In Vitro Fertilisation (IVF)


Ovarian Hyperstimulation Syndrome

What Is In Vitro Fertilisation (IVF)?

On Cloudnine, we offer sterling in vitro fertilisation (IVF) procedures that are ideal for couples who haven’t been able to conceive conventionally. Our world-class IVF procedures mimic natural fertilisation, by combining sperm and eggs in sanitised environments and carefully controlled conditions and temperatures. Then, once fertilisation is achieved successfully, one or more embryos are tenderly placed inside the uterus. This medical paragon has created thousands of families on Cloudnine, fulfilling the dreams of countless hopeful parents.

Why Choose In Vitro Fertilisation?

In vitro fertilisation (IVF) holds out hope for couples who have been facing months or even years of infertility. It is a particularly favoured technique by couples who face specific challenges that rule out other options.

Tubal Infertility

For women whose fallopian tubes are irreversibly damaged or blocked, natural fertilisation is usually impossible, because the egg and the sperm would presumably be divided by a partition. In this case, fertilising an egg outside the body via IVF, and placing the subsequent embryo inside the uterus may provide the best chance of pregnancy.

Anomalies in Sperm

Minor anomalies in sperm can be overcome with IVF. Sometimes, additional fertility tools that complement IVF may also be required to optimise the chances of conception. Intracytoplasmic sperm injection (ICSI), for example, is a technique employed along with IVF, where the best possible sperm cell is selected and injected directly into a mature egg. There is a bouquet of techniques that can be used to combat anomalies in sperm.

Time Lapse Monitoring

Cloudnine is home to the embryoscope: an advanced, cutting-edge incubator that supplies digital images of an embryo every ten minutes as it is hosted under an optimal environment in an IVF laboratory. The time lapse monitoring technique covers an embryo’s journey as it prepares to become a blastocyst and allows embryologists a window to examine an embryo in remarkable detail, without removing it from the incubator. The embryoscope gives an embryo a conducive environment to grow in and shields it from fluctuations in temperature and physical contact. An embryoscope can augment the chances of an IVF cycle.

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Preimplantation genetic testing lets you screen embryos created via IVF, for genetic defects. Genetic testing has two arms. The first is preimplantation genetic screening (PGS), a technique that filters embryos of chromosomally normal genetic parents for structural or numerical chromosomal errors. The second arm is preimplantation genetic diagnosis (PGD), which is performed to trace potential abnormalities in embryos whose parents have a known history of genetic mutations. PGD is equipped to detect sex-linked disorders, single gene defects and chromosomal disorders.

Is In Vitro Fertilisation Right for Me?

On Cloudnine, the efficacy of an in vitro fertilisation (IVF) cycle is governed by multiple elements. The fertility problem in question, plays a significant role in determining how well an IVF procedure will progress. Age has been a critical contributor to the success of IVF cycles in the past. It’s well accepted that younger women typically harbour healthier eggs, implicitly boosting their chances of conception. However, IVF has proved successful for many women in their late thirties and early forties. Donor eggs from younger women can increase the odds of conceiving through IVF. On Cloudnine, we tailor each IVF cycle intricately, honouring a guest’s medical history while optimising her chances of conceiving a baby.

What Are the Steps of In Vitro Fertilisation?

On Cloudnine, a typical in vitro fertilisation (IVF) cycle lasts between 3 and 4 weeks. The procedure is begun by administering the female partner with fertility drugs for twelve days, through daily hormone injections, from Day 2 or Day 3 of the menstrual cycle. This process stimulates the ovaries into producing more eggs than they would otherwise. During this period, routine ultrasounds and blood tests are performed, to monitor progress.


Egg Collection

Egg collection is a simple, painless procedure that usually lasts only half an hour. During this process, the eggs produced by mature follicles are retrieved with the help of a scan probe. Although the procedure doesn’t hurt, it may make you slightly queasy, which is why is it performed under anaesthesia. The same-day routine typically requires admission of three to four hours.



Once we have collected an array of eggs and sperm from you and your partner, we carefully fuse them together to create several embryos. You may be recommended additional technologies, such as preimplantation genetic screening (PGS), preimplantation genetic diagnosis (PGD) and intracytoplasmic sperm injection (ICSI), to help improve the quality of the resultant embryos. Alternatively, you may be advised a simple IVF procedure.


Embryo Development

During the fertilisation phase, we would have ensured that we created several embryos, which can now be graded for quality by their appearance and integrity.


Embryo Transfer



Two weeks after your embryo transfer, we will invite you in for a pregnancy test to check whether the procedure has been successful. Then, once you’re six weeks into your pregnancy, we’ll perform an ultrasound scan to check for a heartbeat.



If your IVF cycle has been successful, we recommend regular follow-ups, to rule out potential complications. Sometimes, IVF cycles that don’t bear fruit can stir up a torrent of emotions in couples. We seek to connect with couples that may have experienced three unsuccessful IVF cycles, through individual counselling sessions. These complimentary consultations offer relief and support in the face of grief and present a range of alternative fertility options that can be pursued.

What Are the Risks of In Vitro Fertilisation?

Traditionally, in vitro fertilisation (IVF) is associated with certain risks. However, with the advanced range of technologies housed on Cloudnine, our experienced fertility specialists design every IVF cycle in a way that the following risks are reduced as far as possible.

Multiple Births

If more than one embryo is deposited in the uterus, IVF can result in multiple births, that could result in premature labour and low birth weights. Our philosophy on Cloudnine has always been centred on creating happy, healthy maternity experiences. We cap the number of embryos that are transferred to the uterus to two in any given IVF cycle, to minimise the chances of multiple births.

Premature Labour and Low Birth Weight

There is evidence that indicates that IVF marginally increases the chances of premature labour, resulting in a low birth weight for your baby. On Cloudnine, our suite of avant-garde technologies is equipped to successfully handle premature babies, gently nurturing them from strength to strength.

Ovarian Hyperstimulation Syndrome

IVF stimulates ovaries through injectable fertility drugs, such as human chorionic gonadotropin, to induce ovulation. If administered in large quantities, these medications can cause ovarian hyperstimulation syndrome, a condition where ovaries become enlarged and painful. Every IVF procedure created on Cloudnine is made keeping a guest’s medical condition and general well-being in mind. Our treatments are gentle, yet powerful.


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We Were Thrilled With the Services Provided on Cloudnine

The ever-smiling Dr. Manju Nair is an excellent fertility specialist, not to mention, extremely polite and courteous. We were thrilled with the services provided to us by her and the team of nurses. The entire treatment process was seamless and we are now blessed with a baby girl! We would like to thank everyone who made our journey on Cloudnine so wonderful!

Cloudnine Fertility Customer
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We Are Grateful to Dr. Manju Nair for Our Little Miracle!

We would like to thank Dr. Manju Nair and the entire team at Cloudnine Fertility from the bottom of our hearts. The staff members extended their absolute support and guided us throughout our journey. It was our life’s best experience! We are extremely grateful to Dr. Nair for our little miracle!

Cloudnine Fertility Customer
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Our IUI Was Successful, Thanks to Dr. Manju Nair

We had a wonderful experience with Dr. Manju Nair at the Cloudnine Fertility Clinic. We underwent an intrauterine insemination (IUI), and Dr. Nair and the entire support staff were very friendly, proactive and understanding at every stage. They took extremely good care of us. The IUI proved successful, and we were finally pregnant by the grace of God and Dr. Manju Nair’s expert treatment – a life update we had been eagerly awaiting. Our gratitude knows no bounds and we would like to thank each person involved in making our journey memorable.

Cloudnine Fertility Customer
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‘Hope Is Born Here’ is an Understatement for Cloudnine

If you ask me, ‘Hope Is Born Here’ is an inadequate tagline for Cloudnine. Dr. Manju Nair turned out to be my angel. She restored my happiness and I would like to thank her from the bottom of my heart. May God bless her, always!

Cloudnine Fertility Customer
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Dr. Manju Nair’s Efforts Were Truly Commendable

Our journey on Cloudnine started through Dr. Jyotshna Madan, who led us to Dr. Manju Nair. At the time, we were struggling with infertility, and Dr. Nair took care to give us a detailed diagnosis, and an explanation of each procedure during our visits. The way she lent her complete support and motivated us along the way was truly commendable. Additionally, she was easily reachable and this was vital for us during our journey. Apart from the treatment itself, the atmosphere on Cloudnine was amazing, as was the hospitality. We would like to thank Dr. Manju Nair and the entire Cloudnine team for everything they have done for us!


Cloudnine Fertility Customer
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Dr. Manju Nair Restored Hope and Positivity in My Life

I want to thank Dr. Manju Nair for everything; for bringing positivity into my life. She has restored hope in me and brightened my days, thanks to her successful treatment. She deserves a warm hug and a massive thanks. In addition, I had a lovely experience with the staff on Cloudnine.

Cloudnine Fertility Customer
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My Quick Journey to Conception Is Testament to Dr. Manju Nair’s Treatment Approach

Dr. Manju Nair is an excellent doctor. She made us feel at ease throughout, and allowed us to freely communicate all our problems. Her treatment approach was awesome, and the fact that I conceived so soon after meeting her is testament to that fact.

Cloudnine Fertility Customer
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We Are Grateful to Dr. Manju Nair for Our Little Miracle!

We would like to thank Dr. Manju Nair and the entire team at Cloudnine Fertility from the bottom of our hearts. The staff members extended their absolute support and guided us throughout our journey. It was our life’s best experience! We are extremely grateful to Dr. Nair for our little miracle!

Cloudnine Fertility Customer
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When I Look Back on Our Fertility Struggle, I Wish We Had Met Dr. Manju Nair Sooner

My wife and I had been trying for a baby for almost three years, having consulted at least 3-4 renowned doctors in Bangalore without any success. After two failed intrauterine insemination (IUI) cycles, we were advised a surgical scan. However, we were wary of going under the knife as part of a diagnostic procedure, and decided against it. Shortly afterwards, we met Dr. Manju Nair on Cloudnine, and we were pleased with our first interaction. She tried to understand our history, the tests done so far, and took note of all our past consultations. Then, she recommended some additional tests for my wife and referred me to an andrologist. Once she had our reports, she was able to pinpoint the problem within a few short weeks. Based on the findings, Dr. Nair communicated the most advisable treatment, and left the final decision to us. Given my sperm morphology, the options were limited – it was either surgery for me, or in vitro fertilisation (IVF). The surgical scan we had been recommended at our previous clinic wasn’t required at all. We went for IVF as per Dr. Nair’s suggestion and the procedure was a success. We were amazed when the pregnancy test showed positive. Today, our baby is almost four months old.

We really valued Dr. Nair’s friendliness, approachability, positivity and tell-it-like-it-is attitude. She boosted our confidence, gave us hope, yet, never made any false promises. We always came back feeling good after every consultation. I would definitely recommend Dr. Manju Nair to anyone struggling to conceive. She is the finest doctor we have ever met and we wish her continued success in the future.

When I look back on our fertility struggle of almost 3 years – visiting different doctors, waiting in long queues and undergoing numerous scans – I only wish we had met Dr. Nair sooner.

Cloudnine Fertility Customer
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My Experience on Cloudnine Was Seamless

As my fertility specialist, Dr. Manju Nair was cordial, understanding and super helpful. I couldn’t have asked for a better doctor for consultation! Also, I really appreciated the staff and nurses, who were kind and attentive to all my questions. I only have good things to say about my experience here! Keep up the good work!

Cloudnine Fertility Customer

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