Mouwasat Fertility Unit

 

 

 

Mouwasat Fertility Unit

Social responsibility and community welfare are cornerstones of the vision of the Mouwasat Group for Medical Services. To realise the dreams of thousands of patients, the Fertility Unit was established in 2011 at the Mouwasat Hospital in Dammam to offer solutions and treatments for infertility and delayed reproduction. This was based on the group's strategy to integrate its services with community concerns

The Fertility Unit provides a number of medical services in the area of obstetrics and gynecology, infertility treatment, radiology, embryology, nursing and other key support services.

The unit consists of:

  • Fully equipped ambulances

  • Screening clinic

  • Imaging acoustic waves

  • Laboratory equipped with the latest international technological standards

  • Operating theatre equipped with international standards

  • A rehearsal room that takes privacy into account

  • Waiting areas for men and women

  • Independent hospital room

 

Treatment options at Mouwasat Fertility Unit

Many options of treatment offered after complete investigations that may include:

  • Blood test

  • Ultrasound

  • Hystero Salpingography

  • Laparoscopy

  • Hysteroscopy

  • Semen Analysis

Mouwasat Hospital takes into account the sensitivity and specificity of the fertility issue in our local community and is therefore keen to ensure that the Fertilisation Assistance Program has full credibility and confidentiality.

Our doctors are also aware of the specificity of each case and its uniqueness and therefore, different tests are performed on the husband and wife in order to determine the best treatment in accordance with the condition and circumstances:

  • Blood tests.

  • Semen analysis.

  • Ultrasound.

  • Imaging of uterus and trumpet.

  • Endoscopy, uterus and abdomen.

  1. Intrauterine vaccination (IUI)

In this therapeutic procedure, the sperm sample taken from the husband is processed and injected into the woman's womb after being washed and concentrated in the laboratory using a thin and soft catheter through the cervix. This procedure is used to solve the problems of cervical mucus, unexplained infertility, and simple problems with the sperm as a way to ensure the arrival of semen is as close as possible to the site of the egg at the time of ovulation.

This type of simple treatment is suitable for women whose fallopian tubes are open and healthy. To ensure the desired result, the following tips and instructions must be followed:

  • The drug should be taken for two weeks after the injection.

  • The pregnancy test should be performed two weeks after the injection

  • Avoid stress, this does not mean you have to stay in bed

       2.  Fertilisation outside the body

This term refers to the process of placing the egg and sperm together outside the body and to provide an incubator environment within certain conditions to ensure fertilisation. After fertilisation and at the beginning of division, the embryo is transferred to the uterus using a transport catheter. This method is used if the fallopian tubes are blocked, a woman has an irregular menstrual cycle or a man has a relative weakness in sperm count, movement or shape.

       3. Fertilisation outside the body by ICSI

This is a process in which a sperm taken from the husband is inserted into the egg follicle under the conditions of the fertilisation assistance laboratory, using microscopic processes involving microscopic magnification of the egg and the use of a microscopic needle. This method is used in the case of low sperm count and poor sperm quality or when sperm has been taken from a testicular tissue, the woman’s ovaries are weak (such as polycystic ovaries), blockage of fallopian tubes, or where there is no apparent cause for pregnancy delay, and in cases of genetic examination of embryos.

      4. Surgical extraction of sperm

In some cases of male infertility, the sperm from the epididymis is extracted using a thin needle, symbolised by TESA. If no sperm is obtained through the needle, a small incision is made in the scrotum to take a small amount of testicular tissue to search for semen, through a procedure called (TESE).

What is the course of treatment for fertilisation outside the body?

• There are a number of tests where each test takes place at a specific time: these steps are called "protocol" or "program".

• Under the doctor’s direction, the ovary is first activated by the hormone injection program, and this program varies from patient to patient.

• The development of eggs is monitored with or without blood tests to determine the response of women to injections and avoid Ovarian Hyperhidrosis Syndrome (OHSS).

• After monitoring the development of the egg and its form, the “explosive” needle is administered before the egg is extracted for about 34 to 36 hours.

• Egg extraction is a simple procedure that can be performed in a special operating theatre attached to the embryology laboratory, under general anaesthesia or when resting.

• The oocytes are washed and placed in a nutrient medium within a special incubator. Next, the embryologists follow a series of chronological steps to select the sperm to be injected into the egg. The next morning, fertilised eggs are kept in incubators. The embryos are then selected after two or three days or five days for transmission to the uterus.

• Embryo transfer (ET): This is a painless procedure that does not require anaesthesia. Some embryos are normally transferred through a soft catheter into the uterus. This is done by using ultrasound and filling the bladder for the best results.

•SUPPORTED TREATMENT: This procedure is performed using a laser beam to create a hole in the outer layer of the egg cell, so that the embryo can exit to increase the implantation rate.

  Conditions for using laser-assisted nesting:

       • The patient must be at least 38 years old

       • The envelope should be very thin

       • Failure to implant after 3 or more cycles.

       • Transfer of pastry after freezing - remove the frozen food.

After the transfer of embryo: The wife must take medication every two weeks until the pregnancy test (B-HCG). Women should not engage in stressful activities or marital intercourse until the result of the test is known.

• Freezing embryos: The couple can freeze excess embryos after transmission. These frozen embryos provide a second or third possibility of pregnancy without the ovaries needing to be activated and eggs extracted. The technology we use for rapid freezing is called "VITRIFICATION". However, we cannot guarantee that embryos will live on after freezing.

• In vitro fertilisation is discontinued in the following cases:

  • Low ovarian response to activation.

  • Hyperactive reaction of the ovaries to activation (hyperactivity).

  • Inability to extract sperm from the husband.

  • Fertilisation fails, or the embryos no longer enter the uterus and grow.

Genetic tests

  • Advanced age

  • Repeated failure of enrichment experiments

  • Double abortion

  • Genetic disorders in the family

Contact us: 
Tele. +966 13 8200000
Ext. 2660, 2661