Creating Family Options
In vitro fertilization (IVF) – In vitro fertilization involves ovulation induction, egg retrieval, fertilization and embryo growth and embryo transfer to the uterus. Injections are given to stimulate multiple follicle production and the ovulation induction process is monitored over approximately a 2-week period. The egg retrieval is performed while the patient is under conscious sedation in our office. Fertilization occurs by conventional insemination in a culture dish or by a technique called intracytoplasmic sperm injection (ICSI). The embryo transfer is done on day 2-5 after the egg retrieval. The embryos are placed through the cervix into the uterine cavity and a pregnancy test is done approximately 14 days after the egg retrieval.
Donor egg IVF – Donor egg IVF involves a donor selected by the recipient couple, either known or anonymous. The donor takes a series of injectable medications which induce the growth of multiple eggs. The eggs are removed and fertilized with the recipient's partner's sperm. The resulting embryos are then transferred to the recipient's uterus. The most common recipients of donor eggs are women who are 40 years of age and older. Experienced IVF centers, such as The Fertility Center, have a clinical pregnancy rate of 60-70%.
Gestational Carrier – A gestational carrier is a woman who volunteers to carry a pregnancy for someone who cannot otherwise carry a pregnancy. The gestational carrier is not biologically or genetically related to the child she is carrying. The intended parent couple does an in vitro fertilization cycle using her own eggs or an egg donor’s eggs with the partner’s sperm and those embryos are transferred into the gestational carrier’s uterus. The gestational carrier will be given estrogen and progesterone in order to prepare the uterine lining.
Egg freezing – Egg freezing by vitrification is a treatment option for patients who want to preserve their fertility for social, education or professional reasons. Egg freezing is also used for women about to undergo cancer or other medical therapies that might compromise their fertility. This option is also available to women who are concerned about freezing embryos where the eggs are fertilized with sperm. Egg freezing is still considered experimental by the American Society of Reproductive Medicine.
Embryo freezing – Embryo freezing is available to preserve excess, good quality embryos from an IVF cycle. Cryopreserved embryos can be thawed and transferred to the uterus during a subsequent cycle, possibly achieving pregnancy without repeating the ovarian stimulation and egg retrieval.
Preimplantation genetic screening (PGS)/diagnosis (PGD) – The purpose of preimplantation genetic screening/diagnosis is to select and transfer embryos that are chromosomally and/or genetically normal. PGD is used in patients who are undergoing in vitro fertilization. Preimplantation genetic screening is typically done on women who are 35 years and older who are interested in an aneuploidy screening for chromosomal abnormalities. Preimplantation genetic diagnosis is used for couples who have a genetic condition and would like to transfer only genetically normal embryos for a specific disease. Not all diseases can be tested.
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