Fertility & Genetics Centre


INFERTILITY SERVICES:

We provide the following comprehensive services for infertility and reproductive endocrine issues:

INFERTILITY:

  • Initial Evaluation.
  • Ultrasound Evaluation.
  • Ovulation Induction with injectable medications.
  • Intrauterine Insemination.
  • Semen Analysis CASA ( Computerized Assisted Semen Analysis).
  • Sonohysterogram.
  • Reproductive Immunology Testing and Treatment.
  • Early Pregnancy Ultrasounds.

SUPPORTIVE ON-SITE SERVICES:

  • Acupuncture.
  • Psychologist.
  • Nutrritionist.

ASSISTED REPRODUCTIVE TECHNOLOGIES:

  • In Vitro Fertilization with ICSI ( Intra-cytoplasmic transfer).
  • In Vitro Fertilization with Pre-Implantation Genetic Diagnosis (PGD).
  • Blastocyst Transfers.
  • Laser Assisted Hatching of Embryos.
  • Vitrification of oocytes.
  • Frozen Embryo Transfer from cryopreserved oocytes.
  • Cryopreservation of sperm.

MALE FACTOR:

  • Testicular Sperm Aspiration (TESE).
  • Epididymal Sperm Aspiration.

OUR PROCESS:

This section describes our process of helping you:

  • 1. INITIAL CONSULTATION – At Al Noor Fertility Center, our approach to infertility is to provide the most comprehensive infertility services available. We will properly diagnose the cause of your infertility and in a very detailed and personalized fashion, outline all of your available treatment options. .
  • 2. PRE-CYCLE EVALUATION – Initial diagnostic testing includes hormone testing, hysterosalpingogram (evaluation of the uterus and tubes) and semen analysis..
  • 3. OVARIAN STIMULATION – Women generally produce one mature egg per month. There are women who have problems with this process and thus they are diagnosed with ovulatory dysfunction. There are 3 levels of treatment depending on the individual’s situation. They are: .
  • LEVEL 1: Ovulation Induction with Clomid.
  • LEVEL 2: Ovulation Induction with Injectable Gondaotropins (Gonal F, Puregon etc.) with intercourse or intrauterine insemination.
  • LEVEL 3: In Vitro Fertilization and Embryo Transfer.

INTRAUTERINE INSEMINATION (IUI):

IUI is a fertility procedure in which sperm are washed, concentrated and injected directly into a woman’s uterus. In natural intercourse only a fraction of the sperm make it to the woman’s genital tract. IUI increases the number of sperm in the fallopian tubes , where fertilization takes place.

Studies show that IUI will not be effective in cases where the male has a low sperm count or poor sperm shape (morphology).

INDICATIONS FOR IN VITRO FERTILIZATION:

  • 1. Blocked fallopian tubes or pelvic adhesions.
  • 2. Failed cycles (2-6) of ovarian stimulation with intrauterine insemination.
  • 3. Advanced female age of >38 years.
  • 4. Reduced Ovarian Reserve.
  • 5. Severe Endometriosis.
  • 6. Male Factors – low sperm counts, increased abnormal sperm.

IVF procedure is based on a 6 step process:

  • 1. Preparation for treatment (required testing).
  • 2. Ovulation Induction – stimulation of the ovaries in order to produce more than the one mature egg that occurs in a natural cycle.
  • 3. Egg Retrieval – removal of the eggs by an ultrasound guided needle aspiration .
  • 4. Fertilization – the sperm are introduced into the eggs resulting in fertilization
    ICSI – intra cytoplasmic Sperm Injection – ICSI involves the injection of a single sperm into a single egg in order to achieve fertilization resulting in an embryo . This process also allows us to achieve fertilization and embryos in cases where there are very low numbers of sperm. We are able to select the best morphologically normal sperm. Pregnancy rates for IVF with ICSI have been shown to be higher than for IVF without ICSI.
  • 5. Embryo Transfer – after 3- 5 days growing in the lab the embryos are transferred back into the uterus.
  • 6. Post transfer support to pregnancy tests.

Laser Assisted Hatching (AH) - technique used in IVF cycles in which the shell around the egg ( the zona pellucida) is opened or thinned to facilitate the embryo hatching process. AH is not performed in all cases and is most usually recommended when one or more of the following criteria is present:

  • 1. Advanced Reproductive Age (>38 years).
  • 2. Elevated Basal FSH levels.
  • 3. Embryos that have uniform thick zona layers.
  • 4. Previous failed cycles.
  • 5. Embryos created from frozen eggs.

INFERTILITY CAUSES:

  • Polycystic Ovarian Disease.
  • Endometriosis.
  • Male factor Infertility.
  • Advanced Reproductive Age.
  • Ovulation problems.
  • Tubal Disease/Occlusion.
  • Uterine Fibroids.
  • Recurrent Pregnancy Loss.
  • Intrauterine Defects ( scar tissue, polyps, fibroids, anomalies).
  • Unexplained Infertility.
  • It is recommended that if an individual has irregular cycles and a history of any of the above that they seek some infertility evaluation early when attempting pregnancy.

STAFF:

Led by Dr. Majeed Aloum – Consultant in Obstetrics and Gynecology/ Reproductive Endocrinology.
Dr. Majeed received his MD- Damascus University, Syria
He received DGO- Diploma in Obstetrics and Gynaecology, Dublin, Ireland
Also He is a Member of Royal College of Obstetrician & Gynecologist, London

Our nurses have over 10 years of experience working in areas of women’s health. Their training has included labor and delivery, the maternity unit and the fertility unit with the majority of time devoted to IVF. They are well equipped to assist you with concerns involving early pregnancy and those issues arising as a result of fertility treatments.
The Administrative IVF Coordinator has knowledge of the financial aspects of managing the costs of fertility treatments. She can provide information on the financial options that are available to you.

We look forward to the continued tradition of successful pregnancies at Al Noor Hospital.