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Author: Pankaj Nagpal

Assisted Reproductive Techniques (ART):

ART or assisted reproduction technique is any technological procedure that helps infertile couples to conceive. Depending upon the cause of infertility, our doctors will recommend and perform suitable ART programs.

THE ART CYCLE
The actual ART cycle consists of the folllowing procedures:

* Controlled Ovarian Stimulation
* Monitoring
* Oocyte Retrieval
* Laboratory Procedure
* Embryo Transfer
* Cryopreservation


1. Controlled Ovarian Stimulation:

The aim of this step is to achieve a higher rate of pregnancy for which the woman's menstrual cycle is administered. Usually, a woman produces one mature egg during her menstrual cycle. In ART, we aim at initiating the production of several eggs so that several embryos are produced. Only the best out of them will be inserted in the womb. This is achieved with the help of special drugs called gonadotrophins that are administered by making use of the following regimes or protocols:

a. The Long protocol--Luteal phase suppression with stimulation.

1. This is the most common protocol used in ART. The patient is put on the GnRh analogue (Lupride, Decapeptyl, Suprefact) subcutaneously, which starts 7 days prior to the expected menses and is continued throughout the menses and subsequently for 12 days more. This drug may be given daily, in a predetermined dosage, with a disposable Insulin syringe.
Dosage: Half ml, equivalent to 20 units of an Insulin syringe, is given every day. Generally an ampoule of Suprefact contains 6 ml of the drug. Alternately a single shot of Decapeptyl, Depot or Zoladex can be givens on the 21st day of the previous cycle.

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