Our Services
Comprehensive fertility solutions powered by advanced science and delivered with compassion
In-Vitro Fertilization (IVF)
The gold standard in assisted reproductive technology
What is IVF?
In-Vitro Fertilization (IVF) is an advanced reproductive technique where eggs are retrieved from a woman's ovaries and fertilized with sperm in a controlled laboratory environment. The resulting embryos are cultured for 3–5 days before the healthiest one is transferred into the uterus. IVF bypasses many natural barriers to conception and is considered the most effective form of assisted reproductive technology available today.
Who is IVF Recommended For?
- Women with blocked or damaged fallopian tubes
- Couples with unexplained infertility after other treatments have failed
- Women with ovulation disorders, endometriosis, or diminished ovarian reserve
- Men with mild to moderate sperm abnormalities
- Couples who have undergone failed IUI cycles
- Women over 38 seeking fertility treatment
- Patients requiring genetic screening of embryos (PGT)
How IVF Works — Step by Step
Fertility medications stimulate the ovaries to produce multiple eggs over 8–14 days, monitored via ultrasound and blood work.
A minor surgical procedure performed under light sedation. A fine needle guided by ultrasound extracts eggs from the ovarian follicles (20–30 minutes).
Eggs and sperm are combined in a culture dish in our ART laboratory. Fertilization is confirmed 16–18 hours later.
Embryos are cultured in a precisely controlled incubator for 3–5 days, reaching the blastocyst stage for optimal implantation potential.
The best-quality embryo is gently transferred into the uterus via a thin catheter — a painless procedure taking about 5 minutes.
A blood test (beta-hCG) is performed 10–14 days after transfer to confirm pregnancy. Surplus embryos may be frozen for future use.
Success Rates
IVF success rates depend on age, diagnosis, and embryo quality. At leading centres like Maa IVF, success rates average 40–50% per cycle for women under 35, 30–40% for ages 35–37, and 20–30% for ages 38–40. Multiple factors including lifestyle, uterine health, and embryo quality influence outcomes.
What to Expect at Maa IVF
At Maa IVF Assam, our IVF protocols are personalized for each patient. Dr. Dewan will conduct a thorough evaluation — including hormone tests, ultrasounds, and semen analysis — before recommending a tailored stimulation protocol. Our advanced embryology lab, led by experienced clinical embryologists, ensures your embryos receive the best possible care. You'll have direct access to your medical team throughout the process, and our support staff is available for any questions or emotional support you may need.
Intracytoplasmic Sperm Injection (ICSI)
Precision fertilization for complex male infertility
What is ICSI?
ICSI is a specialized form of IVF where a single, carefully selected sperm is injected directly into the cytoplasm of a mature egg using a precision micromanipulation needle. Developed in 1992, ICSI revolutionized the treatment of severe male factor infertility and has since become one of the most widely used ART techniques worldwide.
Who is ICSI Recommended For?
- Men with very low sperm count (oligospermia — below 15 million/mL)
- Men with poor sperm motility or abnormal morphology
- Couples with previous IVF fertilization failure
- Men who have undergone surgical sperm retrieval (TESA/MESA)
- Patients using frozen sperm or surgically retrieved sperm
- Cases of unexplained infertility
How ICSI Works
Similar to conventional IVF, the female partner undergoes ovarian stimulation and egg retrieval.
Our embryologists examine the semen sample under high magnification and select the healthiest, most motile sperm.
Using a glass micropipette, a single sperm is injected directly into each mature egg under a powerful microscope.
Fertilized eggs are cultured and the best embryo is transferred to the uterus, following the same protocol as IVF.
Success Rates
ICSI achieves fertilization rates of 70–85% per injected egg. Overall pregnancy rates are comparable to conventional IVF when female factors are consistent. ICSI has enabled thousands of men with severe sperm abnormalities to become biological fathers.
What to Expect at Maa IVF
Our embryology team, including Dr. Pranamika Kakati and Dr. Seme Borgohain, has extensive experience in ICSI procedures. We use the latest micromanipulation equipment and maintain strict quality controls. Every couple receives a comprehensive male fertility evaluation before a treatment plan is developed.
Intrauterine Insemination (IUI)
A gentle, less invasive first-line fertility treatment
What is IUI?
Intrauterine Insemination (IUI) is a fertility procedure where washed and concentrated sperm is placed directly into the uterus around the time of ovulation. By bypassing the cervix, IUI increases the number of sperm that reach the fallopian tubes, thereby improving the chances of fertilization. It is often the first treatment recommended before more invasive options like IVF.
Who is IUI Recommended For?
- Couples with unexplained infertility
- Mild male factor infertility (slightly low sperm count or motility)
- Cervical factor infertility (hostile cervical mucus)
- Mild endometriosis
- Ovulatory dysfunction (when used with ovulation induction)
- Couples who prefer a less invasive initial approach
How IUI Works
Ultrasound scans and blood tests track follicle development and predict the optimal window for insemination.
A semen sample is collected and processed (washed) to concentrate the healthiest, most motile sperm.
Using a thin, flexible catheter, the prepared sperm is introduced directly into the uterine cavity. The procedure takes only a few minutes and is virtually painless.
A blood pregnancy test is done approximately 14 days after insemination to determine success.
Success Rates
IUI success rates typically range from 10–20% per cycle, depending on the underlying cause of infertility and the woman's age. With ovulation induction medications, rates can improve. Most doctors recommend 3–6 IUI cycles before considering IVF.
What to Expect at Maa IVF
IUI at Maa IVF is a gentle, stress-free experience. The entire procedure from sperm preparation to insemination typically takes less than an hour. You can return to normal activities immediately afterward. Our team will carefully time the procedure for maximum effectiveness using ultrasound monitoring.
Embryo Transfer & Freezing (Cryopreservation)
Preserving your future with cutting-edge vitrification technology
What is Embryo Freezing?
Embryo cryopreservation is the process of freezing and storing embryos at ultra-low temperatures (–196°C) using a technique called vitrification. This rapid-freezing method prevents ice crystal formation, preserving the embryo's cellular integrity. Modern vitrification has achieved frozen embryo survival rates exceeding 90%, making it one of the most reliable methods of fertility preservation.
Who Benefits from Embryo Freezing?
- Patients with surplus high-quality embryos after an IVF cycle
- Women who need to delay embryo transfer due to ovarian hyperstimulation syndrome (OHSS)
- Couples planning future pregnancies without repeating full IVF cycles
- Patients about to undergo cancer treatment that may affect fertility
- Women who wish to preserve fertility for medical or personal reasons
Frozen Embryo Transfer (FET)
A Frozen Embryo Transfer involves thawing a previously frozen embryo and transferring it into the uterus during a carefully prepared cycle. FET cycles are often less physically demanding than fresh IVF cycles and have comparable — sometimes even higher — success rates, as the uterine environment is more natural and receptive.
What to Expect at Maa IVF
Our cryopreservation program uses the latest vitrification protocols and cryostorage systems. Embryos are stored in secure tanks with continuous monitoring and backup systems. Our embryologists carefully assess each embryo before and after freezing to ensure viability, and you'll receive detailed records of all stored embryos.
Laparoscopy & Hysteroscopy
Minimally invasive diagnostic and surgical procedures for fertility and gynaecological health
What is Laparoscopy?
Laparoscopy (also called keyhole surgery) is a minimally invasive surgical procedure where a small HD camera and specialised instruments are inserted through tiny incisions in the abdomen. It allows doctors to directly visualise and treat conditions inside the pelvic cavity without the need for large open surgical incisions — resulting in less pain, shorter recovery times, and minimal scarring. It is one of the most important diagnostic and therapeutic tools in fertility medicine.
When is Laparoscopy Used in Fertility Treatment?
- Diagnosis and surgical treatment of endometriosis (removing endometrial implants and adhesions)
- Removal of ovarian cysts (cystectomy) — including endometriomas and simple cysts
- Uterine fibroid removal (myomectomy) when fibroids are affecting fertility
- Evaluation and treatment of blocked or damaged fallopian tubes
- Removing pelvic adhesions (scar tissue) from previous surgeries or infections
- Investigation of unexplained pelvic pain or infertility when other tests are inconclusive
- Tubal ligation reversal (reconnecting fallopian tubes)
How Laparoscopy Works
The procedure is performed under general anaesthesia by our experienced anesthesiology team (Dr. Arun Deka, Dr. Pranab Mahanta, Dr. Hiten Sarma). Pre-operative blood tests and fasting instructions are given in advance.
Small incisions (5–10mm) are made near the navel. The abdomen is gently inflated with carbon dioxide gas to create space. An HD camera (laparoscope) and thin surgical instruments are inserted.
The surgeon examines the pelvic organs on a high-definition screen and performs any necessary treatment — removing endometriosis, adhesions, cysts, or fibroids with precision.
Most patients go home the same day or within 24 hours. Full recovery typically takes 1–2 weeks — far faster than traditional open surgery (4–6 weeks), with minimal scarring.
What is Hysteroscopy?
Hysteroscopy is a minimally invasive procedure where a thin, lighted telescope called a hysteroscope is gently inserted through the cervix into the uterine cavity. This allows the doctor to directly view the inside of the uterus on a monitor — without any external incisions. It is both a diagnostic tool (to investigate problems) and an operative tool (to treat them in the same sitting).
When is Hysteroscopy Used?
- Diagnosing and removing uterine polyps — small growths on the uterine lining that can prevent implantation
- Removing submucosal fibroids (fibroids inside the uterine cavity) that interfere with fertility
- Correcting a uterine septum — a wall of tissue dividing the uterus that causes recurrent miscarriage
- Treating Asherman's syndrome — intrauterine adhesions (scar tissue) that cause infertility or absent periods
- Investigating unexplained infertility, recurrent IVF failure, or recurrent miscarriage
- Diagnosing abnormal uterine bleeding, heavy periods, or post-menopausal bleeding
- Removing a lost or embedded intrauterine device (IUD/coil)
How Hysteroscopy Works
The procedure is usually performed in the early part of the menstrual cycle. It can be done under light sedation or local anaesthesia. No external incisions are made. You may be asked to take a mild pain reliever beforehand.
The hysteroscope (a thin, flexible or rigid telescope with a light and camera) is gently passed through the vagina and cervix into the uterus. A fluid is used to expand the uterine cavity for a clear view.
The doctor examines the entire uterine lining on a monitor. If polyps, fibroids, adhesions, or a septum are found, they can be removed or corrected immediately using small instruments passed through the hysteroscope — in the same sitting.
Hysteroscopy is typically a same-day procedure. Most patients return home within a few hours. Mild cramping and light spotting are normal for 1–2 days. You can resume normal activities within 1–2 days.
What to Expect at Maa IVF
Our surgical team performs both laparoscopic and hysteroscopic procedures with the highest precision and care. We use HD imaging systems and advanced surgical instruments to ensure accuracy and safety. Pre-operative consultations ensure your procedure is fully tailored to your diagnosis, and our team will walk you through every step — from preparation to recovery. Many patients have their fertility significantly improved through these targeted procedures, especially those with recurrent IVF failure or unexplained infertility.
Maternity & Obstetric Care
Comprehensive care for mother and baby, from conception to delivery
What We Offer
Our maternity and obstetric care program provides comprehensive support throughout your pregnancy journey. From the moment conception is confirmed — whether through natural means or fertility treatment — our team of experienced obstetricians monitors your health and your baby's development with regular check-ups, ultrasounds, and blood tests.
Our Maternity Services Include:
- Prenatal care with regular check-ups and developmental monitoring
- High-risk pregnancy management
- Detailed ultrasound scanning (including NT scan, anomaly scan, growth scans)
- Gestational diabetes and pre-eclampsia screening
- Nutritional counseling and prenatal education
- Normal and cesarean delivery management
- Postnatal care for mother and newborn
- Breastfeeding support and newborn screening
What to Expect at Maa IVF
We understand that IVF pregnancies can carry additional concerns. Our team provides specialized monitoring for pregnancies conceived through assisted reproduction, with frequent ultrasounds and close supervision during the critical first trimester. Our comfortable delivery suites and attentive nursing staff ensure a safe, supportive birthing experience.
TESE — Testicular Sperm Extraction
Surgical sperm retrieval for men with absent or severely low sperm in semen
What is TESE?
TESE (Testicular Sperm Extraction) is a minor, minimally invasive surgical procedure performed under local or light general anaesthesia. A small sample of testicular tissue is carefully extracted directly from the testicle. Our embryology laboratory team — Dr. Pranamika Kakati and Dr. Seme Borgohain — then meticulously searches this tissue under a high-powered microscope to identify and isolate any viable sperm. Even when sperm are completely absent from the semen sample (azoospermia), sperm may still be produced within the testicle and successfully retrieved via TESE. The retrieved sperm are then used in an ICSI cycle to fertilize the partner's eggs.
Who is TESE Recommended For?
- Men with non-obstructive azoospermia — no sperm in the ejaculate due to poor or absent sperm production (e.g. from hormonal imbalances, genetic conditions, or prior chemotherapy/radiation)
- Men with obstructive azoospermia — sperm are produced normally but a blockage prevents them from appearing in the semen (e.g. after vasectomy or congenital absence of the vas deferens)
- Men with extremely low sperm count (severe oligospermia) where the semen sample alone is insufficient
- Men with very poor sperm quality in the ejaculate where testicular sperm offers a better outcome
- Men who have undergone failed sperm retrieval by other methods
How TESE Works — Step by Step
A thorough semen analysis, hormonal profile (FSH, LH, testosterone), scrotal ultrasound, and genetic testing (karyotype, Y-chromosome microdeletion analysis) are performed to predict the likelihood of successful sperm retrieval and guide the surgical approach.
Under local or light general anaesthesia, a small incision is made in the scrotum. One or more tiny tissue samples are carefully removed from the testicle. The procedure typically takes 20–45 minutes. The incision is then closed with absorbable sutures.
The tissue is immediately processed in our ART laboratory, where our embryologists carefully examine it under a microscope to isolate viable, motile sperm. Retrieved sperm are used fresh for ICSI or cryopreserved (frozen) for future use — meaning this procedure may only need to be done once.
The retrieved sperm are injected directly into the partner's eggs using ICSI. The man's recovery is quick — mild discomfort for 2–3 days, full recovery within 1–2 weeks. Most men can return to desk work within a day or two.
What to Expect at Maa IVF
TESE at Maa IVF is performed with great precision and compassion. We understand this procedure can be emotionally significant — particularly for men who have been told they have no sperm. Our team will counsel you fully before the procedure and coordinate it carefully with your partner's IVF cycle. Sperm retrieved can also be cryopreserved, so the TESE procedure may only need to be done once even if multiple IVF cycles are planned in the future.
PESA / PESE — Percutaneous Epididymal Sperm Aspiration
Needle-based sperm retrieval from the epididymis — minimal invasion, maximum precision
What is PESA / PESE?
PESA (Percutaneous Epididymal Sperm Aspiration), also referred to as PESE, is a minimally invasive sperm retrieval procedure that requires no surgical incision at all. A fine needle is carefully inserted through the skin of the scrotum directly into the epididymis — the coiled tube located behind each testicle where sperm mature and are stored before ejaculation. Fluid from the epididymis is gently aspirated (drawn out) and immediately transferred to our embryology laboratory, where our embryologists isolate motile sperm for use in ICSI. PESA is typically the first-choice method when absent sperm is caused by a blockage (obstructive azoospermia) rather than a production failure, as the epididymis is full of mature, good-quality sperm.
Who is PESA / PESE Recommended For?
- Men with obstructive azoospermia — sperm are produced normally inside the testicles but cannot reach the ejaculate due to a physical blockage in the reproductive tract
- Men who have had a vasectomy and now wish to father children without undergoing a vasectomy reversal surgery
- Men with congenital bilateral absence of the vas deferens (CBAVD) — where the tubes connecting the testicles to the urethra are absent from birth
- Men with epididymal blockage caused by previous infection, inflammation, or injury
- Men where a vasectomy reversal has failed or is not clinically suitable
How PESA / PESE Works — Step by Step
A full semen analysis, hormonal evaluation (FSH, LH, testosterone), and scrotal ultrasound are performed to confirm obstructive azoospermia and verify healthy sperm production inside the testicles. PESA is ideally coordinated with the female partner's egg retrieval so both procedures happen on the same day.
Under local anaesthesia (a small numbing injection to the scrotal skin), a fine butterfly needle is gently inserted into the epididymis. The fluid inside the epididymis is carefully aspirated using a syringe. There are no incisions — only a needle. The procedure takes just 10–20 minutes and is well-tolerated with minimal discomfort.
The aspirated fluid is immediately examined in our ART laboratory under a high-powered microscope. Our embryologists isolate viable, motile sperm from the fluid. Because the epididymis stores mature sperm, PESA typically yields sperm of excellent quality. Sperm are used immediately for ICSI or cryopreserved for future cycles.
Recovery from PESA is very quick — faster than TESE since no incision is made. Most men experience only mild soreness for 1–2 days and can resume normal activities within 24–48 hours. The procedure can be repeated if needed, or sperm can be cryopreserved to avoid repeat procedures entirely.
TESE vs PESA — Which is Right for You?
| Feature | TESE | PESA / PESE |
|---|---|---|
| Sperm source | Testicular tissue | Epididymal fluid |
| Best suited for | Non-obstructive & obstructive azoospermia | Obstructive azoospermia only |
| Incision needed? | Small scrotal incision | No — needle only |
| Anaesthesia | Local or light general | Local only |
| Recovery time | 1–2 weeks | 24–48 hours |
| Used with | ICSI | ICSI |
What to Expect at Maa IVF
Our team will help determine which sperm retrieval method is right for you based on the cause of your azoospermia, your hormone levels, and your overall fertility plan. Both TESE and PESA are offered at Maa IVF Assam and are carefully coordinated with the female partner's IVF cycle. We treat male infertility with the same level of seriousness, expertise, and compassion as female infertility — because we know that starting a family is always a shared journey.