Infertility ward

With the help of God Almighty and following the relentless efforts of the officials of the Infertility Center of Amir Al-Momenin Hospital, the diagnostic and treatment services of this center have been provided in the form of a specialized infertility clinic, recurrent miscarriage and RIF since 2000. From 1379 and 1389, IUI and microinjection services are provided in this center, respectively.

Experienced and committed personnel and specialists provide the latest and most complete diagnostic and therapeutic methods for clients.

Admission of the patient and the course of work in the infertility clinic:

(It is possible to schedule an appointment for patients in person and by phone.)

Filing for couples (by midwifery counselors), requesting tests and diagnostic tests

First visit (initial examination of couples and request for necessary tests and diagnostic tests)

Second visit, examination of test results, request of hysterosalpingography, vaginal ultrasound and diagnostic tests of couples by gynecologists and referral to relevant counselors (in the fields of genetics, internal medicine, endocrinology, etc.) if necessary, based on the results of the studies

Review and examination by consultants

Determination of treatment plan by a specialized team including male and female specialists

Announcing the treatment prescribed for the couple and answering the questions and getting acquainted with the treatment process prescribed for the couple (suggested treatment methods may be one of the methods of ovulation stimulation, IUI or intrauterine sperm insemination, microinjection or sperm injection into the ovarian cytoplasm in the environment of laboratory.)

Infertility Clinic Working Hour

Saturday to Wednesday: 7:30 to 14

Thursdays: 7:30 to 13

Telephone:  33460055-023 / 33460066-023

Internal Infertility Clinic: 2379

Internal medicine embryology laboratory: 2274

Services provided at this center include:

-      Specialist visit for infertility patients

-      Review and treat recurrent miscarriages

-      Review and treatment of RIF

-      Infertility counseling

-      Vaginal ultrasound

-      Hysterography

-      Determine the depth of the uterus before ICSI

-      Spermogram

-      Hysteroscopy

-  Laparoscopy

-  Intrauterine Insemination (IUI)

-  Microinjection (ICSI)

-  Embryo transfer

-  Fetal freezing

-  Sperm freezing

-  Melting the fetus

-  Transferring frozen embryo (FET)

-  PESA (Sperm removal from the epididymis, percutaneous epididymal sperm spitation)

-  TESE (Sperm extraction from the testicles, Testicular sperm extraction)

Using the best equipment, the medical departments of this center are fully prepared to provide medical services to infertile couples.

Women's Clinic

The specialized women's clinic has full readiness to provide services by using the most advanced facilities and diagnostic and medical devices and with the cooperation of specialists and faculty members. Vaginal and abdominoplasty ultrasonography, laparoscopy, 2 hysteroscopy, hysterosonography and initiation of IUI and ICSI treatment cycles are among the measures that are performed in this clinic. Visiting a woman by a gynecologist is the first step for the treatment of infertile couples. At this visit, the doctor will take a history of the disease and examination, necessary hormonal tests such as: LH, FSH, progesterone, estradiol, prolactin and thyroid function tests, and if necessary, laparoscopy, hysteroscopy and hysteroscopy. After seeing the results, she suggests the appropriate treatment method.

Repeated abortion clinic:

Despite significant advances in infertility treatment and the possibility of treating infertile patients and getting pregnant, for a variety of reasons, it is not possible for a number of pregnant women to continue to seek treatment using assisted reproductive methods or even natural pregnancies. They have continuous miscarriages. Frequent miscarriages have unpleasant psychological effects on people with the disease, which are far more destructive than the effects of infertility in infertile couples. The cause of recurrent miscarriage must be properly identified and the couple treated appropriately. Various factors such as genetic, anatomical, immunological, hormonal and blood factors are known to cause recurrent miscarriages. Obviously, by identifying the causes of recurrent miscarriages, appropriate treatment methods can be used for these patients. In this clinic, patients with recurrent miscarriages or successive failures in the use of assisted reproductive techniques after examinations, thorough examinations and necessary consultations, the final treatment is determined, and the couple undergoes the most appropriate treatment.

Infertility counseling

In order to answer patients' questions at the beginning and during treatment, explaining the use of drugs and performing treatment steps, as well as improving the quality and quantity of services, 4 infertility consultations are performed for patients. All questions are answered by obstetricians and gynecologists.

Embryology Laboratory

The center has the most advanced laboratory fertilization equipment. In this laboratory, with the cooperation of embryologists and experienced experts, in addition to performing microinjection, it is also possible to freeze sperm and embryos. The laboratory's freezing system allows infertile couples to store and store their sperm or fetus for future use if requested.

Operating rooms

The operating rooms of Amir Al-Momenin Hospital are equipped with the necessary equipment and facilities and experienced staff to perform laparoscopy, hysteroscopy, diagnostic curettage and other specialized and subspecialty surgeries in the field of removing barriers to pregnancy.

Amir Al-Momenin Hospital Infertility Center provides the following services to you dear ones:

Ovulation stimulation

Intrauterine insemination of sperm or IUI

Microinjection or injection of sperm into the cytoplasm (ICSI)

Fetus freezing and storage

nbsp;      Freezing and maintaining sperm

Ovulation stimulation (Induction)

Applications: This procedure is performed on women who have ovulation problems.

Stages of ovarian stimulation:

After the necessary examinations, routine tests, hormone tests and uterine imaging to make sure the fallopian tubes are open, the woman will refer on a second or third day of menstruation, and on this day an ultrasound will be done to determine the condition of the ovaries and uterus.

Then, the doctor prescribes the drugs needed to stimulate ovulation and eventually leads to ovulation by performing the necessary ultrasounds. Supplementary prescriptions are given by the physician to the patient, and only two weeks later the patient is referred for testing.

Intrauterine insemination IUI

IUI or intrauterine insemination is used in two ways:

First: In cases where the man has problems such as low sperm volume, low sperm count, low sperm motility or decreased libido.

Second: In cases where a woman has problems with cervical secretion or an immune disorder leading to infertility, or because of certain pain and conditions such as vaginimus, it is not possible to have normal intercourse.

Steps

This procedure is relatively simple and painless and can be performed without the need for anesthesia. In this method, the male sperm fluid is washed and in this wash, the active and good sperm are separated. Due to the fact that in normal intercourse, about ten percent of sperm reach the cervix from the vagina, but with IUI, more sperm with the right quality enter the uterus.

Preoperative measures

Before the operation, necessary examinations, routine tests, hormonal tests and uterine imaging should be performed to ensure that the fallopian tubes are open. The woman comes on the second or third day of menstruation, and on this day, an ultrasound is performed to check the condition of the ovaries and uterus, and if necessary, to start taking the medicine. The drug is prescribed to stimulate ovulation and increase the chances of fertility. After taking the medicine, several ultrasounds are performed on different days. When the follicle (ovarian sac in the ovary) reaches the right size, HCG is injected intramuscularly, which causes the egg to mature and ovulate and 36-40 hours after HCG injection, the patient refers and IUI will be performed.

Postoperative care

The patient is discharged shortly after IUI with the necessary medication and advice. There is no need for absolute rest and the patient can have her normal activities. Obviously, peace of mind and avoidance of anxious situations can be effective in the success of the operation.

Usually two weeks after IUI surgery, the patient goes to a hormonal lab to have their blood BHCG measured. An increase in this hormone is the first sign of pregnancy.

Microinjection or injection of sperm into the ICSI egg

It is mainly used in cases where the male sperm does not have the required quality in terms of number, motility or shape, or the woman's age is high, or she has used other methods of treatment before. In some cases, when multiple IVF procedures have been performed and no results have been obtained, microinjection is used.

Procedures

Generally, in this procedure, a sperm is injected into an egg inside the laboratory environment, followed by fertilization and cell division, and the embryo is formed. Like IVF, microinjection involves several stages of ovarian stimulation, ovulation, injection of sperm into the egg, and fertilization and embryo transfer. First hormonal drugs are used to stimulate the ovaries. In the second stage, ovulation can be performed with vaginal ultrasound, which can be done with a short-term anesthesia. Using an ultrasound machine, the doctor observes the follicles and draws them with special needles for the follicular fluid along with the egg, which is called a puncture. In the third stage, the cells around the egg are first separated by an enzyme, then the sperm is injected into the egg. In microinjection, several eggs are fertilized to increase the success rate. Therefore, it is possible that the number of embryos formed is high, and if these embryos have the desired quality, some of them will be frozen and stored at the discretion of the couple so that these embryos can be used for subsequent pregnancies if necessary.

In the fourth and final stage, there is no need for general anesthesia. The fetus is transported into the uterus by a catheter and one or two hours after the transfer of the embryo, the patient is discharged with the necessary medical instructions and advice.

Advantages and limitations of this operation

One of the benefits of microinjection is that it can be performed with the least amount of healthy sperm. Another advantage of microinjection is that if the patient does not have uterine tubes, there is no problem in performing this operation. However, the rate of pregnancy in women over the age of 40 decreases due to the low quality of female eggs.

Preoperative measures

Following routine tests, ‌ Hormonal tests and paired visits by specialists, the following steps will be performed if ICSI treatment is recommended:

The second or third day of menstruation is done to check the condition of the ovaries and ultrasound of the uterus.

After performing an ultrasound with a specialist's opinion, medication is prescribed to stimulate ovulation

During the course of medication, ultrasound is performed five to six times based on the response of the ovaries.

When follicles reach the right size, HCG is injected and the patient is ready to ovulate.

About 36 hours after HCG injection, ovarian puncture is performed under general anesthesia by a gynecologist.

Simultaneously with receiving the sperm sample from the man, the embryo is fertilized by the embryo in the laboratory.

3 to 5 days after the puncture, if appropriate embryos are created, the embryo is transferred to the patient.

Post-embryonic care

The patient will be discharged one to two hours after the transfer. It is recommended that you do not engage in strenuous activity for 3 to 4 days after surgery. Obviously, peace of mind and avoidance of anxiety can be effective in the success of the operation. Usually, 10 to 12 days after the transfer of the diseased fetus, he or she will be referred to a hormonal laboratory to measure the amount of BHCG in the blood. An increase in this hormone is the first sign of pregnancy.

The probability of success of the IUI method is about 25% and the microinjection method is about 35-40%. Costs of each of the above methods according to the side diagnostic tests, the number of necessary ultrasounds, the necessary drugs to stimulate ovulation are very different that the patient can receive the necessary information after the treatment is determined.