MEET THE TEAM
DR. SONIA MALIK
DGO, MD, FICOG, FIAMS Dr. Sonia Malik is a renowned IVF specialist practicing in the National Capital Region, India. She is the Founder & Director of the IVF centre brand - Southend Fertility & IVF. She earned her MBBS & MD degrees from Maharishi Dayanand University, Rohtak in the years 1973 & 1979 respectively. She was always intrigued by challenges of conception since her college years & much of her career has focused on finding solutions to the same. With growing interest in modern immunology and endocrinology, she went for an observership in IVF to the Alta Bates Centre California, USA under Dr Chetskowasky in 1996 and 1998. She became one of the first trained IVF professionals in the country. She founded her first IVF centre in 2001 and is now successfully running two independent units along with many labbased services for Hospitals. She is also a pioneer in the work towards understanding Genital Tuberculosis and presently is a key resource person in the country for the disease and its cure. She is a member of the task force for research in Genital Tuberculosis at the Indian Council of Medical Research and is currently in the process of partnering with the government for the same.
DR. AVTAR KRISHAN
DIRECTOR & H.O.D (ANAESTHESIA) Dr Avtar Krishan, is a senior Anesthesiologist bringing with him over 20 years of experience. After completion of his MD from Rohtak Medical College, he joined Moolchand Hospital, New Delhi. However soon enough he received the opportunity to join the Iranian health services. He grew from being a Consultant to Head of the Department. With eight successful years of practice, he returned back & started his own private practice. Working with almost all eminent hospitals in South Delhi he became a sought after Anesthesiologist by all. In 2001 along with his friend & colleague, Dr. Sonia Malik, he founded Southend Fertility IVF centre.
DR. VANDANA BHATIA
MD, Sr. Consultant Gynae & IVF Dr. Bhatia graduated from Govt Medical College Patiala, Punjab (1989 – 1994). She did her post graduation in Obstetrics & Gynaecology from Dayanand Medical College, Ludhiana, Punjab (1996-1998). She worked with the Govt of Punjab from 1999-2001 as a gynaecologist & then did her senior residency in gynaecology from P.G.I, Chandigarh. She has been with Southend Fertility & IVF Centre since early 2008.
DR. VED PRAKASH
Dr VED PRAKASH is the senior consultant embryology & IVF lab at the South End Fertility & IVF Center. He did his training in Clinical Andrology under Dr K R Sharma (Andrologist) Rajasthan in 1998. He has a lot of interest in Embryology & Andrology & a rich working experience in SOUTHEND FERTILITY & IVF CENTER for the last 16 yrs. He is an expert in providing Clinical Counseling for Sexual Problems & Infertility. Dr. Ved Prakash is trained for intracavernosal injection for Erectile Dysfunction. He has been doing sperm preparations for IUI & IVF/ ICSI cases successfully, while performing the high end & latest technologies like IVF & ICSI, TESA and PESA in case of Azoospermia. He has had the opportunity to observe and assist in more than 1000 IVF& ICSI cycles in the ART Centre, Army R & R Hospital, Delhi. He underwent National Level Training Programme in IVF and Embryo Co-Culture at Tamilnadu University. Dr Ved Prakash did his Training in IVF and ICSI under the renowned Dr Ethiraj Balaji in Andrology & IVF lab, K K Women’s & Children’s Hospital, Singapore (2007). He pursued his Advanced IVF/ ICSI & Biopsy training at AZ VU Brussels, (Belgium) in 2010.
Southend Fertility and IVF offers a comprehensive infertility management programme under one roof to couples who find problems in having a child. This centre was started in 2001 and has performed consistently well since then. We boast of complete transparency in treatment, compassionate staff, lively environment and promising results. Patients who come back to us after failed cycles are a reflection of confidence and satisfaction in our mode of treatment. Our philosophy is to analyze patient problems and offer the most appropriate therapy – 30 – 40% of the patients therefore do not undergo IVF in our centre. This is contrary to popular belief that patients are always made to undergo IVF in a facility such as ours! The centre today is a perfect blend of academics and ethical clinical practice. It has become popular amongst the medical fraternity for training in infertility management. Our academic achievements have been applauded internationally giving us the honor of being research collaborators with the prestigious Reproductive Research Centre of the Cleveland Clinic, USA since 2008. It is our endeavour to help couples in decision making, make treatment as cost effective as possible for them and advise them to choose other options when successful treatment is unlikely. We welcome you to our facility, stand committed to you and hope you shall enjoy your experience with us.
We welcome all couples from different backgrounds seeking solutions for their infertility and desirous of building families. Our patients include married couples as well as single women and men desiring a family. In addition to individuals with infertility, our patients also include women with recurrent pregnancy loss. We tailor the social and clinical evaluation to each individual situation. Most diseases that cause infertility in the females can be identified and treated. At Southend Fertility, it is our endeavour to help our patients to the utmost by providing them suitable and cost effective forms of treatment. However, on rare occasions we might advise against conception in women whose life-threatening diseases could be aggravated by pregnancy and delivery for instance cancer, severe hypertension and some autoimmune diseases. In these unusual circumstances gestational surrogacy may be an acceptable approach. Our efficient third party programme allows our patients to opt for donor eggs, sperms embryos or even select a gestational surrogate. This family building option helps many patients who are either unable to produce their own gametes or have a problem with their uterus. We do not encourage women to opt for surrogacy merely because they have no time to produce a child! Identifying each patient’s specific problem and finding a suitable solution is the major goal of the initial evaluation at Southend. Some of our patients come with a preconceived notion of how they wish to be treated. Others wisely defer this decision until their evaluation is complete so that we can clearly define their problem and offer options. We understand that it is a desire and not a disease that brings you to us. We stand commited in ensuring the delight of parenthood to you!
Southend Fertility & IVF offers a bouquet of five programmes:
• MALE INFERTILITY
• THIRD PARTY OPTIONS
• RECURRENT PREGNANCY LOSS PROGRAMME
• OVERSEAS PROGRAMME.
ART, an acronym used for “assisted reproductive technology” consists of a comprehensive programme that is offered to couples who are unable to conceive naturally. Assistance can be given to both men and women depending on the cause of infertility. Infertility management involves detailed investigations to reach a logical diagnosis and then specific treatment. Southend Fertility & IVF offers a comprehensive infertility management / ART Programme to all patients. Our facility offers a state of the art laboratory and a team of dedicated clinicians and embryologists to help you overcome your problem. The various treatments/ services offered by us are : IUI, IVF, ICSI and IMSI, TESA, Cryopreservation of gametes and embryos, Third party reproduction.
MALE INFERTILITY PROGRAMME: Women have been always considered to be responsible for procreation. If anything was amiss it was always the woman who was o be blamed. All research focused around the development of medication and technology in female infertility. While such innovations improved successful in female infertility no attention was being given to the male counterpart. However, the last century saw rapid advances in the management of the infertile male both in diagnostics and treatment. WHO gave guidelines for a proper semen examination and based on that treatment is decided. At Southend we have a robust male infertility programme wherein we offer not only the standard testing procedures like semen analysis but also special tests to determine the fertilizing potential and quality of the sperm. This is called the DNA Fragmentation test. Occasionally we find that all sperms in a sample are non – motile but we are not sure of its viability. In such cases we carry out the HOS test. In patients who are azoospermic on testing, we offer testicular fine needle aspiration. If this too does not show sperms in the sample, we proceed to a testicular biopsy. The sample is checked for sperms and if positive, it is frozen or cryopreserved till the wife is readied for ICSI. Men who have mild male factor infertility, can be offered IUI but those that have weak sperms are treated by either IVF or ICSI and recently IMSI.
RECURRENT PREGNANCY LOSS PROGRAMME: At Southend we run a very positive RPL programme. We are the first in the country to discover and promote the fact that RPL may be caused by chronic infections like genital tuberculosis! We also discovered that a majority of recurrent failures whether at implantation or later pregnancy is due to an impaired blood circulation within the pelvis especially the uterus. The cause for this may vary. At Southend, we carry out all tests to rule out the cause of RPL and accordingly treat the patient. In case the patient has a genetic cause, the patient and her husband are informed regarding the defect and counseled regarding future implications. Endocrinal causes like PCOS can also be the reason and needs to be tackled by taking insulin lowering medication.
We are proud to inform that 80% of such cases are benefited.
THIRD PARTY REPRODUCTION:
Third party reproduction refers to the use of oocytes, sperm, embryos or uterus that has been provided to a couple/single individual (called intended parents) by a third person (donor) in order to help them/him or her to become a parent. According to the present Indian guidelines on ART drafted by the ICMR, all donors except the surrogate need to be anonymous to the commissioning couples. The ICMR guidelines also state that this activity of supplying various gametes and surrogates will not be carried out by the IVF centre but separate entities called ART Banks. All the legal issues are also the responsibility of these banks. Once the requirement is fulfilled, it is our duty and responsibility to ensure the medical fitness of the donor. After fulfilling the various formalities the couple and their donor/surrogate is taken into the third party programme. We at Southend adhere to these guidelines even though a formal law is still to come into force. This brings transparency to our system and ensures the confidence of our patients. WHO NEEDS OOCYTE DONATION? • Women without ovaries • Women with premature ovarian failure • Women with cancer of the reproductive system • Post menopausal women desiring a baby • Single men & gays Southend Fertility and IVF runs a successful, cost effective and very practical oocyte donation programme.
• Very high success rates – 70 – 80%
• Personally selected donors.
• Stringent donor screening.
Sperm donation or artificial insemination with donor sperms as it is called is a technique that has been used since the nineteenth century. The process however has been refined down the ages, With the introduction of ICSI and IMSI as optional male infertility treatments, it is primarily offered to patients who cannot afford expensive treatment of where the male is incapable of producing sperms at all.
Who needs sperm donation?
• Azoospermia or no sperms at all.
• Severely subnormal semen parameters
• Persistent failure at IVF/ICSI
• Hereditary disorder
• Single woman & lesbians
Pre-tested prepared samples are provided by the ART banks as specified earlier.
Many times both the partners are incapable of producing gametes but they wish to have the baby themselves rather than adopting one due to societal pressure. Such couples can be offered the option of embyo donation. At Southend , we craft embryos specially for such couples – taking both oocyte donors and sperm donors. Thus, couples have no fear of any legal implication in such pregnancies.
A surrogate is a woman who carries a pregnancy for another couple or woman. There are two types of surrogacy arrangements:
• Traditional surrogacy in which the surrogate is inseminated with sperm from the male partner of the intended parent couple (donor sperm may be used as well) and
• Gestational surrogacy in which the surrogate carries a pregnancy created by transferring an embryo created with the sperm and egg of the intended parents (donor sperm or donor eggs may be used as well). This is also called IVF surrogacy. Majority of surrogacy practiced in India is gestational surrogacy. Surrogacy is an involved process with many steps. Surrogates are supplied by the ART bank, they then undergo rigorous testing for medical fitness. Once the commissioning process is over, the cycles of the commissioning lady and the surrogate are matched and uterine lining is prepared. Embryos are transferred into her when she is ready.
Southend Fertility & IVF also offers viable options to couples who wish to undergo IVF in India. The centre offers affordable ART options using own gametes as well as third party options to these couples. We advise overseas patients to contact us well in advance before their planned travel so that we can organize their treatment for them.