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IVF Doctors and Infertility Clinics in Kansas City, Kansas. |
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Reproductive Resource Center
One married couple in six confronts infertility. Although infertility is
clinically defined as the inability to conceive a pregnancy after one year of
unprotected intercourse, some couples warrant earlier diagnosis and treatment.
There are many causes. Fortunately, advances in reproductive research and
technology offer many encouraging treatment options for infertile couples who
wish to start or enlarge their families.
Since fertility, especially in the female, begins to decrease after the age of
30, successful treatment usually correlates with prompt and timely, effective
reproductive health care.
For half of infertile couples, long established medical treatment or surgical
procedures successfully treat the problem. Other couples may need more advanced
treatment modalities, such as in vitro fertilization / assisted reproductive
technology (IVF/ART). Since 1988, Reproductive Resource Center has earned
widespread recognition and nationwide respect as a leader in assisted
reproductive technologies.
Intrauterine insemination is performed in conjunction with ovulation induction
and clomiphene citrate or gonadotropins. These procedures are used in cases of
unexplained infertility, in cases of poor mucous, when sperm cannot pass through
the cervix to reach the uterus and tubes, or in cases of mild male factor
infertility. This procedure involves inseminating the husband's sperm or donor
sperm into the woman's uterine cavity at the time of ovulation.
The sperm must be treated appropriately before the insemination so that the
chances of conception are improved and the chances of complications minimized.
The sperm sample is "washed" which separates the sperm cells from the seminal
plasma. The seminal plasma contains prostaglandins that cause uterine cramping.
It may also contain other factors which inhibit normal fertilization.
The sperm sample that is provided to the laboratory goes through the following
wash procedure:
The sample is labeled with the patient's name and transferred to a test tube of
solution that has been warmed to 37°C (normal body temperature). This tube is
also identified with the patient's name. The semen is mixed with the culture
medium and then centrifuged (a very fast spinning process) so that the sperm
form a pellet on the bottom of the tube and the seminal plasma and medium remain
on top. The top layers are removed and the sperm is resuspended into medium and
again centrifuged.
www.rrc.com
12200 West 106th Street | Suite 120 Overland Park, KS 66215 | Phone:
913.894.2323 | Fax: 913.894.0841
Kansas City Urology
Infertility is a common problem affecting up to 15% of couples. In over 50% of
cases a male factor is solely responsible or is contributing to the problem.
Many causes of
male infertility exist ranging from hormonal,blockages,genetic,environmental/lifestyle, medications or unexplained to name a few. Certain
potentially life-threatening medical conditions may present for the first time
as the inability to achieve a pregnancy and lower sperm counts, such as
testicular tumors and some brain tumors. They are uncommon, and the reason why
male patients should be evaluated in couples that have infertility.
The evaluation should involve a thorough history and physical and evaluate some
of the risk factors that are known to cause male infertility e.g. some childhood
disorders that do not become a concern until later in life e/g undescended
testicle(s); infections; smoking, alcohol and drug use; certain issues with heat
(not boxers or briefs – a myth); cancer treatments; spinal cord injury and other
medical conditions. Blockages of the reproductive tract can sometimes be the
cause and possible reconstruction using microsurgery can be performed to reverse
this and avoid assisted reproduction techniques (ART) and have children
naturally. Unfortunately these blockages sometimes cannot be corrected and sperm
retrieval techniques and sperm freezing are required for in vitro fertilization
(IVF) with intracytoplasmic injection (ICSI) – one sperm injected into an egg
outside the body.
Correction of men with low counts and/or motility can also be corrected with a
full evaluation, correcting any treatable causes e.g. manipulation of hormones,
and correction of certain conditions such as varicoceles – dilated veins in the
scrotum that are thought to increase scrotal temperature and affect sperm
production. Up to 40% of men who present with infertility have a varicocele on
exam. Treatment for this requires careful patient selection and can result in
40-70% improvement in sperm production and up to 40% improvement in pregnancy
rates. Even some men with no sperm in their semen who have a varicocele may get
return of sperm (approx 17%). It is important to know that the number of sperm
is usually not enough for natural conception in these cases and would require
ART with IVF. Correction of the varicocele is a same day surgery as an
outpatient but is in the operating room and requires an operating microscope to
tie off the veins accurately and completely without causing damage to the blood
supply to the testicle. Embolization of the veins can also be performed.
www.urologyatkumed.com
3901 Rainbow Blvd
Kansas City, KS 66160
IVF Clinics Kansas City |
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