In Vitro Fertilization (IVF) | Infertility Treatment

Posted: Published on May 9th, 2014

This post was added by Dr P. Richardson

Many couples who have fertility problems have been able to conceive a child through the use of in vitro fertilization (IVF). Our Centers treat patients whose fertility has been impaired by conditions such as tubal problems, endometriosis, male factor infertility,unexplained infertility, and for those who have failed other prior fertility treatments.

During traditional IVF, you take several medications so you will develop multiple ovarian follicles that contain mature eggs capable of fertilization. This process is monitored using blood tests and vaginal ultrasounds. Mature eggs are retrieved through a simple procedure under ultrasound guidance. The retrieved eggs are then exposed to sperm in the laboratory and one or more of the resulting embryos are transferred back into your uterus.

The following ancillary services are also often performed as part of IVF treatment:

ICSI, or assisted fertilization, is a procedure that has dramatically improved the treatment of severe male factor infertility. A relatively common cause of infertility in couples is a low sperm count. With ICSI, a single sperm can be injected into the egg resulting in a significantly higher likelihood of fertilization. This process is used in conjunction with IVF to address male factor and other causes of infertility.

Assisted hatching is another laboratory procedure which enhances pregnancy rates in certain women undergoing IVF. In this procedure, a small opening is made in the shell surrounding the embryo just prior to transfer of the embryo into the uterus. This increases the likelihood that the embryo will implant into the wall of the uterus, thus resulting in a successful pregnancy.

Cryopreservation, or freezing of embryos, allows you to store excess embryos for later use. During a traditional cycle of IVF, 1 to 4 embryos are usually transferred, depending on your age and your condition, to the uterus to maximize the chance of conception while minimizing the likelihood of multiple births. If pregnancy does not occur during the stimulated cycle, the frozen embryos may be thawed and transferred to the uterus during a spontaneous menstrual cycle. If conception does result from the initial stimulated cycle, cryopreserved embryos can be used later in an attempt to achieve another pregnancy.

After completing in vitro fertilization treatment, many couples have questions regarding options for their frozen embryos. The following resource lists some options and explanations of how they work.

Center patients who choose to dispose of their embryos are required to sign a Disposal Consent and embryos, if disposed, will be disposed of according to American Society for Reproductive Medicine (ASRM) ethical standards which require proper documentation of embryo handling and disposition, as well as a properly executed consent to dispose.

Resource: American Society for Reproductive Medicine (ASRM) Statement on Disposition of Abandoned Embryos

Many couples find themselves in the position of having completed the family building process and having embryos still frozen in storage. Donating these embryos to another couple for their use in their infertility treatment can be an option.

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In Vitro Fertilization (IVF) | Infertility Treatment

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