Surgery can be used to correct or repair structural problems of the male reproductive tract. This involves fixing blockages present at birth or related to surgery or injury. Surgery is also done to reverse a vasectomy. Male Infertility is treated using the most advanced technology at the best fertility clinic in UAE, PRC Dubai.

Physical Examination and Testing before Fertility Treatment in Dubai

The joy of parenthood is a challenge for many couples. Approximately 10-15% of couples in the U.S. are infertile. Infertility is the inability to become pregnant despite having frequent sexual intercourse for one year. Infertility can be related to a single cause in your partner or yourself, or it can be related to a combination of factors. Fortunately, many effective, safe therapies are available to help couples overcome infertility.

The Female Infertility Evaluation

Most women are advised to try to conceive a full year before beginning fertility testing. However, for women over the age of 35 years, and people who have known medical problems that could affect fertility, earlier testing is appropriate. Experts estimate that around 40% of infertility cases is attributed to a female factor. Fertility Clinic DubaiThe basic evaluation for women with infertility includes a medical history and physical examination. Additional testing is used to further refine the diagnosis. A careful review of each symptom can include:

  • A review of the menstrual cycle pattern to determine if ovulation is occurring, or if other problems exists, such as uterine defects (fibroids or polyps) or a diminished egg reserve (related to aging).
  • Collection of information that could suggest an anatomic problem of the fallopian tubes, including questions regarding history of sexually transmitted diseases, previous abdominal surgery, and /or painful sex or periods.
  • Questions about previous surgery to the uterus or cervix, such as freezing for abnormal Pap tests.
  • A detailed social history to evaluate for environmental exposures or social habits, including alcohol use, smoking, extreme exercise, or drug usage.
  • A general review of systems, which includes questions about symptoms related to endocrine dysfunction.

To evaluate the pelvic structures and assess for possible hormonal problems, the physical examination is done. Additional hormone level testing and ultrasounds are required to assess ovarian age and ovulation. Ovarian reserve testing determines the quantity and quality of the eggs, and hormone tests check levels of ovulatory hormones. A hysterosalpingogram (HSG) is a special x-ray test used to evaluate the uterus and fallopian tubes. When serious damaged to the reproductive organs is suspected, a surgical procedure (hysteroscopy or laparoscopy) can be performed.

The Male Infertility Evaluation

Around 40% of couples have infertility due to a male factor. Evaluate of the male is significant for the development of a comprehensive treatment plan for the infertile couple. The initial male infertility workup includes a medical history, physical examination, semen analysis (one or more), and hormone level testing. The initial evaluation includes:

  • A review of past surgeries, medications used, and health problems.Dubai fertility clinic
  • Inquiry into family history of birth defects, infertility, and problems associated with the reproductive system.
  • A detailed review of occupational hazards, social history, and personal history to evaluate exposure to any substances or toxins that could impact fertility.

The physical examination involves an evaluation and inspection of the penis, testes, scrotum, and prostate. Laboratory tests are conducted, including a urinalysis to assess for infection. The semen analysis is done to assess sperm movement (motility), number of sperm (sperm count), shape of sperm, and if or not the sperm are mature.

Hormone testing evaluates levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), prolactin, and testosterone to determine if a problem exists that could affect sperm production. A transrectal ultrasound and scrotal ultrasound are done to help the doctor check for ejaculatory duct obstruction and retrograde ejaculation. In addition, a testicular biopsy could be done to see if sperm production is normal.

PRC Fertility Center in Dubai is a first rate clinic for comprehensive workup and treatments to help women achieve their fertility goals. Patients are treated by Board Certified fertility specialists in the Middle East with compassion, expertise and diligence. Call now!

Detecting Chromosomal Disorders through Pre-Genetic Diagnosis

Pre-genetic diagnosis (PGD) is the use of genetic testing technology to assess and evaluate embryos for abnormalities. Also called preimplantation genetic diagnosis, PGD can be performed using many techniques available. In the in vitro fertilization (IVF) process, an egg is fertilized with sperm in the laboratory setting. After a few days, the resulting embryo is biopsied for genetic analysis. This allows the embryologist to evaluate if or not the embryos are genetically normal or if chromosomal abnormalities exist.

Why are embryos analyzed?

Fertility Clinic DubaiEmbryos are analyzed for one or more reasons. These include:

  • Gender selection – For family balancing, the embryologist can assess the embryo’s gender.
  • Aneuploidy – With this condition, there is an extra chromosome or a missing one. Down Syndrome is an example of aneuploidy, which is more common as a woman ages.
  • Translocations – This refers to a change in chromosome structure, where chromosomes are attached to each other, or where pieces of two different chromosomes are interchanged.
  • Recurrent pregnancy loss – Certain genetic defects can cause repeated pregnancy losses.
  • Single gene disorders – Diseases or conditions caused by an inherited single mutated gene. Examples include Sickle Cell Anemia, Cystic Fibrosis, and Tay Sachs.

The PGD Process

The pre-genetic diagnosis can be done using different approaches. These are:

  • Microarray method – This form of preimplantation genetic screening requires a blood test from the parents to create a DNA fingerprint. This can be used to compare the DNA from the assorted embryos to make sure there is one chromosome from each parent for every 23 pairs of chromosomes. This technique has the ability to test all chromosomes in less than two days. In addition, this test can be used to calculate the estimated accuracy of the result, which avoids errors.
  • Fluorescent in situ hybridization (FISH) – With this method, a single cell is analyzed under the microscope. Fragments of DNA are specified to each chromosome being tested using microscopic markers and fluorescent single detection.
  • Comparative genomic hybridization (CGH) – Also called a blastocyst biopsy, CGH tests the chromosomes expelled by the eggs during cells division after fertilization. This involves using cells of a day-5 embryo.

How accurate is PGD?

The accuracy of preimplantation genetic testing varies from couple to couple. There is a chance that PGD will not be 100% reliable. However, accuracy rates are 98% for most couples.

After the ResultsIVF treatment photo

Once PGD testing results are available, the fertility specialist discusses them with the clients, and only normal embryos will be used for IVF cycles. One or two embryos are placed in the woman’s uterus, and extra embryos are frozen for later cycles. PGD allows the doctor to use genetically normal embryos for transfer, increasing the chances of IVF success. When all chromosomes are evaluated, and assessed as normal, the chances of pregnancy is around 85-90%.

PGD for Failed IVF Treatment

When a couple experiences a failed IVF cycle, PGD is recommended. One of the most common reasons IVF fails is genetic abnormalities of the embryos. Women may have factors that cause their ovaries to produce genetically abnormal eggs, which produce problems with the embryos. This will lead to unsuccessful IVF treatment. Egg donors can be an option when this is found. If the male’s sperm contributes the abnormal genetic material, donor sperm may be used.

PRC Fertility Center is a top Dubai fertility clinic with over 25 successful years in America. Now open in Dubai Healthcare City, PRC has Board Certified providers with exceptional live birth success rates for IVF, ICSI, tubal reversal, and all aspects of Assisted Reproductive Techniques. Call us today!

Hormonal Therapy to Prevent Ovarian Failure

Premature ovarian failure (POF) is loss of ovary function before the age of 40 years. Failing ovaries do not produce adequate hormones, so eggs are not released regularly and infertility occurs. Premature ovarian failure is different from premature menopause. Women with early menopause stop having periods altogether, and the woman cannot become pregnant. With premature ovarian failure, pregnancy is possible. Between 5-10% of women with premature ovarian failure go on to get pregnant without medical intervention, but others require treatment.

What are the symptoms of premature ovarian failure?

A woman experiencing premature ovarian failure will experience certain symptoms. These include:

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  • Night sweats
  • Irregular or missed periods
  • Hot flashes
  • Vaginal dryness
  • Decreased sexual desire
  • Difficulty concentrating
  • Irritability

What causes premature ovarian failure?

Premature ovarian failure is the result of either follicle dysfunction or follicle depletion. With normal fertilization, the pituitary gland releases hormones that cause the ovaries’ egg-containing follicles to mature. When one follicle reaches maturity, it bursts open and releases an egg into the fallopian tube. With follicle depletion, the number of follicles in the ovary that may mature are less than should be, due to toxins or chromosomal defects. Follicle dysfunction occurs when the follicle does not mature due to an autoimmune disease or other factors.

How is premature ovarian failure treated?

The main treatment for premature ovarian failure is estrogen replacement therapy. Estrogen is prescribed along with progesterone, which protects the uterus lining. The combination of these hormones may restore ovarian function.Fertility Clinic Dubai

  • Estrogens – These are available in pill form, as a gel or patch applied to the skin, or as a vaginal ring that can be replaced every 3 months. The doses is 100-150 mcg daily for transdermal (topical), and estradiol 2-4 mg daily for oral form.
  • Progestins – These are administered only 10-14 days each month, with recommended dose of medroxyprogesterone 10 mg orally.
  • Androgens – Many women also have low levels of free testosterone, which can cause low libido and fatigue. Methyltestosterone is given in 1.25-2.5 mg each day orally.
  • LHRHa – Luteinizing hormone-release hormone analogue can be used during chemotherapy to protect the ovaries. LHRHa reduces the risk of ovarian failure and is associated with a higher pregnancy rate for cancer patients who take it. The rates of premature ovarian failure are reduced two-thirds in patients who take LHRHa, according to clinical studies.
  • DHEA – Supplementation with DHEA has shown positive results in some studies of women with ovarian insufficiency. However, it is less effective for women with outright ovarian failure.

Can premature ovarian failure be predicted?

With new technology and scientific research, there are now ways the Dubai fertility doctor can detect if you are at risk for developing POF. The FMR1 genotype tests for a gene that predicts whether or not a woman will have POF. Women diagnosed with high risk for future POF can managed their reproductive life by freezing eggs.

At PRC Fertility Center in Dubai, comprehensive fertility treatments are offered. This includes first rate Dubai IVF treatments, egg freezing, ICSI and additional options to help women reach their fertility goals. Call us today!

Top 3 Dos And DONTs For A Successful IVF

IVF treatment

ivfIVF or In Vitro Fertilization accounts for most pregnancies achieved with assisted reproductive technology. Thousands of couples, annually, seek IVF to live their dream of having a baby. Unfortunately, some couples are still unable to conceive after repeated IVF cycles. Fertility specialists at the top fertility center in UAE, PRC Dubai, explain what should you do and what not to ensure you have a healthy pregnancy and child with IVF.

DOsDON’Ts
#1Find the best IVF clinic

·         Seek an IVF clinic that suits your needs. The environment should be safe and private with a convenient setting. The doctors and staff at PRC Dubai fertility clinic welcome you; treat you with a high level of expertise and compassionate care in your journey to parenthood.

Get trapped in the vicious cycle

Do not listen to negative tales and hearsay from couples who have failed in their attempts to become parents. Their negativity may drag you down, making you anxious while you are going through IVF.

#2Find out about the doctors at your IVF center

Choose a center with fertility specialists that are trained and qualified. PRC Dubai’s IVF specialists are certified in fertility medicine and highly experienced in IVF technology.

Overlook general health

 

While you go through IVF, it is very important that you take care of your general health. Optimal health is very important for a viable pregnancy. Take care of your diet, sleep and exercise while going through an IVF cycle. Some couples choose to take acupuncture sessions to reduce stress. Acupuncturists at top IVF clinic, PRC Dubai, help you cope with anxiety during IVF cycles.

#3Arm yourself with information

You would feel more comfortable with the process if you understand it. Your fertility specialist at PRC Dubai would be happy to answer any questions you may have and will support you throughout your journey.

Give in to despair

Do not give up. Some couples get it the first time while some may take a little longer to get pregnant. Rely on your fertility doctor at PRC Dubai’s IVF clinic to guide you through the process. The experts at PRC Dubai have successfully handled hundreds of cases; hence, they are well equipped to help you.

 

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