Power Brand IHR

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description

Institute of Human Reproduction is a premier infertility centre located in Guwahati (Assam) and Kolkata (West Bengal) in India. As the pioneers, IHR maintains strict ethical protocols and boasts of high success rates, comparable to the best in the world. In honour of IHR and its founder Dr M.L. Goenka, we dedicate this edition of the IVF India Power Brand.

Transcript of Power Brand IHR

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institute of

human

reproduction

“Aim for success, not perfection. Never give up your right to be wrong, be-cause then you will lose the ability to learn new things and move forward

with your life.”Dr. David M. Burns

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Dr. M. L. GoenkaDIRECTOR, Institute of Human Reproduction

IVF INDIA - BEST OF THE BEST 2013-2014

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Find somebody

to be successful

for. Raise their

hopes. Think of

their needs. Barack Obama

Dr Goenka has seen the IVF revolution in Indiafrom close quarters. In the decade of the 80s,IVF was in a preliminary stage and specializedtreatment was not easily available. Dr M.L.Goenka often felt concerned at the fact that withthe only option being artificial insemination,there were a lot of cases which did not respondto normal treatment. Once in Mumbai he sawthat the “4th International Conference onHuman Reproduction” was under way in ahotel. He went in and attended the four dayconference. The experience had a stimulatingeffect on him and he decided to take up this dis-cipline as his specialization. Upon his return, heconverted his general nursing home in Guwa-hati to a specialized infertility care centre. Andthus began a journey which has won him manyaccolades.Dr ML Goenka is today the Director of Instituteof Human Reproduction, Guwahati and Kolkata.He started the first IVF Centre in North EastIndia at Guwahati and has so far delivered morethan 5000 test tube babies.The biggest difficulty in setting up the centrewas in procurement and delivery of right kind ofequipment. He had to frequently travel abroadto get what he needed. The area of infertilitytreatment was at a very nascent stage at thattime. In 1980 he went to Bombay to learn la-paroscopy and hysteroscopy, in 1984 he went toSan Francisco, USA to learn microsurgery and in1987 to Germany for advanced laparoscopicsurgery. In 1989 he realized that IVF was now es-sential, since they were already doing laparo-scopic surgeries, IUI etc. Without IVF a lot ofpatients would not get the relief they wanted.Then he went to the famed Bourn Hall Clinic inUK. After that he met Dr. Robert Janson of Syd-ney IVF in Bombay at one of the conferences. DrGoenka went to Sydney IVF, stayed there forthree months. After returning from Sydney hestarted first IVF centre of North-East India in1990. His first test tube baby was born in 1992.

The patient was 52 years old, and was the eldestlady to conceive at that time which gave them alot of press coverage and their name was intro-duced in the Limca Book of Records and re-mained there for three years for this feat.Dr Goenka had to struggle for two years to setup his centre. He says that today if one wants tostart an IVF centre this can be done in a month’stime which was not the case earlier. Culturemedia were difficult to get. There was shortageof qualified people and you had to go fromcountry to country to get the technicalknowhow which a lot of people were not willingto share with you and you had to fight every stepof the way. He started preparing most of themedia in-house. At present also many mediasare prepared at IHR with strict quality control. Itwas with his meticulous planning that he hasbeen able to achieve financial strength to pro-cure the latest equipment and technology as perrequirement.He had been born and brought up in Guwahatiand had an established medical practice. Thus,Guwahati was the obvious choice to start his IVFcentre. The Kolkata centre was started in 2007after he realized that it was easy for overseaspatients to come there as compared to Guwa-hati. He says he has planned his growth and rev-enues in such a way that he never had to faceany kind of a financial crunch. All the treat-ments are available at both centres but inKolkata, they do a lot of surrogacy. Dr Goenka was Executive member of Indian So-ciety of Assisted Reproduction (ISAR) and hasbeen a Member of international advisory com-mittee for 11th and 12th World congress on IVFat Sydney and Buenos Aires in 1999 and 2002.He has also trained more than 200 doctors inIVF / ICSI / IUI and laparoscopyHe has been guest speaker at many national andinternational conferences. He has publishedmany papers in national and international Jour-nals.

Dedicated excellence makes us different

For us at IHR and me in particular, the challenge to achieve the impossible isthe biggest motivator. We try to evolve with each new challenge so that we can

put a smile on as many faces as possible.“

“IVF INDIA - BEST OF THE BEST 2013-2014

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Dr. Deepak GoenkaDirector, Institute of Human Reproduction, Guwahati04

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Develop success

from failures.

Discouragement

and failure are

two of the surest

stepping stones

to success.Dale Carnegie

IHR’s high success rate, the extraordinary level of patient care and theadvantage of having all facilities under one roof is what attracts patients

from all parts of India, Nepal & Bangladesh.“

Personalised patient care is key to successDr Deepak Goenka is Director, Institute ofHuman Reproduction, Guwahati, he had exten-sive training in Ultrasound, Assisted Reproduc-tive Technology and Genetics at different leadingcentres of the world. He has performed morethan 15000 IVF cycles and more than 2000 la-paroscopy surgeries.The Institute of Human Reproduction has its ori-gins in Guwahati in 1978. Earlier it was a generalhospital, and infertility treatment started from1980. Initially all the work was done by Dr. M.L.Goenka. After completing his MBBS and he wentto Sydney, Australia for advanced training in em-bryology in 1996. He completed his MD in theyear 2000 from Kasturba medical college, Mani-pal. He received trainings in genetics from DrJoycee Harper, UCL ,London; Dr Hema Puran-dare Mumbai; AIIMS, Gangaram, New Delhi;SGPGI, Lucknow.He says the IHR -Guwahati is located in the heartof the city and is getting patients from all theseven North-Eastern states, other parts of coun-try like Kerala, Delhi and Rajasthan, Nepal, andMiddle East. He ascribes this to the centre’s suc-cess rate, the level of patient care and having allfacilities under one roof. There are so many pa-tients who come in the morning, get their proce-dure done and leave again in the evening. His hospital offers all kinds of treatment relatedto infertility. If a treatment is available in any partof the world, it is also available at IHR, Guwahati.He proudly says that it is the only centre in Indiawhere PGD (Pre-Implantation Genetic Diagno-sis) is used for recurrent pregnancy loss. Among his most challenging case so far is the onewhere a couple came to him with a history of sec-ondary infertility and two previous miscarriages.The third pregnancy was still in situ and was diag-nosed to be non-viable. They conducted a ge-netic analysis of the non-viable embryo andfound it to be genetically defective. A look at herrecords showed that her second pregnancy alsohad the same genetic disorder that we found inthe third pregnancy. Unfortunately there were norecords available of her first pregnancy. They theninvestigated both the parents and found them tobe healthy. The treatment was started. Then theywent ahead with the IVF and did the genetic ana-ysis on all the nine embryos and found that sevenwere defective and only two were healthy. Bothhealthy embryos were transferred and the preg-nancy was successful and she delivered twins.

This was the first case in India where PGD (Pre-Implantation Genetic Diagnosis) was done for re-current pregnancy loss. He gives the credit for the centre’s success to theextensive work in PGD. There are a few centers inIndia where there are good treatment facilities forgenetically impaired children. But once a geneti-cally defective child is born, there is very littlethat one can do apart from taking care of it. Fur-thermore such a child is an enormous emotionaland financial trauma to the parents, siblings andsociety. At IHR they diagnose genetic defects be-fore birth and thereby prevent such births fromoccurring.Special patient care at IHR is also a unique fea-ture. Every patient who walks in at IHR is allo-cated a ‘patient care executive’ who takes care ofevery need of the patient and is available 24X7. Ifthe patient has any problem or requirements tobe addressed she contacts the executive directly.They also maintain a high degree of transparencywhich adds to patient comfort and confidence.Although there are counselors, but he interactswith every patient himself to address all theirconcerns. The biggest hurdle that he faces today in provid-ing fertility care services is one of expenses, andthe fact that it is not covered under medical in-surance. A couple with problem of infertility hasnowhere to turn except their own resources.As for the risk of multiple pregnancies, he saysthey do not do multiple embryo transfers andmultiple pregnancy rate following IVF at IHR isonly around 2%.But the more persistent myths of IVF are: ‘IVF ispainful.’ But this is not correct. With new drugs,injection pain is minimal. Patient is not admittedeven for a day. This is a day care procedure. The second is; ‘Bed Rest after IVF’. This again, isnot true. A patient can do her normal routinework after the procedure. He says he had patientswho come in during their lunch break, do theprocedure and go back to office.The third is; ‘IVF babies are not my own’. A lot ofpatients who come to me have this misconcep-tion that it could be someone else’s baby whichwill be transferred. We have to convince them thatit is going to be your baby, it is your husband’ssperms and your eggs which will be used. Donorsare used only when it is absolutely necessary andthat too after taking patient into confidence.

IVF INDIA - BEST OF THE BEST 2013-2014

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For Dr Suparna Banerjee, infertility treatment isno less than a miracle, and considering herchildhood fascination with reproductive medi-cine and gynecology, it was but natural for herto pursue a career in this field. She completedher MBBS from R. G. Kar Medical College andHospital, Kolkata and proceeded to completeDGO from the same college, followed by MD.Then she left for England and obtained MRCOG(Member of Royal College of Obstetricians andGynecologists). She came back to Kolkata in2011 when she got associated with the Instituteof Human Reproduction.Dr Banerjee has extensive experience and inter-national exposure in the field of Infertility treat-ment. She is a member of the Royal College andBritish Fertility Society and has been associatedwith the Peninsular Centre for ReproductiveMedicine, UK, as an IVF specialist from 2008 to2011. She has performed over 3000 IVF cyclesindependently and has hugely contributed tothe IHR’s ability to maintain an IVF success rateat par with the global success rates.“Since my student days I wanted to pursue in-fertility as specialization. It is a very challengingfield. I always felt it is no less than a miracle andI had to learn this.” She has a clear vision forIHR and she hopes to implement it in the com-

ing days. “I have given my 100 per cent to thisinstitute to improve the result. We are con-stantly trying to accommodate new things inorder to give the best to our patients.”In her initial years, she found it very challengingas it was a new field and not traditional in anyaspect. “Every patient in this field is so different.We cannot predict anything with certainty as tothe outcome.”Among the major obstacles for doctors in thisfield, she lists cost of treatment as the most im-portant one. “In our country, the cost of treat-ment is an issue for poor patients as medicines,technology etc are very expensive. It is a majorobstacle for common people and we need to ad-dress it in future.”Nevertheless, she foresees great future for thisfield in the coming years. She expects more im-provement in the area of PGD (pre-implantationgenetic diagnosis). With PGS/PGD transfer ofabnormal embryos can be avoided and miscar-riage rate can be reduced to a great extent. “It isreally heartbreaking to see, after a pregnancyachieved with so much hardship and finally findthat she miscarries due to abnormal embryo."She has faced some very difficult patients in herexperience. There was one patient who sufferedrepeated failure of endometrial formation andthen she decided to give some non traditionalmedicines. They worked and the endometriumdeveloped. Eventually she conceived and deliv-ered. These medicines are not generally givenbut I took a chance and it really helped, givingme great satisfaction.”How does she unwind after a hard day’s work?“Listening to my favourite music in a dark roomis my greatest relaxation.”

Dr. Suparna BanerjeeIVF Specialist and Co-ordinator 06

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Success isn't a

result of

spontaneous

combustion. You

must set yourself

on fire.Arnold H. Glasow

Blessed to be associatedwith this miracle

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Success is the

progressive

realization of

predetermined,

worthwhile,

personal goals.Paul J. Meyer

IVF INDIA - BEST OF THE BEST 2013-2014

Sunita Patwari grew up in an environment ofmedical sciences as her father was a gynae-cologist. She studied science as a naturalchoice and her father motivated her to takeup embryology as the field of work. It was anupcoming field and seeing her natural inter-est in it, her father guided her to study furtherand she chose it as her profession. She hadher embryology training at Singapore. Finetunings were taught by Dr Deepak Goenka.She is working as Chief Embryologist at Insti-tute of Human Reproduction, Kolkata since2007. She is a visiting Embryologist at Insti-tute of Human Reproduction in Guwahati(Assam) since 2004.For her, every patient is a challenge and sheaims at success in every case. “Regardless ofapparent similarities, each case is unique andwe have to devise a different plan of action inevery case.” She finds IVF/ICSI very interest-ing and would like to achieve 100 per centsuccess every time.She has performed more than 8000 IVF/ICSIprocedures which is a great achievement inthis field. She has attended several work-shops and conferences in the area of Semi-nology, IUI, sperm banking, semen analysis,and has acquired extensive traing in embryobiopsy. She is known widely for her compe-tence in areas of IVF laboratory routines,Quality Control.The role of an embryologist in the successrate of an infertility procedure, in her opin-

ion, is crucial. “An embryologist has a very re-sponsible job and a simple error on her partwill impact the life of the patient. We have togive our 100 per cent, we have to be fully alertand completely dedicated to our work.” Deal-ing with an embryo is a delicate task and ab-solutely no chances can be taken in terms ofhandling, quality and the attention to detail.Listening to her, one marvels at her constantexcitement and hope in connection with herdiscipline.She is very positive about the future of em-bryology and believes that great advance-ments will happen in this field in the nearfuture. She feels advancement in genetics willhelp a lot in improving IVF success rate.“Screening of embryos will need a lot of skilland patience, miscarriages will be reducedand we will have to be equipped for all situa-tions through continuous learning,” she pre-dicts. But there always be people like her whoare dedicated, deeply involved in the subjectand follow strict discipline in doing their jobthat will maintain the importance of embry-ology in the area of human reproduction andfertility sciences.

Sunita PatwariChief Embryologist, Kolkata

Success in every case is achallenge

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For Rashmi Goenka, it had been a passion tohelp people facing health-related problems.And when she came to know about embryologyas a specialized discipline, she knew this wasthe field for her. She passed her M.Sc. in Clinical Embryologyfrom Leeds University, U.K. with distinction.The topic of her thesis was “Sperm selection forICSI: Conventional method or Hyaluronic Acidbinding method”. She has been working with the Institute ofHuman Reproduction in Guwahati (Assam)since 2004, earlier as Junior Embryologist andlater as senior Embryologist. She keeps con-ducting workshops on IUI and other subjects ofembryology. She does embryo biopsy of allstages confidently. She has done more than 5000IVF/ICSI cycles.She has participated in hands-on workshop inassociation with Sydney IVF, Sydney, Australiaand also with International Society of Andrologybesides having attended several conferences onEmbryology. She finds embryology to be ahighly satisfying field of work, where she feelsshe can provide the greatest joy to people whowant a child. The job itself is very challenging,she says, adding that every patient is a chal-lenge. “We want the patients to be happy and

their dream to come true. It is thrilling for us tobe a part of this process,” she says The role of an embryologist is crucial in the suc-cess of an infertility procedure. She explainsthat the embryologist maintains quality controland is also responsible for collection of gametes,their handling, giving them an apt environmentand culturing the embryos. If there is somethingeven minutely wrong in the work of an embryol-ogist, then the results would be negative.Till date, the most difficult task she handled wasthat of oocyte cryopreservation. “It was a chal-lenge when we started it, but soon we got a hiton it and very good results followed. Amidst allwork, I would say getting a knack on oocyte cry-opreservation is a big achievement,” she saysproudly. Now we are preserving lots of oocytesof unmarried girls (like airhostess, senior execu-tives) who are delaying marriage due to varioussocial and economic reasons. Onco-specialistsare referring young girls who are suffering fromcurable malignancies. Post treatment lots ofthem are free from malignancies but radical sur-geries, chemotherapies or radiation treatmentleave them infertile. Cryo-preservation of theiroocytes before the initiation of treatment givesthem a option of parenthood post onco-treat-ment. She is confident that in the future, lots of ad-vancements will happen since many advancedstudies are going on. “It is a most upcoming andexciting field. Now we are getting on to ovariantissue cryopreservation ,” she says. She feels blessed to have a job that she enjoysdespite the concentration and dedication that itrequires. She derives great satisfaction by payingattention to details, developing technical skills,maintaining high quality and patient motiva-tion. She feels privileged that she is in such afield where she can bring dreams to life.

Rashmi GoenkaChief Embryologist, Guwahati

Whosoever

desires constant

success must

change his

conduct with the

times.Niccolo Machiavelli

“Bringing dreams to life” isher passion

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IVF INDIA - BEST OF THE BEST 2013-2014

Jewels Of The CrownThe Talented Team IHR

Ms Neelam Agarwal has unmatched experience in hospitalmanagement. IHR Kolkata has grown by leaps and boundsunder her able guidance. For her progress isimplementation of value based systems to achieve pre-decided goals of excellence. She enjoys organisingconferences and workshops. She says “during conferenceand meetings when doctors appreciate your work itencourages us to expand and improve further”. She thinksgenetics is the future of IVF and IHR is coming in a big waywith all the latest technologies in genetics so that itremains a front runner in the Fertility Management spacein India.

Neelam AgarwalDirector & CEO, IHR KOLKATA

Dr. Smita DasConsultant Gynaecologist

In-charge Pre Preganancy Clinic

Dr. Pratibha Pasari

Consultant Gynecologist

Dr. Gitali Devi

Consultant Pathologist

Dr. Hirak Jyoti Das

Consultant Pathologist

Dr. N. K. JainCo

nsu

lta

nt

Pe

dia

tric

ian

s

& N

eo

na

tolo

gis

ts

Dr. Rahul Varma Dr. R. K. Agarwala Dr. Ranjan Saikia Dr. D.N. Agarwal

Dr. N. K. AgarwalaConsultant Sonologist

Dr. Prerona SarmaConsultant Sonologist

Dr. Nirupama JoshiConsultant Anaesthetist

Mrs. Ritu GuptaCounselor

Dr. Th. Digel Singh

Reproductive Medicine, Fellow

Dr. Richer Miller SunnReproductive Medicine, Fellow

Dr. Kanchan MurarkaReproductive Medicine, Fellow

Mrs. Mina GoswamiYoga Instructor

Dr. Jitu Mani SarmaYoga Instructor

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• You can fix up an appointment at IHR,Kolkata or Guwahati by contacting us byphone or email.• The first consultation will be with IVF Co-ordinators who will take your history, recordall the previous investigations and treat-ments. Then you will be directed to one of thesenior IVF consultants. All egg pick-ups andEmbryo Transfers (ET) are done by seniorconsultants. With In-house pathology, En-doscopy and sonography services, the couplecan avail of all their investigations at the cen-tre itself.• The fertility treatment cycle begins with a

charted out regimen ofFertility inducing Medica-tions.• All tests are done at afixed time for your con-venience.• We have post-op recovery areas/roomswhere patients rest after day-care procedures.• All confirmatory tests for pregnancy are alsoperformed in-house with same-day reporting.Since we started (IHR) in 1980, our focus hasbeen dedication, innovation, excellence, andcaring. These are the qualities on which ourreputation is and will continue to be based.

About IHR Institute of Human Reproduction

Established in 1980, the main purpose of theInstitute of Human Reproduction popularlyknown as IHR, is to provide comprehensive,personalized quality health care to the infer-tile couples and high risk pregnant patients.Our goal is a happy healthy family with thehelp of modern and conventional infertilitytreatments.The unique super-speciality STATE OF ARTinstitution with its dedicated staff and su-perlative technology in the field of AssistedReproductive Technology(ART), AdvancedEndoscopic Surgery & Genetic Engineering, isone of the premier name in the field of repro-ductive medicine in India and outside India.At IHR, we maintain a very high scientist topatient ratio to make sure your embryos are

very well looked after, ensuring your bestpossible chance of success. They(scientists)are present from the time of egg retrieval tillembryo transfer procedures, making surethat their (embryos)environment is just per-fect from the moment the egg leaves the bodytill the moment it is returned to the uterus.Our scientists also put a lot of time into re-search aspects of infertility and IVF (test tubebaby technology). IHR is one of the very fewfertility treatment centres in India that pri-marily funds ongoing research into the ad-vancement of IVF technology. We feel thatthis aspect of IHR is just as important as themedical treatment of patients in our care. Itensures that our patients have the benefit ofthe very latest in knowledge and technology.

Why Choose IHRWe frequently read about new ART and en-doscopy centers. It is becoming increasinglydifficult for the patient to decide who canprovide them best care.

What should you look for in any IVF clinicbefore choosing it?• How old is the infertility management cen-tre? ( the hospital may be very old but mayhave started infertility services recently). • How much experience the doctor has intreating infertility? (very important, a verysenior O&G practitioner may have very littleexperience of infertility management and

vice versa. A young practitioner may havespecialized his carrier in infertility manage-ment only).• What culture system they are using: impor-tant things are Triple gas incubator, micro-drop culture, sequential media?• Do they have inhouse embryologists?• Do they have the relevant infrastructure andtechnology in place?

In simple words, you should look for an expe-rienced infertility specialist (irrespective ofage) and an infertility clinic with advancedtechnology and in house embryologists.

The Treatment Process

Success is a

science; if you

have the

conditions, you

get the result.Oscar Wilde

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If everyone is

moving forward

together, then

success takes

care of itself.Henry Ford

IVF INDIA - BEST OF THE BEST 2013-2014

Treatment FacilitiesInstitute of Human Reproduction (IHR) of-fers a comprehensive range of infertilityservices under one roof, and we are knownfor our innovation, integrity, medical andtechnical excellence, personalized service,and consistent willingness to accept pa-tients facing the most difficult medicalchallenges. The center has all the facilitiesrequired to deliver a full range of servicesto couples requiring assistance in conceiv-ing. This ensures that patients are requiredto visit only one site for all stages of theirdiagnosis and treatments.

SERVICES OFFERED:

1. Routine Laboratory Investigations2. All hormones Assays3. Sonography including Trans Vaginal Sonography (TVS)

4. Hysterosalpingography (HSG with Digi-tal X-Ray).5. IUI ( Intrauterine Insemination)6. Donor Insemination (DI/TID/AID)7. IVF-ET (Test Tube Baby)8. ICSI (Intra Cytoplasmic Sperm Injection)9. TESA (Testicular Sperm Aspiration)10. Laser Assisted Hatching11. Oocyte Donation12. Surrogacy13. Semen, Egg (oocyte) and Embryo

Cryopreservation 14. Habitual Abortion Clinic15. Sexual Dysfunctions (Infertility related)

Laparoscopy/Hysteroscopy Surgeries:All advanced Laparoscopic and Hystero-scopic surgeries are performed at IHR.1. Diagnostic Hysteroscopy2. Myomectomy 3. Cystectomy 4. Adhesiolysis 5. Uterine Synechia 6. Septum Resection 7. Laparoscopic creation of Neovagina

Genetic Services1. CVS (Chorionic villi Sampling)2. Amniocentesis3. Preimplantation Genetic Screening(PGS)4. Preimplantation Genetic Diagnosis(PGD)

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Man needs his

difficulties

because they are

necessary to

enjoy success.Abdul Kalam

Surrogacy is an arrangement in which a womanagrees to carry a pregnancy that is geneticallyunrelated to her and her husband, with theintention to carry it to term and hand over thechild to the genetic parents for whom she isacting as a surrogate. The first report of a babybeing born by IVF surrogacy was in theyear1985. The earliest mention of naturalsurrogacy is in the Old Testament of the Bible.

WHO CAN BENEFIT FROM SURROGACYAlthough majority of infertility causes can beremedied through conventional medical andsurgical treatments or In Vitro Fertilisation (IVF)but there are conditions where surrogacy giveswomen a chance to raise children. Theseconditions are:• Women whose ovaries are producing eggs butthey do not have uterus. Their uterus may havebeen removed (hysterectomy) or they were bornwithout a uterus. This is the most commonindication for IVF Surrogacy.• Women who have suffered repeatedmiscarriages and are deemed to have little or nochance of carrying a child to term.• Women who suffer from medical problemssuch as severe heart and kidney diseases, severediabetes and in whom a pregnancy would be lifethreatening. • Repeated failure of treatment by IVF. • Women with congenital defects.• Couples in same sex relationship (gay) takerecourse to this treatment.

GUIDELINES FOR FOREIGN NATIONALSVISITING INDIA FOR COMMISIONINGSURROGACYAll Foreign national intending to visit India forcommissioning surrogacy must comply withfollowing guidelines instituted by the Ministryof External Affairs, Government of India:1. Foreign nationals visiting India forcommissioning surrogacy must apply under theappropriate visa category. 2. The appropriate visa category will be amedical visa failing which Foreigners will beliable for action for violation of visa conditions.It will also be necessary in such cases to ensurethat the surrogate mother is not cheated.Therefore, such a visa may only be granted if thefollowing conditions are fulfilled:-i) The foreign man and woman are duly marriedand the marriage should have sustained at leastfor two years. ii) A letter from the Embassy of the foreigncountry in India or the Foreign Ministry of thecountry should be enclosed with the Visaapplication stating clearly that (a) the country

recognizes surrogacy and (b) the child/childrento be born to the commissioning couplethrough the Indian surrogate mother will bepermitted entry into their country as abiological child/children of the couplecommissioning surrogacy. iii) The couple will furnish an undertaking thatthey would take care of the child/children bornthrough surrogacy. iv) The treatment should be done only at one ofthe registered ART clinics recognized by ICMR,the list of such clinics will be shared with MEAfrom time to time. v) The couple should produce a duly notarizedagreement between the applicant couple andthe prospective Indian surrogate mother. 3. If any of the above conditions are not fulfilled,the visa application shall be rejected. 4. Before the grant of visa, the foreign coupleneeds to be told that before leaving India fortheir return journey ‘exit’ permission fromFRRO/FRO would be required. Before granting‘exit’ , the FRRO/FRO will see whether theforeign couple is carrying a certificate from theART clinic concerned regarding the fact that thechild/children have been duly taken custody ofby the foreigner and that the liabilities towardsthe Indian surrogate mother have been fullydischarged as per the agreement. A copy of thebirth certificate(s) of the surrogatechild/children will be returned by theFRRO/FRO along with photocopies of thepassport and visa of the foreign parents. 5. It may be noted that for drawing up andexecuting the agreement cited at Para 2 (v)above, the foreign couple can be permitted tovisit India on a reconnaissance trip on touristvisa, but no samples may be given to any clinicduring such preliminary visit.

Surrogacy

Two of ou

r curren

t surroga

tes

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“Success is not

final, failure is

not fatal: it is the

courage to

continue that

counts.” Winston Churchill

IVF INDIA - BEST OF THE BEST 2013-2014

“IHR is one of the few centres in India to have a Class 10,000 IVFlaboratory. At Institute of Human Reproduction, we perform morethan 600 fertility related surgeries, 1000 laprascopic surgeries andmore than 2000 IVF cycles per year.”

IHR started infertility & endoscopy management in early

1980’s, when this whole ART science was very much in

infantile stage around the world. This makes Institute of

Human Reproduction (IHR) the pioneer in infertility &

endoscopy management.

Followings were started for the first time in North East India:

1981: Started IUI in Azoospermic patients using Donor

semen.

1982: Started Diagnostic Laparoscopy

1983: Started Diagnostic Hysteroscopy

1984: Started Microsurgery in Reproduction.

1991: Delivered first SIFT (Semen Intra Fallopian Transfer)

Baby.

1992: Delivered the First IVF-ET (Test Tube Baby).

1994: Delivered the first GIFT (Gamete Intra Fallopian

Transfer) Baby.

1996: Delivered First ICSI Test Tube Baby.

1997: Achieved First TESE-ICSI pregnancy.

1997: Opened first Semen Bank.

1998: Started LASER Assisted Hatching.

2001: Organized the prestigious 7th ISAR Congress.

2005: Opened “Institute of Child Health”.

2008: Delivered and successfully sent home the smallest

baby girl of NE India on 14/10/08; weighing 700 gms

2009: Successful delivery of a baby with the help of PGD to a

parent who had recurrent pregnancy loss.

2010: Successful normal pregnancy to Thalassemia Minor

wife and Homogygous Hb_E husband through PGD.

2012: Successfully delivered baby from cryopreserved

Oocyte.

2013: 3D Laparoscopic Hysterectomy.

OURFIRST’S

Our First test tube baby was born in 1992. The patient was 52 years old, and was the

eldest lady to conceive at that time which gave us a lot of presscoverage and our name was introduced in the Limca Book of

Records and remained there for three years for this feat.

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A great secret of

success is to go

through life as a

man who never

gets used up. Albert Schweitzer

(1875 - 1965)

IHR, GuwahatiEstablished in 1978, the main purposeof the Institute of Human Reproduc-tion, popularly known as IHR, is toprovide comprehensive, personalizedquality health care to the infertile cou-ples & high risk pregnant patients. The unique Super-specialty, STATE OFART hospital with its dedicated staffand superlative technology in the fieldof Advanced Endoscopic Surgery, As-sisted Reproductive Technology (ART)& Genetic Engineering, IHR is one ofthe premier name in this field in Indiaand outside India.Pioneer in infertility and endoscopymanagement, IHR started when thiswhole science was in nascent stageand since then has achieved remark-able milestones in the field. Being thefirst amongst a few in India, to start di-agnostic Laparoscopy, diagnostic Hys-teroscopy, microsurgery inreproduction and IUI in Azoospermicpatients using donor semen.IHR Guwahati is a 40,000 sq feet Hi-tech facility with over 10,000 sq feetdedicated to fertility services whereover 1500 IVF cycles are done everyyear; a team of 12 gynecologists withfacilities of critical care obstetric serv-ices a in house blood bank and 4000deliveries a year. IHR has a team of 8paediatricians with facilities of NICUand PICU. Out of six OTs, two are ded-icated to Laparoscopic surgeries. Theyare equipped with the latest Storzequipments where about 1000 laparo-scopic surgeries are done every year.IHR has full time Anaesthetist, Pathol-ogist & Sonologist. The IVF Lab hastwo full time embryologist, 3 incuba-tors including one G 185ST, 2 stereo-scopic zoom microscopes, 2 ICSIstations (Eppindrof & Narshinge),Laser assisted hatching machine of RI& facilities for cryopreservation ofsperms, eggs & embryos.What makes IHR different is that all fa-cilities are available under one roofstarting from investigation, IVF proce-dure, post IVF pregnancy and babycare. Our goal is a happy, healthy fam-ily with the help of modern and con-ventional infertility treatments.

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ihr

15

Always bear in

mind that your

own resolution

to succeed is

more important

than any one

thing. Abraham Lincoln

IVF INDIA - BEST OF THE BEST 2013-2014

IHR, KolkataSpread across 12,000 sq feet, IHR, Kolkatawas started in 2007 and boasts of the latestin equipment and expertise. For infertilitytreatment all facilities are available for thetreatment of infertile couples under oneroof. We offer IVF, ET, ICSI, Surrogacy, An-drology, Cryopreservation of eggs, spermsand embryos & PGS. All diagnostic facilitiesare available in house. All biochemistry,Hormones (including AMH) and culturesare in-house. There is a digital x-ray ma-chine with painless procedure for Hysteros-alpingography and an advancedLaparoscopic surgery unit.We have an ultra modern IVF laboratorywith 3 incubators (two Minc bench top andone from Forma Scientific, one OlympusSZX16 stereoscopic Zoom microscope, oneICSI station from NARISHIGE with OlympusIX-71 microscope. All work stations are in-side vertical laminar airflows to maintaingood air quality. Lab Air quality is also main-tained by Coda Tower Filters. Air quality isfrequently checked by VOC counters. Thereare four tables for IUI and three tables forEmbryo Transfer procedures.In addition we have three operation the-aters: One dedicated to IVF, one for lapro-scopic surgery and one for otherprocedures. We have three USG machines:one dedicated to IVF – OT, one (Volution S6)for fetal anomaly scans with 3D and 4Dprobes and one for routine sonography.Our laparoscopy O.T is well equipped withlatest instruments from Storz. All advancedlaparoscopic surgeries like myomectomy,chocolate cyst, hysterectomies are done. All facilities are available under one roofstarting from investigation till completion ofIVF. A full team of gynecologists take care ofpost IVF pregnancy.Our vision is dedication, personalised careto all patients and the best success rates.Regular quality controls are done at everystep in IVF lab.Outstation and overseas patients can booktheir appointments on line. Their travel andhotel stay, local sightseeing can be arrangedby our travel partner. One of our patient re-lationship executive will be assigned to thepatient to take care of her queries.At IHR - Kolkata we do about 600 IVF cyclesin a year. 60% of them are donor egg cycles.We do about 5 surrogate cycles and 600 IUIcycles every month.

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ihr

Stop seeing the

obstacles you

face as reasons

why you can't do

something. See

them as a reason

why you can.

And celebrate

your success on

a daily basis. Ali Vincent

Printed & Published by Sanjay Paul for Gauravi Creative Media (P) Ltd., from Flat No 9, 2nd Floor, Claudina Apartments, Xelpem, Duler, Goa. and Printed by him at

M.P. Printers, B-22, Phase II, Noida - 201305, U.P. Editor: V. Bhargava. FOR FREE DISTRIBUTION ONLY.

Editorial Contributors: Bhawana Pandey Agnihotri, Praveena. Consultant Editor: Ratan Mani Lal. Editor: V. Bhargava

Photographers: Utpal Barua, Guwahati; Prabir Mukherjee, Kolkata. Photo Editor: Preeya Patil

Contact Us

INSTITUTE OF HUMAN REPRODUCTIONIHR COMPLEX,Bharalumukh,Guwahati- 781 009, Assam, INDIAPhone: +91- (0)361- 2482619, 2482621,98641 03333Email: [email protected]

IHR HOUSE,47, Syed Amir Ali Avenue,Kolkata – 700019, WB, INDIAPhone: (033) 2290 4455/56Mobile: +91-9903836224Email: [email protected]

Websites: www.ihrindia.com, www.ihrivf.netwww.surrogacyihrindia.com

Dr. M.L Goenka and Mrs. P.D. Goenka with Dr. Prof.Curt Semm (Father of Laparoscopic Surgery) & Dr.Prof. L. Mettler, at Kyoto , Japan 1994.

Dr. M.L Goenka attending a Seminar on IVFat BOURNE-HALL Clinic, CAMBRIDGE, U.K, 1989.

Dr. M.L Goenka with Dr Robert Jansen of Sydney IVF ata Symposium on Infertility and Genetics at IHR, Guwahati in1996.

Dr. M.L Goenka with Dr. S.C Nag (Head of the Dept. ofReproductive Medicine, Singapore University) during aWorld Congress on Endoscopy held at Singapore, 1994.

Dr.M.L Goenka and Dr. Deepak Goenka with WHO rep-resentative, Dr. Daniel Frankin (South Africa) for aWorkshop on Seminology,organised at IHR in 2002.

Dr. M. L. Goenka with the first test tube baby of North -East India born in 1992 at IHR, Guwahati.

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