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IVF Doctors and Infertility Clinics in Chattanooga & Johnson City.

  Fertility Center

Each month, two consecutive weeks are designated by the Fertility Center as a retrieval week and a transfer week. Patients who have been screened, approved and prepped to participate in that month's IVF Cycle are divided into two groups. This coordination allows appointments to be staggered and ensures that adequate space is available in the embryology lab's incubators. An average of a dozen couples are involved in each cycle.

Prior to an IVF cycle, most female patients use birth control to delay the start of their menstrual cycles. Women also are encouraged to take one baby aspirin a day along with prenatal vitamins. Both men and women undergo a round of prescribed oral antibiotics. Full-body massages are recommended for women to help increase bloodcirculation and relaxation and chances for success. Ideally, one massage should be scheduled just before starting stimulation medications with a second massage between egg retrieval and embryo transfer.

Patients are instructed when to stop taking birth control pills. Spotting or breakthrough bleeding may occur for several days and is normal as the pills are discontinued. Each patient schedules a baseline vaginal probe ultrasound scan and lab appointment to ensure the ovaries are quiet and estrogen levels are low. At the onset of an IVF cycle (which is about 10 days prior to retrieval week), one group of patients begins stimulation medication injections on Saturday; the remainder start injections on Sunday.

The eggs are retrieved while a patient is under anesthesia, then fertilized with sperm in the lab to create embryos. After about five days of growth and division, a transfer procedure returns the best one or two viable embryos to the patient's uterus, which has been supplemented with progesterone. Each patient returns to the Fertility Center for a progesterone level check a few days later and then for a pregnancy test nine days after transfer.

Patients who participate in a cycle using cryogenically preserved or "frozen" embryos bypass the stimulation, trigger and retrieval stages of the IVF process. In addition to repeating any out-of-date labs, female patients use adhesive estrogen patches to prepare the uterus. Scans and labs help determine the best time for the doctor to schedule the transfer of "thawed' and prepared embryos. As with "fresh" embryo cycles, a frozen transfer is followed by progesterone supplementation. Male patients are encouraged to lend emotional support and typically choose to be in the room when their wives become pregnant during a frozen embryo transfer, but nothing clinical is required from men during a frozen cycle.

www.chattanoogafertility.com



ETSU Fertility Services

Welcome to our clinical website. Here you will find information about the services we offer to our patients and learn more about our physicians, resident physicians, nurses, and staff.

Our goal is to allow you to have a positive, professional experience with our office staff, residents and physicians. We strive to ensure that each patient's needs are received and handled appropriately; therefore, your opinion matters to us. I truly believe that we have clinical and non-clinical personnel, residents and physicians who take pride in their work, as I do, and this should reflect on the care we provide to you. At several intervals throughout the year, we ask our patients to complete a patient satisfaction survey.

Without this tool and your input, we would not be able to improve in areas that need to be addressed; therefore, we consider it a compass for patient satisfaction. Although our surveys are given out periodically, it does not preclude you from completing a survey at any given time.

I'm proud to be a part of this department. Being able to lead our department in creating a professional environment and bringing in new programs that assist women, has been a great acheivement for me. Our caring staff members, residents and physicians have allowed us to make great strides. I'm passionate about having a positive, healthy environment for our patients and their families and l look forward to our department providing you with the care you deserve.

www.etsu-ivf.com

ETSU Fertility Services
First Floor
325 N. State of Franklin Road
Johnson City, Tennessee 37614
(423) 439-7246

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