"We are the centre with highest IUI pregnancy rates and have more than 8000 IUI pregnancies at our credit."

fellowship course in Infertility & IVF- 6

Curriculum for the fellowship course in Infertility & IVF- 6 months

(Dr. Nagori’s Institute for infertility and IVF, Ahmedabad)
  • What is Infertility
  • Embryology of female genital tract
  • Anatomy of female Genital tract
  • Hormones in reproduction:
    • Role of Estrogen
    • Role of Progesterone
    • Role of FSH
    • Role of LH
    • Role of AMH
  • Pituitary hypothallamo ovarian axis
  • Patient counselling
  • Physiology of Ovulation
  • Causes of Infertility – diagnosis
  • Anovulation – definition
    • Types
    • Causes
    • Treatment of each
  • Polycytsic ovarian diseases – pathophysiology
    • Diagnosis in adolescent & in adult
    • Hormonal parameter
    • Ultrasound
    • Metabolic component
    • Management strategies – depending on the aim of treatment
    • 2018 ESHRE consensus and guidelines for diagnosis and treatment of PCOS
  • Poor Ovarian reserve
    • Causes
    • Bologna criteria
    • Diagnosis
    • Management strategies
    • Assessment of ovarian reserve – different tests accuracy
    • Practical importance

Uterine causes of infertility

  • Congenital uterine anomalies:
    • diagnosis
    • Treatment of strategies
    • Outcome of pregnancy
  • Uterine pathologies and fertility prognosis

Tubal cause of Infertility

  • Causes
  • Diagnosis
  • Pregnancy prognosis
  • Management

Cervical causes of Infertility

  • What is the importance
  • Does it exist in presence of ART?

Ovulation induction methods For IUI /For IVF

  • Oral ovulogens
  • Different gonadotrophin protocols
  • Role of down regulators
  • Agonist/ Antagonist
  • Role of LH in ovulation Induction
  • Role of progesterone in ovulation induction
  • Luteal phase assessment
    • Abnormal luteal phase
    • Causes
    • Management

Ovulation Trigger – hCG/agonist

Implantation:

  • Physiology of implantation
  • Causes of implantation failure
  • Recurrent implantation failure
  • Investigations & diagnosis
  • Management strategies
  • New endometrial receptivity tests

IUI – Intra uterine insemination

  • Indication
  • Success rates – present results
  • Optimising results

Male factors of Infertility

  • Spermatogenesis – physiology
  • Anatomy of male reproductive tract
  • Hormonal assessment
  • Normal semen parameters
  • Abnormal semen parameters
  • Causes of oligoasthenospermia & teratozoospermia
  • Treating abnormal sperm parameters
  • Surgical treatment of male Infertility – PESA/TESA, Varicoccoelectomy, surgical techniques for obstructive azoospermia
  • Medical management of male infertility
  • Genetic factor of male infertility

IVF – In vitro Fertilization

  • Clinical aspects
  • Anaesthesia
  • Ovum pickup
    • Method
    • Variation
    • Complication
  • Embryo Transfer
    • Method
    • Alternatives – mock transfer, catheter types, ultrasound guidance
    • Change in results
    • Complication

Embryology aspects of IVF

  • Embryo development
  • Gamete handling techniques
  • IVF
  • ICSI
  • Assisted Hatching
  • IMSI
  • Segmentation of IVF
  • Genetics in Infertility
  • Role of stem cells in reproduction
  • Newer methods – mitochondrial transfer
    • Stem cell in infertility
    • Ovarian regenesis
    • Endometrial regenesis
    • PRP
    • GCSF

Setting up IUI Laboratory

  • Setting up IVF laboratory – about the instruments – choices
  • Maintenance of the IVF & IUI lab equipment
  • Cleansing of IUI lab/IVF lab – maintenance
  • Role of Ultrasound in Infertility Management
    • For dose decision
    • For trigger , Timing of IUI
    • Luteal phase assessment
  • Ovarian hyper stimulation syndrome
    • Diagnosis
    • Monitoring
    • Treatment protocols