Textbook of IUI and ART Rishma Dhillon Pai, Hrishikesh Pai, Nandita Palshetkar, Kinjal R Shah
INDEX
Page numbers followed by f refer to figure, t refer to table and fc refer to flow chart
A
Abortion 114, 178
Acid Tyrode-assisted hatching 273
Acquired immunodeficiency syndrome 328
Agglutination 17
Allergic reaction 114
American Society for Reproductive Medicine (ASRM) 137, 275
Anaphylactic reaction 163
Anderson's protocol 204, 204f
Anesthesia, types of 219
Anti-Mullerian hormone 10, 136, 186, 334
Antisperm antibodies 22, 85, 114
Antral follicle count 36, 211, 334
Artificial insemination
catheters 93
types of 87t
Agglutination reaction, mixed 22
Ascites 112
Assisted hatching 236, 238, 272, 275
Assisted reproductive techniques, complications of 304
Attention deficit hyperactivity disorder (ADHD) 191
Automatic endoscope reprocessor (AER) 167
Automatic sperm analyzer systems 30
Azoospermia 123
B
Basal body temperature 135
Baseline scan 53
Bench space 25
Biochemical tests 111
Biopsy, time of 278
Bipolar versapoint electrodes 165, 166
Bladder transmembranal protein, upregulation of 179
Blastocyst-assisted hatching 274
Blastocyst comprehensive chromosome screening 280
Blastocyst
culture 236
scoring 262f
vitrification of 253f
Bologna criteria 186, 186f
Breast cancer 201
C
Carbon dioxide gas 161
Catheter, types of 121
causes of 148fc
Centrifuge 27, 27f, 82f, 83f
placing tubes in 71f
Cervical canal, abnormal 104, 105
Cervical mucus 288f
removal of 288
Cervix, abnormalities of 178
Chlamydia antibody test (CAT) 140
Cleavage stage embryo scoring 259f, 260t
Clomiphene citrate 36, 37, 40, 199
challenge test 10, 137
Complete blood count 10
Computer aided semen analysis (CASA) systems 14, 22, 23
Conical tube, labeling of 79f
Contact hysteroscopy 156
Contact laser 274
Controlled ovarian hyperstimulation 35, 49
Controlled ovarian stimulation 99, 118, 185, 203, 203f, 207, 295
Controlled rate
cryopreservation 248
freezing 129
Controlled zona dissection 274
Corpus luteum 295
flow 65f
Cryoinjuries 310, 310t
Cryopreservation 126, 249, 250, 308
definition of 246
relevance of 312
steps of 128
Cryoprotectants 127, 247, 249, 311
types of 312t
Cycle regimens 199
Cystic fibrosis transmembrane conductance regulator 142
D
Dehydroepiandrosterone sulfate 10
Density gradient
centrifugation 69
method 70, 77f, 78f
Digital heating block 30f
Dimethyl sulfoxide 127
Direct intraperitoneal insemination 87t
Distention systems 155, 160
Donor insemination 123
Donor sperms 9
Dydrogesterone 101, 296
E
Ectopic pregnancy 114, 115, 305
Egg donation 333, 340
Ejaculatory dysfunction 5
Electrodes 155, 166
Electrolytes imbalance 163
Electronic suction 160
Embryo
biopsy 279
cleavage rating 242
cryopreservation of 324
development, stages of 263f
donation 333
cycles 340
freezing pack 250
grading of 256
thawing of 251f
transfer 243, 244f, 245f, 282, 288f, 290, 305
catheters 282
procedure of 287
role of ultrasound in 287
technique 282
vitrification of 253f
Embryonic aneuploidy, self-correction of 280
Embryoscope 266, 266f
Endocatheter 286f
Endometrial flow 65f
Endometrial polyps 171
Endometrial thickness 218
Endometrioma 145
pre-ART, treatment of 146fc
Endometriosis 8
Endometritis 171
Endometrium, monitoring 47
Endoscopic camera and monitor 159
Epithelial cells 17
Erythrocyte sedimentation rate 10
Extended letrozole therapy 38
F
Fallopian tube sperm perfusion 87t
Fertilization, assessment of 256
Fixed dose antagonist protocol 192f
Flexible hysterofibroscopes 156
Fluid distention systems 160
Follicle aspiration 110
Follicle diameter 218
Follicle stimulating hormone 10, 109, 134, 136
Follicle, aspiration of 229f
Follicular growth and endometrial development, monitoring of 45
Fresh ovarian stimulation cycles 339
Frozen embryo transfer 341
Frozen semen sample, thawing of 249
Frozen-thawed embryo transfer 199, 291, 315
G
Gamete intrafallopian transfer (GIFT) 170, 177
Gardner scale 261
Gas distention systems 161
Germinal vesicle 234
Glass wool filtration 76
GnRH agonist 50, 298
preparations 188t
safety of 191
short protocol 190f
GnRH antagonists 41, 324
Golan's classification 108t
Gonadotropin 39, 41
dose of 194t
preparation of 186, 187t
Gonadotropin releasing hormone 50, 110
agonist 187
antagonists 191
Gradient pellet 82f
Granulocyte colony stimulating factor, role of 284
H
Hemocytometer 19
Heterotopic pregnancy 305
High resistance uterine artery flow 55f
High security vitrification 254f
High viscosity fluids 163
HIV infection 85
Hormone replacement 199
Human chorionic gonadotropin (hCG) 3, 46, 49, 53, 88, 107, 194, 214, 297
Human Fertilization and Embryology Act 329
Human menopausal gonadotropin 186
Hydrosalpinx pre-ART, treatment of 147fc
Hydrosalpnix 147
Hydrothorax, paracentesis of 112
Hypogonadotrophic hypogonadism 39
Hypothalamic pituitary dysfunction/ failure 35, 36
Hysterosalpingo contrast-sonography 140
Hysterosalpingogram 12, 36, 139, 140, 168
Hysteroscopic tubal cannulation 177
Hysteroscopy 144fc, 154, 169, 178, 283f
role of 282
I
Immuno bead test 22
In vitro fertilization 8, 185, 230232, 237f, 245f
mild 195, 195f
natural cycle 194
Incubator 28, 28f
Indian Council of Medical Research 24
Indian Society of Assisted Reproduction 339
Infertility
causes of 39, 118, 135f
distribution of causes of 133f
duration of 120
hysteroscopy in 168
Inner cell mass 260
Insemination 9
basic steps of 87t
per cycle, number of 121
timing of 49, 87
volume of 95
Intercavernosal injection 6
Intracytoplasmic sperm injection (ICSI) 227, 233, 234f, 235, 237f, 240t, 245f, 269, 328
procedure of 235
Intrauterine adhesions 174
Intrauterine foreign bodies, removal of 177
Intrauterine insemination (IUI) 3, 5, 35, 45, 53, 56, 68, 87, 87t, 99, 104, 106, 117
cannula 32f
catheter 91f
complications of 106
cycles, number of 121
laboratory, setting up of 24
role of Doppler in 53
room 25f
technique of 87
Intrauterine septum 283f
Intravenous immunoglobulins 292
Irrigation pump 160
L
Labotech embryo transfer catheter 285f
Laminar flow 26f, 28
Laparoscopy 139
Laser-assisted hatching 274
Letrozole 37, 38, 41
step-up protocol 38
Liquid nitrogen
containers 34f, 129f
vapor cooling 128
Live birth rate 275
Low dose aspirin 292
Low molecular weight heparin 292
Low resistance ovarian stromal flow 55f
Low viscosity fluids 162
Luteal phase defect 66, 299
Luteal phase support 99, 193, 295
Luteal support, methods of 296
Luteinized unruptured follicle 66
Luteinizing hormone 89, 187, 295
M
Makler catheter 93f
Makler chamber 17, 30f
Makler counting chamber 17
Makler insemination device 92f
Makler instrument 18f
Manual sperm analysis systems 29
Mature endometrium 60
Mature follicle 60t
Mean arterial pressure 164
Mental health professionals 336
Michael-Wolf protocol 204, 204f
Microdose flare protocol 190, 190f
Micronized progesterone 296
Modified natural cycle
frozen-thawed embryo transfer 199
in vitro fertilization 194
Monitor-assisted reproductive technology 338
Monitoring follicular growth 46
Monopolar electrodes 166
Motile sperm
for insemination 72f, 76f
organellar morphology examination 238
Müllerian anomalies 176
Multiple pregnancies 106, 112, 305
N
Natural progesterone 100
Negative predictive value 139
Noncontact lasers 274
Non-infective salpingitis 114
Non-progressive motility 20
Normal sperm morphology 21f
O
Odor 15
Oocyte
aspiration needle 222f
cumulus complex 229
donor 330
freezing 316, 317
handling 228
retrieval 219
composite system 220f
procedure 220f
timing of 220
scanning 228
vitrification of 252f, 254f
Oral contraceptive pill 190, 207
Oral progesterone 296
Ovarian cancer 106, 112
Ovarian hyperstimulation syndrome (OHSS) 4, 43, 45, 46, 106, 185, 214, 291, 297, 321, 340
classification of 107
complications of 107
Ovarian induction 35
Ovarian renin-angiotensin 324
Ovarian reserve tests 136fc
Ovarian stimulation 35, 36, 106, 304
protocols 54f, 185
Ovarian tissue cryopreservation 317, 318
types of 317fc
Ovaries, baseline scan of 53
Ovulation
assessment of 135
induction 35, 36, 38, 54f
tests for 11, 135
Ovulatory dysfunction 7
Ovum pick up 219, 228
trolley, preparation of 221
P
Pain 114
Partial zona dissection 273, 275
Peak systolic velocity 54, 213
Pedunculated endometrial polyp 172f
Pellet 71f, 83f
drop 83f
Pelvic hemorrhage 304
Pelvic infections 305
Pelvic sonography 11
Percutaneous epididymal sperm aspiration (PESA) 7, 14
Perifollicular flow, Doppler of 59f
Peroxyacetic acid 167
Phagocytic cells 238
Polar bodies 277
biopsy 278
Polycystic ovarian syndrome 10, 109, 135
Polymerase chain reaction 7, 171
Post-IUI instructions 96
Postwash sperm count 73f, 85f
Postcoital test 7, 142
Pouch of Douglas 223
Pre-ART hysteroscopy 154
Pregnancy, termination of 112
Preimplantation genetic screening 277
Preimplantation genetic testing 277
Pre-IVF hysteroscopy 144
Prenatal diagnostic techniques 219
Preovulatory follicles, number of 119
Preovulatory scan 56
Primovision 242f, 267f
Progesterone, types of 100
Pronuclear scoring 257t
Prophylactic antibiotic administration 283
Prostate, transurethral resection of 6
Pulmonary edema 163
R
Random start protocols 202
Randomized controlled trials 50, 280
Rapid linear motility 20
Recombinant follicle stimulating hormone 186
Rectal progesterone 297
Recurrent implantation failures 292
Recurrent pregnancy loss 145
Resistance index 54
Retrograde ejaculation 6
Rigid hysteroscope 155
S
Saline contrast sonography 168
Semen
analysis 14, 22
bank 331
collection of 89, 120
cryopreservation 248
parameters 16, 120
preparation techniques 68
sample 74f
labeling of 78f
Septate uterus 176
Sequential embryo transfer 287
Serial transvaginal ultrasound 136
Serum estradiol levels 109
Serum glutamic oxaloacetic transaminase 143
Serum glutamic pyruvic transaminase 143
Sessile submucous leiomyoma, resection of 173f
Single embryo transfer 280, 289, 341
Single frozen embryo transfer 280
Slow freezing method 249, 308, 311t
Smooth endoplasmic reticulum 257
Soft artificial insemination catheters 91
Sonography, role of 105
Sperm
concentration, assessment of 17
counting chamber 29
cryopreservation of 126, 246
donation 333
donor 330
freezing media 128f, 129
migration test 176
morphology 20
abnormal 21f
motility 19
preparation 90
processing methods 120
select method 76
viability 22
Spontaneous abortions 315
Standard follicular monitoring 212
Stenosed cervix 104
Sterilization 167
Steroids 110
Stimulated cycles 199
Subcutaneous progesterone 297
Subendometrial blood flow 218
Submucosal leiomyoma 173
Submucosal myomas 174t
Subnormal semen parameters 6
Suction pump 222f
Surrogacy 332, 333, 335, 341
Swim-up technique 69, 70f
T
Teratozoospermia 85
Testicular biopsy 142
Testicular sperm extraction 14
Thawing 130
Therapeutic donor insemination 123
Thrombosis, prevention of 112
Time-lapse monitoring 261
Time-lapse photography 240, 262, 264f
Tomcat IUI catheter 92f
Transuterotubal insemination 87t
Transvaginal gel 297
Transvaginal pessary 297
Transvaginal sonography 46, 168, 171, 211
Triple line endometrium 47f
Tubal embryo transfer 290
Tubal evaluation 139
tests for 140f
Tuberculosis 11
Tubes, labeling of 69f
Tubocornual polyp 172
Tyrode's solution 279
U
Ultrasound follicular monitoring 108
Ultrasound guided embryo transfer 289f
Uterine artery 216
resistance 218
Uterine fibroids 173
Uterine inflow 164
Uterine outflow 164
Uterine scoring 214
Uterine septum 145, 177
Uterocervical length 58f
Uterus 56
anteverted 104
evaluation of 140
retroverted 104
V
Vaginal hemorrhage 304
Vaginal progesterone 296
Vas deference, congenital bilateral absence of 142
Vascular endothelial growth factor 107, 321
Vascularity flow index 60
Vascularity index 60
Venereal disease research laboratory 247
Versascope sheath 158
Versascope system 156
Viscosity 16
Viscous samples 84
Visual optical system 23
Vitrification 309f, 311t
method 250, 309
Voluntary licensing agency 329
W
Waist to hip ratio 10
Wallace catheter 92f
Wallace embryo transfer catheter 285f
Xenotransplantation 318
Z
Zona dissection 273
Zona pellucida 272
thinning 274
Zygote intrafallopian transfer 177
×
Chapter Notes

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fm_1Textbook of IUI and ARTfm_2
fm_3Textbook of IUI and ART
Editors Rishma Dhillon Pai MD DNB FCPS DGO FICOG Gynecologist and Infertility Specialist Jaslok and Lilavati Hospitals, Mumbai Fortis Hospitals, New Delhi and Mohali Nandita Palshetkar MD FCPS FICOG Gynecologist and Infertility Specialist Lilavati and Bhatia Hospitals, Mumbai Professor DY Patil Medical College, Navi Mumbai Consultant, Fortis Hospitals New Delhi, Gurgaon and Mohali Hrishikesh Pai MD FCPS FICOG MSc (USA) Gynecologist and Infertility Specialist Lilavati and Bhatia Hospitals, Mumbai Professor DY Patil Medical College, Navi Mumbai Consultant, Fortis Hospitals New Delhi, Gurgaon and Mohali Kinjal R Shah DFP DNB FNB Fellow Reproductive Medicine Lilavati Hospital, Mumbai
fm_4
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Textbook of IUI and ART
First Edition: 2016
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fm_5Embryology ISAR 2015-2016 Organizing Committee
President-ISAR
Hrishikesh Pai
Secretary General-ISAR
Nandita Palshetkar
Organizing Chairperson
Poonam Loomba
Co-Organizing Chairperson
Narendra Malhotra
Organizing Secretaries
Sarita Sukhija
Vijay Mangoli
Virendra Shah
Jaideep Malhotra
Joint Organizing Secretaries
Sudesh Kamat     Jyoti Gupta
Charudutt Joshi    Vijay Kumar Chelur
Sanjeev Maheshwari  Jyoti Malik
Shrinivas      Akanksha Mishra
Treasurer
Manisha Mehta
ISAR Executive Committee 2015–2016
President
Hrishikesh Pai
Hon. Secretary General
Nandita Palshetkar
Immediate Past President
Manish Banker
President Elect
Narendra Malhotra
Vice President
Duru Shah
Second Vice President
Rishma Pai
Chairperson–Embryology
Vijay Mangoli
Joint Secretary
Virendra Shah
Treasurer
Prakash Trivedi
Joint Treasurer
Kanthi Bansal
Clinical Secretary
Jaideep Malhotra
Librarian
Sunita Tandulwadkar
Members
A Suresh Kumar
Asha Baxi
Milind Shah
Parul Kotdawala
Rajat Kumar Ray
S Krishna Kumar
Sanjay Makwana
Sujata Kar
Ameet Patki
Nimish Shelat
Sudesh Kamat
Founder President
MN Parikh
Past President
Dhiraj Gada
Sadhna Desai
Kamini Rao
Firuza Parikh
ISAR – Haryana Branch
Chairperson
Poonam Loomba
Secretary
Jyoti Gupta
Joint Secretary
Sarita Sukhija
Members
Maninder Ahuja
Mala Arora
Manju Khurana
Sangita Jain
Neeru Batra
Ritu Prabhakar
Rakhi Malhotra
Renu Chugh
Jatinder Chadha
Jyoti Malik
fm_7Organizers’ Message
Dear Colleagues,
It gives us great pleasure to invite you to the first Embryology ISAR Conference 2015, Gurgaon. Embryology ISAR has been created to encourage and give a platform to the embryologists.
In keeping with the golden tradition of the clinicians nurturing the embryologists, the conference will have two parallel halls running simultaneously: one with clinical infertility and ART and the other with Embryology.
We would like to request you to block your dates for our 21st Annual Conference to be held in Indore on 26th–28th February, 2016.
For the first time in India, we will be hosting the World Conference of the International Federation of Fertility Societies (IFFS) which will be held on 24th–28th September 2016 at Greater Noida Convention Center, NCR, Delhi. We are expecting more than 100 international faculties and over 4000 delegates. We would like to welcome you all for this Mega event.
Looking forward to meeting you at the first Embryology ISAR Conference at Leela Ambience Hotel, Gurgaon, Haryana from 4th–6th September 2015.fm_8
fm_9Rishma Dhillon Pai is an honorary Consultant Gynecologist at the Jaslok Hospital and Lilavati Hospital, Mumbai, Maharashtra, India. She is the Director of the Everywoman Clinics with clinics in Bandra and Kemps Corner, Mumbai.
Dr Rishma Dhillon Pai has done pioneering work in the use of nonsurgical MRI-guided focused ultrasound for the management of fibroids. She also has the distinction of having delivered a 60-year-old woman's baby, one of the oldest patients in India. She has to her credit several academic contributions, having contributed chapters to over 49 books and published over 40 articles in leading journals and newsletters. She has been invited as faculty for more than 250 national and international conferences.
She has been trained in endoscopy, IVF and ICSI at Antwerp, Belgium. She has also been trained in egg and embryo freezing at the world's biggest IVF center in Japan. She has also been trained in advanced infertility treatment in Italy, China and Portugal.
fm_11Nandita Palshetkar is a Professor of Obstetrics and Gynecology at DY Patil Medical College, Navi Mumbai, Maharashtra, India. She is also a teacher for fellowship in Reproductive Medicine at DY Patil University, Navi Mumbai. She has also been trained in IVF and Micromanipulation from the University of Ghent, Belgium; Alpha School of Embroyology, Naples, Italy, Ovarian Tissue Freezing (with Claus Anderson) at Copenhagen, Belgium.
She has been a Senior Vice President FOGSI (2011); Chairman, Perinatology Committee (2004–2008), FOGSI; Member, National Guidelines for Accreditation; Supervision and Regulation of ART Clinics in India, (2006–2007). She is currently Vice President Mumbai Obstetric and Gynecological Society (MOGS); Vice President Association of Maharashtra Obstetric and Gynecological Society (AMOGS) and Indian Association of Gynaecological Endoscopists (IAGE) and Secretary General of Indian Society of Assisted Reproduction (ISAR). She has contributed more than 100 chapters in academic publications and has been an invited speaker to more than 500 conferences and delivered 6 orations.
She has received an Award from Gr8 Women's Achievers Award in Medical and Health Care in 2011; and Award from Hex World Newsmakers Achievers Awards for Best Doctor in Gynecological field on 1st May 2010; felicitated by Mumbai Cricket Association (MCA) in 2010; received an Award for “Best Women Achiever” in Gynecological field from the Mayor of Mumbai in 2010; Awarded ”Best Women Achiever” in Gynecological field from Giants Group of Byculla, Mumbai, from the Mayor in 2009; the “Bharat Excellence Award” and Gold Medal, Certificate of Excellence and Certificate of Felicitation for the year 2009, by the Friendship Forum of India on February 25, 2009. She was also recognized as “Maharashtrian Women Achiever” at the Mumbai Festival at Gateway of India on 26th January 2006. Recently, she was awarded “Bharat Gaurav” award in the House of Commons, London, 2014. Dr Palshetkar's powerful advocacy of Women's Health has made her a recognizable face in the community and wins her many accolades.fm_12
fm_13Hrishikesh Pai
Current Appointments
Awards
Dr Pai has been the recipient of numerous awards such as the Rashtriya Ekta Award, Best Doctor Award, Indian Medical Association, Navshakti Award, Jai Hind College Alumni Award, RK Trust Award, Medscape India National Award and Lions International Gold Award.
Academic Firsts
Dr Pai is one of the leading pioneers in the field of infertility treatment. He has been the first doctor in India to introduce the following innovations in medical fields such as assisted laser hatching, spindle view, ovarian tissue freezing, oocyte freezing, IMSI and embryoscope.
Social Work
Dr Pai has been the Honorary Assistant Consultant for Kurla Municipal Hospital, serving patients for free from 1991 till 2007. He has been a past twice Community Service Director of Rotary Club. He won the best interns prize for vaccination program in the Mumbai slums of Malawni.fm_14
fm_15Kinjal R Shah has completed her undergraduate from Mumbai with distinctions in various subjects.
During her DNB (Diplomate in National Board) in Obstetrics and Gynecology from Central Railway Hospital, Mumbai, she has presented many papers in national level conferences. She has received two gold medals in DFP (Diploma in Family Planning). Currently, she is in her second year fellowship (Fellow of National Board) at Lilavati Hospital, Mumbai. During her career, she has presented many papers in various Reproductive Medicine conferences of national and international levels and has been awarded prizes for the same. She is a keen teacher to her juniors, a clinical research analyst and has passion and immense interest in the subject of Embryology and Reproductive Medicine.fm_16
fm_17Contributors
Aditi Dani DGO MS DNB MRCOG (Part 1)
Fellow, Reproductive Medicine (Germany)
Consultant, Bloom IVF Center
Mumbai, Maharashtra, India
Ankita Kaushal MBBS MS (ObGy)
Fellow, Reproductive Medicine, DY Patil University
Associate Consultant, Fortis Hospital
Mumbai, Maharashtra, India
Anupama Rao MS (ObGy)
Consultant, IVF Department, Fortis Hospital
Vashi (Unit of Bloom IVF)
Consultant Obstetrician and Gynecologist
Dr LH Hiranandani Hospital, Mumbai, Maharashtra, India
Arya Salaskar MSc (Biochemistry)
Senior Embryologist, Bloom IVF Center
Mumbai, Maharashtra, India
Bharti Bansal MBBS MS (Infertility and Ivf Specialist)
Director, Jeevanshree Ivf and Infertility Center
Sriganganagar, Rajasthan, India
CB Nagori MD DGO
Dr Nagori's Institute for Infertility and IVF
Ahmedabad, Gujarat, Indiafm_18
Charumati V Pekhale MBBS DGO DNB
Associate Consultant, Lilavati Hospital IVF Center and
Bhatia Hospital IVF Center
Mumbai, Maharashtra, India
Deepa Talreja MS DNB FNB
Fellow, Reproductive Medicine
Lilavati Hospital
Mumbai, Maharashtra, India
Jayamangal Gogate MD DGO
IVF Consultant, Bloom IVF Center
Lilavati Hospital
Mumbai, Maharashtra, India
Jignasha Chauhan BSc (Microbiology)
Senior Embryologist, Lilavati Hospital Ivf Center
Mumbai, Maharashtra, India
Kinjal R Shah DFP DNB FNB
Fellow, Reproductive Medicine
Lilavati Hospital
Mumbai, Maharashtra, India
Manisha T Kundnani MD FNB FNUS
Director, Fertility Square, the IVF Clinic
Mumbai, Maharashtra, India
Nikita Lad MD DGO FCPS DHA
Obstetrician and Gynecologist, IVF Consultant
DY Patil Hospital
Director, Dr Lad Sai Hospital
Mumbai, Maharashtra, Indiafm_19
Parul Katiyar MS (Ob-Gyn)
Consultant IVF and Reproductive
Max Hospital
New Delhi and Gurgaon, India
Pinky Ronak Shah MBBS DGO DNB FNB PLAB (UK)
Associate Consultant
Bloom IVF Center
Mumbai, Maharashtra, India
Prashant Patil MBBS DGO DNB FNB
Associate Consultant Bloom IVF Center
Mumbai, Maharashtra, India
Pritimala Gangurde MBBS DNB
Associate Consultant Lilavati Hospital
Mumbai, Maharashtra, India
Priya Agarwal MS DNB Fellow (Reproductive Medicine)
Consultant, IVF Department
Fortis Hospital, Vashi (Unit of Bloom IVF)
Mumbai, Maharashtra, India
Rohan Palshetkar MS (Gold Medallist)
Assistant Professor DY Patil University
Navi Mumbai, Maharashtra, India
Rupin Shah MS (Gen Surgery) MCh (Urology)
Consultant Andrologist and Microsurgeon
Lilavati and Bhatia Hospitals
Mumbai, Maharashtra, Indiafm_20
Rushika Mistry MSc (Life Science, Applied Medicine)
Embryologist Bloom IVF Center
Mumbai, Maharashtra, India
Rutvij Dalal MBBS DGO DNB MNAMS FNB
Consultant Indira IVF
Udaipur, Rajasthan, India
Sandeep Joshi MSc (Zoology)
Consultant Embryologist Bloom IVF Center
Mumbai, Maharashtra, India
Shailendra Mahimkar MD DNB FCPS DGO DFP DICOG
Interventional Gynecologist
Bloom IVF Center
Mumbai, Maharashtra, India
Shaunak Khandwala MBBS Diploma (Ultrasound)
Director IVF Mediheal Group
Kenya, East Africa
Shivanand Sakhare MS (Gold Medalist) DNB FCPS
Fellow, National Board in Reproductive Medicine
Consultant, Bloom ivf Center, lilavati Hospital
Mumbai, Maharashtra, India
Sonal Panchal MD
Dr Nagori's Institute for Infertility and IVF
Ahmedabad, Gujarat, Indiafm_21
Sudesh Kamath MSc (Applied Biology)
Consultant Embryologist Bloom IVF Center
Mumbai, Maharashtra, India
Surekha Kadam DNB FCPS DGO
Associate Consultant Bloom IVF Center
Mumbai, Maharashtra, India
Vrunda Kuchekar MSc (Life Sciences)
Chief Embryologist Bloom IVF Center
Mumbai, Maharashtra, Indiafm_22
fm_23Preface
The IUI and ART in gynecological practice today are among the foremost approaches used to treat a multitude of infertile patients. For the practicing clinicians, keeping up with new publications is always a challenge, as is applying the theory in a clinical context.
Combining a strong clinical emphasis with practical tips, Textbook of IUI and ART, is an invaluable companion for both novice and experienced surgeons.
Since there have been a number of important advances in the IUI and ART, both in technique and equipment, the book aims to update the readers on the changes in this field added with practice of the experts and are relevant, complete and easy to understand. All procedures are described in detail and fully illustrated with color photographs and line diagrams.
Written by practicing expert gynecologists and embryologists, the book provides clear understanding of techniques, outlines potential complications and highlights circumstances for which procedures are contraindicated.
We feel that the simple and systematic approach provided in the book and its easy-reading style will help to make it one of the popular manuscripts amongst the general gynecologists and embryologists either by starting this technique or by trying to achieve perfection in it.
Rishma Dhillon Pai
Nandita Palshetkar
Hrishikesh Pai
Kinjal R Shahfm_24