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Treatment of Blocked Fallopian Tubes via IVF Treatment

IVF specialist can perform laparoscopic surgery on a female patient having blockage of her Fallopian tubes at whichever end of the tubes, in order to open the spider mesh like adhesion easing your way for natural conception.

Surgery may not be suitable in case of extensively blocked Fallopian tubes. Luckily blocked Fallopian tubes can bypass through IVF permitting pregnancy to rise.


By -Dr. Sajjad

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How Does IVF Improve Fertility

Inefficient human reproduction can be efficiently increased by possible way of IVF Technology.

Multiple eggs are removed from female partner in IVF and then carefully cultured for 3-5 days until the eggs fertilized, after fertilization, healthy embryos may be one or more are placed back into the uterus. With IVF fertility is improved in many couples that have sperm issues or any female issues, via straight transferring of fertilized embryo(s) into the uterine cavity.

IVF also have a benefit that freezing of remaining embryos is possible for future use.


By -Dr. Sajjad

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When to Opt for IVF – In Vitro Fertilization

Couples suffering from infertility due to following reasons may undergo IVF Treatment :

  • Female with Fallopian Tube Damage/Tubal Factor
  • Endometriosis concerned sterility
  • Less than 15-20 million per milliliter of Sperm concentrations
  • Less than 35% sperm motility
  • Male having poor Sperm morphology can go for IVF Treatment
  • Unexplained Infertility can be cured with IVF


By -Dr. Sajjad

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Are Test Tube Baby or IVF (In-Vitro Fertilization) Procedures Legal in Islam?

It is absolutely fine to ask the question whether Test Tube Baby or IVF In-Vitro Fertilization procedures are legal. The Good News is that it has been officially declared legal by competent authorities around the world an in Pakistan.

Jamia Al-Azhar was established under the Fatimid Caliphate in 975 C.E. and is recognized as the oldest Islamic university and the second oldest university in worldwide.

Al-Azhar University or Jamia Al-Azhar’s FATWA Committee is the leading International Authority for Muslims around the world. In 1980, Al Azhar issued FATWA declaring that Test Tube Baby, IVF and similar technologies are permissible as long as they do not involve any form of third-party donation (of sperm, eggs, embryos, or uteruses).

In addition, The Federal Shariah Court of Pakistan in February 2017, declared Test Tube Baby, IVF legal in Pakistan. For Details visit https://tribune.com.pk/story/1334709/federal-shariat-court-declares-test-tube-babies-legal/

When you are planning to visit us for treatment you can be rest assured that your treatment will be conducted in the best professional, ethical and in accordance with Islamic guidelines.

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“Test tube baby “is defined as a baby resulting from fertilization occurring outside a woman’s body. This is also called In Vitro Fertilization.

Normal pregnancy occurs when a female ovulates releasing a mature egg which is penetrated by the male sperm resulting in formation of an embryo (fertilized egg). This embryo travels through the Fallopian tube and gets implanted in the uterus (womb) of the female.

However, if any of the above mentioned components of natural conception have a problem a couple might not be able to conceive naturally and for such patients Assisted Reproductive techniques (ART) can be used. Test tube baby (IVF/ICSI) is considered as the most effective among such assisted techniques.

In this procedure, the female is first stimulated to produce more follicles and eggs then normally produced. The eggs are then retrieved through a minor operative procedure and placed together with the male sperm in an environmentally controlled chamber in the laboratory. The sperm enters the egg (IVF) or can be injected directly into the egg (ICSI). This results in the formation of embryo outside the female’s body. This embryo is then placed into the female uterus where it gets attached resulting in a positive pregnancy. ACIMC is offering Test-Tube technology in Pakistan since 1998.


By -Dr. Saira Afzal

ACIMC Lahore, Coordinator (MBBS)

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Importance of Diagnostic Hysteroscopy before IVF ‚ ICSI & Test Tube Procedures

The outpatient hysteroscopy failure rate is less than half (2%) with the mini-hysteroscopy compared with the traditional 5 mm hysteroscopy (5%).

Hysteroscopy done at the time of Laparoscopy, has low complication rate, high requirement and adds little equipment & cost.

Positive hysteroscopy findings are found in many cases (15 %) despite having normal HSG and no suggestive history of uterine lesions.

In IVF program patients with normal historiography but abnormal hysteroscopy findings had a significantly lower clinical PR, demonstrating the importance of performing hysteroscopy before IVF.

Therefore it is recommended that Diagnostic Hysteroscopy should be performed on all patients before they undergo IVF.


By -Dr. Safia Munir


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IVF Success & Azoospermic Male Patients

IVF Success with Azoospermia:

Azoospermia commonly referred to as “no sperm count” is a male fertility issue many men face. Azoospermia is defined as the complete lack of sperm in the ejaculate. It occurs in 5% of infertile men. TESA with IVF/ICSI has successfully treated azoospermia and offers approximately a 40% live birth rate. These techniques offer the possibility of several attempts of IVF/ICSI from a single testicular biopsy sample.

Obstructive Azoospermia Treatment via IVF:

Obstructive Azoospermia occurs when sperm is being produced in the testes but cannot be found in the semen because of a blockage in the male reproductive tract. The good news is that in most cases of Obstructive Azoospermia, sperm can be recovered through microsurgery and used in an IVF-ICSI treatment.

Conditions That Causes Azoospermia:

  • Genetic infertility due to abnormal chromosomes (karyotype)
  • Unexplained genetic infertility
  • Cancer treatment (chemotherapy, radiation, surgery)
  • Varicocele effect
  • Pituitary suppression, drug induced (anabolic steroids, alcohol, glucocorticoids)
  • Testosterone supplements
  • Severe illness (cancer, kidney or liver failure)
  • Diabetes mellitus
  • Pesticide/toxin exposure (including hot tubs and baths)
  • Undescended testicles at birth
  • Ejaculatory duct obstruction
  • Vasectomy

By -Dr. Sajjad

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Some Factors Effecting IVF Success Rates

Among all the assisted reproductive technologies (ART) available, IVF and ICSI have the best success rates. Although IVF is a complex process and exact outcome of a couple cannot be predicted however, few of the factors that can improve the results are as follow:

  • Age:

IVF success rate decline with an increase in age and for this reason early intervention is advised.

  • Infertility duration:

It is seen that there is decrease in outcome results with increased duration of infertility

  • Cause of infertility:

The positive outcome of IVF increases in cases of tubal pathology, endometriosis, ovulation failure and male factor due to decreased sperm count or immotile sperms

  • Life style modifications:

Smoking and obesity are considered risk factors for infertility for both male and female. Quitting smoking and losing weight can help increase the result of IVF treatment


By -Dr. Saira Afzal

ACIMC Lahore, Coordinator (MBBS)

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IVF and its Indications

In 1978, Louise Brown was born as a result of IVF treatment. Since then the technology has been refined and improved resulting in increased success rates and a more side effect free procedure

IVF is indicated for couples suffering from infertility due to any of the following causes

  • Tubal blockage
  • Endometriosis
  • PCO patients unable to conceive with ovulation inducing medicines
  • Ovulation failure
  • Failed IUI treatment
  • Male infertility
  • Unexplained infertility

IVF / ICSI have the most success rate among all the assisted reproductive techniques presently available.


By -Dr. Saira Afzal

ACIMC Lahore, Coordinator (MBBS)

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Endometriosis and Infertility

Endometriosis is the presence of endometrial tissue outside the uterus resulting in an inflammatory response in the body. This inflammation can cause scarring, adhesion and an inhospitable environment for the egg causing infertility.

Common symptoms include pain during menstruation, intercourse, bowel movements and urination. Excessive bleeding can also be present. Infertility is a common complication of endometriosis. Diagnosis is made after taking detailed history, ultrasound and visualizing the endometrial tissue by laparoscopy.

The treatment of endometriosis depends on the severity of disease. But for fertility treatment of such patients assisted reproductive technologies like artificial insemination and In-Vitro Fertilization (IVF) can be used. However if pelvic anatomy is disturbed and the endometriosis is severe then IUI treatment success becomes unlikely and IVF becomes the treatment of choice.

In IVF procedure egg is removed from ovary, fertilized in a test tube (In Vitro) and embryo is transferred into uterus bypassing the scarred adhesive tissue resulting in better chances of a positive pregnancy.

By -Dr. Saira Afzal

ACIMC Lahore, Coordinator (MBBS)

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