Social responsibility and community welfare are the cornerstones of the vision of the Mouwasat Group for Medical Services. From this vision and to achieve the dreams of thousands of patients who want to have children, the Fertility Unit was launched in 2011 at Al-Mouwasat Hospital in Dammam. This step was taken to provide solutions and treat infertility diseases and delayed childbearing as part of the group's strategy to integrate its services with community concerns.
The Fertility Unit is operated by a group of medical competencies and skills in the Department of Obstetrics and Gynecology and the treatment of infertility diseases, in addition to the presence of specialists and technicians in the Department of Radiology, embryo laboratories, nursing, and other important support services. The unit is managed by distinguished administrative competencies in the medical sector.
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 with full privacy
- Waiting areas for men and women
- Independent hospital room
The Mouwasat Company takes into account the sensitivity of the subject and its privacy in our local community and therefore is keen to ensure that the fertilization assistance program is fully credible and confidential.
The center's treatment options vary to include the following:
Intrauterine vaccination (IUI)
During this treatment procedure, the semen sample taken from the husband is prepared and injected into the wife's uterus after washing and concentrating it in the laboratory using a thin and soft catheter inserted through the cervix. This method is used to overcome the problem of mucus in the cervix, unexplained infertility, ejaculation disorders, and problems. This is the best way to ensure that the semen gets as close to the egg as possible at the time of ovulation.
This simple treatment method is suitable for women whose fallopian tubes are open and healthy, and to ensure that the desired result is obtained, the following advice and instructions must be followed:
- It is imperative to take the medicine for two weeks after the injection
- A pregnancy test should be performed two weeks after the injection
- Avoid stress, and this does not mean that you need to stay in bed
- An introductory video about the IVF device
- Avoid stress, and this does not mean that you need to stay in bed
This term refers to the process of placing the egg and sperm together outside the body and providing an incubating environment within certain conditions that ensure fertilization occurs. After the fertilization and when the division begins, the "embryo" is transferred to the uterus using a transfer catheter, and this method is used in the case of obstruction or irregularity of the fallopian tubes. The menstrual cycle or relative weakness in terms of sperm count, movement, or shape.
Fertilization outside the body by ICSI
This is a process in which a sperm taken from the husband is inserted into the endoplasm of the ovum under the conditions of the fertilization assistance laboratory, using microscopic procedures that include microscopic enlarging the egg and the use of a microscopic needle. This method is used in the case of low sperm count and quality or the case of sperm taken from testicular tissue, weakness of the ovaries (such as the presence of a cyst in the ovaries), the presence of blockages in the fallopian tubes, the absence of a clear reason for the delay in pregnancy, and also in the case of genetic examination of the fetuses.
Sperm is extracted from the epididymis using a fine needle aspiration in some cases of male infertility, and this is symbolized by the TESA procedure, and in the event that no sperm is obtained through the needle, a small surgical incision is made in the scrotum to take a small amount of testicular tissue to search for Semen, through a procedure called (TESE)
How is the treatment course in the case of IVF?
- There is a series of tests, each of which must take place at a specific time, and these steps are called "protocol" or "program".
- Initially, the ovaries are stimulated through a hormone injection program, according to the doctor's opinion, and this program differs from one patient to another.
- Monitoring the development of the egg with ultrasound, with or without blood tests, to determine the woman's response to the injection and to avoid ovarian hyperstimulation syndrome (OHSS).
- After observing the development of the egg and its formation, a so-called explosive needle is given 34 to 36 hours before the egg is extracted.
- The egg retrieval process is a simple process that can be performed under general anesthesia or sedation in case of awakening, in a special operating room attached to the embryology laboratory.
- The retrieved eggs are washed and placed in a nutrient medium in a special incubator. Next, embryologists follow a series of chronological steps to choose the sperm to be injected into the egg. The next morning the fertilized eggs are stored in the incubators. After that, the best embryos are selected for transfer in the womb after two, three, or five days.
- Embryo Transfer (ET): This is a painless procedure and does not require anesthesia. Usually, two or three embryos are transferred to the uterus through a soft catheter. This is done by using ultrasound with the bladder being full until the best results are obtained.
- Laser embryo wall hole (ASSISTED HATCHING): This process is done by using a laser beam to make a specific hole in the outer layer so that the embryo is allowed to exist in order to increase the implantation rate.
Laser-assisted nesting conditions:
- The wife must be at least 38 years old.
- The embryo housing is very thin.
- Failure to implant after 3 or more cycles.
- Transfer of embryos after freezing - defrosting.
- After the embryo transfer: The wife is required to take daily medication until the pregnancy test (B-HCG), after two weeks. The patient may not engage in any stressful activities or intercourse until the test result is known.
- Embryo Freezing: Spouses can freeze surplus embryos after the transfer. These frozen embryos provide a second or third chance for pregnancy without the need to stimulate the ovaries and extract eggs. The technology we use for rapid freezing is called "VITRIFICATION". However, we cannot guarantee that the embryos will continue to live after freezing and defrosting.
- In vitro fertilization is discontinued in the following cases:-
- Low ovarian response to stimulation.
- Ovarian over-response to stimulation (hyperstimulation).
- Not being able to extract sperm from the husband.
- Failed fertilization, or the embryos not continuing to plunge into the uterus and grow.
Reasons for performing a genetic test:
- Old age
- Repeated failure of fertilization attempts
- Repeated miscarriages
- The presence of genetic diseases in the family