The journey to parenthood is a beautiful one that often comes with challenges for many couples. At AlReem Medical Center we understand your desire to expand your family and we are geared to assisting you in your endeavor. The Center’s Infertility Clinic is equipped to evaluate couples and provide them with safe and professional options to realize their parental aspirations. We offer you tremendous experience, proven expertise and personalized care with the dedicated support of our doctors, consultants, specialist nurses and expertly trained fertility scientists, all of whom focus on your treatment.
At AlReem Medical Center you can avail the proficiency and advice of renowned fertility specialists, who have access to some of the most cutting-edge fertility treatments. The team at the Center is focused on forming the most viable environment for creating families. A fertility specialist will assess your case and suggest the best course of treatment available.
We also house a state-of-the-art IVF laboratory, an Embryoscope ™ Plus, two sophisticated and efficient Operation Theatres and an Observation & Recovery ward equipped with all the modern medical equipment required to monitor a patient.
We source our machines and equipment from McGill Reproductive Center, Canada (http://www.mcgillivf.com/home.html) which is an internationally renowned medical facility that offers one of the highest success rates in the world. Our Doctors and staff regularly hold discussions and consultations with the directors from McGill Reproductive Center.
Intra Uterine Insemination (IUI) or Artificial Insemination is a fertility treatment, where the sperm is deposited into the uterus at the time of ovulation, to assist fertilization. It is a relatively easy form of treatment. This treatment increases the chances of fertilization as the goal of IUI is to maximize the number of sperms that will reach the fallopian tube. The Infertility Clinic at AlReem Medical Center provides full assessment to couples to provide the best course of treatment. Patients with low sperm motility and count are often advised IUI. The IUI treatment at the Infertility Center is personalized to make it as convenient and easy for the patients, as they have access to the in-house laboratories, Ultrasound clinic and other cutting-edge technology.
In Vitro Fertilization (IVF) is a laboratory procedure where the egg is fertilized with the sperm in a laboratory and is implanted into the woman’s uterus. A commonly used term for this treatment is ‘test tube baby’. In this procedure, eggs are removed from the ovaries of the woman, and at the same time sperms are collected from the male partner. The collected sperms and eggs are fertilized in the laboratory, by our experienced specialists and the fertilized embryo is then implanted in the woman’s womb leading to conception.
The IVF laboratory plays an extremely critical role in an IVF program, as a large chunk of the work takes place in there. The fertilized embryos are formed, nurtured and stored until they are implanted into the patient’s uterus. Specialized equipment and highly trained embryologists are the backbone of our IVF clinic. We have access to the latest technology to boost our IVF treatment success rates. Our Center is the first facility in the Sultanate of Oman, to use Embryoscope™ Plus. This equipment is an incubator used for embryo culture and study. The 15 chamber Embryoscope™ Plus, increases the survival rates of the embryo by maintaining optimum conditions required by a fertilized embryo, before implantation.
We also perform Laser Assisted Hatching in the laboratory prior to transferring the embryos into the uterus. Assisted Hatching enhances the embryo implantation process, thereby increasing the rate of success.
IVF treatment is the best path to take when it involves female-factor infertility. When the treatment required is for cases of male-factor fertility, ICSI (Intracytoplasmic Sperm Injection) is the primary form of treatment advised. At AlReem Medical Center, we perform this specialized form of IVF treatment. In ICSI, once the sperms and eggs are harvested, a single selected sperm is injected directly into a mature egg to hasten the fertilization process. The success rate of ICSI is said to be significantly higher than IVF and is considered to be one of the most cost-effective and successful treatments to overcome male-factor fertility issues. Upon consultation, our fertility specialists will be able to throw more light on the treatment procedure and provide responses to any questions you have.
At what time of the month is a woman fertile?
The most fertile time of a woman’s cycle is just before or on the day of ovulation. Ovulation usually occurs two weeks before a period starts, so it is necessary to count backwards from the anticipated start of the next period in order to find the most fertile time. Take the number of days in the usual cycle (from the beginning of one period to the beginning of the next) and subtract 14. For example, a woman with a 32-day cycle would likely ovulate around day 18 (32-14=18), while a woman with a 28-day cycle would ovulate around day 14 (28-14=14). We recommend every other day intercourse around the day of ovulation. That would mean days 12, 14 and 16 for women with 28 days cycles.
How can a woman tell if she ovulates?
A good indicator that you are ovulating (necessary for becoming pregnant) is getting your menstrual cycle regularly. Counting as day one from the first day that you have a full flow of blood until the next day of full flow will tell you how many days are in your menstrual cycle. Generally having a cycle that is between 24-36 days is considered regular. Having a longer or shorter cycle does not mean that you have are not ovulating or have a fertility problem, this is just an indicator. Keeping track of your menstrual cycle is valuable as a part of your medical history if you do need to see a fertility specialist.
Using an ovulation predictor kit can tell you more accurately whether you are ovulating or not. You can purchase them over the counter at a pharmacy and at major retail drug stores. See above for details regarding ovulation predictors and please remember that they are not 100% accurate. If your period is irregular, make an appointment to be seen by a fertility specialist.
What fertility testing should our fertility doctor perform?
- Blood tests to check reproductive hormone levels in the woman; estradiol (E2), progesterone, follicle stimulating hormone (FSH), anti mullerian hormone (AMH),luteinizing hormone (LH), thyroid hormone, prolactin, and possibly male hormone levels.
- Complete semen analysis on the male partner
- Hysterosalpingogram (HSG), an x-ray or a Saline Infusion Ultrasound (also called a Sonohysterogram or SHG) to evaluate if the woman’s fallopian tubes are open
- Ultrasound to confirm the normal appearance of the uterus and ovaries in the woman
Is infertility just a women problem?
No, infertility is not always a woman’s problem. Both men and women can contribute to infertility.
What causes infertility in men?
Infertility in men can be caused by different factors and is typically evaluated by a semen analysis. When a semen analysis is performed, the number of sperm (concentration), motility (movement), and morphology (shape) are assessed by a specialist. A slightly abnormal semen analysis does not mean that a man is necessarily infertile. Instead, a semen analysis helps determine if and how male factors are contributing to infertility.
- Disruption of testicular or ejaculatory function
Varicoceles, a condition in which the veins on a man’s testicles are large and cause them to overheat. The heat may affect the number or shape of the sperm.
- Trauma to the testes may affect sperm production and result in lower number of sperm.
- Unhealthy habits such as heavy alcohol use, smoking, anabolic steroid use, and illicit drug use.
- Use of certain medications and supplements.
- Cancer treatment involving the use of certain types of chemotherapy, radiation, or surgery to remove one or both testicles
- Medical conditions such as diabetes, cystic fibrosis, certain types of autoimmune disorders, and certain types of infections may cause testicular failure.
- Hormonal disorders
- Genetic disorders
What are some of the specific treatment for male infertility?
Male infertility may be treated with medical, surgical, or assisted reproductive therapies depending on the underlying cause. Medical and surgical therapies are usually managed by an urologist who may offer intrauterine inseminations (IUIs) or in vitro fertilization (IVF) to help overcome male factor infertility.
What does the basic testing for a man include?
Testing for a man often involves a semen analysis. This analysis is done to assess the amount of sperm, the shape of the sperm, and the way that the sperm move. Blood tests for men measure levels of male reproductive hormones. Too much or too little of these hormones can cause problems with making sperm or with having sex. In some cases, an ultrasound exam of the scrotum may be done to look for problems in the testes.
What causes infertility?
The most common cause of female infertility is lack of or irregular ovulation. The most common causes of male infertility are problems in the testes that affect how sperm are made or how they function.
Other factors in women include problems with the reproductive organs or hormones. Scarring or blockages of the
fallopian tubes may contribute to infertility. This may be the result of past sexually transmitted infections (STIs) or endometriosis. Problems with the thyroid gland or pituitary gland also may contribute to infertility. In men, blockage of the tubes that carry sperm from the testes may be a cause of infertility.
Did you know that staying well hydrated plays a very important role in achieving and maintaining fertility?
Insufficient water intake can lead to dehydration and this is bad news for your fertility. Recent studies have shown that the more hydrated your cervical is the easier sperm can travel throw it. So to give yourself the best chance of conceptions we recommend have at least 10 cups of water daily
How long should a women try to conceive before going to the doctor?
if the women is under 35 years old and has been trying to conceive for more than 12 months, or over 35 years old and has been trying to conceive for over 6 months.