Services

 

Obstetrics

 

The monitoring of fetal development during pregnancy is essential to ensure that your child is born healthy. Getting early and regular prenatal care is the best thing you can do to keep yourself and your developing infant healthy while you are pregnant.

 

Now the sequential culture media we used at Bangkok IVF Center can produce around 50-60 % of blastocyst development from the fertilized oocytes. Our treatment protocols still depend on each individual patient , considering from the number of oocytes retrieved and developmental potential of embryos in day 3. We believe to do the very best procedure treatment for each of our patients.

 

PREGNANCY MONITORING

 

Pregnancy is the happiest time of life for every woman and for every family. The pregnancy period is an experience worth every moment.But it also has it s complexities if not dealt well. We offer individual programs of monitoring at any stage of the pregnancy as well as complex monitoring of pregnancy. We offer a comfortable atmosphere and at the same time we suggest a most convenient time. We offer monitoring from the very beginning of the pregnancy until the birth.

 

Special attention is required for the following:

 

• Complicated pregnancies
• Miscarriage treatment
• pregnancies under a risk of miscarriage

 

Pregnancy monitoring program includes:

 

• Monthly consultations
• Ultrasonography
• Dopplerometry
• Cardiotocography
• Necessary blood, urine and swab tests
• Prenatal screening, which allows detection of inherited and hereditary fetal abnormalities

 

GYNECOLOGY

 

Regular reviews with your gynaecologist are essential to prevent diseases such as uterine cancer or breast cancer. We perform various diagnostic tests at our centre, for example, ultrasound, mammogram or cervical smears. Our operating theatre enables us to perform conventional surgery and surgical procedures such as laparoscopy and hysteroscopy. We also have a dedicated menopause unit for women who are at this special stage of life.We help to alleviate symptoms that may arise and offer treatments such as prevention of sexual dysfunction and osteoporosis diagnosis, which can arise due to hormonal deficiency.

 

Our family planning unit offers all types of hormonal treatments, customised positioning of the intrauterine device (IUD), tubal ligation (female sterilisation) by laparoscopy or hysteroscopy and vasectomies.

 

At Gawri IVF center we examine and treat the vast majority of gynecogical diseases. The usual gynecological examination includes outer inspection, speculum investigation (inspection of the cervix and of the vagina), gynecological palpation and ultrasound investigation. The most common gynecological complaints/disorders that bring the woman to the gynecologist and the most important investigative procedures for each disorder are listed below.

 

Itching

 

A thorough outer inspection of the labia and vagina is done to any abnormality such as redness, swelling, ulceration and discharge are noted. If there is abnormal discharge, this will be analysed in a microscope. In some instances, with an ulceration of unknown etiology, a small biopsy will be obtained under local anesthesia and then analysed by a pathologist. If a viral infection is suspected a small swab sample for viarl analysis will be obtained.

 

Discharge

 

A sample of the discharge will be obtained at the speculum investigation and this will be analysed in a microscope. A small sample of the fluid in the cervical opening will be taken and analyzed in the laboratory for presence of chlamydia and other bacteria.

 

Cytology

 

We will take a Pap smear from the cervix at the speculum investigation and in cases with suspicion of cervical dysplasia a colposcopy examination will be done. The colposcopy is a detailed lok at the cervix through an outer microscope and with the view by the help of the speculum investigation.

 

Cysts

 

The most important investigation to assess presence and type of ovarian cyst is the transvaginal ultrasound investigation. An ultrasound probe will gently be introduced into the vagina and then we can easily visualize the ovaries and the uterus. Any ovarian cyst can easily be detected and be measured.

 

Bleeding

 

Irregular, vaginal bleedings or an isolated bleeding after menopause do usually come from inside the uterus or from the cervix. The causes in younger women are often infection or an irregularity of the cervix. We will take a sample with a cotton swab, to analyse bacteria such as chlamydia, and an ordinary papsmear. In cases where we can see a lesion on the cervix, we will take a small biopsy for further analysis by the pathologist. In women from the age of around 45, we will also take a cell sample from the inside of the uterus. This is done by suction via a very thin tube, which has gently been inserted through the cervix and with the tip in the uterine cavity.

 

Prolapse

 

The most important investigations to determine the type and extent of uterovaginal prolapse is inspection and speculum investigation. We can then determine what type (vaginal wall and/or uterus) prolapse you have and how large it is.

 

Infertility

 

The most important investigations at infertility work-up are ultrasound and hormonal analysis. In many cases we also perform a hysterosalpingography (HSG) to determine whether tubal passage exists

 

Every woman needs to have her own trusted doctor-gynecologist. Your doctor-gynecologist will become most trusted person when you will decide to become a mother.

 

Gynecological examination must be carried out with sensitivity and dignity. In our Clinic we provide customized and professional approach in comfortable atmosphere. We do our utmost to ensure that communication is simple and filled with trust.

 

Gynecological examination must be carried out with sensitivity and dignity. In our Clinic we provide customized and professional approach in comfortable atmosphere. We do our utmost to ensure that communication is simple and filled with trust.

 

The first consultation with a gynecologist should take place at the age of fifteen or sixteen. Whwn you are planning to begin or have already begun your sex life, it is necessary to schedule further appointments twice a year, and do the tests, especially when you have a new partner. That will help you maintain your health and beauty.

 

Gynecological diseases, if they are not treated timely, lead to infertility.

 

GYNECOLOGICAL SERVICES

 

• General preventive examination which includes doctor’s consultation, ultrasonography, oncocytology.
• Assessment and treatment of gynecological diseases.
• Cervical diseases, including HIV screening, vaccination against cervical cancer (Silgard, Cervrix).
• Drug treatment for cervical erosion, if necessary – consultation by gynecologist-oncologist.
• Treatment of benign diseases of uterine cavity.
• Treatment and diagnosis of endometriosis.
• consultation of gynecologist-endocrinologist.
• Treatment of inflammation of the pelvic organs.
• Testing to determine the presence of Sexually transmitted diseases.
• Consultations about contraception, contraceptives and methods, insertion of intrauterine spirals Mirena, Nova-T Gold.
• Consultations of gynecologist during menopause.
• Ultrasonography - gynecological examinations, examinations of pregnant women, 4D ultrasonography and ultrasonography of the abdominal cavity.

 

Take care of your health now, schedule a visit to gynecologist. - YOUR HEALTH IS IN YOUR HANDS -

 

 

Male Factor Infertility (MFI) Genetic Testing

 

Infertility is a medical problem, which affects 10-15% of couples. Male factor infertility is diagnosed in almost half of the cases. The male genetic pathology is thought to be the basis for MFI in 15-30% of cases.

 

Main genetic reasons of MFI are numerical and structural aberrations of sex chromosomes: 47,XXY karyotype in Klinefelter syndrome and AZF region microdeletions of Y-chromosome (mostly in AZFa-c regions).The sperm analysis results of these patients vary from complete absence of sperm cells in the ejaculate to very severe oligozoospermia

 

The carriers of mutations in the cystic fibrosis transmembrane regulator (CFTR) gene often experience obstructive azoospermia, because of the absence or obstruction of vas deference. All these genetic lesions along with the gene mutations responsible for spermatogenesis failure, cryptorchidism and hypogonadotropic hypogonadism can be simultaneously determined in a single MFI testing.

 

Indications for genetic testing for male infertility:

 

• Confirmation of the suspected diagnosis for MFI.
• Both obstructive and non-obstructive azoospermia and severe oligozoospermia (sperm count of <5 x 106 sperms per mL) if other reasons for MFI have been ruled out.
• Patient’s phenotype is indicative for a syndrome or condition associated with severe male infertility (for example Klinefelter syndrome).

 

The genetic tests for male factor infertility can analyse the most prevalent genetic causes for male infertility, such as:

 

• Klinefelter syndrome, caused by karyotype
• Azoospermia Factor (AZF) microdeletions, including AZFa, AZFb and AZFc regions
• Mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, which are related to obstructive azoospermia
• Gene mutations and variations responsible for spermatogenic failure (DDX25, DNAH5, DNAH11, DNAI1, ESR2, FSHB, NLPR14, PRDM9, PRM1, PMR2, PRM3, RBMXL2, TEKT2, USP26, UTP14c), cryptorchidism (INSL3 and RXFP2) and hypogonadotropic hypogonadism (GNRHR)

 

A clear advantage of performing the MFI genetic assay is the simultaneous testing for a number of known genetic causes of male infertility, including both chromosomal and gene mutations. This test allows confirmation and/or exclusion of the diagnosis and provides insight into the causes of infertility, which are valuable for planning the infertility treatment. We strongly recommend MFI genetic testing before a couple undergoes assisted reproduction (with IVF/ICSI or any other form of in vitro fertilization) in order to prevent the possible inheritance of the genetic lesion to the next generation, as the transmission of the genetic mutation could lead to the recurrence of the infertility problem in sons of infertile men.

 

The test can be ordered as a complex MFI test including all related conditions or alternatively as separate tests for detecting Klinefelter syndrome and Y-chromosome AZF microdeletions are also available.

 

Reproductive surgeries Treatment

 

There are a few conditions in a woman who is seeking infertility treatment, which need surgical intervention before actualy starting the infertility treatment . These surgeries which are endoscopically done are necessary to attain the maximum out of the infertility treatment.

 

Such conditions in a woman are :-

 

• Uterine Fibroids
• Ovarian Cysts
• Endometriosis
• Uterine Septum & Polyps
• Pelvic Adhesions
• Tubal Pathologies