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SPERM ANALYSIS

Semen analysis, also known as a sperm count test, analyzes the health and viability of a man’s sperm. A semen analysis measures three major factors of sperm health:

The number of sperm
The shape of the sperm
The movement of the sperm

+ A semen analysis is used to determine whether a man might be infertile—unable to get a woman pregnant. The test may be used to help determine the cause of a couple’s inability to get pregnant and to help guide decisions about infertility treatment.

SPERM FREEZING

Sperm Freezing refers to the freezing and storage of a man’s sperm. Stored sperm can be frozen indefinitely until needed for assisted reproductive procedures, such as IVF.

+ Who suitable for sperm freezing?
+ You may want to consider freezing your sperm if:
+ You have a condition, or are facing medical treatment for a condition, that may affect your fertility.
+ You are about to have a vasectomy and want sperm available in case you change your mind about having (more) children.
+ You have a low sperm count or the quality of your sperm is deteriorating.
+ You have difficulty producing a sperm sample on the day of fertility treatment.
+ You are at risk of injury or death (for example, you’re a member of the Armed Forces who is being deployed to a war zone).

EMBRYO TRANSFER

Embryo transfer is often considered the simplest and final step of the in vitro fertilization process. Embryos are placed into the uterus of a female with the intent to establish a pregnancy.

+ For females with a large number of eggs due to stimulation of eggs, undergoing ovarian stimulation will increase the hormone level, have a risk of ovarian hyperstimulation and abnormalities in the uterine wall. Your doctor may advice to check the chromosomes of the embryo by dividing the preparation of the uterine wall into two types:
+ 1: Natural Frozen-thawed Embryo Transfer
+ 2: Artificial or Medicated Embryo Transfer

EGG FREEZING

Egg freezing is a method used to save women’s ability to get pregnant in the future. Eggs harvested from your ovaries are frozen unfertilized and stored for later use.

+ Women who are not ready to become pregnant at this time especially when over 35 years old
+ Patients receiving chemotherapy or radiation that affect the number and quality of oocytes
+ People with genetic problems Types that cause ovarian deterioration, such as Turner syndrome, Fragile X syndrome
+ Those who need ovarian surgery such as ovarian cyst, ovarian tumor Chocolate Cyst
+ Those who freeze eggs for donation which is acceptable in some countries
+ In the case of in vitro fertilization treatment, the husband cannot ejaculate. There are no sperm in the semen or the number of sperm is insufficient to fertilization.

IUI

Intrauterine insemination (IUI) is a procedure which prepared sperm is placed in the uterus around the time of ovulation. The semen is prepared to separate fast motile sperm from non-motile sperm.

IUI Process
You’ll lie on an exam table and your doctor will use a speculum (the same tool used in a Pap smear) to gently open the vagina and visualize your cervix.
The sperm will be passed through the cervix and placed into the uterus using a long, very thin tube.
The process takes only a few minutes and is generally painless. You’ll remain reclined on the exam table for 30 minutes following the insemination.
You can return to your normal daily activities after the procedure. Two weeks following IUI, you will take a pregnancy test to see if the procedure was successful.

IVF | ICSI

What is the difference between IVF and ICSI?

In vitro fertilization or IVF is the fertilization that takes place outside the body in almost similar conditions as that in the body. During IVF, mature eggs are collected (retrieved) from ovaries. Collected eggs are then fertilized by selected sperms. Under appropriate temperature and humidity conditions, the strongest sperm will penetrate the egg membrane, then transfer the fertilized egg back to the uterine cavity and let it growing naturally.

The difference between ICSI and other methodologies is that with the ICSI method, we select only one best sperm of the male and one best egg of the female that are perfect for fertilization. After the egg and sperm retrieval, the embryologist will select the healthiest egg and sperm to fertilize by using a microneedle to inject only one best sperm directly into the egg. Once the embryo is mature enough, it will be transferred back into the uterine cavity. ICSI is normally used to help couples conceive when the man has a low sperm count, or where there are abnormalities in the shape or movement of the sperm.
The key difference between IVF and ICSI is how the sperm fertilizes the egg. In IVF, the eggs and sperms are left in a laboratory dish to fertilize on their own. In ICSI, the selected sperm is directly injected into the egg. Because of ICSI, many previously infertile men now have a good chance of fertilizing eggs with their sperm. Therefore, ICSI is more popular than traditional IVF

WHO SHOULD CONSIDER ICSI?

+ Women with blocked or narrowed fallopian tubes

+ Women with severe endometriosis

+ Men with low sperm motility, low sperm count, poor sperm morphology (abnormally shaped sperm)

+ Men with obstruction which prevents sperm release, such as vasectomy

+ Men with vasectomy reversal that was unsuccessful or resulted in a very low sperm count or very poor quality sperm

+ Couples who experiencing failed multiple attempts of IUI cycles

+ People suffering from unexplained infertility with more than 3 years trying to concieve

+ People with genetic conditions

Our Branches

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Orienda Polyclinic

#9A, St466, SangkatTonle Bassak, Khan Chamka mon, Phnom Penh, Cambodia

Orienda International Hospital

#66, Street 31cc, Steung Mean Chey district, Khan Mean Chey, Phnom Penh