The Centre de Fertilité de Madagascar

The “Centre de Fertilité de Madagascar” (CEFERMAD) has been founded in 2014 by Doctor RAKOTOBE ANDRIAMARO, gynecologist-obstetrician, from the University of Bologna – Dep. Medecine (Italy) and University of Paris VI – Dep. Medecine (France).

It is a center specialized in Assisted Reproductive Technology, based in Madagascar. Since 2014, specialists leaded by Doctor RAKOTOBE ANDRIAMARO have been aiming to help couples to achieve their family goal.

By visiting the fertility Centre of Madagascar, you can find answers to all your questions about fertility: the doctors specialized in reproductive medicine help you to better understand your situation.

A diagnosis, a prognosis regarding your chances of having a child and a treatment proposal are elaborated with you. The biologist plays an essential role in the development of the diagnosis and in the determination of the therapeutic choice, in synergy with the other Dr RAKOTOBE ANDRIAMARO.

In some cases of infertility that require the uses of ART techniques like Intra-uterine Insemination, In Vitro Fertilization, Intracytoplasmic Sperm Injection, Embryo-Transfer, our specialists are prepared.

We have a team of biologists, embryologists, gynecologists, anesthetist, urologist, all prepared to use their knowledges and skills to make sure all treatment for every couple work fine.

The necessary equipment for the practice of Assisted Reproductive Technology techniques is all available in the clinic. The disposition of the premises allows the members of the multidisciplinary team to work in excellent conditions and to exchange all the clinical information in a direct way.

The quality service of a clinic doesn’t depend only on an efficient treatment. A compassionate team and moral support make the difference. The emotional and psychological aspect is also considered to reduce the stress that patients may experience before, during and after treatment Dr RAKOTOBE ANDRIAMARO.

A Step-By-Step Look at the IVF Process

When you think of common fertility treatments, in vitro fertilization (IVF) probably appears near the top of your list. There’s a reason for that.

IVF has been around for decades and you most likely already know the basic idea behind IVF: uniting egg and sperm outside the body in a culture. But there’s so much more to IVF that happens before and after that. Here’s a closer look at the IVF process in five steps.

IVF is commonly used to treat:

Older women with fertility issues
Women with damaged or blocked fallopian tubes
Women with endometriosis
Male infertility caused by low sperm count or blockage

The IVF Process in Five Steps by Dr RAKOTOBE ANDRIAMARO

Boost your egg production through superovulation

You’ll be given fertility drugs that will begin a process called stimulation — or superovulation, says the National Institutes of Health (NIH). In other words, the drugs — which contain Follicle Stimulating Hormone — will tell your body to produce more than just the normal one egg per month Dr RAKOTOBE ANDRIAMARO.

The more eggs you produce, the more chances you’ll have of a successful fertilization later on in the treatment.

You’ll receive transvaginal ultrasounds and blood tests on a regular basis during this step in the IVF process to check on your ovaries and monitor your hormone levels.

Remove the eggs

A little more than a day before your eggs are scheduled to be retrieved from your body, you’ll receive a hormone injection that will help your eggs mature quickly.

Then, you’ll have a minor surgical procedure — called follicular aspiration — to remove the eggs. This is generally done as an outpatient surgery in your doctor’s office, according to the NIH.

During the procedure, your doctor will use an ultrasound to guide a thin needle into each of your ovaries through your vagina. The needle has a device attached to it that suctions the eggs out one at a time.

If this part sounds painful, don’t worry — you’ll probably be given medication beforehand so that you won’t feel any discomfort. You may experience some cramping afterward, but this usually disappears within a day, the NIH explains.

Collect sperm from your partner or a donor

While your eggs are being removed, your partner will provide a sperm sample. You also may choose to use donor sperm. The sperm are then put through a high-speed wash and spin cycle in order to find the healthiest ones.

Unite sperm and eggs – The Centre de Fertilité de Madagascar

Now comes the part of IVF that everyone’s the most familiar with — combining the best sperm with your best eggs. This stage is called insemination.

It usually takes a few hours for a sperm to fertilize an egg. Your doctor may also inject the sperm directly into the egg instead, a process known as intracytoplasmic sperm injection (ICSI).

Transfer the embryo(s) into your uterus – The Centre de Fertilité de Madagascar

Once your eggs have been collected you’ll receive yet another medication. This one is meant to prep the lining of your uterus to receive the embryos that will be transferred back into you.

About three to five days after fertilization, your doctor will place the embryos in your uterus using a catheter. Like step number three, this part of IVF is performed in your doctor’s office while you are awake.

Multiple embryos are transferred back into you in the hopes that at least one will implant itself in the lining of your uterus and begin to develop. Sometimes more than one embryo ends up implanting, which is why multiples are common in women who use IVF.

The IVF process basically replicates natural reproduction. The next step after the IVF process determines whether the procedure worked — the pregnancy test.

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