Time Lapse Embryo Monitoring


What Is Time Lapse Embryo Monitoring?

Time lapse embryo monitoring (TLEM) is a procedure that lies in the vanguard of medical technology. It is a cutting-edge monitoring system that captures digital images of embryos at frequent predetermined intervals, allowing embryologists to track the development of a pool of embryos. With TLEM, embryologists can trace an embryo’s journey in superlative detail, without having to remove it from the incubator. In turn, the controlled temperature and carefully designed environment can boost an embryo’s chances of survival.

Why Choose Time Lapse Embryo Monitoring?

Time Lapse Embryo Monitoring (TLEM) can equip your doctor with a plethora of clues about how your embryos are developing.

Embryo Grading

Based on the performance in the incubator, your embryologist will grade each embryo based on the thickness of its wall, its shape and structure, and its degree of fragmentation.

Superior Technology

TLEM is a state-of-the-art procedure, underpinned by bright field technology, which provides insights that would not be possible with traditional monitoring tools. For instance, embryos whose cells are composed of an incorrect number of chromosomes may go unnoticed when observed during a conventional in vitro fertilisation (IVF) routine. Such embryos may not be adequate for implantation and could result in a miscarriage. TLEM helps an embryologist handpick the embryos that are most likely to reach the blastocyst stage.

Is Time Lapse Embryo Monitoring Right for Me?

If you are considering in vitro fertilisation (IVF), you should think of opting for time lapse embryo monitoring (TLEM). TLEM can lower the risk of higher order births like twins or triplets, and can help your embryologist to determine the healthiest embryos from the ones that have been formed. The technique is particularly helpful for older women, as it selectively determines the best embryos for implantation.

What Are the Steps of Time Lapse Embryo Monitoring?

Time lapse monitoring is preceded and succeeded by an intricate series of steps that enhance the effectiveness of the procedure.


Embryo Culture

As a first step, a collection of embryos is cultured in multi-well dishes. Each embryo is seated in a separate well, and is immersed in a single bubble of culture medium. Then, the dishes are placed in a carefully tempered incubator. Primo Vision culture allows every individual embryo to grow independently while offering an environment likened to a group culture.


Primo Vision Monitoring

Primo Vision is a lightweight, digital microscope that is attached to the inside of an incubator. The technique offers soft, green illumination inside the incubator, capturing digital snapshots of each embryo at specific intervals. These images are then relayed to your embryologist, who will conduct a detailed evaluation of which embryos are best suited for transfer to the uterus.

What Are the Risks of Time Lapse Embryo Monitoring?

There have been few known risks identified with time lapse embryo monitoring. The procedure draws a parallel to traditional embryo cultivation techniques, the difference lying only in the technology used to house the embryos.

Light Intensity

While there has been speculation about the recommended wavelength of light beamed within each incubator, the cultivation techniques used on Cloudnine are gentle and paced. The minute camera that is fitted inside each incubator beams light rays that are limited to a conservative wavelength threshold.


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Cloudnine Helped Us Realise Our Long-Held Dream of Parenthood.
Dr. Radhika Sheth was our pillar of strength throughout our days of infertility. When we consulted her, she suggested that my wife and I pursue fertility treatment on Cloudnine. Cloudnine gave us the best of both worlds; the comfort of consulting Dr. Sheth and easy access to first-class amenities. Over the span of 4 months, we underwent 6 treatment cycles in order to beat our stubborn condition. And in the end, our persistence paid off. Thanks to Dr. Sheth, we conceived. We were so content with our experience, that we opted to continue our affiliation to Cloudnine with their signature maternity experience. After all, Cloudnine helped us realise our long-held dream of parenthood.

Mr. Amit Kumar
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My fertility treatment plan on Cloudnine was composed of an HSG test followed by two IVF cycles. The experience was very good, and if it weren’t for the support and encouragement I received from the doctors and nurses, I wouldn’t have become a mother to my baby boy. I am thankful to Cloudnine for giving me the gift of motherhood.

Mrs Meena
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I was referred to Dr. Uma Maheshwari early this year. At the outset, it was an emotional experience, but Dr. Maheshwari and all the nurses, especially Divya, Omana and Ranjitha, were warm and embraced me like they would, family. Dr. Uma was very caring and always remembered every little detail about my pregnancy. Best of all, she was available when we needed her.
I consider Cloudnine a very lucky place. I came here looking to go through fertility procedures and artificial conception but ended up conceiving naturally. I would recommend Dr. Maheshwari and her entire team to those looking for quality fertility solutions. Thanks to the entire team for taking such good care of me.

Mrs Rakshambi Kai K
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I opted to meet Dr. Radhika Sheth at Cloudnine Hospital, Malad, to discuss fertility treatment options. I knew I’d made the right choice when I discovered how approachable she was. She was very cooperative, always available, ever-smiling and full of positive energy. Not only did she suggest the right treatment plan for me, she worked hard to make me feel special along the way.

Mrs Shruti Pansari
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I am extremely pleased with the experience we had with Dr. Radhika Sheth. After having undergone fruitless fertility treatments for more than two years with other doctors, I was finally able to conceive after an IVF cycle administered by Dr. Sheth. Needless to say, she was very helpful and supportive throughout my treatment tenure. I am and always will be eternally thankful to Dr. Sheth for giving me my precious bundle of joy.

Mrs. Bhumika Vashisth
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I am extremely happy with the treatment we received from Dr. Radhika Sheth and her team at Cloudnine Clinic. The doctor devoted ample time to hearing about our medical history, present problems and general issues we were facing. She was very understanding and would patiently answer all the questions we asked her. During the first visit itself, Dr. Sheth assured us that we would get pregnant; that there was absolutely no doubt about it. Hearing those words was a big relief and instantly boosted our confidence. We started our fertility treatment last year, after which, much to our delight, we finally conceived. We are eagerly awaiting our baby now and can hardly express our happiness in words. We consider ourselves very lucky that God directed us to Cloudnine Clinic.
Thanks to Dr. Radhika Sheth and her entire team for making our journey to conception worthwhile. Last but not the least, a big thumbs up to all the administration staff for the wonderful operational support.

Mrs Vaishnavi Ghosalkar
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I am very happy to share experience I had with Sure. I tried to conceive from past 1 year without any success. I had gone to many doctors in Bangalore and at my hometown but I couldn’t conceive. I came to know about Sure from Cloudnine hospital. I had posted a message for appointment and I immediately got a call from Sure. I was amazed with their immediate response. This experience continued. I got an appointment with Dr. Jyothi Menon and was very much satisfied with her answers during my first visit itself. I got confidence with her words. Based on her advice, we thought of going for a treatment at Sure. Her way of treatment was very good. We had to visit Sure 4-5 times in the first cycle. My first cycle at Sure was successful. I am 3 months pregnant now. I am very thankful to Dr. Jyothi Menon. Staff at sure are really caring, supportive and are cool in answering all the questions. Especially I need to mention about Swetha at reception. I had very good experience with her every time I go there. Ambience at sure is very good and hygienic. Nursing staff is also very caring.Overall it was a wonderful experience.

Mrs. Asha
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Doctor was available as per the appointment which is very much appreciated. Doctor spoke to us in a very encouraging manner and presented the facts clearly. Support staffs were very polite and responded to situation. GREAT SERVICE!

Mrs. Harini
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The team is fantastic, very co-operative and knows their jobs. At OT sister Shyamala was at most courteous, understanding by sharing her love and affection to me. The admin team is well managed and carry their duties effectively GRE-Geetha and others. The other nurses Sangeetha, Sherly others whose name I am not able to recollect were very good especially while injections. Overall very impressed with the setup and have started referring people.

Mrs. Jaya
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It was a wonderful experience, I am very glad with the way all the doctors, nurses have supported me. Hope to see the clinic grow bigger and maintain its reputation throughout. Thanks to all of you and I hope to come back as a ‘MOM’.

Mrs. Payal

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