The Rotunda center for human reproduction is found in Mumbai, India, and is a well known clinic for addressing the fertility problems found in the modern world. The center provides a wide range of fertility treatments and IVF procedures under one roof and promises quality services in modern surroundings. The clinic was established in 1963 and has always been at the forefront of this booming science; in addition it is the only fertility clinic in India to have been awarded the prestigious ISO 9001-2000 certification.1 Scientific journals place the clinic’s success rates at least on a par with similar facilities worldwide.
The facility offers many forms of treatment including standard IVF, intracytosomatic sperm injection (ICSI), donor egg IVF, ovulation induction and intrauterine insemination (IOI). Other related services are available such as the cryofreezing of sperm and testicular tissue for young men about to undergo various cancer treatments. In the case of sperm or egg donation, Rotunda offers a full selection program for those needing this process and promises the highest quality donors. All of the procedures come with full psychiatric support and counseling to help patients throughout the whole process and during the aftercare period.1
The website is professionally laid out and extensive, and is aimed at the international medical tourist for whom Rotunda has a specialized program, designated ‘The Rotunda Overseas IVF program (ROIP). Over a quarter of the patients are from overseas and the facility supports IVF for the lesbian, gay and transgender communities. Generally speaking, little hospitalization is required for most procedures but the center does have links with logistics companies to provide patrons with a fully comprehensive hotel, transport and travel visa service.1
The doctors will give e-mail support as part of the pre-procedure to allow the patients own doctor to perform these checks and tests and the doctors at Rotunda insist upon a full patient history and offer patient education through all stages of the procedure. The aftercare procedures include constant monitoring of the patient, in co-ordination with the patient’s own doctor, and advice during the whole aftercare process.1
The success rates of procedures at this clinic are generally high, at over 30% for standard IVF and 50% for donor programs. Success rates are good because Indian laws allow more than two implanted embryos in IVF, unlike Europe and Australia. Rotunda believes that the number of implants should be tailored to the individual needs and general age and health of the patient rather than blindly adhering to some arbitrary guideline.1
Prices seem to be reasonable compared to Europe and North America with IVF/ICSI procedures costing around $2 600 including the injection whilst a donor egg costs around $4 300.2 Flights and accommodation are cheap so the whole package offers good value for money and the aftercare services via e-mail and the liaison with the recipient’s own doctor are said to be excellent.2 One couple had two unsuccessful IVF treatments so used the donor egg program and had a positive result. They were delighted with the staff, facilities and support throughout all three treatments.2