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What is ICSI and Do I Need It?

Fertility Treatments

What is ICSI and Do I Need It?

What Is ICSI?

Intracytoplasmic sperm injection (ICSI) is a laboratory technique that offers a pathway to a successful pregnancy for couples with little hope of reproducing naturally or with IVF alone due to significant sperm issues. ICSI is the most used method that is a critical part of assisted reproductive technology. Its use accounts for 70% to 80% of the IVF procedures performed. 

For sperm to fertilize an egg, the sperm's head must attach to the outside of the egg. It then must break through to the inside, where fertilization takes place. If the egg's outer layer has become hardened or thickened, or if the sperm is abnormal and cannot swim effectively, it will be difficult for the sperm to penetrate it. 

Standard IVF vs. ICSI

Standard IVF vs ICSI intracytoplasmic sperm injection

In an IVF procedure, an egg is fertilized in a laboratory dish. Healthy sperm collected from the patient's partner or a selected donor is added to the dish to surround the egg. The sperm will naturally fertilize the egg by attaching itself to its outer membrane and breaking through into the egg. The fertilized egg (embryo) is transplanted into the uterus when it reaches a certain stage of development approximately five to six days after fertilization. If it implants into the lining of the uterus successfully, a pregnancy results. 

There are times, however, when surrounding the egg with sperm in the dish may not result in fertilization. Based on the circumstances or results of a prior semen analysis, doctors may opt for ICSI to help improve fertilization success. This procedure can frequently solve the issue of male factor infertility or poor fertilization in IVF cycles. ICSI is essentially an extension of IVF that works to control some of the variables that affect fertilization and increases the chances of an embryo resulting in pregnancy. 

How Is ICSI Performed?

ICSI is performed in conjunction with in vitro fertilization (IVF). Patients will undergo egg retrieval, and the egg will be injected with a single sperm in the lab through the process of ICSI with the hope of growing into a healthy embryo to be transferred to the carrying uterus.

Steps for Egg Retrieval

To prepare for egg retrieval, patients administer hormonal injections to stimulate the ovaries to produce multiple eggs for an average of 10 days, followed by an injection of human chorionic gonadotropin (hCG) or leuprolide acetate to assist in the eggs' final maturation.

When the eggs are ready for actual retrieval, a transvaginal ultrasound guides a thin needle through the vaginal wall into the ovary, then suction draws out and collects the eggs. This is performed under anesthesia and is a relatively short procedure lasting 10-20 minutes.

Unless frozen sperm is used, it is collected on the same day that egg retrieval occurs. The person supplying the sperm must collect ejaculate into a lab-provided container and deliver it to the lab within 30 minutes. The semen is analyzed for volume, mobility, and quality.

The ICSI Procedure

The ICSI procedure is performed with these steps:

1.    The embryologist holds the mature egg in a lab dish using a small glass tube equipped with a suction bulb.

2.    Using a thin needle, a single sperm is immobilized and picked up.

3.    The needle is inserted into the egg.

4.    The sperm is injected directly into the egg.

5.    The needle is withdrawn.

Now the waiting begins.

After the ICSI Procedure

Following the completion of the procedure, the embryology team monitors the embryos' progress to look for signs of successful fertilization. Cell division should begin within one day if the fertilized embryo is healthy. In many cases, the embryos are grown for five to six days, and at this point, if the patient elects to have preimplantation genetic testing performed (PGT) this is when the surviving embryos are biopsied (cells removed and sent for additional testing) and then frozen. 

If a fresh embryo transfer is performed, the developing embryo will need to grow appropriately for at least three to six days. When it is ready to transfer, a long, thin tube (catheter) is inserted through the vagina into the uterus under ultrasound guidance to inject the embryo into the uterus. The embryo must implant in the uterine lining for pregnancy to occur. If PGT testing is being performed, a frozen embryo transfer will be performed at a later date.

Who May Benefit from ICSI?

woman pregnant after doing IVF with ICSI

Male factor infertility is one of the causative factors in over one-third of male infertility cases. It usually results from complications in the sperm's production or delivery. In such a case, ICSI would be high on the list of options to overcome infertility. A man who has undergone a vasectomy reversal would also be a candidate for this procedure, even if the sperm is healthy otherwise. Other examples of infertility that may be helped through the ICSI procedure include:

•      Abnormal sperm motility. This references the sperm's ability to move effectively. 

•      Low sperm count. The male partner doesn't produce enough sperm for a successful attempt using artificial insemination or IVF.

•      Infertility that cannot be explained.

•      The semen lacks sperm because of a blockage in the reproductive tract of the male.

•      The sperm is unable to attach to an egg.

•      Traditional IVF has been unsuccessful, even with fit sperm.

•      The eggs used were matured in vitro.

•      The eggs were frozen before use.

Even when it isn't specifically indicated, some physicians may choose to use ICSI when appropriate. 

What Are the Risks of ICSI?

Compared to conventional IVF, some studies of the ICSI procedure suggest a possible connection between ICSI and an increased risk for intellectual delays, autism, chromosomal abnormalities, and birth defects such as Beckwith-Wiedemann syndrome, hypospadias, Angelman syndrome, and sex chromosome abnormalities. These are rare, occurring in less than 1% of babies conceived through ICSI with IVF. Other possible risks include:

•      Ovarian hyperstimulation syndrome in response to excessive fertility drugs 

•      Multiple births, either twins or triplets

•      Increased risk of premature labor and low birth weight

•      Slight increase in risk compared with IVF

•      The need for a cesarean section for delivery is slightly increased

ICSI Success 

On average, fertilization occurs through ICSI in 70% to 85% of cases. The rate of live births reflects the number of healthy children born following an IVF/ICSI cycle. These success rates are classified based on maternal age and will often vary due to additional factors affecting the eggs and sperm.

Take the First Step

If you'd like to learn more about IVF, ICSI, or other fertility treatments that may be a solution for you, contact the infertility specialists at Advanced Fertility Care to set up a consultation.

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Can I Use My Own Eggs for IVF After 40 Years Old?

Fertility Treatments

Can I Use My Own Eggs for IVF After 40 Years Old?

Deciding to start a family is an exciting yet highly personal decision. Many people delay trying to get pregnant until later in life. You may have decided to wait because of your career, life goals, relationship status, or simply because you weren't ready. 

If you're over age 40 and want to get pregnant, you likely have questions about your chances of pregnancy. Fertility treatments, like in vitro fertilization (IVF), can help couples and individuals finally become parents. However, how do you know if you should use your own eggs or when to consider donor eggs?  

In this article, we'll look at some challenges of getting pregnant after 40 and when to consider an egg donor. 

The Challenges of Getting Pregnant After 40

woman over 40 talking to doctor about getting pregnant

Being over 40 doesn't mean you can't build the family you desire. However, fertility does decline with age. So, if you're struggling with infertility, you're not alone. 

Statistics show that the odds of getting pregnant decrease significantly as time goes on. The chances of getting pregnant naturally each month for women over 40 are only about 5%. About 22% of all women struggle with infertility after age 35, and up to 29% by 40. Over 40, the likelihood of a successful pregnancy decreases every year, so it would make sense not to delay any attempts at conception and to pursue a fertility evaluation and treatment early on. 

So why, exactly, does fertility decrease as time goes on? There are several reasons this occurs. 

Uterine, Hormone, and Menstrual Changes

Issues like endometrial polyps and fibroids can increase with age, potentially contributing to infertility. Decreased ovarian sensitivity to certain hormones can also play a role, as well as changing hormone secretion levels.

Diminished Ovarian Reserve

However, the main reason women struggle more over age 40 with fertility is the natural decline in both egg number and egg quality. Every woman is born with a limited supply of oocytes (immature eggs), which she will have for her lifetime. Women typically have 1-2 million oocytes at birth. The amount of eggs decreases with age, falling from 500,000 by puberty to 25,000 around age 37. 

Some women may experience a low egg count, also known as diminished ovarian reserve. While all women have some decline in fertility with age, for some, it happens sooner than for others. If there are a lower number of eggs in your ovarian reserve, it could decrease your odds of conceiving. However, your egg count is not the only factor in fertility. 

How do you know if you have a low ovarian reserve? Usually, there are no symptoms other than having difficulty getting pregnant after trying for months or even years. Some people can experience irregular menstruation, hot flashes, and vaginal dryness. Low egg count can be caused mainly by aging but also by some cancer treatments or autoimmune disorders.

Egg Quality

The quality of your eggs also contributes to infertility. As a person ages, the eggs that are ovulated are more likely to be genetically abnormal, which of course, means that it will be more difficult to achieve pregnancy. Since the quality of your eggs is closely tied to how genetically normal they are, having a high number of abnormal eggs makes it harder, on average, to end up with a normal egg that can fertilize and end with the successful birth of a child. This is also why we see higher miscarriage rates as women age. 

Despite these challenges, there are also effective ways to treat infertility and achieve pregnancy after 40. 

Paths To Getting Pregnant After Age 40

At Advanced Fertility Care, we offer several fertility treatments to help you start a family.

Intrauterine Insemination

Intrauterine insemination (IUI) is a treatment where sperm are collected from either a donor or a partner, then isolated, washed, and concentrated. Then, they're placed into the uterus around the time of ovulation. Typically, our patients undergo treatment with fertility drugs in combination with IUI. This is meant to help bodies ovulate more than one egg each cycle, giving you more chances that month of getting pregnant. While IUIs have a lower success rate than in vitro fertilization, that does not mean IUI won't work for you even if you're over 40. For those at 40, IUI is considered to have about an 8-10% success rate compared to 15-20% success found with IVF.

In Vitro Fertilization

45 year old woman holding newborn after getting pregnant with donor egg IVF

In vitro fertilization (IVF) is another method that involves fertilizing eggs with sperm in a laboratory, then transferring the best resultant embryo into the uterus using a thin tube. First, eggs are extracted from the ovaries, typically after taking fertility medications. The eggs are then isolated and fertilized in a laboratory, becoming embryos. 

One of the real advantages of IVF is what is known as preimplantation genetic testing or PGT

•      With PGT, a few cells from the part of the embryo that eventually becomes the placenta are removed and sent for genetic (chromosome) testing. 

•      With PGT, we can identify which embryos have the right number of chromosomes and which ones have an abnormal number of chromosomes. If an embryo has an abnormal number of chromosomes, it won't result in a pregnancy, or if it does, it would be very likely to miscarry. 

•      PGT also helps us identify embryos with an abnormal number of chromosomes that can result in a live birth. The one everyone is aware of is Down Syndrome. This type of thing is seen more often in women over 40. 

Suppose we can identify an embryo that is chromosomally normal with PGT. In that case, your success rates can be as high as 70% when you have your embryo transfer, and you have to worry less about things like Down Syndrome during pregnancy. Success rates aren't 70% for everyone with IVF because many patients will do the IVF but won't end up with any normal embryos. 

IVF can have excellent success rates. However, the success of IVF often depends on factors such as egg quality and your response to ovarian stimulating medications. So how do you know when to consider using donor eggs instead of your own? 

When Should You Consider Donor Eggs?

It's entirely possible to get pregnant using your own eggs over 40. Yet, for some people, there seems to be an egg quality or quantity issue that we can't overcome. This is especially true for women over age 43 or 44. Donor eggs in this situation could greatly increase the chances of getting pregnant through IVF. 

It may be worth considering using an egg donor, especially if you have a diminished ovarian reserve or demonstrated poor egg quality. Ovarian reserve testing is one way to estimate whether your ovaries match your age which would give us a good indication of how you might respond to fertility treatment. Some testing results might indicate that it is unlikely that fertility treatment will increase the chances of you getting pregnant using your own eggs. 

At Advanced Fertility Care, we offer an in-house Donor Egg program which provides those in need of an egg donor a variety of high-quality egg donors available for matching. Preview our available egg donors here.

Ovarian Reserve Testing

Ovarian reserve testing can help determine how many eggs you may have left. Screening for diminished ovarian reserve can tell you whether the ovarian stimulation medications used in IVF treatments might work for you. A low egg count could mean your ovaries won't respond as well to these treatments, decreasing your chances of pregnancy. 

Ovarian reserve testing can also help guide your decision to undergo fertility treatments, as it may suggest how likely you'd be to get pregnant without some kind of fertility treatment. 

To test your ovarian reserve, your provider performs blood tests to assess your levels of certain hormones. Your provider may also perform a vaginal ultrasound to look at your ovaries and count the number of follicles you have. The number of follicles you have in your ovaries at the beginning of a menstrual cycle represents the number of eggs that are available to your body for fertility treatments. The higher the follicle count, the more eggs we have to work with. 

While ovarian reserve testing doesn't definitively say whether or not you'll be able to conceive, it can help you decide if using an egg donor may be a better option than pursuing an IVF cycle with your own eggs. If the tests reveal a diminished ovarian reserve, you may consider using a donor to increase your chances of getting pregnant through IVF.

Advanced Fertility Care is Here to Support Your Fertility Journey

No matter your situation, our caring and professional team at Advanced Fertility Care is here to support you in getting pregnant. We offer IUI, IVF, a donor egg program, and more. Building a family is within reach, even if you're over 40. 

To learn more or to schedule a consultation, contact us today.

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Top Frequently Asked Questions About PCOS

Infertility Resources & Support

Fertility Treatments

Top Frequently Asked Questions About PCOS

Polycystic Ovarian Syndrome, or PCOS, is a common disorder that can contribute to infertility and long-term health risks. If you think you may be dealing with symptoms of the disorder, you're certainly not alone. In fact, as many as 12% of women of reproductive age in the U.S. live with PCOS. 

If you have PCOS, you may have many questions about the condition, its treatment, and what it might mean for your chances of getting pregnant. In this article, we'll answer some common questions about PCOS.

What Is PCOS?

PCOS is a multi-system disorder affecting many women of reproductive age. The cause of the disorder is unknown, but people with PCOS commonly exhibit imbalances in certain reproductive hormones, such as androgens. As the name implies, people with PCOS often have large numbers of follicles which are the small egg-containing cysts found in the ovaries. During a normal menstrual cycle, your ovaries mature and release an egg every month. Due to the effects of PCOS, your ovaries may be unable to make or release an egg regularly. This can result in infertility issues.

What Are the Symptoms of PCOS?

Woman talking to doctor about PCOS signs and symptoms and risk level

PCOS symptoms vary between individuals and can range from mild to severe. Many people may experience irregular periods, erratic ovulation, infertility, oily skin, extra hair on the face or body, hair loss on the scalp, and weight gain. More recently, PCOS has been linked with depression or mood disorders. Some people with PCOS are overweight, although people who are not overweight can have it also. Being overweight can make the signs and symptoms of PCOS worse. 

A common problem in people with PCOS is insulin resistance (more on this below). People with insulin resistance can often find darkening of the skin along creased areas like the groin or neck can occur, as well as the development of skin tags.

Who is at Risk for PCOS? 

The condition affects women of all ethnicities and can develop at any time during reproductive years or any time after puberty. The precise cause of PCOS is unknown. However, you may be at higher risk if you have a family history of the disorder.

As noted above, people with PCOS often have insulin resistance. People with insulin resistance can make insulin, but their cells don't respond to insulin as they should. As a result, insulin levels in the body may increase. This can cause the ovaries to produce higher levels of a group of hormones known as androgens which causes some of the symptoms of PCOS like unwanted hair growth. 

In addition to PCOS, other factors can contribute to insulin resistance such as being overweight, having an unhealthy diet, or a family history of diabetes. These people can see a worsening of their symptoms of PCOS. It's important to take action if you have high insulin or blood sugar levels since this may increase your risk of developing diabetes. 

How Is PCOS Diagnosed? 

Since PCOS is a syndrome with many different signs and symptoms, not all experts agree on the criteria to diagnose PCOS. The three most commonly used criteria are seen here.

As you can see, some criteria rely on blood tests, others rely on ultrasound, and still, others emphasize signs and symptoms. Therefore, your doctor may perform an exam and discuss your medical history to diagnose PCOS. They may perform a pelvic ultrasound to examine your ovaries and do blood tests to determine your hormone levels. These exams and tests will help rule out any other possible causes of your symptoms. 

How Is PCOS Treated?

There is no total cure for PCOS. But fortunately, you can take steps to manage or improve your symptoms. Getting adequate exercise, managing your weight, and eating a healthy diet can all help. You may also be able to take medication to lessen physical symptoms, like hair growth and acne. Making lifestyle changes can lower your long-term risks like type 2 diabetes. 

It's not easy to hear that you may have PCOS, but you can talk to your doctor about how to lessen your symptoms. Some simple lifestyle changes may improve things.

Can You Get Pregnant if You Have PCOS?

Woman with PCOS with positive pregnancy test smiling

It's possible to get pregnant if you have PCOS. While PCOS can cause infertility struggles, there are a few things you can do to increase your chances of pregnancy. 

Having irregular ovulation will make it harder to track the fertile phase of your menstrual cycle. Even so, you could still be able to get pregnant naturally. If this doesn't happen, there are fertility treatment options available. 

Can Fertility Treatments Help You Get Pregnant With PCOS?

Absolutely! If you're having trouble getting pregnant, one possible option is in vitro fertilization (IVF). During this advanced fertility treatment, a doctor extracts your eggs, fertilizes them in a laboratory with collected sperm, and transfers the fertilized egg into your uterus. IVF bypasses the fallopian tubes, enabling a fertilized egg to be placed directly into your uterus, where it can implant. IVF can be an effective choice for many people, including those with PCOS, endometriosis, or damaged fallopian tubes.

However, many patients don't require IVF to get pregnant. 

Reducing insulin resistance by lifestyle changes or medication can often result in more regular ovulation and pregnancy. Another alternative is ovulation induction with intercourse or intrauterine insemination (IUI). For this procedure, you take fertility drugs to induce ovulation before having intercourse or undergoing artificial insemination so that your eggs can become fertilized.

Does Having PCOS Increase Your Risk of Pregnancy Complications? 

If you have PCOS, there can be some increased risk of certain complications like gestational diabetes and preeclampsia during pregnancy. However, this does not always happen, and you can reduce your risks by maintaining a healthy weight and making sure your blood sugar levels are normal before trying to become pregnant. 

No matter your situation, the team of caring professionals is here to support you on your fertility journey. We would be glad to answer any questions you may have about PCOS, infertility, and fertility treatment options. Explore our website or schedule a consultation with our experts today if you'd like more information.

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How to Decide Between IUI and IVF

Fertility Treatments

How to Decide Between IUI and IVF

Millions of Americans are impacted by fertility challenges each year. The National Institutes of Health (NIH) estimates that roughly 9 percent of men and 11 percent of women have had fertility problems of varying severity. These fertility struggles may get in the way of people’s dreams, and they can have a devastating impact, if left unaddressed, on both individuals’ and couples’ mental and emotional health. Fertility challenges may not be the only reason people consider fertility treatments. For example, many people who are single by choice, as well as LGBTQ+ couples, may see fertility treatments as their best road to building their family.

Fertility Treatments Are Available To You

If you’re struggling to conceive, the good news is that there are treatment options available that could help you realize your dreams of parenthood. Two of the most common treatment choices are intrauterine insemination and in vitro fertilization. In this article, we discuss these two fertility treatment options in greater detail and compare the pros and cons of each one while recognizing that patients’ ultimate decisions are highly personal.  

What is IUI?

Intrauterine insemination, also referred to as IUI, is an increasingly popular fertility treatment that can be used as an initial intervention when people have trouble trying to conceive. One of the selling points of IUI is that it is dramatically less expensive than a treatment like IVF. Even though IUI treatments often include medications, like Clomid, to encourage ovulation, many see it as a less intensive or invasive treatment than IVF. You may find yourself wondering what happens in IUI. The answer is quite simple. Washed sperm from a partner or a donor will be inserted directly into the uterus. This means that the sperm will have less distance to travel to meet a released egg, and hopefully, it means that the likelihood of a pregnancy increases. IUI is a common first step for many couples struggling to get pregnant, single parents by choice, or others using donor sperm.

Fertility Specialist consultation for IUI and IVF

Although you may not need a highly qualified reproductive specialist for a successful IUI, there are many reasons why you might consider working with one. This way, you will have an established relationship with a fertility physician if you need to consider other interventions down the road. A reproductive specialist can also provide any necessary testing to help you determine why you may be experiencing challenges on your fertility journey. Many find that an initial evaluation from a fertility specialist can provide a fuller picture of their fertility status and better understand their best options to move forward.

What is IVF?

IVF, or in vitro fertilization, is a well-known type of assisted reproductive technology (ART) that’s helped thousands of people worldwide have the family of their dreams. IVF involves fertilizing eggs in the laboratory and transferring created embryos to a uterus. The process involves extracting eggs, retrieving a sperm sample, and combining an egg and sperm in the laboratory to help fertilization and embryo creation.The first step in an IVF cycle is ovarian stimulation, which is where synthetic hormones are injected to stimulate the ovaries so that they can produce multiple eggs. Once the eggs mature, it’s time for follicular aspiration, also known as egg retrieval, when a needle is inserted into one or both ovaries to retrieve the eggs. After that, the egg is fertilized with sperm provided by a partner or donor. Once this has happened, medications are administered to the person planning to carry the pregnancy to prime the environment for a healthy pregnancy. The embryo is then transferred into the uterus. If any other embryos were created, they may be frozen and kept in storage for future use.

What Are the Main Differences between IVF and IUI?

There are multiple differences between in vitro fertilization and intrauterine insemination. A few of the  most significant differences are highlighted below:

#1 The Extensiveness of the Process

IVF is considered more involved and has more stages in the process than IUI. This includes egg retrieval, which can be uncomfortable or painful for the patient. Many of these steps happen in a laboratory before the embryo is transplanted back into the uterus.

#2 What Is Treated  

As we will explore in more detail below, there are some situations in which IUI may be appropriate, and there are others where providers may recommend IVF. Remember, everyone’s fertility journey looks different, depending on numerous factors, and there is no single perfect answer for everyone.

#3 How Much It Costs

The price of IVF and IUI may vary depending on where you live and various factors. IVF is usually costlier than IUI. Depending on the clinic you are using and the accompanying treatments you may need, IUI may cost less than $1,000 per attempt, and IVF is estimated to cost between $15,000 and $30,000 per attempt. This price differential explains, at least in part, why some doctors recommend starting with intrauterine insemination as an initial fertility treatment.

#4 The Length of the Process

There is no easy or perfect answer for how long it will take someone to get pregnant. Some medical experts suggest that your success rate with IUI will be about 15 to 20 percent per try. However, your odds jump significantly if you decide to go the IVF route. In this case, your likelihood of a successful overall outcome is between 30 and 60%, depending on the woman's age. The chance of a successful pregnancy from one round of IVF can vary depending on the underlying source of infertility. For example, advanced maternal age, which describes people over the age of 35 during pregnancy, may be one factor that significantly lowers the success rate. Although these factors impact many people's decisions when discussing their treatment options and plan, there is also a psychological and emotional toll to every cycle without a successful pregnancy to be carefully considered.

When Is IUI a Better Choice than IVF?

As stated above, IUI is less expensive than IVF treatment. However, there are two caveats here. First, the budget should never be the sole determinant of your reproductive health. It is important to talk to skilled fertility practitioners and see what they recommend for your unique circumstances. Second, the attractive prices quoted above were for a single round of IUI. However, given the relatively low success rate per cycle, many patients need to undergo multiple treatment rounds, and the cost can accumulate cycle after cycle.In addition to very valid cost considerations, some other factors could nudge you to consider IUI. If, after testing, doctors are still unsure about the source of your infertility, then this treatment option could be a good starting point. If it does not work, you can always move to another option, like IVF. It may be a good idea to discuss how many cycles you are willing to try before changing your approach with your provider ahead of time. This can help with future decision-making when in the midst of fertility treatment. Also, IUI can be a great option if the fertility challenges you're experiencing have been determined to be caused by sperm motility issues. The IUI process puts the sperm and the egg in much greater proximity, upping the likelihood of success. However, this may only be effective if the motility reduction is mild or moderate. More severe cases of sperm motility issues may require a greater amount of intervention, such as IVF or ICSI.

When Is IVF a Better Choice than IUI?

IVF successful pregnancy

Even though IUI is an excellent choice for many people, especially those with unexplained infertility, it may not help everyone achieve the family of their dreams. In these cases, it might be time to consider IVF. For instance, if fertility testing shows that the source of infertility is fallopian tube scarring, IVF might be a better choice. This creates an issue because the egg cannot make it to the uterus for fertilization. IVF treatment bypasses this issue by uniting the sperm and egg in the controlled environment of a laboratory dish. IVF treatment also allows for the opportunity to utilize genetic testing. With Preimplantation genetic testing (PGT), medical professionals can test embryos for a wide range of genetic and chromosomal conditions and only implant the healthy embryos. In many cases, undergoing IVF with PGT can significantly increase the chance of having a healthy baby. Another reason why IVF may be a better choice is if sperm quality and/or motility are very low. The controlled environment of a lab with IVF may be the only way to achieve fertilization. However, even placing the sperm closer to the egg, like with IUI, may not be enough to achieve fertilization. In some cases, it may be recommended to utilize intracytoplasmic sperm injection or ICSI. During ICSI, a single sperm is directly injected into the egg, which can greatly improve the fertilization rate. IVF may also be recommended for someone dealing with endometriosis or if the patient has experienced multiple miscarriages at any stage of pregnancy.  

Reach Out to Advanced Fertility Care

At Advanced Fertility Care, our highly qualified team of medical specialists prides itself on being the best at helping people realize their dreams of parenthood. Set up your initial consultation today to learn how our team can guide you in this journey. We understand that everyone’s fertility journey is unique, and we will work with you to set up a treatment plan that transforms your dreams into reality.

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Is Artificial Insemination (IUI) Painful

Fertility Treatments

Is Artificial Insemination (IUI) Painful

Even though building your family could be relatively easy for some couples, it could be a devastating process for others.  Based on the latest CDC statistics, in the United States, among heterosexual women aged 15 to 49 years with no prior births, about 1 in 5 (19%) are unable to get pregnant after one year of trying (infertility). Also, about 1 in 4 (26%) women in this group have difficulty getting pregnant or carrying a pregnancy to term (impaired fecundity).

Infertility and impaired fecundity are less common among women with one or more prior births. In this group, about 6% of married women aged 15 to 49 years are unable to get pregnant after one year of trying and 14% have difficulty getting pregnant or carrying a pregnancy to term.  

In the US, approximately 5-20% of couples experience infertility.

When you and your partner face infertility issues, it’s important to understand that you’re not alone and you have options. If you seek the assistance of a fertility specialist, they can provide guidance on your individual situation, including the best treatment options for you. In many cases, a technique or treatment that is recommended is artificial insemination.  

During artificial insemination (also known as intrauterine insemination or IUI), a doctor or healthcare provider will insert washed sperm into your uterus or cervix. Most commonly, IUI is where sperm is directly placed in your uterus. An IUI can increase the chance of a successful pregnancy because it shortens the time a sperm takes to the fallopian tube, where sperm and egg must meet to hopefully fertilize. Moreover, the IUI technique can tackle various fertility problems associated with male infertility, such as low sperm count or lower motility (less sperm that can swim appropriately) to get to the fallopian tubes. Some gynecologists may perform IUI procedures in their offices; however, this is rare. Therefore, most people with infertility seek specialized fertility care in a fertility clinic such as Advanced Fertility Care.

IUI Treatment Procedure

Consumption of Prescribed Medication

When undergoing IUI treatment, you are likely to be prescribed one of two oral medicines, Clomiphene citrate (Clomid) or Letrozole (Femara) which both work to stimulate the ovary to mature up to 3 or 4 per attempt. The medication works by causing the brain to release more Luteinizing hormone (LH) and Follicle-stimulating hormone (FSH) than it normally would, and these two hormones are needed for egg maturation. In addition, you will likely be prescribed an additional hormone injection called Human Chorionic Gonadotropin (hCG) to induce ovulation. These medications, in most cases, do not cause patients any pain except occasionally very short-lived discomfort at the HCG injection site. Rare side effects of the oral medications are emotional lability, dizziness, blurred vision, and nausea.

Monitoring of Ovulation

Transvaginal ultrasound monitoring of the egg development and growth during the treatment cycle is performed to determine the appropriate time for the HCG trigger shot for ovulation induction and timing of subsequent IUI. Some clinics may choose to rely on ovulation predictor kits to determine when IUI should be performed.  In these situations, you would be performing home urine LH tests to predict ovulation and timing of IUI.

Sperm Collection and Preparation

Sperm is typically collected from your male partner (or a sperm donor) either at home or in the clinic. Once collected, the semen is washed in the fertility clinic lab to separate sperm from the semen (the fluid that nourishes the sperm). This process is quite essential since it ensures that only sperms are injected into your uterus for successful fertilization.

Sperm Injection Process

The sperm injection is the main procedure in the IUI treatment process. The process, which primarily takes place within 2-3 minutes, involves injecting the collected sperm sample into your uterus after the provider inserts a speculum in the vagina to visualize the cervix. The actual insertion of the very thin catheter into the cervix for the release of sperm into the uterus is painless. However, depending on the person, some find any speculum exam to be uncomfortable for various reasons. However, it is the identical process used to perform speculum exams during the annual gynecological Pap Smear examination at the Ob/Gyn’s office. In most cases, some form of progesterone vaginal suppository or pill may be recommended to help with implantation after the IUI.

Pregnancy Test

After 14 days (about 2 weeks), a pregnancy test is usually done to determine the effectiveness of the entire process. If the pregnancy test is negative, you would be instructed to stop progesterone if you were using it and notify your practitioner once your period starts if you wish to initiate another treatment attempt.

What Are the Pains Associated with The Procedure?

Before undertaking an IUI procedure, it is highly recommended that you seek professional advice on some of the procedure's adverse effects. Generally speaking, the IUI treatment is painless. However, patients might have different experiences, with some having mild discomfort during the speculum examination, ultrasounds, or insemination itself, while others experience none of these side-effects.

Cramping and Light Bleeding

In general, most patients who undergo the treatment for the first time might feel discomfort when the sperm is injected into the uterus. You may experience a very quick pinching sensation and cramping when the catheter passes through your cervix, but this is usually exceedingly rare.  

The procedure only takes a matter of minutes so typically the discomfort is short-term. Pain and cramping are not expected to be severe. There may be some leakage of sperm into the vagina after the procedure and occasionally spotting as well from manipulation of the cervix.

Hot Flashes and Pinching Pain

In rare circumstances, women taking one of the oral medications may experience temporary hot flashes as a side effect of the prescribed medicine. Moreover, when the speculum is inserted in your vagina, you might experience some pressure that usually goes away immediately once the speculum is withdrawn from your vagina.

Is IUI painful?

Although patients have reported having pain-free IUIs and others have expressed their procedures were painful, the consensus is that although there may be some amount of minimal discomfort associated with an IUI procedure, it is very tolerable and very short-lived.

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IVF Side Effects - What You Can Do About It

Fertility Treatments

IVF Side Effects - What You Can Do About It

What is IVF?

In-Vitro-Fertilization (IVF) is a type of assisted reproductive technology designed to help parents conceive a child who are unable to achieve pregnancy naturally through sexual intercourse. IVF consists of fertilizing a sperm and an egg outside of the uterus followed by a procedure to implant the fertilized egg into the lining of the uterus. There are many steps that go in to making IVF a successful process. The first step in the process is taking fertility drugs to help the ovaries produce mature eggs. Oftentimes, these drugs must be taken for many months in order to induce ovulation. Once the ovaries have created enough eggs, the eggs are then ready to be harvested.Your doctor will have you undergo a process called egg retrieval to collect the healthy eggs, which is a minor surgical procedure. During this procedure, the doctor will extract the eggs from your ovaries through the vagina. Once the eggs are extracted, the eggs are then fertilized with sperm in a lab setting then implanted back into the uterus several days later during a process called insemination. Several IVF side effects with fertility drugs such as Lupron, Progesterone, and Estrace can be taken during the IVF process. However, there are common IVF medication side effects.One of the most common questions prior to undergoing IVF is: Is IVF Painful? Advanced Fertility Care states that there is some pain and discomfort that accompanies IVF.They provide a rating scale for each step of the process, and note that most patients say the most painful part happens during egg retrieval.

Lupron Side Effects IVF

Lupron is used during IVF to shut down the body's reproductive hormone system. Lupron drastically lowers the body's estrogen levels and suppresses the bodies production of luteinizing hormone, which is the hormone that stimulates ovulation. Among a few common Lupron side effects IVF are gastrointestinal issues such as constipation and nausea, headaches, and trouble sleeping are a few on them.

Progesterone Side Effects IVF

There are many Progesterone side effects IVF. Progesterone is administered during IVF to prepare the womb for pregnancy by thickening the uterine lining. This is important because it promotes successful egg implementation during insemination. Some common side effects are unusual vaginal bleeding or discharge, feet and ankle swelling, and change in mental status. All of these side effects may seem entirely unfavorable, but for couples who are trying for pregnancy after miscarriage, IVF may be the only option for them to try and have a family while struggling with infertility.

Estrace Side Effects IVF

Estrace is a strong form of the hormone estrogen, and there are many Estrace side effects IVF. Estrogen is needed during IVF to maintain the endometrial lining of the uterus, which strengthens egg implantation during insemination. Some of the IVF side effects of taking Estrace are vomiting, bloating, stomach cramps, weight gain, breast pain, and vaginal itching or discharge. There are a few different types of artificial insemination that can be performed during IVF which often dictate what infertility drugs will be needed during the process. There are many known IVF medication side effects and they all vary based upon the individual.

After Effects of IVF Treatment

The after effects of IVF treatment are different between each woman. IVF does run the risk of women giving birth to multiple babies due to multiple eggs being implanted during insemination.

Side Effects of IVF Drugs

The side effects of IVF drugs can cause hot flashes, breast tenderness, headaches, blurred vision, ovarian cysts and pelvic discomfort.

IVF Side Effects on Baby

Some research suggests that babies conceived via IVF can possibly have lower birth weight, but otherwise there do not seem to be a huge amount of IVF side effects on baby. It can be difficult for couples to decide whether they should try IUI versus IVF, but you should always consult your fertility specialist to determine what the best option is for you and your family.

Success Rate of IVF

It has been reported the IVF has nearly a 40 percent success rate, which is much more of a success than its counterpart, Intrauterine Insemination (IUI), which is reported to only have a 20 percent success rating for women under the age of 35.

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IVF Side Effects and Risks - Is IVF Safe?

Fertility Treatments

IVF Side Effects and Risks - Is IVF Safe?

In vitro fertilization (IVF) is one of the most popular procedures of assisted reproductive technology (ART). It is estimated that at least one million children have been born as a result of ART procedures. However, the number of IVF and other ART procedures that have been attempted are significantly higher. These highly varied statistics may leave you with some questions. Is IVF safe? What are the side effects of IVF? Keep reading to learn more.

The Details of IVF

The IVF process can take weeks, months or years. Each person will be different; however, the steps of the process are quite similar. The end goal of the process is to attempt to have an egg become fertilized by sperm. IVF anavar kaufen can be used for both couples and single people. You can use the sperm, egg or both from a partner or a donor. These details can be determined by you.Female patients will be required to take various medications to ensure the eggs are primed for fertilization. The eggs are extracted to be paired with sperm in hopes for successful fertilization. If successful, the egg will be implanted into the uterus so that the egg can attach to the uterus lining and result in pregnancy. If a man is actively part of the sperm donation process, he might be recommended to eat right, exercise and avoid bad habits, such as drinking and smoking, during the IVF process.

Who Can Administer IVF?

One of the dangers and risks of IVF is the temptation to find a less expensive source to administer the treatment. You must be highly selective with whom you choose to protect your safety. While you or a trusted companion can legally and safely inject yourself with fertility injections to prepare for the treatment, it is imperative to only pursue highly qualified and trained medical doctors to perform your IVF treatment.

Who is a Suitable Candidate?

People of all ages and all circumstances can be ideal candidates for IVF. In the past, IVF would be recommended as the last chance course of treatment. Today, many medical situations will put IVF at the top of ART possibilities. If you experience infertility for reasons including age, endometriosis, fallopian tube damage, genetic disease risk, lost pregnancy due to chromosomal abnormalities or infertility for unexplained reasons, you could be an ideal candidate for IVF.

What are the Risks of IVF?

IVF risks and side effects will vary greatly depending upon the patient. You could experience any number of side effects, such as allergic reactions, vaginal bleeding, blood in urine, bloating, breast tenderness, bruising from shots, cramping, headaches, infection, pelvic pain, constipation or mood swings. You might even experience them all. One risk many people overlook is the possibility of a multiple pregnancy with twins, triplets or more.The chances of success might also be seen as additional IVF risks or IVF side effects. If you are under the age of 35, your success rate is over 40 percent. If you are over the age of 40, it drops to a maximum of 18 percent. It is also important to note that the procedure could result in the after effects of IVF treatment, such as a miscarriage, an ectopic pregnancy and it is a highly costly process without a guarantee of success. You could also face severe psychological stress as a result of IVF. These are all aspects to take into consideration.IVF has been a success over one million times, and it is considered highly safe when the procedure is conducted by a well-trained and experienced doctor. If you are struggling with infertility for any reason or any unknown reason, IVF could be the answer to your needs.

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IUI Success Rates - Pregnancy by Age

Fertility Treatments

IUI Success Rates - Pregnancy by Age

Intrauterine insemination (IUI), a type of artificial insemination, can be a highly useful tool in struggles with fertility. It is important to note that IUI success rates by age can vary greatly; however, many women are ideal candidates despite one’s age. If you struggle with fertility, this might be the solution you seek.

Fertility Challenges

The CDC estimates that roughly 10 percent of all women, regardless of age, struggle with becoming pregnant or maintaining a pregnancy to term. People experience fertility challenges for any number of reasons. Your age could be a determining factor as it does become significantly more difficult to become pregnant after the age of thirty-five. You may have had HPV. If you are severely overweight or underweight, you may struggle to become pregnant. You may simply be stressed and sleep deprived. And it is possible that you have unexplained infertility issues. These are just a few possible reasons you are finding it difficult to become pregnant. Fortunately, IUI can help.

Facts about IUI

IUI is a type of artificial insemination that helps sperm reach the egg more easily. The sperm is placed into the uterus directly during ovulation to minimize the sperm’s travel time to improve the chances of fertilization. What is the success rate of IUI? This rate will vary greatly depending upon your age. IUI is often covered by insurance to some extent; however, if you do not have the right insurance, this type of fertilization technique is often less expensive than others. You can receive such a procedure at medical facilities, such as a fertility clinic Scottsdale AZ that offers insemination treatments.

IUI Under 35

Your artificial insemination success rate will be at its best before you reach the age of 35. During this age range, your success rate with IUI will be roughly 20 percent. This rate will be dependent upon a number of other factors, as well, such as the sperm, your fallopian tube status and your cervical mucus condition. It is important to note that it may take up to six times for a woman of any age to receive success with IUI.

IUI 35 and Over

Once you turn 35, your chances for natural conception drastically decreases. This figure decreases even further with each passing year. If you are between the ages of 35 and 40, your chances for successful IUI lowers to 10 percent. Once you turn 40, this figure lowers to between 2 and 5 percent. It is sometimes recommended that if you are 40 or older, you should seek in vitro fertilization rather than to pursue IUI. You can always use an IUI success rate calculator to determine your best chances for success.


As with all medical procedures, IUI does not come without risks. The procedure is considered highly safe and minimally invasive; however, you should be aware of some complications that could occur with relatively low risk. You could develop an infection. Vaginal bleeding in small amounts could occur. If IUI is paired with medications that induce ovulation, you could experience a multiple pregnancy that results in twins, triplets or more.If you are in search of an artificial insemination methodology that is effective, affordable and less invasive, IUI could be the solution for you. Be sure to speak with your doctor about ways in which you can improve your success rate of IUI, and take care of yourself no matter your age for the best results.

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IUI vs. IVF- Key Differences in IUI and IVF

Fertility Treatments

IUI vs. IVF- Key Differences in IUI and IVF

What Is the Difference between IUI and IVF?

IUI and IVF are two of the commonly used methods in order to help increase a couple’s chances for becoming pregnant. Determining the difference between IUI and IVF can help couples decide which option is best for them. IUI, also known as intrauterine insemination, is a procedure in which sperm is directly inserted into the uterus. The procedure is timed with the ovulation and can be done once ovulation is detected. Since the procedure deposits higher concentrations of sperm near where the egg is waiting, it helps increase the chances of becoming pregnant.The IVF process is a little more complex. It involves a stimulating the ovaries in order to produce multiple eggs at once, then removing the eggs from the ovary. Once the eggs are removed, fertilization occurs in a lab and then the fertilized eggs are placed back into the uterus.The risk of multiple babies increases with IUI because the fertility medication that is used to increase ovulation can lead to more eggs being ready for fertilization. Clinics will monitor follicles to try and prevent that from happening, but they can't completely eliminate the risk. With IVF, many clinics will only transfer one embryo per cycle to avoid the risk of multiples. There is also a difference of time between these two procedures. IUI is a much shorter process, so if you are successful it can be a quicker way to have a child. Since there is a gap in the success rates, many women who are older might try IVF first, before having some failed cycles with IUI, in order to save time.

Is IUI Better than IVF?

In terms of success rates, IVF is better, but IUI can be a much cheaper option for couples. Determining which one is better will depend on a few different factors that apply to each couple.

Why Try IUI First?

It can make sense for couples to try IUI first if the woman has one unblocked fallopian tube, can ovulate properly with medication, has a good amount of healthy eggs, and has a normal uterine cavity. This treatment can be effective for those who have cervical issues, mild ovulation issues, or are using donor sperm due to a male factor infertility.The process can also work for same sex couples. Females can use donor sperm and male couples can use their own sperm with a surrogate.

Why Go Straight to IVF?

Sometimes, it makes sense to go straight to IVF treatment. Going straight to IVF makes sense if the woman is over the age of 38, has blocked fallopian tubes, has a reduced ovarian reserve, or wants to use donor eggs. IVF also makes sense if you require genetic screening. Same sex couples can also take advantage of IVF, in order to increase the chance of becoming pregnant.

IUI vs IVF Cost

One of the concerns about fertility treatments many couples have is the cost of both IUI and IFV. Generally, these procedures are not covered under insurance plans. IUI can be much cheaper than IVF. The average cost of IVF can be between $11,000 and $15,000 per cycle.

IUI and IVF Success Rates

The success of both procedures can depend on the age of the woman, the cause of the infertility, and other factors. The average success rate for IUI using a fertility medicine, such as Clomid, is 8-15% per cycle for patients who are under the age of 35. That number drops to only 2-5% for patients who are over the age of 40. For IVF, the numbers are much higher. The success rate ranges from 40-45% for patients who are under 35 and it drops to 15% for patients who are over 42.

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Types of Artificial Insemination - Choosing What is Right For You

Fertility Treatments

Types of Artificial Insemination - Choosing What is Right For You

If you’re looking to start a family, you may have come across forms of artificial insemination. Navigating the different jargon and medical terminology about different procedures can be tricky, but it is so important to be well informed about your options. There are four different types of artificial insemination, and they each offer unique benefits and difficulties.

Intracervical Insemination

A very common question that’s asked by couples trying to conceive is, “What is intracervical insemination?” This procedure is typically one of the easiest and least costly of the types of artificial insemination in humans because it most closely mimics intercourse.Semen is introduced to the opening of the cervix by a health professional with a needleless syringe.After the sperm is introduced to the body, you might wear a conception cap for a few hours. The cap is meant to hold semen inside the body to raise the chances of successful implantation.

Intrauterine Insemination

You might be worried about the intrauterine insemination cost when you decide that you want to have a baby. Luckily for you, there are sliding scales of costs based on what you need from your health care practitioner. Many insurance companies are also willing to cover some procedures.In Intrauterine Insemination IUI, as it’s also called, washed sperm is injected into the uterus with a catheter. Intrauterine insemination is one of the most efficient types of artificial insemination in humans and has some of the highest success rates. This type of insemination is typically the most effective if you’re under the age of 30, however, and older mothers might find better luck with other types of insemination.

Intrauterine Tuboperitoneal Insemination

This kind of artificial insemination is similar to IUI but includes sperm being injected into the fallopian tubes, as well. Once the semen is put into your system, your health practitioner will put a clamp on your cervix that prevents semen leakage. This option is a great fit for couples with mild male infertility or mild endometriosis because it bypasses the organs that are affected.You may be induced into ovulation for this procedure or any of the other insemination methods because the process guarantees that you’ll release more eggs than usual and eggs of better quality.

Intratubal Insemination

In intratubal insemination, sperm is introduced solely to the fallopian tubes. Sometimes this procedure is called fallopian tube sperm perfusion. A catheter goes through the cervix and the uterus and puts sperm directly into the fallopian tubes. An important part of all artificial insemination is monitoring your cycles and fertility. With this procedure and with most artificial insemination, you should be sure that your health practitioner takes into account the type of cycle you’re on, whether it be your body’s natural cycle or a fertility drug induced one.

Which Type is Best?

Because each person is entirely unique, it’s hard to say which type of artificial insemination is best for you. Depending on your budget, health needs, and preferences, you and your fertility doctor can discuss what option is the best for you and your new family.

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Is IVF Painful? Pain Levels of Each Step

Fertility Treatments

Is IVF Painful? Pain Levels of Each Step

Is in vitro fertilization painful? This is a common question that reproductive healthcare professionals are asked frequently. However, the answer is not so simple. There are a number of steps to the process, so we decided to break it down. Here is a list of what the procedure entails to help you decide for yourself.

Step 1: Preparation of the Pituitary Glands and Ovaries

Pain Level: 4The IVF preparation process can be are unsure of what what goes on in the lab. Initially patients will take a variety of oral medication and receive daily injections. One of the main pastillas ereccion questions that patients will have is "Is in vitro fertilization painful?" During this phase, it can definitely be uncomfortable especially for those that do not like needles. However, injectable medication is required in order to control hormone surges and levels within the patient's body. At this point, IVF procedure painful side effects can usually be controlled by acetaminophen. The good news is that this part of the process may not be necessary, depending on the health history of the patient.

Step 2: Ovarian Stimulation and Ultrasound Monitoring

Pain Level: 4Some clients may find this part of IVF procedure painful, but it is usually manageable. Daily injections of intravenous drugs are given to patient in order to stimulate follicles and increase the number of follicles within the ovaries. This increases the chance in a successful IVF procedure. Once these follicles reach the desired size or number, intramuscular injections of HCG are given in attempt to mimic the body's natural LH surge. Is IVF treatment painful at this point? It can absolutely be uncomfortable. Again, acetaminophen and applying heat/cold to the affect injection area(s) can be helpful. Ultrasound monitoring is usually performed at this stage at a fertility clinic Scottsdale, AZ to monitor the growth of follicles, but this procedure rarely causes pain or discomfort.

Step 3: Egg Retrieval

Pain Level: 5-6The most common question that patients have is "Is IVF egg retrieval process painful?" Prior to egg retrieval, many blood tests are performed which can cause a level of discomfort. At this point, patients have been subjected to many injections which can make this fairly simple. However, the answer to the question is IVF egg retrieval process painful is "yes." Yet, the level of pain that is felt can vary greatly. A board certified anesthesiologist will administer IV sedation prior to beginning the egg retrieval process. Then a long probe is inserted into the vagina to remove the egg sacs, or follicles from the ovaries. This process can cause apprehension in patients who have the concern "is egg retrieval painful in IVF." As a result, an oral anxiety medication can also be administered to calm the nerves of patients and make the procedure a little more comfortable. This can help patients feel as though "is egg retrieval painful in IVF" is a question of the past.

Step 4: Fertilization and Embryo Transfer

Pain Level: 2-3After retrieval, viable eggs are then placed into an incubator and then fertilized with sperm that same day. To find out how many embryos, read this. The eggs are checked within 18-20 hours to determine if fertilization occurred. Once the eggs is fertilized it then becomes a zygote, which develops into an embryo. The embryos are grown into blastocysts, which have the best chance for implantation. At this point is ivf treatment painful? No. All of this occurs outside of the body.After fertilization, the blastocyst is then transferred into the body using a small catheter. Although this is a painless procedure, a Valium is usually given for overall comfort. This step is followed at a fertility clinic scottsdale az by a blood hcg test every 2-3 days and a pregnancy test 5-6 weeks thereafter. Some IVF processes differ slightly, though most follow this same general procedure.

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What Is The IVF Treatment Process?

Fertility Treatments

What Is The IVF Treatment Process?

In vitro fertilization, also known as test tube baby, is an assisted reproductive technology commonly known as IVF. It is the process of combining eggs and sperm outside of the body in a laboratory dish. Once the eggs are fertilized, the embryo is transferred to the uterus. For some couples, IVF is the best option. A fertility treatment center can help treat patients with the following disorders or issues:

  • Unexplained infertility
  • Damaged or blocked fallopian tubes
  • Individuals with a genetic disorder
  • Decreased pastillas ereccion sperm count or male infertility
  • Women who had fallopian tubes removed
  • Women with uterine fibroids
  • Premature ovarian failure

There are five steps in the embryo transfer and IVF process:

1.Stimulate Egg Production

Your doctor will prescribe medications to help stimulate egg production. It's ideal to use multiple eggs to ensure a greater chance of successful fertilization. Blood test samples are taken to check hormone levels, and an ultrasound is performed to examine the ovaries.

2.Retrieve the Egg

A minor surgical procedure using a hollow needle through the pelvic cavity is done to retrieve the eggs using ultrasound imaging.

3. The Sperm Sample is Retrieved

The male produces a sperm sample that will be used to fertilize the removed eggs. The whole point of IVF is that the fertilization can be done inside a laboratory where it can be monitored by professionals.

4. The Lab Fertilizes The Egg

The process of insemination begins where the eggs and sperm are mixed and stored in a laboratory. The eggs are monitored continuously to ensure cell division and fertilization are taking place. If this process is successful, the fertilized eggs become embryos.

5.The Embryos are Transferred

Within three to five days the embryos are transferred to the woman's uterus. A small tube is inserted into the uterus to transfer the embryos. Most women will experience mild pain or cramping during this process.

Side Effects

It is recommended that the patient take it easy immediately after the implantation. You will likely be able to resume your normal lifestyle the next day. Typical side effects after IVF include:

  • Breast tenderness
  • Cramping
  • Constipation
  • Bloating

Serious symptoms that should not be ignored include:

  • Fever
  • Pelvic pain
  • Heavy vaginal bleeding
  • Blood in the urine
  • Shortness of breath
  • Nausea or vomiting
  • Severe stomach pains
  • Faintness

Egg retrieval carries the risk of damage to the bladder or bowel, bleeding, or infection.

Success Rates

The success rate depends on several factors including maternal age, history, lifestyle, and reason for infertility. If you can't produce healthy eggs or your husband or partner is sterile, you can choose to use donor sperm, eggs, or embryos. It is advised that you speak with an experienced counselor who specializes with donor concerns. You should consider talking with a physician or specialist at the fertility clinic Phoenix. They will be able to answer all of your questions including specific fertility programs and the cost involved. Many couples want to try over the counter options or traditional methods first. However, if you're looking for alternatives to increase your chances of conception or testing, a fertility specialist can help.

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