 |
 Fertility & IVF Center of Miami Florida
An understanding of natural conception is important in order to understand in-vitro-fertilization (IVF). Normally, a woman will produce a mature egg each month. The egg (oocyte) is released from the ovary at the time of ovulation and transported to the fallopian tube. Usually, it is in the fallopian tube that it will encounter sperm and befertilized. The fertilized egg develops into an embryo that will travel to the womb where it attaches and grows.
In IVF, the egg is collected directly from the ovary before ovulation and is fertilized with sperm in the laboratory. The fertilized egg will be incubated for a period of 3 to 5 days. The resulting embryo is then transferred into the uterus (womb) passing through a small canal, called the cervix, which can be accessed through the vagina.
There are also variations in the timing and method of transfer that may be appropriate for certain patients. How is IVF performed? The following are step-by-step descriptions of the IVF process.
To avoid an unexpected pregnancy while taking Lupron, it is very important to abstain from intercourse or use protection the month before starting medications. You candiscuss issues regarding abstinence with your physician.
In some patients, Lupron may be started on the second day of their period, to take advantage of the initial release of FSH and LH, in a technique called "Flare up". In both techniques, Lupron is continued daily in conjunction with gonadotropins until the follicular recruitment phase is over.
The cycle of IVF treatment begins with the onset of the menstrual flow. Patients attend the office for a baseline ultrasound and blood work. The ultrasound evaluation ensures the absence of cysts in the ovaries, and the blood work verifies low levels of the hormone estradiol. These results indicate to the physician that Lupron has achieved its goal of down-regulation.
www.miami-ivf.com
Fertility & IVF Center of Miami
8950 North Kendall Drive, Suite 103
Miami FL 33176-2197
Phone: 305-596-4013
Toll-free phone: 866-IVF-BABY (866-483-2229)
Fax: 305-596-4557
Florida Institute for Reproductive Sciences and Technologies
In vitro fertilization is fertilization of the egg by sperm that occurs outside the body in a glass dish. In vitro means “in glass”, in Latin. This technique is used if the sperm and egg cannot meet in the fallopian tube as a result of blocked or absent tubes or, if the quality or quantity of the sperm is insufficient to fertilize the egg. Originally, IVF was designed to treat women with blocked tubes, but its use has expanded to include the treatment of infertility resulting from of other conditions, such as endometriosis, male factor infertility and unexplained infertility.
There are several different drugs and drug regimens used during IVF therapy. Because each patients problems are unique, treatment is individualized and you may find that your particular regime differs from that of others. This is normal and reflects our goal of providing the right treatment for your particular problem.
Before IVF is recommended, tests are performed to ensure that the ovaries are capable of producing eggs and that the male’s sperm can fertilize them. When ready to begin an IVF cycle, you will receive a medication that turns off temporarily the normal monthly maturation of egg follicles in the ovary. After a blood test ensures that this has been successful, a drug is administered that stimulates the ovaries to produce more eggs than usual. The progress of this stimulation is monitored by blood tests as well as ultrasound examinations of the ovaries. When a sufficient number of eggs containing follicles has reached the proper size, another medication, hCG, is administered to ripen the eggs and prepare them for retrieval.
Approximately one and a half days after hCG administration, the eggs are ready for retrieval. The egg retrieval is performed at the Outpatient Surgery Center of the Weston Regional HealthPark, part of the North Broward Hospital District, rather than in a physician's office. As a result, our patients receive a comprehensive and exceptional care from prior to their procedures until after they recover. Depending on the number of ripe follicles, the procedure takes 15-30 minutes. During the retrieval, you are medicated with Versed and Demerol to achieve what is known as conscious sedation. The use of these medications minimizes any discomfort you may experience and diminishes your recollection of the procedure.
www.firstivf.net
F.I.R.S.T., 2300 N. Commerce Parkway, Suite 313, Weston, FL, 33326-3257, USA.
1 . 954 . 217 . 3456
Reproductive Endocrinology
Infertility is a rapidly changing field of medicine that requires unique knowledge and training to provide quality results. This practice offers the latest fertility services such as Advanced Ovulation Induction, Intrauterine Insemination, In Vitro Fertilization (IVF), Intracytoplasmic Sperm Injection (ICSI), and Preimplantation Genetic Diagnosis (PGD). Blastocyst Culture and Transfer is routinely practiced in order to avoid multiple pregnancies and its associated risks to mother and child.
The New LIFE commitment to quality is demonstrated by our application to and acceptance for membership by the Society for Assisted Reproduction Technologies, SART (www.sart.org). SART’s mission: "The Society for Assisted Reproductive Technology promotes and advances the standards for the practice of assisted reproductive technology to the benefit of our patients, members, and society at large."
Male infertility patients receive diagnostic assessment through hormonal and high-complexity semen evaluation in a state-of-the-art laboratory within the practice. Sperm retrieval techniques (PESE, TESA, TESE) are effective treatments for severe male infertility and are commonly performed in our facility.
For women, a previous sterilization by a tubal ligation does NOT have to be permanent! Dr. Ripps is a Fellowship-trained and Board Certified (SREI, ACGE) Reproductive Surgeon with more than 20 years of tubal ligation reversal (TLR) experience. The procedure is usually completed on an outpatient basis and patients are able to readily return to their routine activities.
This same-day procedure for women yields excellent surgical results with re-opening of one or both tubes in 95% of cases. A pre-surgical consultation and some testing help assure that TLR is the correct choice and that a successful pregnancy is likely. Though the woman’s age is a factor, for women with confirmation of open tubes, the
NewLIFE experience offers a 68% pregnancy rate.
www.fertilityleaders.com
Barry A. Ripps, M.D.
4400 Bayou Boulevard, Suite# 36
Pensacola, FL 32503
(850) 857-3733 • Fax: (850) 857-0670IVF Clinics Jacksonville : IVF Clinics Palm Beach : IVF Clinics Daytona Beach : IVF Clinics Sarasota : IVF Clinics Fort Myers : IVF Clinics Orlando : IVF Clinics Pembroke Pines : IVF Clinics Tampa : IVF Clinics Miami : IVF Clinics Pensacola |
