Get the best infertility treatment in Delhi. In a conventional IVF cycle, we give you Gonadotropin injections to stimulate many follicles for trying to retrieve a good crop (about 12-16 in number) of eggs. Although not harmful at all, there are some effects of high stimulation that include multiple pregnancy (twins and higher order), OHSS and enlarged ovaries. The high stimulation also makes us freeze all the embryos because in a fresh transfer after giving high gonadotropins the results are sub-optimal because of non-receptive endometrium. In order to avoid these side-effects and reduce the cost of an IVF cycle, doctors came up with a Natural cycle IVF or Mild IVF.
We call it Natural IVF when no injections are given altogether. This can be done only in normally ovulating women less than 35 years of age. The body’s own natural ovulation is tracked using urinary LH kits and when ovulation is detected the oocyte retrieval is planned accordingly. This approach quickly came out of vogue because not only natural IVF is extremely cumbersome, it has poor results as well. With Natural IVF, we need to continuously monitor the urinary LH kits and when it comes positive we cannot plan in advance. The egg pick-up procedure can come up in the middle of the night also. A much more pragmatic solution to these troubles was the minimal IVF or Mild IVF.
In the best IVF center in Delhi , to circumvent the problems of Natural IVF, experts came up with Minimal or Mild IVF employing injections but only in a very mild dose. These are usually started on day 2 or 3 of menstruation and are accompanied with some tablets. Monitoring of ovarian response is by blood tests and ultrasound scans just like in a normal or conventional IVF. It is just that instead of targeting to get 12-20 eggs, we are targeting to retrieve only about 3-5 eggs but of good quality. There are many published articles in Journals that indicate that although the yield of eggs is lower in mild IVF, the quality of eggs is better so even when we are getting lesser embryos as a result, they are probably better quality embryos.
Janini IVF offers Mild IVF or Lite IVF to patients who would benefit most from it and also those who understand the pros and cons of Mild IVF well. Dr. Dalal, the most trusted IVF Specialist in Delhi NCR, has done extensive work in mild IVF and has delivered numerous invited lectures on the same topic in National and International conferences. Mild IVF ironically sometimes works well in those patients who didn’t have a good response with high dose of Gonadotropins previously.
One type of patients who would benefit extensively from Mild IVF is poor ovarian reserve patients. Now, one would wonder that this is counter-intuitive. How can someone who already have low number of eggs to begin with, benefit from milder stimulation? Answer is, that these patients would give the same 1 or 2 eggs. NO MATTER WHAT DOSE of injections you give them. So, even if one were to spend so much money in giving high dose of injections, the outcome would be dismal. Mild IVF is gentler, friendlier and cost-effective. After giving mild doses the few number of eggs are retrieved. This cycle is repeated over 2-3 occasions so that all the eggs/embryos from all retrievals are frozen and pooled together. Once we decide to go for transfer, all these embryos are subjected to blastocyst culture and the best one selected for transfer inside the uterus. We can also go for pre-implantation genetic screening. With our excellent freezing program and personal supervision of Dr. Akanksha Mishra , we have almost 100% recovery of eggs and embryos frozen with us.
This is exactly the advantage of IVF Lite or Mild IVF. Since the dose of injections is low, the total cost of the cycle would be only half or even 1/3rd of a usual cycle. This gives us both cost opportunity and time opportunity to go for repeated retrievals, something we call as “Cryo-accumulation”. Cryo-accumulation has given us excellent results to the challenging of challenging cases with poor ovarian reserve and this approach stands as one of Janini IVF’s secret in giving a baby to them. We indeed have given babies to such patines with their own eggs, something which they could not think as other IVF centres had told them to straight away go for donor eggs.
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If you wish to avail mild IVF, it is important for you to choose an IVF team that has the requisite expertise, skill and dedication required to manage your case well. Combined with the best embryology abilities of Dr. Mishra, Dr. Dalal in Janini IVF, you are provided with the best infertility treatment in Delhi, that runs a successful mild IVF program with high success rates.
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