Birthplace of the first test tube baby and the most number of test tube babies of the States of Telangana and Andhra Pradesh
We established our centre in collaboration with Midland Fertility Services, U.K in 1994. Our lead consultant Dr Anuradha Katragadda and chief embryologist Dr Prasad Munaganuru were trained at Midland Fertility Services, U.K. Within ten months of commencement, we recorded the first successful embryo transfer resulting in the birth of the first Test Tube Baby of the State. The success rates have been remarkable ever since, with various assisted reproductive techniques facilitating thousands of births to date.
We take pride in the fact that we not only have the State's first Test Tube Baby to our credit, but also the first set of Test Tube Baby twins, the first set of Test Tube Baby triplets, the first PGD baby and the most number of Test Tube babies in the state to date!
We offer a wide range of state-of-the-art services for the diagnosis and management of infertility, including in vitro fertilisation (IVF), intra cytoplasmic sperm injection (ICSI) and preimplantation genetic diagnosis (PGD).
Our ethical guidelines are drawn from the code of practice of Human Fertilization and Embryology Authority (HFEA) UK and the ICMR (Indian Council of Medical Research) and we emulate the standards of procedures followed in Midland Fertility Services, U.K.
Aiming to provide a caring environment, we focus not only on technological excellence, but also on making our services accessible and personal. This is made possible by our experienced staff led by our lead clinician Dr Anuradha and our lead embryologist Dr Prasad. Every individual couple's treatment plan receives the personal attention of Dr Anuradha and Dr Prasad. Working as a cohesive team, maintaining the highest technical and ethical standards, we provide you with the advice and treatment that best suits your needs to achieve the optimal results you desire.
Dr. Anuradha, a fellow of the Royal College of Obstetricians and Gynaecologists (FRCOG) UK, has been practicing gynaecology for over 30 years. She was trained in the field of infertility at Midland Fertility Services, United Kingdom, under the guidance of Dr. Peter Bromwich. On her return to Hyderabad she established Anu Test Tube Baby Centre. Her hard work and work ethic had resulted in a single doctor run infertility unit to grow into a wonderful team of doctors who share her vision.
Besides her busy clinical work, she is actively involved in training doctors interested in the field of infertility. She keeps up to date with recent advances in the management of fertility problems and contributes to international academic literature through observational research work that is carried out in this unit. Her work has been presented at various national and international conferences.
Dr. Prasad, who is a co-founder of this unit, is a highly respected embryologist who heads our laboratory services. He received a doctorate in life sciences following which he underwent special training in embryology under Mr. Andy Walker, the scientific director of Midland Fertility Services, UK.
Dr. Prasad actively keeps up to date with the latest technologies in assisted reproduction. His passion and skill transcends into the great success rates recorded by us.
Couples undergoing Intra Cytoplasmic Sperm injection (ICSI) are provided with the unique opportunity of watching Dr Prasad at work while doing the sperm injection.
Our team, to date, has sixteen qualified doctors working along with Dr Anuradha. They include well trained and experienced radiologists, gynaecologists and other clinicians. Our doctors are eager to address all your concerns and are happy to help you at all times. All treatment plans are always discussed with Dr Anuradha to ensure that the most appropriate and personalised treatment is provided to you.
A passionate group of technically skilled individuals form our laboratory team who work under the supervision of Dr. Prasad. Our well-trained theatre team, which includes anaesthetists, nurses and auxiliary staff, ensures high quality procedural and post procedural care. Our administrative staff have always been an integral part of our team and are well trained to assist you before, during and after your visit here.
We offer a range of services to help diagnose and manage fertility problems. Our clinicians' experience and laboratory expertise together offer the best possible solution for your problems..
We discuss all treatment options and necessary investigations with you in our initial consultations and follow up discussions. If in doubt you can always contact our staff with your queries and we are always happy to help.
For further information on various topics you can also refer to the Royal College of Obstetricians and Gynaecologists (RCOG) patient information leaflets - the PDF versions can be found at the end of this page
25 out of 100 women suffering from infertility are found to have problems associated with the release of the egg from the ovary (ovulation). This makes the diagnosis of such problems and their treatment very important.
If you are a young woman with a short duration of infertility and your main problem is noted to be with ovulation - then an initial treatment option may involve using medicines to bring about ovulation (ovulation induction).
Ultrasound scanning is very useful to evaluate ovulation. In the ovaries, small areas called follicles are responsible for producing hormones and eggs which are needed to achieve pregnancy. Scans show whether the ovaries are producing follicles normally and whether the growth of these follicles is satisfactory.
Medicines can be given to stimulate development of follicles and to bring about release of the egg (ovulation). Initially, simple medicines like clomiphene citrate may be tried in different combinations (different doses and durations). Later, hormone injections like follicle stimulating hormone (FSH) and human menopausal Gonadotrophin (hMG) can be used to bring about ovulation if required.
You will undergo regular ultrasound scans when taking medications to monitor the development of the follicles (follicular monitoring) and determine the time of release of the egg (ovulation) and you can attempt to conceive naturally during this time. OI is also done in combination with treatments like intrauterine insemination (IUI) and in vitro fertilization (IVF).
Intrauterine insemination involves placement of the sperm in your womb (uterine cavity) with the help of a soft tube (catheter) to allow it to fertilize the egg produced by you.
IUI is offered in a number of situations and is an option when (the list is not exhaustive):
IUI is only suitable if you have at least one open and working fallopian tube (the tube which connects your ovary to the womb/uterus).
Medicines to stimulate the release of the egg from your ovary (ovulation induction) are administered and development of the egg in the ovary and the timing of its release (follicular monitoring) are done using ultrasound scans. The duration of monitoring depends on your cycle and how your ovary responds to the medicines. Most women usually need 3-4 days of monitoring but it may vary.
When the egg is ready for release from your ovary (follicle is mature), a hormone injection (usually human chorionic gonadotropin (hCG)) is given to help the egg release (ovulation) and IUI is done the day after your injection. IUI might have to be repeated again the next day in case of no ovulation occurring on the previous day.
IUI has a reported pregnancy rate of 10.5% per cycle and 38% after 4-6 treatment cycles. The number of treatment cycles attempted depends on you. This procedure can only be done if at least a few million sperms are available for treatment following a sperm wash / processing technique in the lab. With lower sperm counts, success rates in IUI are lower.
When an egg is released from the ovary the fluid that is formed gets collected in a place in the pelvis called the peritoneal cavity or pouch of Douglas. In DIPI, the processed sperm sample is injected into the peritoneal cavity or pouch of Douglas using a special needle. This procedure is done through the vagina with the help of ultrasound scans. No pain is experienced during this procedure as it is done under short anesthesia.
This is an intermediary procedure between intrauterine insemination (IUI) and in vitro fertilization (IVF) and is usually suggested:
The success rate is 12 - 15%, which is slightly better than that reported for IUI. DIPI is attempted only for 2 - 3 cycles. A large study done at our centre showed that after 2 cycles of DIPI the pregnancy rates were almost the same as seen in IUI.
This is a simple procedure which is universally accepted in infertility treatments. In this procedure sperm, which does not belong to your husband/partner (donor), is placed in your womb (uterus) around the time of release of the egg from your ovary (ovulation).
You might consider using donor sperm if:
The men who donate sperm are screened using a number of tests to make sure that they are healthy and the sperm sample donated by them is frozen and quarantined. After a specified time the donor's tests for infectious diseases are repeated and only if these tests are negative, then the frozen and quarantined sample is used. The reason why the tests are repeated is because there's a period of time after a person is infected during which they won't test positive for infection, called the window period. Repeat testing will ensure that the donor is not in the window period for any infections at the time of donating the sample. Before using the sample the blood groups and physical characteristics of the donor are matched to the couple.
At our unit we strictly follow the guidelines recommended by Indian Council of Medical Research (ICMR) in selecting the donors and ensuring safety measures. The donors go through several investigations before being accepted. Anonymity of donor is maintained. In cases of pregnancy using donor semen, the husband is the legal father of the child. When using donor semen, it is mandatory to have consent of both the partners.
This procedure cannot ensure pregnancy if you (the woman) have fertility problems. In such cases, donor semen can also be used with other treatments.
IVF, popularly known as 'test-tube fertilization',involves fertilizing an egg outside a woman's body, in a laboratory dish, and then transferring the embryo to the woman's womb (uterus). IVF treatment is suitable if:
First your ovaries are stimulated with the use of medicines and hormone injections to produce large number of areas which have eggs in them (follicles). For more details see the topic 'Ovulation Induction' above.
The exact time of when the eggs can be collected is determined by ultrasound scans
When the timing is right, under anesthesia, these follicles are punctured using a needle and the eggs (oocytes) are collected through your vagina using ultrasound scans to assist the procedure.
The eggs (oocytes) are then fertilized using your husband/partner's sperm in a petri dish in the lab. Embryos (cell stages of babies) are formed here in the petri dish after fertilization of the egg occurs.
On the third or fifth day of fertilization, the embryos that develop are transferred back into your womb (uterus) with the help of a soft tube (catheter). IVF leads to pregnancy that is visible on ultrasound scans in about 30-40% of cases. You have 80-90% chance of conception by the end of 3-4 cycles.
ICSI is an advanced step in IVF where a single sperm is injected directly into an egg (oocyte) thereby increasing fertilization rates.
The procedure is done under a microscope using instruments which allow handling of microscopic living cells (micromanipulation devices-micromanipulator, micro injectors and micropipettes). A thin, hollow glass tube (micropipette) is used to collect a single sperm and the sperm is pierced through the egg shell to release it into the egg (oocyte).
After the procedure, the egg with the sperm inside will be placed into cell culture and checked on the following day for signs of fertilization.
ICSI is a boon for severe male infertility. In cases where the husband/partner is not able to produce any sperm (azoospermia), then sperm retrieved from his testes or epididymis (TESA/PESA) can be used for ICSI. ICSI is also done if you have had failed fertilizations in IVF or unsuccessful IVF treatments.
When couples, who have infertility problems with the husband/partner, undergo ICSI - the pregnancy outcomes seen are almost the same as those couples who do not have any male fertility problems and have undergone conventional IVF treatments.
At our centre, if you undergo ICSI, you are provided with the unique opportunity to watch the procedure in the laboratory (which not many units in India are able to accommodate).
Donor egg (oocyte) and surrogate programs are also carried out in some circumstances. We follow very strict guidelines for these programs. Feel free to contact us by telephone, in person, email or using the contact form for further details.
We offer ultrasound scans as a part of your treatment here.
Scans are done mainly for monitoring when the egg is released from your ovary (follicular scans) and to detect the location of your pregnancy (early pregnancy scans). Ultrasound scans also help to determine your egg count (ovarian reserve) which helps to plan the course of your treatment because the egg count and quality of the eggs decrease with increasing age. Low egg counts have been noticed recently even in younger women.
In case of successful treatments, we do ultrasound scans to detect the location of the foetus and to confirm its heartbeat (early pregnancy scans).
Please note that we do not determine the sex of your baby at any stage in pregnancy as it is illegal to do so (PCPNDT act).
Laparoscopy and Hysteroscopy are surgical procedures which not only help in detecting problems causing your infertility but often, in some cases, allow their correction at the same time.
Laparoscopy or 'keyhole' surgery allows the surgeon to look into the abdomen with the help of a camera (laparoscope) through small cuts on your abdomen. This is done by putting you to sleep (general anesthesia).
Hysteroscopy involves looking inside your womb (uterus) using a small camera introduced through the neck of your womb (cervix). This can be done usually by putting you to sleep (general anesthesia) but can be done when you are awake.
Laparoscopy and/or hysteroscopy are usually done:
Usually tests to confirm that the fallopian tubes are open are performed during laparoscopy.
Hysteroscopy is performed alone in case of suspicion of a problem in your womb (uterine cavity) prior to any fertility treatment or to rule out problems in your womb (uterus) if your first cycle of IVF has been unsuccessful.
This is an advanced technique used during IVF to enhance chances of conception. After fertilization of the egg by the sperm an embryo is formed (the cell stage of the baby). The embryo has a protective outer covering called as the zona pellucida. The embryo hatches out of this covering before implanting in your womb (uterus). Assisted hatching is used to help the embryo hatch from the zona pellucida to promote implantation in the womb (uterine wall) after embryo transfer.
In our unit OCTAX NAVILASER is used for assisted hatching. A highly focused infrared laser beam is used in very precise increments to remove the zona pellucida. Advantages of using laser during assisted hatching are that it requires less handling of the embryo and is faster than other methods hence reducing the exposure time of embryos outside the incubator (where they are kept warm).
LAH may be recommended if:
Research studies show that chances of a pregnancy are improved by use of LAH in the above situations.
For men with high numbers of abnormal sperm and previous poor outcomes in IVF with ICSI, careful selection of sperm to be injected into the egg may improve likelihood of fertilisation and normal embryo development. Traditional methods of selecting sperm involve assessing sperm under a microscope for any visible abnormalities at 400 times magnification and selecting the most normal looking sperm for injection into the egg.
IMSI is an advancement in the technique of sperm selection. During IMSI, sperm is examined and selected using a high-magnification digital imaging microscope (with 6000 times magnification). This allows our embryologist to look at the sperm in greater detail: allows inspection of the nucleus of the sperm (which contains the genetic material) and helps us assess the structure of the sperm. Using this technique sperm with suspected abnormalities can be excluded from being injected into the available eggs. Structurally normal sperm is then used in the fertilisation procedure using the ICSI method.
IMSI would be recommended if:
Research shows that using IMSI allows selection of better quality sperm and results in higher pregnancy rates and lower miscarriage rates compared to conventional ICSI.
Advances in science have brought to us pre implantation genetic testing - which allows detecting genetic problems at the stage of an embryo (cell stage of a baby). It is a highly sophisticated and expensive procedure. Through PGD, embryos are studied and only those with normal genetic material (DNA or chromosome structure) are transferred back to your womb (uterus).It is a technique which can help couples in preventing a pregnancy with the risk of the child being affected by certain genetic disorders.
This is performed when there is a high chance of a genetic problem being acquired by the embryo. This is recommended if:
PGS is performed as a preventive measure to identify chromosomal abnormalities in the embryo even if there is no known evidence of genetic abnormality or inherited disorders in either partner. PGS is recommended if:
For pre implantation genetic testing, first an embryo biopsy is performed for acquiring a sample of cells. This sample is then sent for genetic testing.
We perform two types of biopsies in our unit: blastomere and trophectoderm biopsy.
Only a single cell blastomere is removed from the embryo and send to genetic lab for evaluation. The evaluation is faster and the normal embryo can be transferred in the same cycle. Because only one cell is removed, results from Day 3 biopsies are not as accurate as those obtained from Day 5 embryo biopsies.
This allows our embryologist to remove several cells for better accuracy of the testing and also reduces procedural risk to the embryo. This biopsy is done using laser which helps in acquiring the cells carefully. Results typically return with in 7 to 10 days, hence a fresh embryo transfer is not possible when this biopsy is performed. The frozen embryos are transferred in a later cycle.
The sample of cells acquired by performing an embryo biopsy are sent for genetic testing in order to detect various genetic problems. Different types of genetic tests are performed depending on the condition that is being looked for. Some of these tests include:
Please note: PGD does not warrant the birth of a healthy child because more than two thirds of children with various birth defects have normal genetic makeup. However, pregnancy is more probable if transfer of an embryo with a normal genetic material is performed. Although the tests are highly accurate, one test can only be used to detect one suspected abnormality in the embryo (highly specific). The tests cannot detect abnormalities other than the ones they are specifically targeted to find.
This is a procedure performed by an experienced urologist and is done in our premises. In the case of your husband/partner having a very low sperm count or no sperms (azoospermia) this short surgical procedure is done to help collect sperms. Two types of surgical sperm retrieval are usually done - Percutaneous Epididymal Sperm Aspiration (PESA) or Testicular Epididymal Sperm Aspiration (TESA).
Cryopreservation is storing of materials under very low temperatures. This prevents any chemical damage from occurring to the stored material.
In indicated situations we have the facilities to cryopreserve sperms, eggs (oocytes) and embryos. These procedures are facilitated by our embryology team.
These programs are useful if you are a young individual (or couple) who has been diagnosed with cancer prior to completing your family.
These can also be employed if you are a woman looking to preserve your fertility and want to plan for a child in the future.
If you would like details about these programs kindly contact us by telephone, email, in person or using the contact form on this website.
All fertility treatments carry limited success rates. Fertility treatments fail more often than they succeed.
Your chances of getting pregnant are affected by a number of factors, of which your age plays a significant role. We have divided the success rates of different procedures done in our clinic for you to understand how each type of treatment shown below would be influenced by your age.
Remember not to use these figures as a personal prediction of your own chance of success - age is not the only factor which influences the outcome. A number of other factors, which have not been accounted for in the below numbers, like the quality of embryo transferred, quality of endometrium etc. also influence the success rates.
The figures shown below are the Pregnancy rates for the year 2015. The results seen in our unit are on par with the success rates achieved at leading international infertility centres.
Our fees structure is open and transparent.
|Consultation (in person)||-||Rs. 850|
|Consultation (online)||-||Rs. 600|
|Follow up Discussion||-||Rs. 500|
|Single Scan (for follicular study)||-||Rs. 600|
|Ovulation Study Scan||-||Rs. 1500|
|Pregnancy Scan||-||Rs. 1500|
|Semen Analysis||-||Rs. 600|
|Trial Embryo Transfer||-||Rs. 2500|
|Cyst Aspiration||-||Rs. 5100 + Rs. 2400 (Anaesthetist charges)|
|Dilatation||-||Rs. 5100 + Rs. 3000 (Anaesthetist charges)|
|Dilatation + Cyst Aspiration||-||Rs. 7200 + Rs. 2400 (Anaesthetist charges)|
|Fluid Aspiration||-||Rs. 4100 + Rs. 2400 (Anaesthetist charges)|
Using husband sample:
|1st day||-||Rs. 6100|
|2nd day||-||Rs. 6100|
|1st day under General Anesthesia||-||Rs. 6600 + Rs. 2400 (Anaesthetist charges)|
|2nd day under General Anesthesia||-||Rs. 6600 + Rs. 2400 (Anaesthetist charges)|
Using Donor sample:
|1st day||-||Rs. 7200|
|2nd day||-||Rs. 7200|
|1st day under General Anesthesia||-||Rs. 7700 + Rs. 2400 (Anaesthetist charges)|
|2nd day under General Anesthesia||-||Rs. 7700 + Rs. 2400 (Anaesthetist charges)|
Using husband sample:
|1st day||-||Rs. 8200 + Rs. 2400 (Anaesthetist charges)|
|2nd day||-||Rs. 8200 + Rs. 2400 (Anaesthetist charges)|
Using Donor sample:
|1st day||-||Rs. 9200 + Rs. 2400|
|2nd day||-||Rs. 9200 + Rs. 2400|
|IVF + Embryo Transfer (ET)||-||Rs. 80,000|
|IVF (if no signs of fertilization)||-||Rs. 46,000|
|IVF and total freezing without ET||-||Rs. 70,000|
|Intra Cytoplasmic Sperm Injection (ICSI) + ET||-||Rs. 1,00,000|
|ICSI and total freezing without ET||-||Rs. 80,000|
|Blastocyst Embryo Transfer in IVF or ICSI||-||+Rs. 10,200|
|Freezing supernumerary (extra) embryos||-||Rs. 20,400|
|Frozen Embryo Transfer (FET)||-||Rs. 36,000|
|Preimplantation Genetic Screening (PGS) in IVF/ICSI cycles||-||Rs. 90,000 (approx.)|
|Oocyte Freezing||-||Rs. 1,10,000|
|Semen Sample Freezing||-||Rs. 8,200|
|Maintenance charge for Gamete Freezing / year|
|Oocyte / Embryo||-||Rs. 10,200|
|Testicular / Epididymal sperm aspiration (TESA / PESA)||-||Rs. 20,000 + Rs. 5000 (Urologist charges) + Rs. 1400 (Anaesthetist charges)|
|TESA / PESA when no sperm is retrieved||-||Rs. 15,000 + Rs. 5000 (Urologist charges) + Rs. 1400 (Anaesthetist charges)|
* The charges include the cost of culture media used in the lab and medication used during oocyte retrieval and recovery. The costs are not inclusive of medications prescribed to you during the course of treatments such as ovulation induction, IVF etc.
Find below answers to few of the questions that are commonly encountered while undergoing treatments or when trying to access and use our services.
We have further details regarding different treatments, success rates and fees in the relevant sections of the website - which can be accessed under 'Services'.
For any other queries or further clarification on the information presented, please feel free to contact us by telephone, email or using the 'Contact Us' form on this website.
Q. Can a semen sample be brought from home?
A. Yes, semen samples can be brought from home provided:
-The sample has been collected in the semen container (we provide them).
-It should reach the lab within 30-40 minutes from collection.
Please note: the semen container should not be stored in ice/cold places and should be kept in the trouser pocket if possible.
We recommend that the sample be collected in our centre (and not home) to avoid the risk of delay in bringing over that sample. The method of semen collection at home is only encouraged in patients who have difficulty in collecting the sample at our centre.
Q. For how long can a semen sample be frozen?
A. Storing frozen sperm for a long time should not alter its ability to fertilize an egg. The sperm can normally be stored for 10 years. In certain circumstances it can be stored for longer if required.
Q. What is the difference between IUI and DIPI?
A. Intrauterine insemination (IUI) - It involves placement of washed, processed, highly motile sperm into the womb (uterine cavity) using a soft catheter.
Direct Intra Peritoneal Insemination (DIPI) - When an egg is released from the ovary the fluid that is formed gets collected in a place in the pelvis called the peritoneal cavity or pouch of Douglas. In DIPI, the processed sperm sample is injected into the peritoneal cavity or pouch of Douglas using a special needle.
For further details see the 'Treatments' section of our website.
Q. Are IUI or DIPI painful?
A.IUI is generally not a painful procedure. Some women however, report mild discomfort during placement of the processed semen sample.
DIPI, which is an ultrasound scanning guided procedure done through the vagina, is done under short general anaesthesia to avoid pain.
Q. Following IVF, when is embryo transfer done?
A. Embryo transfer is done usually done between 3-5 days after the egg is collected from the woman (oocyte retrieval).The exact day for transfer is individualized for each individual depending on the woman's clinical situation and the development of embryos in the lab.
Q. Does IVF treatment guarantee 100% success?
A. No fertility treatment discovered to date that has 100% success rate.
Following IVF procedures, pregnancy is seen on ultrasound scans in 30-40% of cases. The chance of conception for a patient is about 70-80% with 3-4 cycles of IVF.
Q. Why do I need to have a pregnancy test (blood/urine) 2 weeks after an embryo transfer?
A. A blood test to detect the pregnancy hormone level (B-hCG) is usually done on day 9 following embryo-transfer. There is a possibility that these pregnancy hormone levels are falsely high or falsely low (i.e. they may show that you are pregnant when you are not or vice versa). It is because of this that a urine pregnancy test/repeat B-hCG is performed on a compulsory basis 2 weeks following embryo-transfer.
Q. Why was I advised a urine pregnancy test on the 3rd day of my cycle, although I had bleeding?
A. Pregnant women have a small chance of bleeding, at the same time as a regular menstrual period, and this can be commonly mistaken as a menstrual bleed (period). A urine pregnancy test helps differentiate between a pregnancy and normal period in such situations.
When a woman experiences bleeding during pregnancy, the pregnancy may be present inside the womb (uterine cavity) or sometimes outside the womb (ectopic pregnancy).
Q. Do I need to take rest at home following infertility treatments? When can I return to work after my procedure?
A. Strict bed rest is not advised after any infertility procedure as it can lead to complications like developing blood clots in your legs or chest.
Rest is not routinely recommended following infertility treatments unless you are experiencing discomfort due to enlarged ovaries (following stimulation of your ovaries to help release eggs -ovarian stimulation- for IUI/IVF) or develop complications following treatment or during pregnancy.
Climbing stairs or using Indian toilets does not affect pregnancy chances.Following IUI, no rest is required as long as you are comfortable.
Following IUI, no rest is required as long as you are comfortable.
For IVF, it is advisable to avoid excessive physical activity (like exercise, lifting weights etc.) from the day of egg collection (oocyte retrieval) up to 3-4 days after embryo transfer. During this time it is recommended that you keep active (not bed rest) and restrict all activities to light work. Regular activities can be resumed after 3-4 days as long as you are comfortable.
You can return back to work on the same day after an IUI and after 3-4 days following embryo-transfer provided the work is not physically strenuous.
Q. Can I climb stairs following infertility treatments?
A. Climbing stairs or using Indian toilets does not affect pregnancy chances.
Q. Can I climb stairs following infertility treatments?
A. Climbing stairs or using Indian toilets does not affect pregnancy chances.
Q. Are there any dietary restrictions for treatment?
A. There are no dietary restrictions that need to be followed after infertility procedures. A well balanced diet and frequent small meals are recommended for a healthy lifestyle. Keep yourself well hydrated and consume plenty of fluids as you will be taking medicines.
Q. Is abstinence required when using vaginal medication?
A. Following egg collection (oocyte recovery) we advise abstinence for two weeks. While undergoing other treatments abstinence is not required when using vaginal medications.
Q. How long am I required to stay in the hospital following the infertility procedures?
A. The procedures done in our unit are all day care procedures and you do not have to stay in overnight following any of them.
If you are having a laparoscopy or hysteroscopy, you might need admission the night before the procedure. You will be discharged later on during the same day as your procedure - once you are comfortable.
On rare occasions - in case of complications, you will be advised admission at a hospital which has facilities to deal with that particular problem and our team will liaise with the treating physician.
Q. What are the risks associated with infertility procedures and medications?
A. Any procedure, anesthesia or medication can have side effects and unforeseen risks. The risks of each procedure and medication used are discussed in detail during the consultations. If a woman is considered to have a high risk of having a complication, the couple is made aware of this and are given alternate choices. Although every procedure and medication carries a risk of minor complications, the risk of mortality is very rare (for example the mortality rate of one of the complications arising from IVF called ovarian hyperstimulation syndrome is 1 in 4,50,000-5,00,000*).* Brinsden PR, Wada I, Tan SL, Balen A, Jacobs HS: Diagnosis, prevention and management of ovarian hyperstimulation syndrome. Br J ObstetGynaecol. 1995, 102: 767-772.
Q. Does repeated attempts of IVF lead to cancer?
A. At present, there is no evidence of an increased risk of breast, uterine or ovarian cancer in women who have undergone IVF compared with women who suffer from infertility. Pregnancy in fact protects from breast and ovarian cancer. Women with a maternal history of breast, ovarian and uterine cancers are at inherently at risk of those cancers and for these women we limit the number of cycles of treatment and medicines used. The use of a medicine, clomiphene citrate, is limited to 12 total cycles in a lifetime as there is a possible risk of development of some types of ovarian cancers.
Q. Can I choose the gender of my child as I am undergoing infertility treatments?
A. No. Sex selection is illegal in India. The Pre-Conception and Pre-Natal Diagnostic Techniques (PCPNDT) Act strictly prohibits sex detection or sex selection making this offence punishable by law.
Abiding by this law, at our unit we do not allow pre conception sex selection or sex determination once pregnant.
Q. Is there an upper age limit for undergoing infertility treatments?
A. Although a woman can get pregnant any time up to menopause, achieving and continuing a pregnancy as an older woman has many ethical and medical issues. There is a steep fall in pregnancy rates after 35 years of age and by 37 years of age the pregnancy rate is half that at the age of 25. The main concerns involved with older women are lower success rates for fertility treatments, increase risk of Down's syndrome, miscarriages and pregnancy complications. We recommend avoiding treatments after age of 45 in view of these increased risks.
Q. Following a successful treatment, will I be followed up until delivery of my baby?
A..Once the pregnancy is established (usually around 10 weeks gestation), you will be referred to an obstetrician of your choice. The specialized care you need is provided by most obstetricians. This ensures that you get the best possible care at each stage of your pregnancy.
Q. Are all the procedures carried out in the Centre itself?
A. Most of the procedures are performed in our centre itself, including IUI, DIPI, IVF and other short procedures. Laparoscopies and hysteroscopies are performed in other hospitals which have facilities to accommodate patients overnight. The details, address and contact number, of the hospital will be provided to you prior to the procedure.
Q. I have undergone some investigations and procedures previously at another facility. Will I have to get all these repeated if I wish to continue my treatment at Anu Test Tube Baby Centre?
A. No, you are not required to undergo repeat investigations prior to your visit here. At your consultation here, we will review all your old reports and you may be advised to repeat some investigations or undergo some new ones - only if required. Please ensure that you bring all your old medical reports and investigation results to your appointment.
Q. Does the centre have a scheme or package system for charges?
A. Each IUI and IVF cycle is individually charged and there is no package system. See our 'Fees' section for further details.
Q. Do you carry out donor and surrogate programs at your centre?
A. Yes, we do in indicated situations. Please contact our centre for further details.
Q. How safe is donor semen?
A. It is quite safe. We follow strict guidelines recommended by Indian Council of Medical Research (ICMR) in selecting the donors and ensuring safety measures. The donors go through several investigations before being accepted. Anonymity of donor is maintained. In cases of pregnancy using donor semen following its injection into the womb (uterine cavity) - the husband is the legal father of the child. When using donor semen, it is mandatory to have consent of both the partners.
Q. We do not live locally. Would it be advisable to attempt a few cycles of treatments in our area and then approach your specialist fertility centre if we do not succeed?
A. The success rates of any fertility treatment are limited and often couples may need to attempt a few cycles of treatments to have a positive outcome. Success rates markedly fall with repeated cycles (the more cycles you attempt the chances of success decreases). In view of this we would recommend you to carefully select your doctor/centre at the outset to optimize your chance of success for any treatment.
Q. We are a working couple. How many times would we need to visit the centre during treatments?
A. Success in infertility treatments is unpredictable and is usually time taking. You (the woman) will in general need to attend more appointments than your husband/partner.
These treatments involve monitoring of your ovaries using scans to check for timing of release of the egg (follicular monitoring). In order to facilitate this you may need to attend the centre approximately 3 - 7 times during the month once your treatment commences.
If you are working you can come early in the morning for a scan and then go to work. For this purpose ultrasound scans at our centre are usually started at 7.30 am.
On the day of the IUI you should come prepared to stay for about half a day at the centre.
Your husband/partner is required to come on the days of the IUI (2-days) in the morning to provide a sample and does not have to stay after unless a procedure has been planned under anesthesia. Although it is preferred that your husband/partner stays around for the duration of the procedure for your emotional comfort, if for any reason your husband/partner is unable to, then a responsible adult (an attendant) around whom you are comfortable should be available to assist you. If you do not live locally, then your husband/partner should be available to provide a semen sample any day from the time the follicle in the ovary reaches 15 mm size - because egg release (ovulation) can occur at any time.
You may be required to attend the centre on 5 to 6 separate occasions for tests, scans and monitoring which may take up to half a day on each visit.
Egg collection (oocyte retrieval), embryo transfer or any procedure under anesthesia may take a whole day and an accompanying adult should be available to support you on that day. Your husband/partner will be required to provide semen samples on different occasions including prior to starting any treatment, on the days of IUI and egg collection (oocyte recovery). Some semen samples, depending on type of treatment and the semen analysis, can be frozen prior to treatments
Q. We live abroad/ do not live locally in Hyderabad and would like to come to Anu Test Tube Baby Centre for treatment. How do we plan our stay to facilitate this?
A. If you live within India, you can travel between scheduled treatments and visits if you are unable to stay for longer periods.
If you live abroad, or live within India and are able to stay longer periods in Hyderabad-
In most cases, 6-10 weeks of stay will suffice for one cycle of IVF.
Normally one IVF cycle lasts 6-8 wks. A second cycle, if planned, is usually recommended after a month's gap (one month gap between 2 consecutive cycles).
You can choose to get some of the blood investigations done locally before your arrival here. Please contact our unit (telephone, email or using the contact form) for full details of the tests required. Alternatively, tests can be done after your arrival here. The protocol for your IVF cycle will depend on your previous responses to treatments and recent tests.
If on arrival, it is found that you need a Hysteroscopy prior to IVF or that you require additional medical treatments to correct abnormal results from your investigations, your treatment may get delayed by one more month.
Your husband/partner could come on the 10thday of the treatment cycle and stay for about 2 weeks - during which time the egg collection (oocyte retrieval) and embryo transfer will be done. Sperm samples can also be frozen and used later in case the egg collection (oocyte retrieval) was not possible during this time. We also have the provision for storing frozen semen samples in the case of your husband/partner coming before your scheduled treatment.
In the event of your husband/partner not being able to come at any point, the semen samples can be frozen and sent by courier. For further details, you can contact the nearest infertility center in your locality and your local courier services.
Q. How can I book an appointment for a consultation?
A. Only couples visiting our centre for the first time (new patients) are required to book appointments. You can either walk in on the day (see below) or pre book an appointment using any of below mentioned methods.
(Available on all days except Sundays, festivals and other national holidays) - You will be seen on the same day - on a first cum first serve basis - but please be aware that you might have to wait long hours as there would be other patients with pre-booked appointments.
Use the 'Book Appointment' section of our website to book a suitable time slot for a date of your choice.
Please ensure: that you provide correct details when you book your appointment because
You are not required to make any payments in order to book an appointment with us
You may directly book an appointment with us by calling us at the Centre. Kindly refer to the home page for up to date telephone numbers.
We can arrange an appointment for you if you contact us using our email address. Our homepage has the up to date email address for the centre.
You can leave us a message using our "Contact Us" form and we will get back to you using the details provided by you to arrange a suitable appointment for you.
Women whose treatment has started and those attending for follow up consultations, scans, procedures etc. will be able to arrange the date and time of their next visit before they leave the unit.
Q. How can I reschedule / cancel my appointment?
A. If you wish to reschedule or cancel an appointment, please contact our hospital staff either by phone, email or via the "Contact Us" form found on the home page and we can rearrange the appointment to a more convenient time.
We would be grateful if you could let us know as soon as possible in case of any change of plans so that we can arrange an earlier appointment for another couple.
Q. What are your working hours? Is the clinic open on Sundays and other national holidays?
A. The centre is open on all days.
Sundays and festival/national holidays:
The centre is open for half a day and scheduled treatments and ultrasound scanning are carried out as previously planned. Although couples attending for consultations for the first time are advised to book their appointment beforehand, walk-ins are also seen daily (except on Sundays and Festivals/National Holidays). Please note that, at Anu Test Tube Baby Centre we work as a team and treatment plans for all couples are discussed with Dr. Anuradha. If you are particular about personally consulting Dr. Anuradha, a prior appointment is recommended.
Q. Who can I contact in case of an emergency?
A. During working hours:
You can call us directly at our centre and our doctors will attend to you immediately.
Outside working hours (usually between 8 PM and 6 AM- overnight):
You can contact us on our emergency phone number- 9440023049 A doctor will attend to you immediately. A doctor will attend to you immediately. Please note- this number is for emergencies only. Kindly refrain from using this number unless in emergency situations to avoid necessary medical care from being delayed for another individual in need.
For general queries you can contact us by calling the centre during regular hours (phone) or email anytime or use the "contact us" form provided in this website.
We would love to hear your thoughts, concerns or any problems experienced to help us improve!
Two decades ago we delivered the State's first Test Tube baby and to date the most number of Test Tube babies in the State.
Anu Test Tube Baby Centre is the first IVF centre of the State and one of the first few in the country. From a humble but successful beginning in 1994, we have grown to become one of the most trusted centres in the field of infertility. Whilst maintaining the highest technical and ethical standards, we provide you with the advice and treatment that best suits your needs to achieve the optimal results you desire. Backed by a wide range of world class equipment and state of the art techniques, our well trained staff have helped thousands of couples realize their dreams of having a baby.
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Kindly Note -Use for emergencies only. Do not use for general enquiries as it might delay medical attention for someone in need of it. (We cannot book appointments when contacted on this number)
Phone calls: Daily 9:00 AM onwards
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The ATBC Privacy
Policy was updated on November 10, 2017.
Collection and Use of Personal Information
Personal information is data that can be used to identify or contact a single person.
You may be asked to provide your personal information anytime you are in contact with ATBC. We may combine it with other information to provide and improve our services. You are not required to provide the personal information that we have requested, but, if you chose not to do so, in many cases we will not be able to provide you with our services or respond to any queries you may have.
Here are some examples of the types of personal information ATBC may collect and how we may use it:
What personal information we collect
• When you book an appointment or contact us, we may collect a variety of information, including your name, mailing address, phone number, email address, contact preferences, and credit card information.
How we use your personal information
• The personal information we collect allows us to keep you posted on ATBC’s appointment status for confirming your appointment with us.
• We also use personal information to help us create, develop, operate, deliver, and improve our services and for anti-fraud purposes.
• We may use your personal information, including date of birth, to verify identity, assist with identification of users, and to determine appropriate services. For example, we may use date of birth to determine the age of the people using our services.
• From time to time, we may use your personal information to send important notices, such as communications about appointment times and policies. Because this information is important to your interaction with ATBC, you may not opt out of receiving these communications.
• We may also use personal information for internal purposes such as auditing, data analysis, and research to improve ATBC’s services and customer communications.
Collection and Use of Non-Personal Information
We also collect data in a form that does not, on its own, permit direct association with any specific individual. We may collect, use, transfer, and disclose non-personal information for any purpose. The following are some examples of non-personal information that we collect and how we may use it:
• We may collect information such as occupation, language, zip code, area code, and location, so that we can better understand customer behavior and improve our services.
• We may collect and store details of how you use our services, including search queries. This information may be used to improve the relevancy of results provided by our services. Except in limited instances to ensure quality of our services over the Internet, such information will not be associated with your IP address.
If we do combine non-personal information with personal information the combined information will be treated as personal information for as long as it remains combined.
Cookies and Other Technologies
We do not encourage any advertising on our services. In third-party search engines, you may see ads based on other information.
As is true of most internet services, we might gather some information automatically and store it in log files. This information might include Internet Protocol (IP) addresses, browser type and language, Internet service provider (ISP), referring and exit websites and applications, operating system, date/time stamp, and clickstream data.
We use this information to understand and analyze trends, to administer the site, to learn about user behavior on the site, to improve our services, and to gather demographic information about our user base as a whole.
In some of our email messages, we use a “click-through URL” linked to content on the ATBC website. When customers click one of these URLs, they pass through a separate web server before arriving at the destination page on our website. We might track this click-through data to help us determine interest in particular topics and measure the effectiveness of our customer communications. If you prefer not to be tracked in this way, you should not click text or graphic links in the email messages.
Disclosure to Third Parties
At times ATBC may make certain personal information available to strategic partners that work with ATBC to provide services. Personal information will only be shared by ATBC to provide or improve our services; it will not be shared with third parties for their marketing purposes.
It may be necessary − by law, legal process, litigation, and/or requests from public and governmental authorities within or outside your country of residence − for ATBC to disclose your personal information. We may also disclose information about you if we determine that for purposes of national security, law enforcement, or other issues of public importance, disclosure is necessary or appropriate.
We may also disclose information about you if we determine that disclosure is reasonably necessary to protect our operations or users. Additionally, in the event of a reorganization, merger, or sale we may transfer any and all personal information we collect to the relevant third party.
Protection of Personal Information
ATBC takes the security of your personal information very seriously. When your personal data is stored by ATBC, we use computer systems with limited access housed in facilities using physical security measures.
When you use some ATBC services, or applications or post on ATBC website or social networking service, the personal information and content you share is visible to other users and can be read, collected, or used by them. You are responsible for the personal information you choose to share or submit in these instances. For example, if you list your name and email address in a forum posting, that information is public. Please take care when using these features.
Integrity and Retention of Personal Information
Access to Personal Information
You can help ensure that your contact information and preferences are accurate, complete, and up to date by personally contacting the unit by phone, email or using the contact form on our website. For other personal information we hold, you can contact us for any purpose including to request that we correct the data if it is inaccurate or delete the data if ATBC is not required to retain it by law or for legitimate business purposes. We may decline to process requests that are frivolous/vexatious, jeopardize the privacy of others, are extremely impractical, or for which access is not otherwise required by local law. Access, correction, or deletion requests can be made by personally contacting our unit.
Children & Education
We understand the importance of taking extra precautions to protect the privacy and safety of children using ATBC services. Children under the age of 18, are not permitted to book appointments, unless their parent is involved in the process.
If we learn that we have collected the personal information of a child under 18, outside the above circumstances we will take steps to delete the information as soon as possible.
If at any time a parent needs to access, correct, or delete data associated with child’s details, they may contact us personally by phone or email.
Third‑Party Sites and Services
ATBC websites and services may contain links to third-party websites, products, and services. Our services may also use or offer products or services from third parties.
Information collected by third parties, which may include such things as location data or contact details, is governed by their privacy practices. We encourage you to learn about the privacy practices of those third parties.
Our Companywide Commitment to Your Privacy
To make sure your personal information is secure, we communicate our privacy and security guidelines to ATBC employees and strictly enforce privacy safeguards within the unit.
All such communications are examined and replies issued where appropriate as soon as possible. If you are unsatisfied with the reply received, you may refer your complaint to the relevant regulator in your jurisdiction. If you ask us, we will endeavor to provide you with information about relevant complaint avenues which may be applicable to your circumstances.