Eight pathways — one philosophy.

The complete cycle, performed end-to-end within the centre. Controlled ovarian stimulation with daily morning monitoring (scans and oestradiol), trigger at the optimal follicle stage, transvaginal retrieval under short anaesthesia, and embryology in our own laboratory under tightly maintained conditions. Embryo transfer is timed to the cohort — usually day 3 or day 5 — with sustained luteal-phase support after.

A single, carefully selected sperm placed directly into each retrieved egg under high magnification. IMSI adds a further morphology-selection step at very high magnification, useful in selected severe-male-factor cases. ICSI is also added to cycles where fertilisation has failed previously despite apparently normal parameters.

A first, gentler step that fits a meaningful number of couples. Sperm is washed, concentrated and placed into the uterine cavity at the optimal hour of ovulation, paired in many cases with monitored mild ovulation induction. We are honest about the per-cycle odds and about when to move on.

For situations where ejaculate sperm is unavailable, we retrieve directly from the epididymis (PESA) or the testis (TESA) under local or short general anaesthesia. The retrieved sperm is used immediately for ICSI, with surplus cryopreserved when possible to spare future procedures.

Vitrification (rapid freezing) for fertility preservation. Used for oncology patients facing gonadotoxic treatment, for elective preservation, and routinely for the storage of surplus embryos in a fresh IVF cycle so they can be transferred in a subsequent natural or programmed frozen-embryo transfer cycle (FET) when the uterine environment is most receptive.

Coordinated donor-egg, donor-sperm, and surrogacy cycles. We provide counselling for both partners ahead of the decision, manage donor selection through registered banks, and adhere fully to the requirements of the ART (Regulation) Act, India, and the Surrogacy (Regulation) Act, India. This is the most involved pathway — we walk it slowly.

The most common reason couples first visit. A complete diagnostic workup: ovarian-reserve assessment (AMH, antral-follicle count), hormone profile, tubal patency study (HSG or hysterosalpingo-contrast sonography), and a current semen analysis. Where indicated, we proceed to diagnostic hysteroscopy or laparoscopy. The output is a written, prioritised plan — not a cycle quote.

Diagnostic and operative laparoscopy and hysteroscopy — performed by Dr. Vijayalakshmy personally. This includes endometriosis excision (a long-standing clinical interest), fibroid management, ovarian cystectomy, tubal surgery and adhesiolysis. Where the indication is fertility-related, the surgical plan and the reproductive plan are designed together, not in sequence.