 |
Infertility and Endometriosis Clinic
IVF involves the union of oocyte and sperm in the laboratory with the embryo
returned, two to six days later, to the uterus. This is the original ART
procedure and was first done for tubal disease or severe endometriosis. It is
now often done for male infertility, including previous vas ligations, and for
couples with unexplained infertility.
ZIFT (day after retrieval) and TET (2 or 3 days after retrieval) involve return
of the embryo to the fallopian tube rather than the uterus. TET and ZIFT are
done only in very select situations in our facility because of the increased
expense involved and the need for a laproscopy to do the transfer.
50% of infertility is primarily caused by a problem in the woman. Another 25% is
a couples issue involving both the male and female. The three primary problems
found in women are: anovulation, endometriosis and tubal disease. Evaluation
should include testing in all three areas. When no male or female problem is
found this is known as "unexplained" infertility.
25% of infertile couples will have a male factor as the primary problem. Another
25% will have a male factor as part of the overall problem. Therefore, initial
consults should be done as a couple and a semen analysis should be one of the
first tests performed. Differentiating a fertile semen from sub fertile or
infertile semen is difficult. We recommend that semen analysis for fertility be
done in an IVF/fertility facility rather than a general laboratory.
Infertility management includes providing emotional support, doing infertility
studies to identify specific causes, selecting appropriate therapy, and
counseling the couple
about the management plan. Infertility is caused by a malefactor in
approximately one-third of all cases, a female factor in one third of all cases,
and in the last third of
cases, there is a combination of male and female factors. The major causes of
infertility and their approximate incidence are following. Frequently, there can
be multiple causes. 1)Male factor- 40%, 2) Cervical factor 10%, 3) Implantation
factor -5%, 4) Uterine and tubal factor - 30%, 5) Ovulatory factor -20%, 6)
Peritoneal factor - 20%. The basic infertility work-up is designed to evaluate
each one of these factors in order to identify particular problems which may be
causing infertility. The simpler, less invasive and less costly tests are
usually done first.
When a cause of infertility is identified there usually is a specifically
indicated therapy with a defined prognosis for achieving pregnancy. If the woman
does not become pregnant with specific therapy in a reasonable time period,
other studies are done. If no particular problem is identified, empirical,
non-specific therapy is sometimes initiated to enhance the couple’s chances for
pregnancy. About 10% of couples will go through the basic infertility workup and
no specific cause for their infertility problem is identified. This is called
"unexplained infertility". It is a very frustrating situation for the couple.
Sometimes additional studies may be suggested. In this situation, there usually
are treatment options available that will be discussed with the couple. These
include controlled ovarian hyper stimulation and intra-uterine insemination with
the husband’s sperm.
www.grandrapidsfertility.com
1900 Wealthy St. SE
Suite 315
Grand Rapids, Michigan
(616) 774-2030
Toll Free: (800) 695-5941
FAX: (616) 774-2053
MICHIGAN REPRODUCTIVE
Infertility is defined as the inability to get pregnant after one year of normal
intercourse with no contraception. Approximately one out of six couples in the
United States struggles with infertility during their childbearing years.
With the advent of new medical procedures, couples who otherwise might not be
able to conceive on their own are now able to create the family they so desire.
Chances are that you have already talked with your gynecologist about trying to
improve your chances of getting pregnant, and, perhaps you know the roadblock
that is preventing you from achieving your dreams.
Several diagnoses can preclude you from getting pregnant. Those include, but are
not limited to endometriosis, egg quality issues, advanced maternal age, male
factor
issues such as a low or zero sperm count, uterine abnormalities, or previous
surgeries, infections or injuries.
In Vitro Fertilization is a complex process that was developed in 1978. Louise
Brown, the world's first "test tube baby", was born in England. Now, the
procedure is a
common treatment for infertility, and has helped numerous patients create the
families they so desire. In Vitro Fertilization technically mean "fertilization
outside of the body." While considered an experimental procedure for years, IVF
has been a proven way for many couples to build their family. Many insurances
are now recognizing the need for insurance coverage for infertility, and some
offer partial coverage for the procedures leading up to IVF, medications, and
the actual egg retrieval process.
www.fertilitycentermi.com
630 Kenmoor Ave. SE, Suite 100
Grand Rapids, MI 49546
toll-free: (877) 904-4483
phone: (616) 988-2229
fax:(616) 988-2010
IVF Clinics Grand Rapids :
IVF Clinics Lansing
: IVF Clinics Saginaw |
