Bourn Hall Fertility Clinic in Jumeirah Dubai

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  • Al Hudhaiba Awards Buildings Block C, 7th Floor, Jumeirah, Dubai, United Arab Emirates
  • +97147055055
  • info@bournhall-clinic.ae
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Bourn Hall Fertility Clinic in Jumeirah Dubai

Bourn Hall Fertility Clinic in Jumeirah Dubai – After meeting in 1968, Professor Robert Edwards and Mr. Patrick Steptoe embarked on a journey to overcome types of infertility through the use of laparoscopic surgery by where ovocytes, or eggs, were collected and fertilized within a laboratory. This procedure, and the subsequent transfer of embryos, or fertilised eggs/oocytes, were perfected for nearly 10 years until the groundbreaking birth of Louise Brown in 1978.

Two years later, these pioneers of IVF founded Bourn Hall clinic in Cambridgeshire where couples could come to seek advice and treatment for infertility. In the early days of the clinic the teams there also developed cryopreservation methods allowing embryos to be frozen for later use or for transfer to a surrogate.
As IVF became more widely recognized it faced some opposition and controversy but ultimately emerged as a breakthrough medical treatment. In 2010, Edwards was awarded the Nobel Prize in Physiology and Medicine for the development of in-vitro fertilization. He was knighted in 2011 for his services to human reproductive biology.

Bourn Hall not only led the way for the technology of IVF but also has always placed huge importance on the compassionate care of our patients.

Since being founded in 1980, our clinics have facilitated the births of tens of thousands of babies.

Fertility Treatments

Female Fertility Treatment

IVF – ICSI

In-vitro Fertilisation is an assisted reproduction process whereby eggs are collected from the woman, after hormonal stimulation of the ovaries, and then fertilised in the laboratory with the husband’s sperm.

Sometimes, especially if there is a sperm problem, IntraCytoplasmic Sperm Injection (ICSI) is used in conjunction with IVF to further assist the chances of conception. ICSI involves the the direct injection of a single sperm into each egg, under microscopic control.

The steps involved in IVF may vary from patient to patient depending on the recommended treatment plan but typically involve

• On the final day of ovarian stimulation, usually 36 hours prior to your egg collection, an hCG injection will be given in order to mature the eggs.
• Egg collection under sedation or a mild general anaesthetic typically at the same time as sperm collection.
• Insemination or ICSI typically occurs the day of egg collection.
• Embryo transfer is performed 2-5 days after egg collection, depending on the number and quality of the embryos.
• A blood test to determine pregnancy is performed 14 days after egg collection.

FAMILY BALANCING

Family Balancing allows for parents to determine the sex of their baby if it is important that they add specifically a baby boy or baby girl into their family. Sometimes this is referred to as family balancing. The gender of an embryo can be determined using Pre-implantation Genetic Diagnosis (PGD), although this is usually done to check for genetic abnormalities it can also detect the gender of that embryo.

Choosing to do family balancing, along with your IVF-ICSI doesn’t affect the duration of your treatment. After your egg collection, if the eggs are successfully fertilized, a biopsy is taken from each embryo and tested through PGD. The healthy embryos of the desired gender are then transferred back to the uterus.

The steps involved in IVF may vary from patient to patient depending on the recommended treatment plan but typically involve:

• 10-12 days of ovarian stimulation with the use of hormone injections. Medication types and doses are monitored with regular scans and blood tests throughout this period.
• On the final day of ovarian stimulation, usually 36 hours prior to your egg collection, an hCG injection will be given in order to mature the eggs.
• Egg collection under sedation or a mild general anaesthetic typically at the same time as sperm collection.
• Insemination or ICSI typically occurs the day of egg collection.
• Embryo transfer is performed 2-5 days after egg collection, depending on the number and quality of the embryos.
• A blood test to determine pregnancy is performed 14 days after egg collection.

IUI

Intrauterine Insemination or IUI is a procedure where washed concentrated sperm is placed into the uterus, near the time of ovulation, through a catheter. Minimal medication may be prescribed to stimulate the ovaries and prepare the uterus prior to the insemination.

IUI is a treatment option for couples who have unexplained infertility or very mild factors preventing natural pregnancy. IUI can achieve a high success rate in suitable cases with a recommended four to six cycles. The treatment causes less stress and is lower cost than IVF but does have lower success rates, in general.

The steps involved in IUI may vary slightly but typically involve:

• An ultrasound and blood test early in the menstrual cycle.
• Potential prescription of minimal medication to stimulate the ovaries.
• Further 1-2 scans to asses readiness of follicles.
• Roughly 40 hours prior to your insemination, an hCG injection will be given.
• The semen sample is collected, prepared in the laboratory and then placed inside the uterus using a fine catheter.

GENETIC TESTING

Genetic Testing of embryos is designed to uncover specific genes that could result in a disease or chromosomal abnormalities that could prevent a pregnancy from progressing.

Bourn Hall provides Pre-implantation genetic diagnosis (PGD) and Pre-implantation genetic screening (PGS) testing.

PGD is recommended where there is a known genetic condition present in the family, or if a couple have previously had an affected child. It is possible to test embryos produced in IVF for that particular condition, and only replace those that are normal.

PGS is a less specific test, where embryos are checked for basic chromosome abnormalities (such as Down Syndrome). PGS may be performed in older women, who have an increased risk of abnormality, or in cases where there have been a number of miscarriages in the past.

In both PGD and PGS one or more cells are removed from the embryo after 3 or 5 days of culture and sent to a specialist genetics laboratory for testing. The actual embryos remain safely in the laboratory at Bourn Hall Fertility Clinic until the following day when the test results are received. Only healthy, viable, genetically normal embryos are transferred.

OVULATION INDUCTION

If the woman is not releasing an egg every month, this can often be solved by giving medication to gently stimulate the ovaries. Tablets, such as clomiphene or letrozole can be used and in other cases, hormone injections can be more effective. The effect of the medication used is monitored by performing scans of the ovaries to check follicle development, so that the couple can then plan the best time to try to conceive.

EGG FREEZING

NATURAL CYCLE IVF

MINI IVF

Mini IVF refers to minimal hormone stimulation during the treatment, using lower doses of medication over a shorter period of time. This can be a good treatment option for women who are prone to ovarian hyper stimulation.

The process and steps involved are similar to traditional IVF.

The steps involved in Mini IVF may vary from patient to patient depending on the recommended treatment plan but typically involve:

• 5-10 days of ovarian stimulation with hormone injections or tablets. Medication types and doses are monitored with regular scans and blood tests throughout this period.
• On the final day of ovarian stimulation, usually 36 hours prior to your egg collection, an hCG injection will be given in order to mature the eggs.
• Egg collection under sedation or a mild general anaesthetic typically at the same time as sperm collection.
• Insemination or ICSI typically occurs the day of egg collection.
• Embryo transfer is performed 2-5 days after egg collection, depending on the number and quality of the embryos
• A blood test to determine pregnancy is performed 14 days after egg collection

ENDOMATERIAL SCRATCHING

This is a procedure that involves “scratching” the lining of the uterus with a small instrument that is inserted through the cervix. It is simple to perform and requires no anaesthetic – for many patients, it is rather like having a smear test performed.

Research has shown that, in some women, causing a very minor injury to the inside of the uterus can provoke a healing reaction that may help embryos to attach during IVF/ICSI treatment. It is usually done about one week before the start of the treatment cycle, around cycle day 21, and may be combined with an hysteroscopy, to check for abnormalities of the insider of the uterus.

It doesn’t seem to be helpful in the first cycle of treatment, so this is usually done for patients who have previously undergone unsuccessful IVF at least once. The research is ongoing, however, to identify those who would benefit the most, and more information will become available in time.

REPRODUCTIVE IMMUNOLOGY

At Bourn Hall Fertility Clinic, we perform Reproductive Immunology. This is the study of how the body’s immune system interacts with the process of conception and then pregnancy. There have been a number of research studies suggesting that, in some women, abnormalities of the immune system may make it more difficult to get pregnant, or increase the risk of miscarriage. Much of this is still at the research stage, but many doctors believe it can be helpful to perform some immune tests, especially in patients who

• have previously had unsuccessful IVF/ICSI treatment
• suffer from conditions known have associated immune problems, such as rheumatoid arthritis, SLE and thyroiditis
• have previously had a number of unexplained miscarriages, early in pregnancy

If an abnormality is identified, treatment may be given in the form of steroid tablets, or with infusions of Intralipid, which is a mixture of fats and soya-based protein, given intravenously. This may increase the chance of a successful pregnancy occurring in appropriate cases.

Male Fertility Treatments

PESA

TESA / TESE

If your semen analysis shows that you do not have sperm within your ejaculate, there are different methods of surgically retrieving the sperm, which is sometimes referred to as Surgical Sperm Retrieval (SSR).

Testicular Sperm Aspiration (TESA) and Testicular Sperm Extraction (TESE) are both methods of SSR where sperm is retrieved from the tissue in a man’s testis. TESA uses gentle suction through a small needle while TESE involves taking a larger tissue sample from an incision. Both procedures are minor day surgeries and should be done before beginning an IVF cycle.

MICRO TESE

Micro TESE stands for Microsurgical Sperm Retrieval from the Testicle and involves an incision in the scrotum through which both testicles can be seen. During this procedure the doctor will examine several areas of the testicles to check for abnormalities and identify the presence of sperm. This procedure is usually applicable if other Surgical Sperm Retrieval (SSR) techniques have been unsuccessful.

SPERM FREEZING

Sperm freezing, also referred to as sperm banking is a method of preserving sperm cells.

Sperm freezing is ideal for men who want to delay parenthood until a later stage in life or for men who plan to undergo certain types of medical treatments that could impact their sperm quality. Sperm may also be frozen as a backup during their fertility treatment.

Semen is collected through ejaculation or surgically assisted retrieval like TESA or TESE, it is then analysed and the sperm cells are frozen. These frozen sperm samples can be stored in the laboratory for later use in an Intrauterine Insemination (IUI) or In-Vitro Fertilisation (IVF).

TESTICULAR MAPPING

Testicular Mapping is a minimally invasive procedure during which a fine needle is placed in different areas of the testes to obtain small samples of testicular fluid. This fluid is then examined to find the most favourable areas for sperm to be retrieved from.

SEMEN ANALYSIS

A semen analysis is a vital part of any infertility assessment because in almost 50% of couples there is a problem with either the sperm quality or sperm count which may prevent a pregnancy from occurring. Semen analysis evaluates the amount and quality of a man’s semen and sperm including:

• Motility – movement of the sperm
• Morphology – percentage of sperm with normal shape
• Count – the number of sperm present in one sample

In order to obtain the best result with a semen analysis, it is recommended that the sample be provided after abstaining from sexual activity for two to five days.

VASECTOMY REVERSAL

Vasectomy reversal is a microsurgical operation during which the tubes (vas deferens) that were cut during vasectomy are reconnected in order to allow natural conception. The success of the vasectomy reversal is typically dependent on the amount of time that has passed since the vasectomy.

Patients should be aware that even when the vasectomy reversal is successful and the ability to release sperm in the ejaculate returns, sometimes the sperm is unable to fertilise an egg and IVF may also be required.

MICRO VARICOCELECTOMY

A varicoceles is a collection of enlarged veins within the scrotum. It may begin to cause reproductive issues if the valves within the testes cause blood to pool within the scrotum. This pooling of blood affects the circulation and temperature of the testes, leading to decreased motility and poor morphology. As many as 15% of the general population have a varicoceles. If large, it may cause discomfort but often there are no symptoms.

A varicocelectomy is a procedure to remedy enlarged veins. It involves a microsurgical procedure in which swollen veins are tied off while preserving the normal blood vessels. Varicocelectomy is a highly successful procedure and can result in a spontaneous (natural) pregnancy.

HYDROCELECTOMY

A hydrocelectomy or hydrocele repair is a surgical procedure, which can correct the accumulation of peritoneal fluid in the front and sides of the testes.

Fertility Diet

When it comes to getting pregnant, the saying “you are what you eat” rings true. What you eat can affect everything from your blood cells to your hormones. However, it can take up to three months for any dietary changes to take place, but if you’re already trying to conceive don’t worry — it’s never too late to make some changes. Read on for tips on getting your diet into baby-making shape.

DRINK ALCOHOL SPARINGLY

An occasional glass of wine or bottle of beer probably won’t hurt your odds of conceiving. Just make sure you aren’t pregnant when you drink alcohol. Alcohol can harm a developing fetus. That means the time to avoid alchohol is between ovulation and menstruation, and the best time to have a worry-free drink is the day you get your period.

That said, if you have irregular cycles (which can make it harder to know when you’re ovulating) or generally have trouble conceiving, play it safe and avoid alcohol altogether. Although studies of alcohol’s effects on fertility are inconclusive, some do show a slight link between drinking and difficulty conceiving. When Danish researchers looked at 430 couples trying to have their first child, they found that women’s ability to get pregnant decreased as more alcohol was consumed. Women who had fewer than five drinks a week were twice as likely to get pregnant as those drinking ten drinks a week.

RETHINK REFINED CARBOHYDRATES

Lots of refined carbohydrates, like white bread, pasta, and white rice, won’t directly lower your likelihood of getting pregnant but they will shortchange your body.
The refining process strips 17 key nutrients from grains. Among those lost are several that boost fertility, such as antioxidants, B vitamins, and iron. A woman trying to conceive should pack her diet with as many nutrient-rich foods as possible and whole grains are a great place to start.

You should aim for about 6 ounces of whole grains a day. That’s roughly the equivalent of a bowl of cereal for breakfast, a couple of slices of whole wheat sandwich bread at lunch, and a serving of whole wheat pasta for dinner.

If you have polycystic ovary syndrome (PCOS), the most common cause of infertility in women, pay extra attention to whole grains. PCOS is a hormonal imbalance that can get worse when insulin levels in the bloodstream surge. The main culprits behind big insulin spikes are refined carbohydrates, insulin flows into the blood, feeds back to the ovaries, and can lead to irregular ovulation.

EAT YOUR GREENS, AND REDS, AND YELLOWS

Fruits and vegetables not only deliver a wealth of vitamins and minerals, they also overflow with free-radical-busting micronutrients, like phytochemicals and antioxidants. Free radicals are harmful molecules that sneak into the body on the heels of everything from sunlight to car exhaust and can damage the ova, sperm, and reproductive organs.

Buy brightly colored fruits and vegetables, like blueberries, red peppers, and kale. The more vivid the hue, the more nutrient-packed the produce. Restock your fruit bowl and produce bin weekly, and aim for eating about 2 cups of fruit and 3 cups of veggies a day.

CURB CAFFEINE

The research on whether caffeine can affect fertility is mixed. Experts generally agree that low to moderate caffeine consumption (less than 300 mgs a day or about two 8-ounce mugs of coffee) won’t get in the way of getting pregnant. But you might want to cut out caffeine altogether if you’re having difficulty conceiving or undergoing in vitro fertilization, caffeine restricts blood vessels, slowing blood flow to the uterus and potentially making it harder for an egg to grab hold.

Eliminating all caffeine at once can cause nasty headaches. So if you decide to kick your caffeine habit completely, you might want to do so gradually. Every day, replace a little more of the caffeinated brew in your cup with decaf, until you’ve weaned yourself. Once you are used to life with little or no caffeine, you may find steamed milk with a shot of flavored syrup a nice coffee substitute — and the calcium will do your body good.

BE PICKY ABOUT FISH

If reports of high mercury levels have you steering clear of seafood, it’s time to reconsider. Your body needs omega-3 fatty acids for optimal fertility, and fish is the best source. Even so, the news about mercury contamination in fish can be scary. Mercury is toxic to a developing fetus and can linger in a woman’s bloodstream for more than a year.

The good news is that not all fish contain the same amount of mercury. The U.S. Food and Drug Administration (FDA) says that women trying to conceive can safely eat up to 12 ounces a week of low-mercury fish, such as shrimp, canned light tuna, salmon, or catfish. The FDA advises avoiding canned white tuna as well as fresh or frozen swordfish, tilefish, king mackerel, tuna steaks, shark, orange roughy, Spanish mackerel, marlin, and grouper, because they have the highest mercury levels.

If you’re a vegetarian or a vegan, or you just don’t like fish, try flaxseeds. Flaxseeds are the richest plant-based source of omega-3 fatty acids and are easy to find in health food stores. Buy the seeds, grind them in a coffee grinder, and sprinkle them on cereal or toast or add them to a smoothie. If you’re in a rush, buy a bottle of flaxseed oil and drizzle 1 tablespoon a day over salad, popcorn, or a baked potato. (Just don’t cook with flaxseed oil; the heat destroys its beneficial nutrients.)

PUMP UP ON IRON

Fill your body’s iron reserves before you get pregnant, especially if your periods are particularly heavy, bleeding every month is a constant source of iron depletion.
Load up now; because once you’re pregnant your body has difficulty maintaining its iron stores. The fetus uses the mineral for development and gets its supply from you. Furthermore, too little iron at the start of pregnancy puts you at risk for postpartum anemia — a condition affecting 27 percent of new mothers that causes your red blood cells to fall below normal and zaps your energy level.

If you don’t eat much red meat or you follow a vegetarian or vegan diet, take a multivitamin with iron. And, to be on the safe side, ask your healthcare provider to test your blood for anemia.

BEWARE OF LISTERIA

Listeria is a harmful bacterium found in ready-to-eat meats, soft cheeses, and unpasteurized dairy products. Pregnant women are 20 times more likely than other healthy adults to get sick from eating listeria-laced food. Those trying to conceive should also be on alert because listeriosis (the infection caused by listeria) can cause a miscarriage early in the first trimester — possibly before you even know you’re pregnant.

To kill listeria, heat high-risk foods in the microwave until they’re steaming hot. To reduce bacteria growth on leftovers, set the refrigerator’s temperature at 40 degrees or below. Discard any food that’s been at room temperature for more than two hours. Foods to avoid completely: Raw sushi, refrigerated smoked seafood (like lox), soft cheese made from unpasteurized (raw) milk, and other unpasteurized dairy products.

DON’T PANIC OVER PROTEIN

Faddy diets and fertility don’t mix. Avoid any diet that excludes an entire food group or puts too much emphasis on one type of food, Instead, aim for two to four servings of up to 3 ounces of protein a day, including fish, lean meats, nuts, and legumes.

FILL VOIDS WITH VITAMINS

Getting all the nutrients you need for fertility from food alone is difficult .It’s a good idea to take a prenatal vitamin or regular multivitamin. Although prenatal vitamins will give you the key nutrients you need, they may be more expensive and they can be harder on your stomach because they contain higher levels of nutrients than a regular multivitamin. (Some experts suggest taking your prenatal vitamin right before bedtime to help ward off an upset stomach.)

If you decide to take an over-the-counter multivitamin instead of a prenatal vitamin, be sure to follow these important guidelines:

• Make sure it doesn’t contain more than the recommended daily allowance of 770 mcg (2,565 IU) of vitamin A, unless it’s all in a form called beta-carotene. Getting too much of a certain kind of vitamin A can cause birth defects. (The kind that occurs naturally in food is safe, so you don’t have to worry about overdoing it by eating foods rich in vitamin A.)
• Look for a multivitamin with at least 400 micrograms of folic acid. This B vitamin protects babies from neural tube birth defects such as spina bifida. It’s especially important to get enough folic acid before you get pregnant, because your baby’s neural tube will form just three to four weeks after conception, when many women don’t even realize they’re pregnant.
• Choose a multivitamin that also delivers a healthy dose of vitamin B12. Preliminary evidence hints that B12 deficiency may also play a role in some neural tube defects. Because vitamin B12 is found primarily in animal-based foods, women who rarely eat meat or follow a strict vegetarian or vegan diet should either look for a multivitamin that delivers the entire B12 recommended daily allowance (2.4 micrograms) or consider a B12 supplement.

If you’re unsure what to take, ask your healthcare provider to recommend a supplement for you.

Infertility Factors

Female Infertility Factors

• PCOS
• Endometriosis
• Recurrent Miscarriage
• Secondary Infertility
• Irregular Menstrual Cycle
• Diminished Ovarian Reserve
• Fibroids, Polyps and Adenomyosis

Male Infertility Factors

• Obstructive Azoospermia
• Non-Obstructive Azoospermia
• Retrogade Ejaculation
• Oligospermia
• Varicocele

Success Rates

Bourn Hall Fertility Clinic is proud to have leading IVF success rates. We are committed to providing the latest and most proven clinical treatment programs to help you achieve a successful pregnancy.

Your Fertility Specialist will explain your chances of success, taking into consideration your type of infertility, your age and type of treatment. Assisted Reproductive Technologies (ART) procedures have progressed rapidly since their development and so have the associated success rates.

Success rates can be affected by many factors, including:

• Genetic factors
• Fertility history
• Age of the male and female partner
• Lifestyle factors including weight and smoking
• Conditions contributing to infertility
• Quality of eggs and number of eggs recovered
• Quality of sperm (including motility and ability to penetrate the egg)

OUR IVF LAB

Bourn Hall Fertility Clinic Dubai, features the region’s only “clean room” laboratory, ensuring patients’ embryos are cared for in the optimum environment. The laboratory, constructed in accordance with the highest international standards, provides safe and supportive storage and development of embryos, increasing the likelihood of a positive outcome. What is even more special about our lab is that it is the only fertility clinic in the region offering an extraordinary level of transparency, where couples can watch all procedures being performed in real time.

Bourn Hall Fertility Clinic

Al Hudhaiba Awards Buildings
Block C, 7th Floor
Jumeirah, Dubai, nited Arab Emirates

Toll Free: 800-IVF (483)
Telephone: +971 4 705 5055
Email address: info@bournhall-clinic.ae

CLINIC OPENING HOURS:

Sunday: 08:00 – 18:00
Monday: 08:00 – 20:00
Tuesday: 08:00 – 18:00
Wednesday: 08:00 – 20:00
Thursday: 08:00 – 18:00
Friday: Closed
Saturday: 08:00 – 14:00

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