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Southern California Reproductive Center
In vitro fertilization provides a controlled environment that significantly
enhances the opportunity for fertilization of the oocyte, or egg. IVF combines
eggs and sperm together in a dish that contains a culture solution that provides
nutrients to support the fertilization and development of the egg. "In vitro" is
a Latin term that means "in glass." Monitored microscopically, successfully
fertilized eggs develop over a three-day period into embryos. Then, our team of
embryologists conducts a qualitative assessment of the embryos to determine
which embryos will be selected for embryo transfer, cryopreservation, or further
culturing and development.
Surgery offers the benefits of the potential for many future pregnancies, and
eliminates the risks of increased multiple pregnancy and hyperstimulation
reactions associated with IVF medications. IVF offers significantly higher
monthly pregnancy rates (fecundability), as well as the possibility of extra
embryos that may be cryopreserved for a subsequent pregnancy attempt. The IVF
physicians of the Southern California Reproductive Center can fully discuss the
merits of each approach within the setting of your case to help you determine
the optimal treatment option for you.
www.scrcivf.com
4080 Loma Vista Road Suite P Ventura, CA 93003
P: 805-658-9112
F: 800-600-6944
California Fertility Partners
IVF is an assisted reproductive technique that is used to treat infertility due
to multiple etiologies including tubal disease, male factor, endometriosis, and
unexplained causes. The treatment involves stimulation of the ovaries to produce
multiple eggs, removal of the eggs by an ultrasound directed needle aspiration,
followed by insemination of the eggs in the laboratory. The fertilized eggs, or
embryos, are grown in culture for 3-5 days before being transferred into the
uterine cavity.
A woman's natural cycle is self-regulated to produce one egg per month. The eggs
develop within fluid-filled sacs inside the ovaries, called follicles. The
hormone that is
released by the pituitary to stimulate the follicles to grow each month is
called follicle stimulating hormone, or FSH. By giving daily injections of
medications containing FSH we can increase the blood level of this hormone,
causing several feggs to develop to maturity.
There are several different types of medications used to prepare the ovaries for
an IVF aspiration. Lupron and Ganirelix are used to prevent the surge of LH in
mid-cycle and thereby prevent ovulation. Preparations containing FSH include:
Gonal F, Follistim, Bravelle, and Menopur. These medications are used to
stimulate multiple follicle growth.
Careful monitoring of the ovaries during treatment is essential for the
development of high quality eggs as well as patient safety. Serial ultrasounds
and blood tests are used to evaluate the ovarian response and timing of egg
recovery. The sizes of the follicles correlate with maturity of the eggs inside.
When the eggs reach predicted maturity, an ultrasound guided aspiration
procedure is scheduled to harvest the eggs.
The egg retrieval is a simple outpatient surgical procedure that is performed
under intravenous anesthesia. A vaginal ultrasound probe is used to guide a
needle through the vaginal wall and into the ovary. Once the needle is inside
the follicle, suction is used to aspirate the fluid and egg into a test tube.
The embryologist then examines the fluid for the presence of an egg. The entire
procedure takes approximately twenty minutes to perform.
www.lainfertility.com
California Fertility Partners
11818 Wilshire Blvd, Suite 300
Los Angeles, CA 90025
T: 310-828-4008
F: 310-828-3310
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