Success Rate March 2007 to October 2008

Success Rate	Date
45.4%	March 2007
43.1%	April 2007
42%	May 2007
56.3%	June 2007
44.16%	July 2007
42.88%	August 2007
47%	September 2007
50.82%	October 2007
51.5%	November 2007
43.70%	December 2007
37%	January 2008
46.30%	February 2008
51.43%	March 2008
48%	April 2008
37.9%	May 2008
38.4%	June 2008
44.6%	July 2008
44%	August 2008
40%	September 2008
46.42%	October 2008

How I have to prepare for a more successful ICSI, ET or ZIFT cycle
For a more successful outcome and to get pregnant you'd better to do these suggestion before doing and IVF/ICSI-ET or Zift cycle
1) The measurement of FSH, LH, Estradiol, TSH, Prolactin on the 3th day of menstruation.
2) Semen analysis
3) The results of assessment of uterine tubes by hysterosalpingography or laparoscopy for sever hydrosalpinx in 3-4 recent years because we have to disconnect the hydrosalpinx to uterus to improve the pregnancy rate and to prevent some miscarriages.
4) Ultrasonography on the 8-10th day of menstrual period to evaluate endometrial pattern and line for diagnosis of endometrial polyp, submucosal myoma or any abnormality in endometrium so we have to treat them by hysteroscopy before doing IVF, ET and also to ensure about the absence of endometrima or other important tumors or cysts of ovaries.
5) Pelvic examination for diagnosis of cervicitis, endocervicitis, endocervical polyp and prescribing Doycycline and folic acid to the patient and doing cryosurgery of cervical erosion if it is indicated.
6) If our plan is ZIFT, it is necessary to do diagnostic laparoscopy to ensure about the free spillage and health of uterine tubes.
7) After all of these, if there is no problem and everything is ok for doing a successful ICSI we should begin low dose oral contraceptive pill on the 3rd day of your menstrual period then you have to get a signel dose injection of 1/2 Decapeptyl (subdermal) or 1/2 Diphereline (intramuscular )or few days super fact or 0.1 ml Decapeptyl on the 20th day of your menstrual period then you should come to clinic on the first to third day of your next menstrual period to begin for you controlled ovarian hyperstimulation: on this day you have to do an ultra sonography to measure the count and the size of antral follicles on each ovary and also to ensure about the thickness of endometrial line < 4mm then we clean the cervix and vagina with an antiseptic agent and by introducing a hystrometer into the uterus to measure the depth of uterine cavity and ensuring about the opening of internal os for easy Embryo transfer. Then we prescribe some types of Gonadotrophins for growing of follicles in your ovary on the 3rd day of your menstrual period (on the basis of your age, the basal FSH / LH level , Estradial , the count of antral follicles on each ovary and previous answer of your ovaries to stimulation ). On the 7th days of your menstrual period we have to do ultrasonography for you to measure the size and count of growing follicles and the pattern and thickness of endometrial line.
On this basis we decide to continue or increase the dosage of gonadothrophins then you have to do ultrasonography on the next day or, 2 - 3 days after that for measuring the size of follicles. when the size of at least 2-3 follicles reach to about 20mm then we administer 10,000 IU HCG for the final maturation of oocytes and after 36-39 hour we will do ovarian puncture by the guide of vaginal ultrasound under light general anesthesia (IV sedation) to pick up all ovums and then transfer them to ART- lab for some procedures on them and doing Intra cytoplasmic sperm injection (ICSI) on all normal MII oocytes.
On the morning of that day we attain the sperm of your husband with normal ejaculation or aspiration from epididyms or biopsy from testis in the case of Azospermia.
After 2-3 days of ICSI we will do Embryo transfer (usually 2-3 Embryos). We prefer to do laser hatching for all Embryos before transferring, to increase the chance of implantation and also we will freeze (by vitrification method) all normal appearance extra embryo.
After Embryo transfer you have to use progesterone Amp.100mg at morning, cyclogesteron vaginal suppository at evening, ASA 80 mg one tablet/ daily , folic acid 1 mg one tablet daily , conjugated Estrogen Tab 1.25mg/daily .you can do your usual activity like as before but don’t get tired or doing heavy activity.
14 days after Embryo transfer you have to cheque the BHCG of the blood for diagnosis of pregnancy.
After Diagnosis of pregnancy please contact us immediately for appropriate recommendation to continue your pregnancy safe and soon.

Oocyte vitrification bank of Mehr Health Care Center The first of its kind in the middle east now functioning

What is Vitrification?

Vitrification is the process of cryopreservation using high concentrations of cryoprotectorant with rapid freezing to solidify the cell into a glass-like state without the formation of ice crystals. Ice crystals within an egg can cause damage or cryoinjuries.
Mehr institute team routinely uses vitrification with great success for patients undergoing in-vitro fertilization (IVF) procedures who have more embryos than are required for a fresh embryo transfer. Vitrification maximizes their chances of cryopreserved embryos' being thawed at a later date and used successfully to achieve pregnancy.
Oocyte Preservation provides the ability to preserve unfertilized oocytes, a profound development in the field of reproductive medicine. Egg-freezing should appeal to a broad range of women. Ultimately, the common factors that link all of these women are the strong desire to have a family and the willingness to take proactive steps to give themselves the best odds possible.

Who will benefit from oocyte vitrification?

• Young women with cancer who run the risk of having no viable oocytes following cancer treatment.
• Couples who have religious or moral issues with embryo freezing. Young women who are single and wish to freeze oocytes now in hopes of preserving their oocytes while young and at a time when they are less likely to have chromosomal aneuploidy.
• Young women who are single and wish to freeze oocytes now in hopes of preserving their oocytes while young and at a time when they are less likely to have chromosomal aneuploidy.
• Oocyte doners

Success Rate July 2006 to Sept 2007

July 2006	52.5%
August 2006	43.5%
Sept 2006	22%
October 2006	40%
Nov 2006	36%
Dec 2006	38.23%
Jan 2007	32.15%
Feb 2007	40%
March 2007	41%
April 2007	45.4%
May 2007	43.1%
June 2007	42%
July 2007	56.3%
August 2007	44.16%
Sept 2007	42.86%