IVF in India


Patient Information Desk

IVF in India

A definitive guide on processes, clinical steps, age-specific success rates, and ethical standards in modern reproductive technology.

Infertility treatment has gained significant momentum in India, affecting almost 10-15% of married couples. With rising awareness and advancements in medical technology, In-Vitro Fertilization (IVF) has become a beacon of hope, with live birth success rates ranging between 15-45%.

IVF is an Assisted Reproductive Technology (ART) where an egg and sperm are fertilized under controlled conditions outside the body. The resulting embryo is transferred into the woman’s uterus for implantation.

Process of IVF in India

  1. Consultation and Diagnostic Tests: Hormonal blood tests, semen analysis, and ultrasound scans are conducted to assess reproductive health.
  2. Ovarian Stimulation and Egg Retrieval: Hormonal injections are given for 10-12 days. Eggs are retrieved via ultrasound-guided needle under full sedation, making it a painless procedure with no cuts or stitches.
  3. Sperm Collection and Fertilization: Sperm is collected on the day of retrieval and fertilized in the lab using conventional IVF or ICSI.
  4. Embryo Development and Selection: Fertilized embryos are cultured for 3-5 days. The healthiest embryo is selected for implantation.
  5. Transfer of Embryos: The selected embryo is transferred into the uterus. A pregnancy test is conducted 12-14 days later.
  6. Vitrification (Embryo Freezing): All surplus high-quality embryos are cryopreserved using Vitrification. These embryos are flash-frozen at -196°C in liquid nitrogen. This allows for future use in Frozen Embryo Transfer (FET) cycles, giving couples multiple chances at conception without repeating the stimulation process.

Live Birth Success Rates

Patient’s Age Success Rate
Less than 35 years 35-45% per cycle
35-40 years 20-30% per cycle
Above 40 years 5-10% per cycle

How to Recognize a Good IVF Clinic

Infertility affects nearly 10-12% of couples in India today, making the choice of a fertility clinic a life-altering decision. We urge patients to look beyond the ‘cost per cycle’ and focus on the ‘Cost per Baby’—the ultimate goal of your journey. Do not be swayed by commercial incentives or marketing gimmicks; successful IVF is built on clinical transparency, ethical practice, and individualized care, not just numbers.

01. Personalized Care: Avoid “Chain Clinics” where the main doctor is absent. Ensure your specialist personally supervises your treatment.

02. No Batching: Choose clinics that respect your body’s natural timing instead of batching patients for lab convenience.

03. Audit Results: Always ask for audited success rates. Ethical figures are transparent and age-specific.

04. Transparency: Demand a detailed discharge summary including egg quality and embryo development stages.

The IVF Journey: A Step-by-Step Clinical Guide

In Vitro Fertilization (IVF) is a highly structured medical procedure. It requires clinical precision and personalized protocols. According to Prof. (Dr.) Abha Majumdar (Advisor and emeritus consultant), Centre of IVF and Human Reproduction, Sir Ganga Ram Hospital), every couple’s IVF journey must be tailored. Therefore, we customize the process based on your specific medical background, such as PCOS, Endometriosis, or Latent Tuberculosis.

Step 1: Preliminary Assessment & Ovarian Mapping

Before initiating an IVF cycle, our team conducts a thorough baseline evaluation. This assessment helps us determine the ideal treatment protocol for the couple.

  • For Females: We test the ovarian reserve via Anti-Müllerian Hormone (AMH) blood tests and Antral Follicle Count (AFC) through a Transvaginal Ultrasound. All other test relating to her general health are conducted to ensure she is in good health to carry a pregnancy. Life style modification regarding diet and exercise are advised.
  • For Males: Specialists perform an advanced Semen Analysis to assess count, motility, and morphology. Life style modifications such as to quit smoking and control weight (if obese) are suggested. Presence of diabetes is ruled out.
  • Uterine Evaluation: We perform a 2D or 3D Ultrasound to assess the health of the uterine cavity and diagnostic Hysteroscopy only if required. Consequently, we can ensure the uterine lining is optimal for successful embryo implantation.

Step 2: Controlled Ovarian Stimulation (COS)

During this phase, the patient receives conventional doses gonadotropin injections bases on their ovarian reserve. These hormones stimulate the ovaries to develop multiple mature egg containing follicles. Dr. Abha Majumdar emphasizes the necessity of protocol personalization according to ovarian reserve, age and underlying conditions or disease.

Clinical Insight: Standard Antagonist protocols work well for most patients. However, we adopt the old agonist protocol if we feel that should work better. However, individuals with a low ovarian reserve benefit from advanced global protocols like Duo-Stim (Dual Stimulation) This approach allows us to maximize the oocyte pool within a single menstrual cycle.

Furthermore, we meticulously monitor follicular growth through regular pelvic ultrasounds and blood tests tracking hormonal levels.

Step 3: The Trigger Shot (Oocyte Maturation)

Once the leading follicles reach the optimal size (typically 17–18 mm), we administer a “Trigger Injection”. This is usually hCG and/or GnRH agonist. This shot induces final egg maturation. In addition, we precisely schedule the egg retrieval 34 to 36 hours later.

Step 4: Ultrasound-Guided Egg Retrieval (OPU)

Ovum Pick-Up (OPU) is a minor, day-care surgical procedure. Our specialists perform this under total intravenous anaesthesia which does not require intubation.. As a result, the patient experiences a completely pain-free process and quick recovery with minimal side effects..

  • First, the doctor passes a thin, ultrasound-guided needle through the vaginal wall directly into the ovaries.
  • Next, we aspirate the follicular fluid containing the eggs and pass is it to the embryologist.
  • The embryologist in the IVF laboratory immediately identifies and separate the eggs and keeps them into the incubator.

The procedure takes approximately 15–20 minutes. Therefore, the patient can safely return home the same day.

Step 5: Fertilization (Conventional IVF vs. ICSI)

Our laboratory team fertilizes the retrieved eggs on the same day using the partner’s or a donor’s sperm. Depending on the semen parameters, we utilize one of two advanced laboratory techniques:

Conventional IVF ICSI (Intracytoplasmic Sperm Injection)
Embryologists place eggs and active sperm together in a petri dish. This allows fertilization to occur naturally. We prefer this for normal semen parameters. A specialist selects a single high-quality sperm. Then, they inject it directly into the cytoplasm of a mature egg. This technique is ideal for severe male factor infertility or previous IVF fertilization failures.

Step 6: Embryo Culture & Blastocyst Development

Next morning the embryologist identifies all the eggs which have been fertilized, now called embryos, separates them and allows them to grow in state-of-the-art incubators. We maintain strict physiological conditions that mimic the human body.

  • We monitor the embryos as they grow to Day 3 (Cleavage stage) or Day 5/6 (Blastocyst stage).
  • Blastocyst Transfer is highly utilized in our laboratory. This is because Day 5/6 embryos present significantly higher implantation success rates.

Step 7: Embryo Transfer (Fresh vs. Frozen)

This is the most critical and delicate clinical step of the entire cycle. The doctor places the selected high-grade embryo directly into the uterus using an ultra-thin, flexible catheter under ultrasound guidance.

  • Fresh Embryo Transfer: We perform this within the same cycle if the progesterone levels and uterine lining are perfectly optimal.
  • Frozen Embryo Transfer (FET): This aligns with Dr. Abha Majumdar’s modern safety standards. If a patient is at risk for OHSS, or has suboptimal endometrium or health conditions we freeze the embryos via vitrification. Subsequently, we transfer them during a natural ovulatory cycle or hormonally prepared cycle.

Step 8: Luteal Support & Pregnancy Confirmation

Following the embryo transfer, we prescribe hormonal medications to support the uterine lining. These include progesterone supplements via vaginal routes or injectable routes.. Finally, we schedule a definitive Beta-hCG blood test 11 to 12 days post-transfer to confirm pregnancy success.

The Future of Fertility: The AI Revolution

At the Centre of IVF, we are constantly pushing boundaries. While Prof. (Dr.) Abha Majumdar’s 40+ years of expertise remains our foundation, we are moving towards integrating Artificial Intelligence (AI) to augment human clinical judgment with data-driven precision:

  • AI-Driven Embryo Selection: Advanced algorithms analyse time-lapse incubation data to identify the embryo with the highest implantation potential, eliminating subjective human bias.
  • Precision Stimulation Protocols: AI helps us predict ovarian response with clinical accuracy, allowing us to tailor medication dosages specifically for your unique biological profile.
  • Intelligent Sperm Morphology Analysis: Utilizing AI to identify sperm with the highest DNA integrity and motility for ICSI, ensuring the best possible start for fertilization.

*We are in the process of integrating these advanced technologies to further enhance our success rates and offer patients the highest global standards of ART.*

Medically Reviewed & Approved By: Prof. (Dr.) Abha Majumdar, Director & Head of the Centre of IVF, Sir Ganga Ram Hospital, New Delhi. International Member of ESHRE, IFFS, IFS, and ISAR.

 

 

 



Sir Ganga Ram Hospital

Rajendra Nagar
New Delhi, India-110060.

Email: ivfsgrh@gmail.com

Genesis Clinic

F-431, New Rajendra Nagar,
Landmark: Shankar Road Main Market, New Delhi -110060
For Appointment Only
011-45011438 (9 AM – 4 PM)
+91-9810821594, 8375990881
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+91 8375990881

+91-9958076534 (4 PM – 9 PM)
+91-8447320605
Email: abhamajumdar@hotmail.com

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