FAQ

What are the working hours?

We are open 24/7.

How to reach us?

We can be reached on our numbers
0222900225
01156677785
01156677787

How to reach us?

We can be reached on our numbers
02229002215
01156677785
01156677787

What is our vision?

Our center was established by a group of consultants with vast experience in the field of infertility, assisted reproduction, artificial insemination, IVF and ICSI in order to provide sophisticated and distinctive medical service to couples seeking assistance in the field of fertility, taking into account the international quality standards and the use of the latest technology and the most updated treatment methods to achieve the most effective treatment resulting in conceiving a healthy baby.

What are the center’s technology standards?

Operating rooms and embryology laboratory established with the state of the art technologies and the most secure and accurate equipment, which ensures the best results. We have the latest types of triple gas and bench top incubators, laser assisted hatching, PICI, IMSI, ZETA sperm selection, sperm DNA fragmentation testing ……..etc.

Who is our team?

Under the supervision of highly experienced consultants in the fields of infertility, gynecology, andrology, embryology and genetic diseases working as a team and sharing a sense of commitment to achieve the best results and the highest standards of care.

What is spontaneous pregnancy?

– For spontaneous to pregnancy to occur the marital relationship needs to occur during the timing of the wife’s ovulation; presence of a mature egg(18-22 m) within the lady’s fallopian tubes, as well as the presence of at least 15 million sperm / ml of semen in the husband ejaculate.
– The timing of ovulation may be difficult to know without medical examination, so it is recommended that the marital relationship every other day during the expected days of ovulation in order to have higher chance of pregnancy.
– The chance of spontaneous pregnancy per menstrual cycle, ranges between 16-18% when there is a marital relationship every other day.
– After a marital relationship the fast-moving sperms (which range from a normal rate of 30% of the total number of sperms) traverse the cervix and uterus and up to the fallopian tubes, where the mature egg is supposed to be present after ovulation.
– One sperm penetrates and fertilizes the mature ovum producing the first stage of the baby; the zygote.
– The fallopian tube transfers this zygote (which by then is called the embryo) to the uterine cavity within 72 hours.
– During this period, changes in the wall of the uterus will occur in preparation for the reception of the embryo. These changes depend on the hormone progesterone, which is secreted by the corpus luteum in the ovary; a residual of the egg sac in which has ovulated.
– After the embryo reaches the uterine cavity, it starts attaching and embedding itself within the uterine wall, secreting a hormone (HCG) which helps in stabilizing the pregnancy.

What are the causes of delayed pregnancy?

Causes of delayed pregnancy may be due to:
Causes related to the husband:
1 – Low sperm count.
2 – Decreased sperm movement.
3 – Increased proportion of abnormal sperm forms (distorted sperms).
4 – Absence of sperms in the ejaculate. This may be due to blockage of channels that carry sperms from the testis or abnormalities in the process of spermatogenesis in the testis.
5 – Sexual causes.
6 – Retrograde ejaculation of semen (usually in diabetics).
Causes related to the wife:
1 – Irregular ovulation : as in polycystic ovary disease.
2 – Blockage of the fallopian tubes.
3 – Pelvic adhesions, which affect the function of the fallopian tubes.
4 – Hormone disturbances: as prolactin hormone by the pituitary gland.
5 – Adhesions within the uterine cavity.
6 – Endometriosis.
7 – Delayed pregnancy of unknown cause: represents 15-20% of cases of delayed pregnancy and there is no apparent reason for the delay in spite of all the tests being normal.
Apparent causes of delayed pregnancy are dealt with before embarking on assisted reproduction techniques. Management and correction of these causes may involve treatment in the form of drugs in some situations or surgical procedures in others.
– In some cases Assisted Reproduction Techniques may be needed. Those involve the “Artificial Insemination by Husband” and the “Intra-Cytoplasmic Sperm Injection”

What is Artificial Insemination by Husband (AIH)? And what is the purpose of it?

Artificial insemination is the injection of semen from the husband – after its treatment to improve the properties -inside the uterus in a timely manner to fertilize mature eggs. The aim of this method is to increase the chances of pregnancy to “approximate” the sperms to the eggs
Steps of AIH:
1 – Increasing the chances of pregnancy by stimulating the ovary to increase the number of eggs ready for fertilization during the cycle which AIH is formed.
2 – Knowing the optimal timing for performing the procedure, and that the growth of the egg follicles by performing repeated ultrasound examinations.
3 – Performing the procedure at the optimal timing for fertilization.
4 – Improving semen parameters by treating it with special methods including the selection of the most active sperms, as well as removing material that reduces the activity and vitality of sperms as impurities or antibodies
5 – This method bypasses the cervical and vaginal factors or causes that delayed pregnancy

What happens during the cycle in which AIH is done?

From the initiation of treatment till the actual producer, the time taken is usually about two weeks: –
1 – Induction of ovulation: Clomiphene is often used- in addition to the injections -to stimulate the ovaries starting from the second day of the cycle. The aim of this treatment in to stimulate the ovaries in a softer manner than other induction protocols used in other modalities as IVF or ICSI, using a fewer number of injections.
2 –Folliculometry : follow up of the growth of the eggs by ultrasound (through the vagina) until 2-3 vesicles (which contain the eggs) reach the size of more than 17 mm, which is the size in which the eggs ready for ovulation.
3 – When the eggs reach the desired size, an injection to trigger ovulation is given. Fully grown oocytes are released from the ovary, about 36 to 38 hours of taking the injection.
4 – On the day of the procedure, a semen sample from the husband is prepared.
5 – The prepared semen sample (after treatment) is injected inside the uterus by a special catheter at the expected time of ovulation (or a few hours before), this procedure does not require general anesthesia, and often does not take more than 10 minutes. A sterile vaginal speculum is placed to see the cervix and then pass a special plastic catheter (single-use) is passed through the cervix until it reaches the uterine cavity. The prepared semen is then injected into the uterine cavity.
6 – After the previous stages comes the most difficult of all stages; the waiting. After 14 days a pregnancy test is done.

What are the cases that require hysteroscopy?

1. Infertility
2. Recurrent miscarriage
3. Abnormal bleeding from the uterus
4. Intrauterine adhesions
5. The presence of polyps
6. Birth defects in the womb
7. Tumors within the lining of the uterus

What are the chances of success of artificial insemination? And what is the number of times in which they could be done?

Modern medical research has shown that induction of ovulation and monitoring the development of the eggs by ultrasound followed by injecting processed semen in the uterus in a timely manner, results in a pregnancy rate of about 18% per cycle and 40% if 3 treatment cycles were commenced ( if the woman’s age less than 35 years old). Yet if semen is injected in the uterus without the other elements of the treatment (ovarian stimulation), the chances of success will be reduced significantly to the point that it may be futile to do the procedure. Thus it is safe to say that if there is no success after 3 AIH trials other assisted reproduction techniques should be used (IVF, ICSI).

What is ICSI?

ICSI is the fertilization of the egg by a sperm outside the body of the lady followed by transferring the resulting embryo back to its mother’s uterus at a subsequent setting. ISCI is currently the gold standard method of assisted reproduction, especially in cases that suffer from the following (abnormality of the semen – adhesions and inflammation of the uterine tubes –poor ovulation – polycystic ovaries – delayed pregnancy unknown reason).

What are the stages of ICSI?

Phase I: to stimulate ovulation (induction of ovulation)
Induction of ovulation is usually done by two types of injections ; the first type is given under the skin and the second type is given Intramuscular. This induction protocol is designed to produce more eggs than the one used in AIH to increase the chances of pregnancy. The duration of treatment is usually 20-30 days during which there are 4-5 follow up visits.

Phase II: the process of withdrawing oocytes(ovum pick up)
This procedure is done often under general anesthetic to collect mature eggs under ultrasound guidance. The time of the procedure does not to exceed 10-15 minutes .The ovum pick up causes minimal if any pain and patient may leave the facility and resume her normal activities within 2 hours of the procedure.

Phase III: plant embryos
collected eggs’ covering structures are “peeled” off and are injected by the husband’s sperms. On the second day the eggs are checked to confirm their fertilization. Fertilized eggs are then named embryos. Embryos are incubated in special incubators with controlled environments for 2-5 days.

Phase IV: Returning the embryos
called the “embryo transfer”. Dividing embryos are transferred into the uterus to settle in the cavity of the uterus through the cervix. 14 days later a pregnancy test should be done.

Is it possible to diagnose certain inherited disorders and know the sex of the fetus?

– When an inherited disease is known to be running in certain families or when couples want to know the sex of their embryos before transferring them back to the uterus, “pre-implantation genetic tests” may be done.
– These procedures are done on the third day after the egg is fertilized by taking a cell from embryo subject to analysis after peeling its cover by a laser beam. This cell is then examined genetically. Results take 24-48 hours to be available. Transfer of the examined embryo is done on the fifth day after fertilization.
– Using the same technique, the cell taken from the embryo can be used to know what type of embryo (male or female) as some genetic diseases affect only for males or females.
– All these tests are the integrated work of the consultant physicians, lab technicians and genetics’ specialists.

What is the hysteroscopy?

It is a device that allows a doctor to look directly into the uterus through the cervix after the introduction of liquid or gas within the uterine cavity to hold apart its approximated walls and allow for an easier and better view of its contents. The device is connected to a light source through optical fibers to illuminate the cavity. Results are recorded and handed to the patients.

What are the cases that require hysteroscopy?

1. Infertility
2. Recurrent miscarriage
3. Abnormal bleeding from the uterus
4. Intrauterine adhesions
5. The presence of polyps
6. Birth defects in the womb
7. Tumors within the lining of the uterus