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By IVF we mean invitro fertilisation. Basically what we do here is we stimulate the lady, collect the eggs, allow the fertilisation to take place because this is taking place outside the body, we call it as in vitro and after the eggs are fertilised, we culture the embryos, for about 3 days culture or 5 days culture and then the fertilised eggs we call it as embryos, we will transfer back into the womb of the patient this is called as invitro fertilisation. There are many indications for IVF or test tube babies what we call in the layman’s language, the first and the foremost indication for IVF is many failed IUI a couple could be trying for years incessantly and tried many cycles of IUI, gaining which they are left with the only option of IVF. Secondly if both tubes are blocked, natural fertilisation is affected, so in such couples are also advised IVF. Severe male factor that means if the count, motility or the normal forms of the sperms are decreased, in such patients also we advice IVF. Normally we should have about 15 million count and 40% motility if any of the sperm parameters after abnormal, then we would recommend IVF. In severe male factor infertility and we have conditions called as endometriosis where it is the presence of endometrial tissue outside the uterus. So in such cases of grade 3 and 4 endometriosis, would require IVF and very are, if they wife is negative for HIV virus and if the husband is HIV positive, then in such cases the natural pregnancy would be difficult as they wouldn’t be having natural intercourse. So we would take such couple and take out the processed sperm so that the infection is not transmitted to the embryo and thereby to the women. So this is an indication for IVF as well.

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