This treatment uses fertility medications to induce ovulation and stimulate the development of egg production in women who have had difficulty conceiving. Patients are monitored closely throughout ovulation induction to ensure medication dosing and response are appropriate.
Intrauterine Insemination (IUI)
IUI is a safe, in-office procedure that relies on the natural ability of sperm to fertilize an egg in the fallopian tube. The goal of this treatment is to increase the number of sperm that reach the fallopian tube and subsequently increase the chance of fertilization. Sperm that has been specially prepared is deposited into the uterus through a small catheter. The timing of the procedure is based on a woman's ovulation for the highest possibility of pregnancy. The insemination process usually takes only 30 minutes.
In-vitro Fertilization (IVF)
IVF works by assisting eggs and sperm to meet in a laboratory environment outside of the body. The process begins with the woman taking medications to encourage egg maturation. When the eggs are ready, they are retrieved from her body and fertilized by mixing them with sperm from either her partner or a donor. The fertilized eggs, or embryos, are implanted into the woman's uterus three to five days after fertilization, where implantation and pregnancy hopefully take place.
Donor sperm is an ideal treatment for same sex couples, single women or couples with male factor infertility. Individuals or couples using donor sperm may choose to use sperm from either a known or anonymous donor. The vast majority (95%) use anonymous sperm from a sperm bank. Donor sperm can be used with IVF or IUI.
Donor Egg IVF
In-vitro fertilization (IVF) with donor egg is used to treat infertility that arises from the inability of a woman’s ovaries to produce viable eggs, which is often caused by advanced age or early menopause. As a female ages, the quality of her eggs decreases over time, and the likelihood of miscarriage and birth defects increases as well. Donor egg may be a good option for male couples or older females.
Gestational Carrier (Surrogacy)
Gestational carrier IVF is an agreement between a couple (the intended or genetic parents) and a third party female (the gestational carrier). The gestational carrier agrees to carry the couple's pregnancy to term, having no genetic-relation to the baby. The egg comes either from the intended mother or a donor egg. The sperm comes either from the intended father or donor sperm. The intended or genetic parents are involved in the pregnancy, present at the birth, and become the child’s parents after the baby is born. This treatment is ideal for same sex male couples or women who are unable to safely carry a pregnancy in her own uterus.
Eggs are suspended in time at the age they are frozen, and so aren’t subject to the aging process, making them better candidates for successful fertilization when the woman is ready to have children. Egg freezing is frequently used when women have been recently diagnosed with cancer. Chemotherapy can damage a woman’s eggs, but with egg freezing the woman’s eggs can be preserved while they are healthy before undergoing treatment.
A woman is given medications to encourage egg production so that multiple eggs are ripened in one cycle. Normally only one egg is released each month, but harvesting and freezing multiple eggs provides the option for more than one opportunity to conceive when the woman is ready. The woman’s cycle and egg development will be monitored through a series of ultrasounds. Once her eggs are ripe, they will be removed in a 45 minute, in-office procedure. The eggs are then flash-frozen and preserved until the woman is ready to use them. The eggs can remain frozen for up to 10 years without any change in quality. To get the most benefit from egg freezing, women should freeze their eggs at as young an age as possible, but even a matter of a few years can make a difference in egg quality and fertility.
Performed during an IVF cycle, preimplantation genetic testing allows our physicians and laboratory team to identify genetic or chromosomal defects in an embryo prior to being used in an IVF cycle.
With genetic testing, we can identify the cause of recurrent pregnancy losses or unsuccessful fertility cycles, select the very best embryos prior to implantation, and increase your IVF success rate. Genetic testing can also help establish whether you and your partner are at risk of having a baby with a specific genetic disease and eliminate the chance of passing it on to your children.