ANDROLOGY AND FERTILITY HOSPITAL OF HANOI

Adress:No 01-8A, 431 Tam Trinh Street, Hoang Mai District, Hanoi, Vietnam

Overview

Andrology and Fertility Hospital of Hanoi was established in 2009 as a specialized hospital in Sex Medicine (including LGBT and sex therapy), Andrology diseases, Obstetrics and gynecology, Reproductive health, and Infertility (for both males and females). From its inception to the present, the Andrology and Fertility Hospital of Hanoi has realized thousands of infertile couples’ dream of becoming parents with a high success rate which is equivalent to the rate of big domestic and international Assisted Reproductive Units through modern medical interventions and treatment protocols.

Andrology and Fertility Hospital of Hanoi consists of a team of experienced professors, masters, and doctors in the field of Assisted Reproductive, Andrology, Obstetrics, and Gynecology. The team of professionals is intensively trained and continuously improves their skills in countries with an advanced medical background in reproductive health, male medicine, reproductive support, and sex medicine in Europe and the US. In addition, we always maintain close professional cooperation with leading medical facilities in Vietnam such as the National Hospital of Obstetrics and Gynecology, Army Clinical Embryology Institute – Military Academy medicine, Ho Chi Minh City Society of Reproductive Endocrinology and Infertility (HOSREM)…, aiming at highest professional quality and patient satisfaction – “All for the patient”.

With the advantage of being the first non-public medical facility in the North to be licensed by the Ministry of Health to perform In-Vitro Fertilization (IVF), the hospital always applies the most advanced technology in the world in examination and treatment at a reasonable cost, providing comfortable and reliable experiences, bringing satisfaction to customers during the examination and treatment process at the hospital.

SOME AREAS OF EXPERTISE OF THE HOSPITAL

Assisted reproduction

  • In-Vitro fertilization (IVF/ICSI): transvaginal oocyte retrieval; embryo transfer; embryo culture day 5; real-time automatic embryo rearing and tracking (Timelapse) integrated with AI artificial intelligence; preimplantation genetic testing – PGT (chromosomal genetic abnormalities, monogenic pathology…)
  • Intrauterine insemination (IUI).
  • Pre-marital (pre-marital) reproductive health examination.
  • Fertility preservation: ovum cryopreservation, embryo storage, sperm storage…

Andrology – Sex Medicine – LGBT

  • Male infertility: azoospermia; weak, malformed sperm; chromosome abnormality; AZF…
  • Male sexual disorders: physiological weakness; premature ejaculation; erectile dysfunction; decreased libido…
  • Diseases of the male reproductive system: scrotal varicocele; undescended testicles; deformed penis…
  • Gynecological emergency: penile fracture; testicular torsion; prolonged erection; strangulation of the foreskin; genital trauma…
  • Gynecological surgery: PESA; TESE; microscopic testicular surgery for spermatozoa – Micro TESE; microsurgery connecting vas deferens – epididymis; microscopic varicose vein ligation; genital shaping…
  • Sex Therapy Female: endocrine disorders; emotional disturbances, decreased libido; mental/physiological abnormalities that result in difficulty or inability to have sex; counseling female sexuality…
  • LGBT: counseling and taking care of the LGBT community before and after transgender; genital shaping…

Obstetrics and Gynecology

  • Pregnancy examination and management: 5D ultrasound; screening for fetal malformations; non-invasive prenatal testing (NIPT); pre-eclampsia screening; gestational diabetes mellitus…
  • Treatment of gynecological diseases: vaginitis, cervicitis; cervical cancer screening; HPV testing…
  • Obstetric and gynecological surgery: uterine fibroids; endometrial cancer; uterine polyps; uterine adhesions; tubal stasis; cesarean section scar shaping…

Andrology overview

Andrology is the medical field that deals with male health, particularly relating to the problems of the male reproductive system and sexual problems and a part of urology problems that are unique to men. It is also known as “the science of men”

Andrology or men health is a very new specialty compared with the other medical specialties, androloy has only been studied as a distinct specialty since the late 1960s from European countries then in 1975 in United State.

All genitourinary disorders are belong to andrology field such as:

  • Cryptorchidism, orchitis, ectopia testis, testicular cancer, testicular torsion
  • Epispadias, hypospadias
  • Epididymitis, Urethritis, Low urinary tract infection
  • Hydrocele, spermatocele
  • Impotence (erectile dysfunction), Premature ejaculation, Retarded ejaculation, low libido…
  • Infertility, varicocele
  • Micropenis, penile cancer, penile fracture, Peyronie’s disease, Priapism
  • Prostatitis, prostate cancer, BHP
  • Balanitis, frenulum breve, paraphimosis, phimosis
  • Male Sterility (vasrectomy)
  • Sexuall transmitted diseases (STD) or Sexually transmitted infections (STI)

To deal with all these problems andrology required the basically treatment from urology approach and contribute other specialty such as:

Surgery and micro surgery is applied in commonly in Andrology specialty which require sophisticated technique to enhance the effective treatment, especially micro-surgery to deal with the difficult problems of androloy field such as: Varicoceletectomy, Sperm retrieve surgery (micro tesse), vasovarectomy…

Psychology is usually used in men health treatment because most of men undergone sexual disorders they usually undergone a huge psychological burden.

Men health problems are huge problems with men in modern society, it required having a sophisticated specialty to deal with, Androlgy take over these crucial tasks to help men always be strong and being hero.

Erectile dysfunction – Erectile dysfunction (ED) is a man’s inability to achieve or maintain an erection enough for satisfactory sex.

Micropenis  – Micropenis, or Microphallus, is defined as an erectile penile length of less than 2,5 standard deviations (SDs) below the mean for age penile size. In full-term neonates, the mean penile length is 3,5cm. When penile length in the newborn is less than 2-2,5cm (i.e. 2,5 SDs below the mean value), this condition is considered to be Micropenis.

Hemospermia – Hemospermia is the presence of blood in the semen. Its etiology may involve various causes. Although the symptom makes the patient worry, it rarely conceals any severe disease. It may occur at any age following puberty, but it is most frequent in men of 30-40 years old.

Paraphimosis – Paraphimosis occurs when the foreskin has been pulled back behind the glans and cannot go back to its original position. If the foreskin keeps long time in this condition, circulation to glans and foreskin can be restricted or stopped, it can cause pain and swelling and gangrene. This is a serious medical problem and must be treated urgently to prevent from long-term damage of the penis.

Peyronie’s disease – Peyronie’s disease is a disorder that causes local areas of hardened scar tissue in outer layer of cavernous tissue, under the skin of penis, called plaques. These plaques make the penis less flexible. As a result, men with Peyronie’s disease have a noticeable curve in their penis, he will see clearly when his penis at erection condition. This condition may shorten the penis as well.

Premature ejaculation (PE) – PE is the most common ejaculatory disorder. It occurs when a man ejaculates before the men or his partner want climax to happen. For some men, the problem starts with their first sexual experience (primary PE). For others, it happens after a period of normal sexual functioning (secondary PE).

SEXUAL MEDICINE

  • VaginismusVaginismus is the body’s automatic reaction to the fear of some or all types of vaginal penetration, included inserting tampon, fingering or sexual intercourse…
  • Obesity and Sexual functionsIn the United States diabetes and obesity are responsible for 8 million cases of erectile dysfunction. Scientific evidence indicates that excessive body weight should be considered as an independent risk factor for erectile dysfunction. This risk increases with increasing BMI.

Infertility overview

Definition

Infertility is “a disease of the reproductive system defined by the failure to achieve a clinical pregnancy after 12 months or more of regular unprotected sexual intercourse.”

  • Primary infertility refers to couples who have never become pregnant.
  • Secondary infertility refers to couples who have been able to get pregnant at least once, but now are unable.

Many physical and emotional factors can cause infertility. It may be due to problems in the woman, man, or both.

Male infertility

  • Decreased quality and quantity of sperm.
  • Hormone imbalance.
  • Sexual dysfunction such as: erectile dysfunction, ejaculate disorder (retrograde ejaculation).
  • Infections: Mumps, sexual transmitted infection (chlamydia… gonorrhea).
  • Birth defects, injury, or surgery.
  • Smoking & toxins in the environment.
  • Vasectomy.

Female infertility

  • Uterine causes: Polyps and fibroids.
  • Endometriosis: A condition where the uterine tissue implants and grows outside the uterus,
  • Polycystic ovary syndrome (PCOS): A hormonal condition in which the body produces too much androgen, which can affect ovulation.
  • Fallopian tube damage: Scarring from pelvic infections, endometriosis or pelvic surgeries.
  • Ovulation disorders: The inability of the ovaries to release eggs (anovulation).
  • Hormonal causes.
  • Early menopause: Although the cause is often unknown, certain conditions are associated with early menopause.
  • Pelvic adhesions: Pelvic infection, appendicitis or abdominal/pelvic surgery can cause scar tissue, which may impair fertility.

Healthy couples under age 30 who have sex regularly will have a 25% to 30% per month chance of getting pregnant each month. Most of couple can get pregnant within the first year of marriage.  A woman is most fertile in her early 20s. The chance a woman can get pregnant drops greatly after age 35 (and especially after age 40). The age when fertility starts to decline varies from woman to woman.

Treatment

Infertility treatment depends on each gender and cause for example

  • Causes of the infertility.
  • Duration of the infertility.
  • Age and your partner’s age.
  • Personal preferences.

Treatment for men

  • Internal therapy may improve a man’s sperm count & sperm quality and likelihood for achieving a successful pregnancy..
  • Surgery to reverse a sperm blockage and repaire testicular vein dilated.
  • Sperm retrieval.For men who undergone no spermatozoa.

Treatment for women

  • Stimulating ovulation with fertility drugs.
  • Intrauterine insemination (IUI).
  • Surgery to restore fertility.

Assisted reproductive technology In vitro fertilization

  • Intracytoplasmic sperm injection (ICSI).
  • Assisted hatching.
  • Donor eggs or sperm.
  • Gestational carrier.

In vitro fertilization (IVF)

What is in vitro fertilization (IVF)

IVF is a technique to treat for infertility couple that the fertilization occurs in glass instead of in the body. The woman’s eggs and the man’s sperm are fertilized in a glass (petri dish) to create embryos, at the proper time, the embryos are transferred into the woman’s uterus and luckily, embryo develops in to uterus to have baby.

Nor there are 2 kinds of IVF such as: traditional IVF and IVF/ICSI Traditional IVF

The woman’s eggs and the man’s sperm are fertilized in a glass (petri dish) to create embryos, then embryos are incubated and cultured in Laboratory, at the proper time, the embryos are transferred into the woman’s uterus. In this technique eggs and sperm meet and integrate in a “natural” way to form embryos.

IVF/Intra cytoplasmic sperm injection (ICSI)

ICSI means injection directly one sperm into matured cytoplasm of one egg for inducing fertilization to create embryo. This technique is supported by micro manipulation systems and reverse microscope with magnification 200-300 times. Thanks to the ICSI technique, the embryo is created from one egg with on weak and immature sperm but still have high fertilization rate.

ICSI

ICSI (Intra-Cytoplasmic Sperm Injection)

For the first time in 1959, Chang succeeded in performing artificial insemination between rabbit’s egg and sperm in test tube environment. Since then, scientists have been constantly researching new methods for the treatment of infertility in humans IVF and ICSI are the techniques to increase fertilization rates in sterile treatment that have been reported successfully in the world since 1978 and 1992 so far more than one million babies have come from these techniques above.

ICSI (Intra-Cytoplasmic Sperm Injection) – is an in vitro fertilization (IVF) procedure in which a single sperm cell is injected directly into the cytoplasm of an egg- a technique that brings 60-85% chances of success. The difference between classic IVF and ICSI is ,in terms of insemination, ICSI needs one only sperm cell per oocyte, meanwhile IVF needs between 50 and 100 thousands, and the sperm which had been selected must be the best in morphologically as well as mobility

Pre-implantation Genetic Testing (PGT)

Pre-implantation genetic testing (PGT) is a technique used to identify genetic disorders or abnormalities in the chromosomes of embryos produced by IVF. From there, experts can screen the best embryos to transfer to the mother’s uterus to increase the likelihood of success; reduce the rate of miscarriage, birth defects or genetic diseases.

Assisted hatching

Normally, at the embryonic cyst stage, the human embryos would hatch out of the zona pellucida and attach to the walls of uterus; from there it develops into growing fetus. A considerable rate of embryos after IVF may experience troubles in the hatching process, making the process go slower or worse yet, cause it to fail. This will reduce the success rate of IVF.

Intrauterine insemination (IUI)

Intra uterine insemination (IUI) is an assisted reproductive procedure in which a doctor uses a small catheter to insert washed sperm into the uterus.

For infertile couples, performing IUI will help sperm pass through the vaginal environment and uterine mucus more favorably, and at the same time putting sperm in the position closest to the egg increases the chances of conception.

No Sperm Count

No Sperm Count (Azoospermia), also known as no sperm count, is a male fertility issue that occurs when there is virtually no sperm in a man’s ejaculate. Azoospermia is present in 2% of the general male population, and is a frequent contributing factor toward the inability to conceive.

What Does “No Sperm Count” Mean? -By definition, Azoospermia means that a man does not have a measurable amount of sperm in his semen.

Fallopian tubes

The female reproductive system includes two fallopian tubes, one on each side of the uterus. These flexible, trumpet-shaped tubes extend to the surface of each ovary. When the ovary releases an egg, finger-like projections at the flared end of the tube catch the egg. It is there, in the tube, that conception occurs if the egg meets sperm and becomes fertilized. Tiny hairs inside the tube’s lining push the resulting embryo (fertilized egg) out of the tube and into the uterus where it implants and grows.

Tubal-related infertility may result when one or both tubes are blocked, or scarring or damage to the tubes occurs.

Regulations on donating sperm, oocyte and embryo

Success rate in In vitro fertilization – IVF

In vitro fertilization (IVF) is a method of assisted reproduction by combining oocytes and sperm outside the body. The embryo formed after the oocyte and sperm are successfully combined will be transferred back to the woman’s uterus. The embryo then implants and develops into a fetus as in cases of natural conception. This is the most modern assisted reproductive method and is very popularly applied to infertile couples today.

Success rate after IVF treatment at Andrology and Fertility Hospital of Hanoi

Currently, 100% of the patients undergoing in vitro fertilization at the Andrology and Fertility Hospital of Hanoi are using ICSI (Intracytoplasmic Sperm Injection) technique to improve their fertility.

Currently, the success rate after IVF treatment at Andrology and Fertility Hospital of Hanoi is monitored, analyzed and reported every six months. According to statistics from June 2021 to June 2022 .

At Andrology and Fertility Hospital of Hanoi, we are proud of the success rates we achieve when patients perform IVF at the hospital and are committed to improving IVF success rates by applying the latest technologies, promote research – continuous training of doctors – embryologists as well as individualization in patient care/treatment.

PRE-PREGNANCY NUTRITION

  • Eating a well-balanced diet, including variety of foods and vitamins, vegetables, fruits and drinking lots of water.
  • Supplementing iron and calcium with dark green leafy vegetables, lean meat, seafood, eggs, milk and dairy products, etc
  • Limiting consumption of foods high in fat, sugar, and salt.
  • Supplementing folic acid 400mcg/day, iron and calcium tablets.

NUTRITION PYRAMID FOR PREGNANT WOMEN

  • Average intake per person per day.
  • For pregnant and breastfeeding mother 
  • Pregnant women need to take iron and folic acid supplements daily within 1 month after giving birth.
  • Breastfeeding women need to supplement with 200.00 IU of vitamin A every day within 1 month after giving birth.

Things to keep in mind during IUI/IVF-based pregnancy

  • Do not have motionless bed rest, live and walk normally instead.
  • Avoid working, exercising vigorously.
  • Do gentle exercise such as: walking, swimming, yoga…
  • Do not test for β-hCG too early and limit testing multiple times. Only test for β-hCG after IUI and 14 days after embryo transfer (if 2nd-3rd day embryo transfer) and 12 days after embryo transfer (if 5th day embryo transfer). Only re-test β-hCG as prescribed by your doctor.
  • Depending on each treatment regimen, patients can use some hormonal drugs such as Progesteron: Utrogestan, Cyclogest, Crinone, Duphaston.. and Estrogen: Valiera, Progynova, Oestrogel, etc. after IUI, IVF in the first trimester to support for luteal phase…
  • Use medication as prescribed by your doctor. Absolutely do not arbitrarily change the dose, route of administration, stop the drug or use other drugs without the consent of the treating doctor.
  • Little vaginal bleeding, pink or brown discharge, stomach tightening in the lower abdomen or ultrasound-based little fluid in the uterus, etc are common experience by pregnant women in the first trimester, you do not worry, continue taking prescription medications and having regular check-ups as prescribed by your doctor.
  • Do not use a pregnancy test trip because it can give false negative or false positive results.

Notes: Visit hospital immediately in the following cases: severe abdominal pain, heavy bright red vaginal bleeding, or when there are any other unusual symptoms.

VISION

To become one of the leading Hospitals in the field of Andrology, Sex Medicine and Assisted Reproduction in Vietnam.

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