One-day certificate course:

• History, examination and investigation of male and female partner.
• Counselling of an infertile couple
• Indications of IUI
• Ovulation Induction with oral ovulogens, gonadotrophins.
• Role of Antagonist in IUI protocol.
• Role of  Insulin sensitizers, aromatase inhibitors.
• Follicular study using Trans vaginal ultrasound scan.
• Role of ultrasound and doppler to improver IUI result.
• The ultrasound-based decision on stimulation protocols
• Triggering in IUI, – What to use for trigger and when to Trigger.
• IUI technique to improve outcome
• Medical management of male infertility
• How to set up IUI lab and take ART level 1 Registration.
• Semen preparation techniques- live demonstration and hands on practice.

Program Highlights:

The course consists of an extensive theoretical and practical training on infertility related ultrasound, clinical aspects of IUI, Lab aspects of IUI, Laboratory techniques and protocols of IVF embryology, and clinical aspects of IVF and ICSI.  The course has been designed to satisfy the need for the complete training in IVF and infertility, but it can also be divided according to the candidate’s special needs for only ultrasound or ultrasound and IUI, or only IVF

Day 1 Wednesday 9.30 AM to 3.30 PM (Ultrasound in Infertility)

• 9.30-12.00: Live demos and case to case discussion.
• 12.00-1.00: Systematic transvaginal scan technique- b mode and Doppler image.
• 1.00-1.45: Lunch
• 1.45–3.30: Congenital uterine anomalies, Acquired uterine anomalies

Day 2 Thursday 9.30 AM to 3.30 PM (Ultrasound in Infertility)

• 9.30-12.00: Live demos and case to case discussion.
• 12.00-1.00: Role of ultrasound in PCOS.
• 1.00-1.45: Lunch
• 1.45–3.30: Baseline scan and deciding the stimulation protocols for IUI and IVF

In PCOS, Preovulatory Scan and deciding the time of hCG and time of IUI, Luteal phase assessment, prevention and management of OHSS.

Day 3 Friday 9.30 AM to 3.30 PM (Ultrasound in Infertility)

• 9.30-12.00: Live demos and case to case discussion.
• 12.00-1.00: Differential diagnosis of adnexal lesions related to infertility.
• 1.00-1.45: Lunch
• 1.45-3.30: Tubal assessment, Ectopic pregnancy- diagnosis and management, summary and queries.

Day 4 Saturday 10:00 AM to 4:00 PM (Andrology – Preparation & Practical IUI)

• 10.30 – 12.45: Lab Setup and IUI Preparation Techniques hands on.
• 12.45- 1.30: Lunch.
• 1.45 – 3.30: Ovulation induction, Optimizing IUI, Medical Management in Male Infertility.

Day 5 Sunday – Holiday

Day 6 Monday 10.00 AM to 4.00 PM (Embryology)

• 10.30 – 12.30: IVF Lab Introduction + live demos ovum picks up.
• 12.30- 1.15: Ovum Pick up Theory.
• 1.15- 2.00: Lunch.
• 2.00 – 4.00: Stimulation Protocol for IVF, Role of Agonist & Antagonist, LH in IVF stimulation.

Day 7 Tuesday 10.00 AM to 4.00 PM

• 10.30 – 12.30: Basic Embryology
• 12.30- 1.15: Embryo Transfer Theory.
• 1.15- 2.00: Lunch
• 2.00 – 4.00: Implantation Failure. PGT-A, PGT- M, PGT- SR

Day 8 Wednesday 10.00 AM to 4.00 PM

• 10.30 – 12.30: Embryology essentials presentation and observing embryos.
• 12.30- 1.15: Fetal reduction Theory.
• 1.15- 2.00: Lunch.
• 2.00 – 4.00: Semen Analysis, Surgical Management of Male Infertility.

Day 9 Thursday 10.00 AM to 4.00 PM

• 10.30 – 12.30: live demos of embryos transfers. And difficult embryo transfer.
• 12.30- 1.15: Endometriosis and IVF
• 1.15- 2.00: Lunch.
• 2.00 – 4.00: RPL, Counselling, Controversies in IVF.

Curriculum for the observership course in Infertility & IVF- 3 month

• Infertility overview- Definition, male and female infertility
• Anatomy of the female genital tract
• Physiology of ovulation and menstruation
• Endocrinology of Assisted reproductive technology.
• Patient counselling
• Female infertility – History, examination and Investigations
• WHO criteria for Anovulation.
• Polycystic ovarian diseases – pathophysiology
• PCOD- Diagnosis, Hormonal evaluation.
• Poor Ovarian reserve and poor ovarian responder

Causes of POR, Role of FSH and LH receptor polymorphism

Pre treatment in Poor Responder.

 Causes Female of infertility

• Congenital uterine anomalies:
  • Diagnosis
  • Treatment of strategies
• Uterine pathologies and fertility prognosis
• Ovulation dysfunction and Anovulation
• Tubal Factor- Tubal Block, Hydrosalpinx and management.

Male factors of Infertility

• Anatomy of the male reproductive tract
• Hormonal assessment
• Normal semen parameters
• Abnormal semen parameters
• Causes of oligoasthenospermia & teratozoospermia
• Treating abnormal sperm parameters
• Medical management of male infertility

Surgical Sperm Retrieval– TESA, TESE, PESA, PESE, Micro TESE

IUI – Intra uterine insemination

• Indication
• Success rates – present results
• Optimizing results

Different protocol for Ovulation induction methods For IUI /For IVF

• Oral ovulogens
• Different gonadotrophin protocols
• Long protocol with GnRh Agonist.  Short antagonist protocol
• Novel Simulation protocols
• Protocol for Poor responder.
• Role of LH in ovulation Induction
• PPOS- Progesterone prime Ovarian stimulation.

Ovulation Trigger – When to give trigger. What to give for hCG/agonist

Ovum Pick Up

Technique of ovum Pick Up.

Difficult Ovum Pick up.

Luteal Phase Support-

LPS for IUI

LPS for Fresh Transfer in IVF. LPS for Frozen Embryo Transfer.

Ovarian hyperstimulation syndrome

• • Diagnosis
  • Monitoring
  • Treatment protocols

Freez all Cycle, OHSS free Clinic–

Techniques of endometrial preparation

HRT FET , Natural Cycle FET

Embryo Transfer

Step by step technique for ET

USG guided Embryo transfer

Difficult ET. Role of Mock ET, Catheter Types,

Complication

Embryology aspects of IVF

• Embryo development
• Gamete handling techniques
• IVF
• ICSI
• Assisted Hatching
• IMSI
• Segmentation of IVF

Genetics in IVF

Role of PGT-A, PGT- M, PGT- SR

Setting up IUI & IVF Laboratory

• Setting up IVF laboratory – about the instruments – choices
• Maintenance of the IVF & IUI lab equipment

Curriculum for the observership course in Infertility & IVF- 3 month

• Infertility overview- Definition, male and female infertility
• Anatomy of the female genital tract
• Physiology of ovulation and menstruation
• Endocrinology of Assisted reproductive technology.
• Patient counselling
• Female infertility – History, examination and Investigations
• WHO criteria for Anovulation.
• Polycystic ovarian diseases – pathophysiology
• PCOD- Diagnosis, Hormonal evaluation.
• Poor Ovarian reserve and poor ovarian responder

Causes of POR, Role of FSH and LH receptor polymorphism

Pre treatment in Poor Responder.

 Causes Female of infertility

• Congenital uterine anomalies:
  • Diagnosis
  • Treatment of strategies
• Uterine pathologies and fertility prognosis
• Ovulation dysfunction and Anovulation
• Tubal Factor- Tubal Block, Hydrosalpinx and management.

Male factors of Infertility

• Anatomy of the male reproductive tract
• Hormonal assessment
• Normal semen parameters
• Abnormal semen parameters
• Causes of oligoasthenospermia & teratozoospermia
• Treating abnormal sperm parameters
• Medical management of male infertility

IUI – Intra uterine insemination

• Indication
• Success rates – present results
• Optimizing results

Different protocol for Ovulation induction methods For IUI /For IVF

• Oral ovulogens
• Different gonadotrophin protocols
• Long protocol with GnRh Agonist.  Short antagonist protocol
• Novel Simulation protocols
• Protocol for Poor responder.
• Role of LH in ovulation Induction
• PPOS- Progesterone prime Ovarian stimulation.

Ovulation Trigger – When to give trigger. What to give for hCG/agonist

Ovum Pick Up

Technique of ovum Pick Up.

Difficult Ovum Pick up.

Luteal Phase Support-

LPS for IUI

LPS for Fresh Transfer in IVF. LPS for Frozen Embryo Transfer.

Ovarian hyperstimulation syndrome

• • Diagnosis
  • Monitoring
  • Treatment protocols

Freez all Cycle, OHSS free Clinic–

Techniques of endometrial preparation

HRT FET , Natural Cycle FET

Embryo Transfer

Step by step technique for ET

USG guided Embryo transfer

Difficult ET. Role of Mock ET, Catheter Types,

Complication

Embryology aspects of IVF

• Embryo development
• Gamete handling techniques
• IVF
• ICSI
• Assisted Hatching
• IMSI
• Segmentation of IVF

Setting up IUI & IVF Laboratory

• Setting up IVF laboratory – about the instruments – choices
• Maintenance of the IVF & IUI lab equipment