The Advanced Centre for Reproductive Medicine (ACRM) provides services in the area of womens’ and mens’ health with special dedication to the management of infertility and laparoscopic surgery.

The services offered at ACRM include:

Andrology

Andrology – is the medical specialty that deals with men’s fertility, particularly relating to the problems of the male reproductive system and treatment of male infertility.

Artificial Insemination

Artificial insemination or AI is just one of the options that may be considered prior to attempting more involved treatments, such as IVF. AI is a relatively simple procedure that involves injecting a sample of specially treated sperm from the husband into the wife’s reproductive tract.

Assisted Reproductive Technology (ART)
  • ICSI (Intracytoplasmic Sperm Injection) – ICSI is a highly specialized laboratory procedure developed to help infertile couples due to male factor infertility where there are abnormalities in the number, quality, or function of the sperm. The term ‘Intracytoplasmic Sperm Injection” refers to the direct injection of a single sperm into a mature egg of the female. Today, this is the method of choice except in cases where the egg quality of the female is extremely poor.
  • PESA (Percutaneous Epididymal Sperm Aspiration) – This is a non-invasive method of sperm recovery and has excellent potential for patients who have had a vasectomy and do not wish to undergo reversal, or patients who have had an attempted reversal which has failed. In percutaneous epididymal sperm aspiration sperm are aspirated through a fine needle that is placed into the epididymis.
  • TESA (Testicular Sperm Aspiration) – This is a surgical sperm retrieval procedure used in fertility treatment for men who have no sperm in their ejaculate. The extraction of sperm is achieved through a fine needle inserted into the testes. Where this is not successful, then a microsurgical testicular biopsy is done.
  • AH (Assisted Hatching) – The assisted hatching procedure involves thinning or making a small hole in the shell that surrounds the embryo (a protective layer) to improve implantation rate.
  • ET (Embryo Transfer) – This is the placement of embryos into the uterus using a fine catheter.
Cryopreservation

This involves the freezing and storage of sperm and embryos for future use.

Drug Treatment

For: Ovulation Induction, Infertility Diseases, Hormone Treatment & Regulation, HRT.

  • Ovulation Induction – The use of medication to promote ovulation in women who normally do not ovulate or ovulate very irregularly.
  • Infertility Diseases – Drug treatment for various types of diseases causing infertility.
  • Hormone Treatment & Regulation – Using hormonal drugs as part of the regime to correct infertility.
  • HRT – Advice on use of Hormone replacement therapy (HRT).
Gynaecological Care

General medical and surgical care for women’s diseases, especially relating to their reproductive organs.

Hormone Analysis

Reproductive hormone tests (female) and comprehensive semen analysis (male).

Infertility Consultation

Consultation & advice for all infertility related matters.

Microsurgery / Minimal Invasive / Laparoscopic (Key-Hole) Surgery
  • Laparoscopic Myomectomy – Removal of fibroids (myomata) both large and small through laparoscopy.
  • Laparoscopic Ovarian Cystectomy – Removal of all ovarian cysts e.g dermoid, endometriotic etc.
  • Laparoscopic Endometriosis Surgery
  • Bilateral Tuboplasty – The surgical repair of both damaged fallopian tubes to treat infertility.
  • Laparoscopic Varicocoelectomy – Using keyhole surgery to ligate the varicose veins that drain blood from the testes to improve sperm quality for men associated with varicocoeles and poor semen quality.
  • Testicular Biopsy – The removal of small testicular tissue from men with very poor sperm production and the isolation of sperm for ICSI.
  • Vas Epididymis Exploration – Exploratory surgery to check for blockage of sperm flow.
General Obstetrics
  • Prenatal Diagnosis
  • Antenatal Care
  • Delivery of Babies (Normal & Caesarean Section)
  • Postnatal Care
Surgery

To correct diseases of the female reproductive organs as well as the correction of problems causing infertility by laparoscopic and hysteroscopic surgery.

Obstetrical Ultrasound Services

Ultrasonography has proved invaluable for monitoring pregnancy in a variety of ways, including identification of foetal anomalies, detection of the baby’s position and placental location and determination of the baby’s sex.

Ultrasonography procedures include:

Assessment and Evaluation

  • First trimester evaluation
  • Second and third trimester anatomical assessment
  • Prenatal diagnosis

Screening

  • First and Second trimester Down syndrome screening
  • Miscarriage and ectopic pregnancy screening
  • Multiple pregnancy screening
  • Foetal anomaly screening
Gynaecological Ultrasound Services

Applications of Gynaecological ultrasound include general screening of women for:

  • Ovarian, uterine, and tubal pathology evaluation
  • Follicular monitoring
  • Sonohysterography

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