Semen containers, Centrifuge tubes of Tarson
consumables are good enough, Micro pipette ,are a must, Cryo can as is
necessary for IVF is not necessary if U dont like to have Donor IUI ,But
facility of liq Nitrogen is a problem at small towns but veterinary people use
it. Again a rapport will be needed.
Tip No 3:- for sperm preparation room: 1) Restrict entry of any other person except technician 2)
Lady worker is very much desirable—personal choice -- from my 40 yrs experience
-they seldom become absent more so if
her children has grown up 3) B.SC pass married woman > 40 yrs desirable
and if offered good salary won't leave your Lab for any other job at this age .
4) Skill on computer & record keeping knowledge will be added qualification
–may keep record of all infertile couple not only IUI cases.
. All consumables are to be discarded after
use. Purchase from good trustworthy Company. No facility for donor IUI
initially. This may be done after 2 yrs after U have a good reputation at local community and seek recommendations of authentic
supplier from IVF clinic . For small
towns it I discourage this procedure as quite often sperm sample on thawing are
of poor quality as use is sparse. .Of
all the instruments used Makler’s sperm counting chamber is very costly and each
pc is about Rs 35 000/-.Sadly, from 1990 to date my Lab technician broke M
Chamber twice .Ordinary light microscope will do. I repeat once again that no
other person should enter in the semen preparation room .Room. Room must be
regularly cleansed must be dust free, Smoke free., Good Ventilation. Male Lab Technician has a bad habit of
smoking without the knowledge of clinician concerned & spoil the sterility
of room.
Tip 4 :IUI
: If no space at your clinic. Then it becomes a bit difficult. Make a
friendship / rapport with a nearby Lab & request a favour to allow semen collection
& sperm preparation in his / her Lab preferably by your own Lab technician.
After the sperm is prepared then she
should carry the prepared semen to a nearby NH .A small theatre will do. But the drawbacks are a) a god rapport with
Lab owner & b) similar facility & cooperation from NH owner adjacent to
your clinic. It eats much of your time. If the Semen preparation room is not an in house then U have to keep a
good rapport with nearby Lab & nearby
owner of NH so that a minor OT is
allowed to avail.
To conclude: My view is no own USG Machine-no IUI clinic: USG
machine is a key for success and U mat be acquanatied with USG ,may not be with
Doppler study of endometrium but at least dimensions of follicles, Ov volumes,
layers & echogenecity of endometrium,, You may not have a lab of year own m=but
think twice if U don’t have USG machine of your own, may be misguided and cost
may go very high!!
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