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Jacksonville Center For Reproductive Medicine
JCRM is a full service IVF center offering all aspects of IVF which are
recognized as standard of care in the practice of infertility. Our program is
focused on your success as a patient and we work diligently to individualize
your care. We are involved in all IVF related services and third party
reproduction cycles such as egg donor, surrogacy, and embryo donation.
ICSI (intracytoplasmic sperm injection) is available but only utilized in those
cycles that we feel it absolutely necessary. It is our goal at JCRM to offer
rapid evaluation of fertility problems, both male and female. Patients generally
present to us after either referral from another physician or in seeking their
own specialty evaluation. In order to achieve a successful pregnancy, three
fertility components must be functioning normally. We must insure that the right
hormonal environment is present (ovulation) as well as normal sperm function and
normal female pelvic anatomy (open tubes). We will expedite your evaluation to
ensure that treatment begins promptly and together we work towards our goal of a
healthy pregnancy.
Assisted hatching is a technique used in conjunction with IVF whereby the embryo
shell is opened slightly so that the embryo can more easily "hatch" out for
implantation into the wall of the uterus. It is thought that in some cases, the
shell is too thick for the embryo to successfully hatch on its own. This
procedure is done utilizing the micromanipulator which is the same instrument
used for sperm injection into the egg. A small opening is made which starts the
hatching process.
We recommend this procedure based on laboratory findings, other criteria or it
may be utilized in otherwise unexplained prior unsuccessful IVF cycles. The
potential risks although rare would be embryo damage or identical twinning.
www.jcrm.org
904.493.BABY
Southside Office
7051 Southpoint Pkway, Suite 200
Jacksonville, FL
Assisted Fertility Program
In vitro fertilization (IVF) is the process of uniting oocytes (eggs) with sperm
in the laboratory after the eggs and sperm have been collected. Embryos that
develop from the fertilized egg are then transferred into the uterus to continue
growth.
IVF is a reasonable treatment for couples with various types of infertility such
as blocked fallopian tubes, endometriosis, male factors, immunologic factors, or
unexplained infertility.
The basic steps to an IVF cycle are:
Ovulation induction uses medications to achieve ovulation if failure to ovulate
is the only obstacle to conception. It is also used to produce several eggs per
cycle. Some couples may benefit from ovulation induction in conjunction with
intrauterine insemination (IUI).
Insemination, fertilization, and embryo culture occur once the eggs are
retrieved. Insemination is performed a few hours after the eggs are retrieved or
on the following day. Eggs are fertilized with sperm that has been specially
prepared.
Embryo transfer takes place after the embryo has matured to the appropriate
stage. The procedure is performed in our office. If necessary, intracytoplasmic
sperm injection is performed as a step in IVF. Intracytoplasmic sperm injection
(ICSI) involves the direct injection of sperm into the egg obtained for in vitro
fertilization. This procedure makes it possible to achieve fertilization and
pregnancy in difficult types of male factor infertility.
Assisted hatching is the process whereby the embryo is hatched in the laboratory
before implantation in the uterus to aid in the implantation of the embryo in
utero.
Female fertility problems are usually a result of either failure to ovulate or
abnormalities of the fallopian tubes or uterus. A woman typically produces a
single egg each month as a result of various hormonal changes. The egg develops
within the ovary and is released upon maturation. It is then picked up by one of
the fallopian tubes and moved toward the uterus.
For conception to occur, the quality of cervical mucus at the time of ovulation
must allow free passage of the sperm into the uterus, the woman’s egg must be
fertilized during ovulation, and the fertilized egg must successfully travel
through the fallopian tubes. If any of these processes are inhibited, the woman
may not get pregnant.
www.assistedfertility.org
3627 University Blvd. South, Suite 450 Jacksonville, FL 32216
Florida Institute for Reproductive Medicine
As how many embryos are being transferred to a patient your age. Some clinics
may appear to have higher live pregnancy rated simply because they are
transferring inordinately high number of embryos. While this will produce a
higher up front pregnancy rate, it subjects the patient to a high incidence of
triplets and higher order multiples. The majority of patients less than 35 years
of age should have no more than two or three embryos transferred at any one
time. With older patients we know that implantation rates do go down and it may
be appropriate to transfer more than three or four embryos.
Clearly this is the technique of choice for moderate to severe male factor
infertility. Do not simply ask the infertility pregnancy rate, but ask how many
babies have actually been born and how many couples have actually gone through
the procedure.
As what the live pregnancy rate is for patients your age. Again, ask how many
embryos are being transferred to accomplish his pregnancy rate. There are many
programs that have had little, if any, success with cryopreservation. This
greatly reduces a couple's chance of obtaining a pregnancy. A good
cryopreservation program is probably the single most important discriminating
factor among IVF programs.
www.fertilityjacksonville.com
836 Prudential Drive, Suite 902
Jacksonville, FL 32207-8336
IVF Clinics Jacksonville :
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