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 Fertility Associates of Memphis
In vitro fertilization (IVF) involves collecting eggs and sperm from a couple and placing them together in a laboratory dish to fertilize outside the body, or in vitro. The fertilized eggs (embryos or blastocysts) are then transferred several days later into the womb or uterus. After embryo transfer (ET), implantation and embryo development occur just as in a normal pregnancy.
The Reproductive Endocrinologists at Kutteh Ke Fertility Associates of Memphis have helped thousands of couples start their families. The inability to conceive naturally, which affects 15 percent of couples, can result in intense feelings of anger, anxiety and frustration. Many couples overcome infertility with surgery or medications that correct ovulatory (egg releasing) problems. These therapies are not always successful and more specialized treatment may be required. These innovative therapies are collectively referred to as Assisted Reproductive Technologies (ART).
Blastocyst transfer is an effective means of treating patients who respond well to gonadotropins and develop good quality embryos. High pregnancy rates can be achieved with low numbers of embryos transferred in selected couples.
Microsurgical epididymal sperm aspiration (MESA) and percutaneous epididymal sperm aspiration (PESA) allow the retrieval of sperm from some men with obstructive azoospermia (no sperm). One of the most common causes of azoospermia is congenital bilateral absence of the vas deferens. Genetic tests to rule out inherited abnormalities should be performed before undergoing MESA or PESA. Click here for additional information on male infertility.
Intracytoplasmic sperm injection (ICSI) can allow men with very few sperm to still fertilize their partner's eggs. A single egg is held with a pipette in the laboratory and a single sperm is injected directly into the cytoplasm of the egg.
Assisted hatching is another form of micromanipulation that involves creating an opening in the outer covering of a developing embryo. The opening in the covering, or zona pellucida, helps growing embryos implant in the uterus. Assisted hatching may be especially helpful in older women.
www.fertilitymemphis.com
Memphis Fertility Laboratory, Inc.
80 Humphreys Center, Suite 307
Memphis, TN 38120-2363
Phone: 901-747-2229
Dan Martin, M.D.
Tubal fertility surgery includes tubal sterilization reversal and opening tubes blocked by endometriosis or infection at the fingered end (hydrosalpinx) or at the uterine margin (cornual).
When tubes have been tied, ligated, cut, clipped or burned, these can be repaired using outpatient surgery in order to restore fertility. Microsurgical tubal reversal, anastomosis and reanastomosis are terms used to describe repair or untying of a tube or both tubes using microsurgery. These can be used after a sterilization procedure such as tying, cutting, clipping or burning the tubes and after cornual damage to a tube by infection. This operation also has other names such as repairing tubes, having the tubes untied, and undoing a tubal ligation.
Tubal reversal was originally an in-patient operation. Since the 1980s, this has been done on an out-patient basis. Out-patient surgery has lowered the cost and is more affordable than in-patient operations. An alternate site is at Fertility.Bizland.
Scarring from infection or other inflammation can block the fingered ends of the tubes at the opening near the ovaries. The blocked tube is called a hydrosalpinx.
Hydrosalpinx means "water tube" and describes the balloon like appearance of fluids trapped in the blocked tube. A hydrosalpinx can be opened using laparoscopy (belly button surgery) or laparotomy (open surgery) to perform a salpingostomy (surgical opening in the tube).
The cornua is the inner opening from the uterus to the tube. A blockage at the cornual will sometimes open on antibiotics or hormones. When surgery is needed,hysteroscopy and cannulation can sometimes avoid open anastomosis.
www.danmartinmd.com
Daniel Clyde Martin, M.D.
Germantown Office Building
7945 Wolf River Boulevard
Suite 320
Germantown, Tennessee
TN 38138-1733
(901) 347-8331
(901) 347-8188 fax
Nashville Fertility Center - Assisted Reproductive Technologies
IVF is a process where fertilization takes place outside the body, in a petri dish or a test tube. A woman's eggs are aspirated from her ovaries and placed with sperm. After culture of the embryos for three to five days, the embryos are placed in the woman's uterus. The IVF cycle includes administration of medicines for stimulation of the ovaries (ovarian hyperstimulation), egg retrieval, fertilization and embryo culture, and embryo transfer. If patients choose, cryopreservation may be performed.
Ovarian Hyperstimulation: The IVF Cycle begins on menstrual cycle day 2 with the use of an oral contraceptive agent. Depending on your individual circumstances, this medicine may be given for a varying period of time (often 2 weeks) to prevent ovarian cysts from forming in response to Lupron.
Lupron is then given for 10-14 days prior to beginning the fertility medicine, Follicle Stimulating Hormone (FSH). Lupron, importantly, prevents ovulation of eggs prior to our being able to retrieve them surgically.
FSH is then started (in conjunction with Lupron) to stimulate egg maturation. FSH is given for a total of 10-13 days. Once the egg sacs (follicles) reach a certain size, an hCG injection is given to allow final maturation of the egg. The egg retrieval is then performed 35-36 hours following the hCG injection.
While you are taking FSH you will need to come to our office 3-4 times for "monitoring". Monitoring includes a vaginal ultrasound to determine the number and size of the follicles and a blood test to determine the estrogen level. Monitoring will determine when the hCG injection needs to be administered and thus the timing of the egg retrieval.
www.nashvillefertility.com
Nashville Fertility Center
345 23rd Ave. N., Ste. 401,
Nashville, TN
37203 (615)321-4740
Fax (615)320-0240IVF Clinics Chattanooga : IVF Clinics Johnson City : IVF Clinics Memphis : IVF Clinics Knoxville |
