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Center For Reproductive Health
Quite simply, IVF is a process whereby a woman's ovaries are stimulated by a
series of hormone shots, causing the ovaries to produce multiple eggs (in a
normal menstrual cycle, a woman produces only one egg). These eggs are then
"harvested" or "retrieved" from the ovaries. The retrieval is a minor surgical
procedure in which the eggs are removed from the ovaries by inserting a needle
through the vagina with ultrasound guidance.
After the eggs are retrieved, the embryologist prepares them for fertilization.
The husband's (or partner's or donor's) sperm is then used to fertilize the
eggs, after which they are now put in a specialized media. After 2 days, the
fertilized eggs, now called embryos, are examined. Based on the number and
quality of the embryos, Dr. Springer will recommend either a day 3 transfer or a
day 5 transfer (commonly called a blastocyst transfer). In either case, a select
number of embryos are then chosen and transferred back into the uterus by a
procedure similar to a pap smear. There are many individual considerations in
determining whether a day 3 or day 5 transfer will be best for you. Please
discuss this with Dr. Springer.
Originally, IVF was designed for the treatment of severe tubal disease.
Infections, inflammations, endometriosis and other conditions may cause
irreparable damage to the fallopian tubes. Since the fallopian tube is the only
place in the female body where normal fertilization can occur, if both tubes
become blocked, pregnancy becomes difficult or impossible. IVF allows for
successful fertilization outside the fallopian tube, thus bypassing the problem
area. Tubal disease remains one of the most common indications
for IVF.
Our office gets frequent phone calls asking the best way to get pregnant
following a tubal ligation. In the days prior to IVF, the only possibility for
pregnancy after a tubal
ligation was to go through a lengthy operation. This procedure, called a
microscopic tubal reversal, takes several hours to perform, requires an
inpatient hospital stay, has a relatively long recovery period and is rarely
covered by insurance. Although there is still the occasional patient for whom
tubal reversal may be the best choice, IVF is
generally less expensive and can achieve higher pregnancy rates in patients
whose tubes have been tied.
Another common indication for IVF is low sperm counts. Because IVF allows us to
super concentrate sperm during fertilization, successful fertilization can occur
even when a male partner has a low count. In recent years a process has been
developed where a single sperm can be injected into an egg to cause
fertilization, a procedure called intracytoplasmic sperm injection, commonly
referred to as ICSI. ICSI enables fertilization in even the every lowest of
sperm counts.
crhivf.com
Center for Reproductive Health | Joliet IVF
2246 Weber Road • Crest Hill, IL
351 Delnor Drive, Suite 210 • Geneva, IL
Jarrett Fertility Group
Once a couple decides they are concerned enough about their ability to conceive
that they want to at least talk about it with a professional, the first step is
to make an
appointment with a physician. This doesn't necessarily have to be a specialist
in fertility; many obstetrician gynecologists and family practitioners are
comfortable initiating a work up. Sure, there are other things you can do. You
can read a book; it may provide some useful information. You can talk to a
friend, but be very careful! Sometimes the most well-intentioned advice from a
friend such as don't worry, just relax, it will happen, can hurt far more than
anticipated and be worth just what you paid for it. And you can certainly
continue to try on your own. But if you're worried, it will help to get some
answers.
There is no substitute for a good history and physical exam. Every investigation
into the cause of a couple's infertility must begin with a thorough history and
physical. The physician is almost playing detective, looking for some
information or a finding that will suggest a particular problem. Often a clue or
clues will be discovered that can direct the initial investigation in a
particular direction. No physician can begin to formulate the plan of evaluation
appropriate for a couple until the physician becomes familiar with the
perspective of the couple, taking a history of their attempts to conceive as
well as of their general medical health, and doing a physical exam. Remember:
Not every couple needs every test. Evaluation must be tailored to the couple.
One thing the physician needs to try to understand is "where the couple is
coming from. How long have they been married? How long have they been trying to
get pregnant? Have they used contraception in the past, and if so, what kind(s)?
What, if any, evaluation have they had so far? How anxious are they? How
frustrated are they? How aggressive do they want to be? How much do they feel
that they can tolerate? The point is this: The approach for a
twenty-five-year-old couple who have been trying for one year is going to be
different than that for a thirty-eight-year-old woman and her forty-year-old
husband who have been trying for three years.
www.jarrettfertility.com
Jarrett Fertility Group
11725 Illinois Street
Suite 515
Carmel, IN 46032
317-814-4110
317-814-4114 fax
888-674-0101
Tiny Treasures Egg Donation Agency
Tiny Treasures coordinates both in-state/local and out-of-state/area egg
donation arrangements. An out-of-state/area egg donation refers to an
arrangement in which the Egg Donor resides in a state or area other than that in
which the Prospective Parents' IVF clinic is located, requiring the Egg Donor to
travel for the egg donation cycle. Clinics vary greatly with regard to their
out-of-state/area Egg Donor protocols. Many clinics allow for an
out-of-state/area Egg Donor to be medically and psychologically screened, as
well as initially monitored, at a clinic local to the Egg Donor. In this case,
Tiny Treasures will coordinate all the necessary arrangements with a IVF clinic
local to the Egg Donor. Some clinics require that the Egg Donor travel to their
site for one or two days to complete all of the medical and psychological
screening. Most clinics require that the Egg Donor travel to their site as she
approaches her retrieval time, such that the last week or so of monitoring is
carried out by the Prospective Parents' clinic. Typically,Egg Donors are
required to travel for approximately 5-7 days for the egg donation monitoring
and retrieval. Travel requirements vary greatly from clinic to clinic, however,
and may range from 2 to 10 days. In addition to coordinating all the
arrangements with the local screening/monitoring clinic, Tiny Treasures will
coordinate all travel arrangements necessary for an out-of-state/area egg
donation.
We are an egg donation facilitation agency that helps guide Prospective Parents
and Egg Donors through the egg donation process, from start to finish. Our
agency
matches Prospective Parents with Donors and manages all the complex arrangements
associated with an egg donation cycle. We are in the business of helping
families conceive children that they are unable to conceive on their own due to
a wide variety of reasons. We are here to be your "helping hand" throughout your
egg donation cycle.
Tiny Treasures, LLC emphasizes the importance of confidentiality, sensitivity,
communication, and support with our clients. Our agency works with a wide
variety of clients, including single, gay, and lesbian Prospective Parents, as
well as traditional couples. With offices based in Massachusetts and the
Washington D.C. area, Tiny Treasures works with Egg Donors and Prospective
Parents throughout the United States and offers specialized services for
international Prospective Parents.
www.tinytreasuresagency.com
Tiny Treasures New England
35 Corporate Drive, 4th Floor
Burlington, MA 01803
781-279-1325
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