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 IVF Canada
Approximately 20% of Canadian couples experience difficulty in their attempts to achieve pregnancy. There are many and various factors that may contribute to infertility and can be attributed to either the male or female partner, or both.
One or both fallopian tubes, which carry the ovum from the ovary to the uterus, is obstructed and/or does not function properly preventing the sperm and egg from meeting. Can also include women who have undergone a tubal ligation. Tubal ligation or patients with only one blocked fallopian tube do not qualify for funding under OHIP.
Treatment Options
1) IVF - in vitro fertilization
2) Tuboplasty - surgical intervention to attempt to open the tube(s)
What You Need to KnowCurrently, the Ministry of Health, Province of Ontario, will fund three lifetime IVF treatments for a female with blocked fallopian tubes.
Therefore, before proceeding with surgery attempting to open the tubes, consideration should be given to taking advantage of the OHIP funding since once one of the tubes is open (partially opened tubes may not be functional) the funding is no longer available.
www.ivfcanada.com
IVF Canada & The Life Program
2347 Kennedy Road
Suite 304
Scarborough, Ontario M1T 3T8
Fertility Clinic
During the course of IVF, eggs are obtained from the female after her ovaries have been stimulated with infertility drugs. While under a short period of sedation and with the use of ultrasound guidance, a needle is inserted into the ovaries and eggs are aspirated. These eggs are then fertilized in the laboratory (in-vitro) with the partner's sperm and the developing embryos are cultured from three to six days.
Embryo transfer could be performed on day 3 of the IVF process or on day 5 at the blastocyst stage of embryo development. The embryo transfer procedure is performed with a tiny catheter, usually unperceivable to the patient, in which embryos are placed into the uterine cavity.
This procedure has revolutionized the treatment of male infertility since it allows couples to achieve fertilization, even when only a few sperm are available. The procedure was developed to overcome male infertility problems such as: low sperm counts, poor motility or movement of the sperm, poor sperm quality, or sperm that lack the ability to penetrate an egg. Later, the indication for ICSI has broadened and is performed to optimize fertilization in cases in which few eggs are available and for cases requiring PGD for single gene disorders. ICSI has revolutionized infertility management, to the extent that most treatments previously used have been abandoned in its favor.
ICSI is performed by physically inserting one sperm into each egg using a microscopic approach. Because only one sperm is needed per egg, even very small numbers of sperm will do. Once the egg is injected with a single sperm, it is observed approximately 18 hours later to see if fertilization has taken place.
www.repromed.ca
56 Aberfoyle Crescent,
Suite 300
Toronto, Ontario, M8X 2W4
416-233-8111 (tel)
1-877-317-6079 (toll free)
ASTRA (Infertility Treatments GTA)
Dr Essam Michael is the Clinical Director of Astra Fertility Group. He is certified by the Royal college of Physicians and Surgeons of Canada and the American Board of
Obstetrics and Gynecology. He finished his residency training from Queen's University in 1994. Dr Michael joined ISIS Regional Fertility Centre in Mississauga in 1999 as a founding partner and staff consultant. Dr Michael has also been an active staff member in the department of Obstetrics and Gynecology at William Osler Health Centre, Etobicoke Campus, since 1994.
Dr Michael manages and treats a wide range of medical and surgical fertility problems. He is highly skilled in endoscopic procedures and is experienced in a full range of Assisted Reproductive Technology (ART) treatments. His area of interest is focused on uterine and pelvic factors (tubal disease and endometriosis) related infertility. He is actively involved in clinical research and has several publications in the field of reproductive medicine.
www.astrafertility.com
1 Kennedy Road
Brampton, Ontario
L6W 3C9
tel | 905 451 4333
fax | 905 451 4324
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