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NCERT Exemplar · Q33

Q.What are the Assisted Reproductive Techniques practised to help infertile couples? Describe any three techniques.

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Assisted Reproductive Technology (ART) encompasses medical procedures that help infertile couples conceive by handling gametes or embryos outside the body; key techniques include IVF, ICSI, GIFT, ZIFT, IUI, and AI.

Infertility affects a significant number of couples worldwide, and modern medicine has developed a suite of techniques collectively known as Assisted Reproductive Technology to address this challenge. These methods intervene at different stages of reproduction—some work with gametes (sperm and egg) outside the body, others transfer embryos directly, and some simply assist sperm in reaching the egg within the female reproductive tract. The choice of technique depends on the specific cause of infertility, whether it lies with the male partner, the female partner, or both.

The main ART procedures practiced include:

  • In Vitro Fertilisation (IVF) and Embryo Transfer (ET)
  • Intracytoplasmic Sperm Injection (ICSI)
  • Gamete Intra-Fallopian Transfer (GIFT)
  • Zygote Intra-Fallopian Transfer (ZIFT) / Intra Uterine Transfer (IUT)
  • Intra-Uterine Insemination (IUI)
  • Artificial Insemination (AI)

Let me describe three of the most widely used techniques in detail.

In Vitro Fertilisation (IVF) and Embryo Transfer (ET) is perhaps the most well-known ART procedure, often called "test-tube baby" technology. The term "in vitro" means "in glass," referring to fertilisation occurring outside the body in laboratory conditions. The woman is given hormonal stimulation to induce the production of multiple eggs (superovulation). These eggs are then collected from the ovaries and placed in a culture dish where they are mixed with sperm from the husband or a donor. Fertilisation occurs in this controlled environment, and the resulting embryos are allowed to develop for a few days. Once the embryos reach the 8-blastomere stage (or sometimes the blastocyst stage), one or more healthy embryos are carefully transferred into the uterus of the woman. If implantation succeeds, pregnancy proceeds normally. IVF-ET is particularly useful when the woman has blocked or damaged fallopian tubes, or when there are issues with sperm quality that can be overcome in the laboratory setting.

Note

The first IVF baby, Louise Brown, was born in 1978 in England, marking a revolution in reproductive medicine. In India, the first IVF baby was born in 1978 (some sources cite 1986 for India specifically, but NCERT does not provide this detail).

Gamete Intra-Fallopian Transfer (GIFT) takes a different approach by returning gametes—not embryos—to the woman's body. In this technique, eggs are collected from the ovary after hormonal stimulation, just as in IVF. However, instead of fertilisation happening in the lab, the collected eggs and sperm are immediately transferred together into the fallopian tube. Fertilisation then occurs naturally inside the woman's body, in the fallopian tube where it would normally happen. This technique requires at least one functional fallopian tube and is often preferred by couples who have religious or ethical concerns about fertilisation occurring outside the body. GIFT mimics the natural process more closely than IVF, though it offers less control over the fertilisation process itself. …

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