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Affordable IVF Centers
In Vitro Fertilization (IVF) provides an alternative method of achieving a
pregnancy for couples who have tried and have been unsuccessful with other
fertility treatments. In
many cases, it is the therapy of first choice. In a normal conception cycle, an
egg is released from the ovary and unites with a sperm cell that has traveled
through the
uterus and fallopian tubes after being deposited in the vagina during
intercourse. When the sperm penetrates the egg, fertilization occurs. The
fertilized egg develops further as it moves through the tube into the uterus.
Implantation does not occur until several days after fertilization.
The IVF procedure allows the union of the egg and the sperm and early growth of
the embryo to occur in the laboratory. For a pregnancy to result through IVF,
four steps
must be successfully completed. Pregnancy cannot occur if even one step of the
procedures fails. These four steps are as follows:
Retrieval of the mature egg. Fertility drugs (hMG, Follistim, Gonal-F, or
Humagon) are used to ripen more than one egg. This process is called controlled
ovarian
hyperstimulation. Eggs are recovered by transvaginal ultrasound directed
aspiration of the follicles. Intravenous sedation is used. Because timing of the
egg collection is
critical, ultrasound monitoring and hormone tests are done before egg retrieval.
Sperm collection, fertilization, and embryo development. A semen specimen is
obtained and prepared at the appropriate time in relationship to the egg
recovery. Meanwhile, the eggs are placed in culture medium to incubate and
mature until timing is optimal for fertilization by the sperm. The resulting
zygote is called a pre-embryo. In nature as well as in the laboratory,
fertilization may not occur, nor does development always continue once the egg
is penetrated by sperm.
Transfer of the developing embryo(s) into the uterus. On the third or fifth day
after egg recovery, the embryo(s) are transferred into a small tube through the
cervix into the
uterus. This process is technically much simpler than the egg retrieval in that
it does not require anesthesia and is like a regular pelvic exam.
Implantation and growth of the embryo(s). After fertilization and transfer,
further development and implantation of the embryo(s) in the uterine lining is
governed by hormones, receptors on the uterine lining, and other unknown
factors. Blood tests will be taken to detect pregnancy. Additional hormones are
given to support the early pregnancy.
www.affordable-ivf.com
9800 West Kincey Avenue - Suite 160
Huntersville, NC 28078
Phone: 704-947-9000
Fax: 704-992-1900
The Center For Reproductive Medicine
Infertility is the inability to conceive after a year of unprotected intercourse
in women under 35, or after six months in women over 35, or the inability to
carry a pregnancy to term. Couples who have known barriers to fertility, such as
endometriosis, polycystic ovarian syndrome, male factor infertility, irregular
cycles, etc., do not need to sit out the traditional waiting period to seek
expert care for infertility.
One in every six couples of childbearing age has an infertility problem. There
is a female problem in 35 percent of the cases, a male problem in 35 percent of
the cases, a combined problem of the couple in 20 percent of cases. Therefore,
it is essential that both the husband and wife be evaluated during an
infertility workup. In 10 percent of cases, the problem is "unexplained" meaning
that all testing is normal.
The physician aspirates the fluid from the ovarian follicles into a test tube.
The embryologist then dispenses the fluid into a large dish and rapidly scans it
under the
microscope. The egg complex is usually visible to the naked eye, but microscopic
verification is always done. The egg is removed from the large dish by pipette,
rinsed in the warm equilibrated culture medium and placed in the culture drop.
The presence of an egg in the follicular fluid is immediately reported to the
physician. The physician will then discontinue washing that particular follicle.
After all of the eggs have been aspirated, the maturity and health of eggs is
assessed. Eggs are incubated 1 to 4 hours before insemination. For standard
insemination, 150,000 morphologically normal motile sperm are added to the egg.
Dishes containing egg and sperm are then returned to the main embryology
incubators for culture.
The male will be asked to collect a semen sample after the egg aspiration. He
will be escorted to the collection room. Approximately 30 minutes after
collection, the semen liquefies and semen analysis is performed. The sperm is
prepared for insemination by density-gradient centrifugation to remove the
seminal fluid, cellular debris and non-motile sperm
www.ivforlando.com
Center for Reproductive Medicine
3435 Pinehurst Avenue
Orlando, Florida 32804-4049
Phone 407-740-0909
Florida Toll-free 800-343-6331
Fax 407-740-7262
Reproductive Medicine Institute
The field of In Vitro Fertilization has made dramatic advances throughout the
past several years resulting in much improved pregnancy and delivery rates.
IVF involves the process by which the oocytes (eggs) are taken out through the
vagina from the female partner's stimulated ovaries and mixed with sperm from
the male partner to subsequently fertilize outside of the body in a dish- the
term In Vitro Fertilization literally means "in a dish".
The fertilized pre-embryo are then closely monitored by some of the most
knowledgeable laboratory scientists in the field so that they can continue to
develop in the best possible environment until they are ready to transfer back
to the uterus (2-5) days after fertilization.
Exciting changes in growing and selecting embryo have developed recently
allowing the physician to only return to you the best embryo possible and
maximizing your
chances at pregnancy.
In Vitro Fertilization can be a very successful option for those couples who
cannot conceive other ways. Physicians and laboratories both play a key role in
the success of your IVF cycle. Making an informed choice about the Physician and
Laboratory that care for you are of utmost importance. Dr. Gomez specializes in
the field of advanced reproductive medicine and has many hours of training and
has the experience necessary for you to have the best chance for a successful
stimulation. The laboratory in which Dr. Gomez uses for the In Vitro
Fertilization is certified and staffed with highly trained and experienced
personnel.
Intrauterine insemination involves injecting sperm directly into your uterus at
the time of ovulation. This can be done using either your partner's sperm or a
donor's sperm.
Before the procedure, the sperm are "washed" and prepared for injection. Dr.
Gomez uses a soft tube (catheter) to deposit the sperm through your cervix and
into your
uterus at the time of ovulation. Fertility drugs that stimulate ovulation may be
used in conjunction with intrauterine insemination. Success rates for IUI depend
on many
factors, including your age and the duration and cause of infertility.
In Vitro Fertilization is more complicated than intrauterine insemination
because it involves manipulation of the woman's eggs. In IVF, mature eggs are
removed from an
ovary. The eggs are fertilized in the lab with a partner's sperm or a donor's
sperm. Several days later, the fertilized eggs are implanted directly into the
uterus. IVF is
commonly used for infertility associated with blocked or damaged fallopian
tubes. It is also widely used for infertility associated with endometriosis and
male factor infertility.
www.rmimybaby.com
7806 Lake Underhill Rd; Suite 105; Orlando, FL 32822.
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