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 Bluegrass Fertility Center
The female partner is stimulated with medicine to make several eggs grow within the ovary. The eggs are then collected through the vagina using a sonogram-guided needle under sedation. Sperm is then added to the eggs to allow fertilization to take place. Fertilized eggs are then placed back in the uterus a few days later. IVF is effective for different types of infertility including tubal disease, male factor, ovulatory disorders, endometriosis and unexplained infertility.
Fertility rates decline with age. Although the average age of menopause is 52, most women are not very fertile after age 40. Miscarriage rates also rise with age. Lastly,pregnant women over 35 years have a higher rate of chromosome abnormalities such as Down Syndrome. Women over 35 years are encouraged to have a clomiphenecitrate challenge test to determine egg quality before doing IVF.
If the husband has a normal semen analysis, then sperm are simply added to eggs and natural fertilization occurs. However, if the semen analysis is abnormal, then
intracytoplasmic sperm injection (ICSI) is indicated. ICSI is a technique where a single sperm is injected directly into the cytoplasm (center) of the egg.
Risks associated with offspring born from ICSI procedures are still under investigation. While currently available data suggest that the risk of birth defects or major congenital defects in children born from ICSI is approximately that of the general population (approximately 3-4%), it is possible that such defects could occur as a result of the procedure. A higher incidence of abnormalities with the Y chromosome in male offspring (2-3% vs. 0.1-0.5%) from ICSI has been suggested. While the implications of such findings remain unclear, it is possible that male offspring may be at higher risk of fertility problems if such abnormalities occur. There also is a slight increased risk of sex chromosomal abnormalities from the ICSI procedure (0.8% vs. 0.23%) such as Klinefelter's Syndrome and Turner's Syndrome. Because ICSI is still a relatively new procedure, there may be additional risks that cannot be foreseen at present.
bluegrassfertilitycenter.com
2801 Palumbo Dr.
Suite 101
Lexington, KY 40509
International Institute for Gender Selection
One of the most frequent concerns with fertility evaluation involves the thought by many that the infertility evaluation, carried out attempting to uncover the "cause" of an infertility problem, may have been incomplete or may have overlooked something.
There are many valid approaches to the work up of a couple who have been unsuccessful in their attempts to become pregnant. While the angle of the approach to a fertility problem may vary from physician to physician, it is generally felt that there are certain "basics" to be investigated in nearly every couple with an infertility condition. These baseline studies may be slightly modified based on the initial history of the couple involved, but in general, the items presented here are considered very important to us in the study of nearly all couples.
A way to predict ovulation is by using a urine test kit at home. This test measures luteinizing hormone (LH), which is released by the pituitary gland to cause ovulation. If the test is positive, it indicates that ovulation is about to occur. Sometimes these kits are used to supplement basal body temperature charts.
After a woman ovulates, there is a rise in body temperature-as much as 1°F- that can happen suddenly in one day or slowly over several days. To record her basal body temperature, a woman takes her oral temperature every morning before she gets out of bed and records it on a sheet of graph paper. This record usually has to be kept for 2-3 months. This test may suggest whether ovulation has occurred and whether it occurs on a regular basis. It may be helpful in planning the timing of other tests. After a woman ovulates, the ovaries produce progesterone, a hormone that prepares the lining of the uterus to nourish a fertilized egg. A blood test, taken 5-10 days before a woman's period is due, can be used to test for ovulation by measuring progesterone.
www.genderselection.biz
International Institute of Gender Selection
181 Southland Drive - Lexington, KY - 40503 - USA
phone: 800-998-4567
Kentucky Fertility, Obstetrics and Gynecology
The miracle of conception is a precisely timed biological event that depends upon a myriad of factors. Therefore it is not surprising that each year approximately 6.1 million couples trying to conceive experience infertility. Infertility is a disease or condition of the reproductive system resulting in the inability to conceive after one year of unprotected well-timed intercourse. Infertility also includes the inability to carry a pregnancy to the delivery of a live baby.
About one in six couples have trouble conceiving, but with the development of new fertility drugs and medical technologies, the outlook for most couples is very promising. Approximately 35% of the infertility cases can be contributed to male infertility, while physiological problems in the female account for another 35%, the remaining 30% of infertility cases stem from a combination of causes.
Because of the individual nature of a couple's inability to conceive and sustain a pregnancy, each couple should undergo testing to pinpoint the exact cause or causes that are making pregnancy difficult. This identification is made in nearly 85% of infertility cases, however even when the physiological cause is not identified, fertility therapy can be very effective. Therapy for infertility couples includes timed intercourse, husband/donor insemination, treatment with drugs that stimulate the growth and maturation of the egg cells coupled with the previous methods. Fertilization may then proceed naturally or in some cases in vitro (outside the body), using assisted reproductive technology (ART).
Our mission is to provide comprehensive reproductive care and services in a compassionate, honest and friendly environment. The prospect of infertility can be very stressful on an individual or couple. Our site is designed to help answer some questions you may have and to introduce you to our staff and services we can offer. The philosophy of ones medical practice is a key component in guiding ones career. We have found that by providing quality health care in a comfortable and non-threatening environment is an important first step.
Seeking care from a physician is a difficult process for anyone and must be facilitated in the best way possible. We must provide an educational and patient empowering experience to allow one to become an active participant in ones health care. Patients need to better understand their health options in order to make critical medical decisions.
No longer is it acceptable for the physician to "tell the patient what to do," rather we must provide and inform couples of their options in order for them to make the choices of care. This must include the risks, benefits, expected outcomes and costs of each choice. We also must have empathy for our patients and understand the difficulties, including physical, emotional, social and financial, and only in this way can we provide patient empowering health care.
www.kyfertility.com
141 North Eagle Creek Drive
Suite 203
Lexington, KY 40509
(859) 263-9600IVF Clinics Louisville : IVF Clinics Lexington |
