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Contents...
Understanding Infertility
Common Causes of Infertility
Procedures for Women
Procedures for Men
Assisted Reproductive Technology (ART)
Types of Infertility Treatments
Medications for Infertility
ART Success
Complications of Treatment
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Fertility Articles...
bullet Various ways of male infertility treatment
bullet Various ways of assistance while dealing with infertility treatment.
bullet Various reasons for female infertility
bullet Special role of fertility drugs in infertility treatment.
bullet Role of diet in infertility treatment
bullet Role of Clomid in infertility treatment
bullet Remaining healthy while Pregnant
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Types of Infertility Treatments

ART procedures sometimes involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who cannot produce eggs. Also, donor eggs or donor sperm is sometimes used when the woman or man has a genetic disease that can be passed on to the baby. Let’s examine…

  1. Intrauterine insemination (IUI): A type of treatment for infertility. IUI is known by most people as artificial insemination. In this procedure, the woman is injected with specially prepared sperm. Sometimes the woman is also treated with medicines that stimulate ovulation. IUI is often used to treat mild male factors of infertility and/or women who have problems with their cervical mucus.


  2. Therapeutic Donor Insemination (TDI): This infertility treatment option involves injecting sperm from an anonymous or known donor into a woman's cervix during ovulation. The use of frozen semen to prevent sexually transmitted disease is recommended by the FDA and the CDC. At sperm banks, donors are tested for sexually transmitted diseases, including HIV, chlamydia, gonorrhea, syphilis, hepatitis, etc. Commercial sperm banks are the source of donor sperm in the majority of cases. The sperm banks provide information about the physical characteristics, medical history, education, and ethnic or racial background of the donors. More recently, some donors have given permission to the sperm banks the ability to reveal their identities if requested by the child in the future.


  3. Assisted Reproductive Technology (ART): A term that describes several different methods used to help infertile couples. ART involves removing eggs from a woman's body, mixing them with sperm in the laboratory and putting some of the embryos back into a woman's body.
  • In Vitro Fertilization (IVF):Meaning fertilization outside of the body. IVF is the most effective ART. It is often used when a woman's fallopian tubes are blocked or when a man produces too few sperm. Doctors treat the woman with a drug that causes the ovaries to produce multiple eggs. Once mature, the eggs are removed and put in a dish in the lab along with the man's sperm for fertilization. After three to five days, healthy embryos are implanted in the woman's uterus.


  • Natural Cycle In Vitro Fertilization (NC-IVF) or Minimal Stimulation In Vitro Fertilization: This provides women a more physiologically and natural approach to IVF. The rationale for natural or minimal stimulation cycle IVF is that it is more natural and in sync with her normal cycle. This approach allows the body to selects its own 'best eggs' for the cycle. Then the doctor will remove the most mature eggs from the ovaries via egg retrieval, put in a dish to fertilize in the lab and then implant back into the woman’s uterus.


  • Gamete Intrafallopian Transfer (GIFT): This procedure involves transferring eggs and sperm into the woman's fallopian tube. So fertilization occurs in the woman's body.


  • Intracytoplasmic Sperm Injection (ICSI): Often used for couples in which there are serious problems with the sperm. Sometimes it is also used for older couples or for those with failed IVF attempts. In ICSI, a single sperm is injected into a mature egg. Then the embryo is transferred to the uterus or fallopian tube.


  • Electrical or Vibratory Stimulation to Achieve Ejaculation: Electric or vibratory stimulus brings about ejaculation to obtain semen. This procedure can be used in men with a spinal cord injury who can't otherwise achieve ejaculation.


  • Surgical Sperm Aspiration: This technique involves removing sperm from part of the male reproductive tract such as the epididymis, vas deferens or testicle. It allows retrieval of sperm if the ejaculatory duct is blocked. In some instances (i.e. failed vasectomy reversal or congenital absence of the vas deferens) it may be necessary to surgically recover sperm from the testes. Very often, these clinics will be able to freeze these sperm extractions for future use in IVF/ICSI cycles.


  • Assisted Hatching: This technique attempts to assist the implantation of the embryo into the lining of the uterus by creating a small opening in the embryo so that it is easier to hatch and implant.


  • Embryo Freezing and Cryo Embryo Transfer Cycles (CET): Extra embryos that appear to be of sufficient quality to survive the freezing process are frozen and stored for future use in a CET cycle. There are several advantages to freezing embryos (cryobanking embryos) and undergoing CET cycles. First, the patient does not need to undergo separate stimulation cycles and egg retrieval when utilizing frozen embryos. In addition, the cost of thawing embryos produced in a prior cycle is significantly lower than that incurred for a fresh IVF cycle. Lastly, the medication phase of a CET cycle requires less injections and monitoring. Unfortunately, however, not all patients will have extra embryos of sufficient quality to allow embryo freezing.


  • Donor Oocyte: Ovum donation provides many couples previously considered "incurably infertile" the chance for a pregnancy. While the most common condition motivating couples to request ovum donation is Premature Ovarian Failure (POF); it can also be used to treat infertility arising from congenitally or surgically absent ovaries, from ovaries which have stopped functioning due to chemotherapy or X-ray therapy, or to treat repeat ART patients who have undergone several "failed" cycles. Additionally, women who carry genetic abnormalities in their own eggs may also be able to become pregnant with eggs donated by women without genetic abnormalities. Designated and anonymous egg donation is available. Donors undergo standard IVF treatment using the recipient partner’s sperm and the resulting embryos are transferred into the recipient after her uterus is prepared using hormonal therapy similar to that given the CET patients.


  • Gestational Carriers: The use of a gestational carrier may be offered to patients with physical disorders that preclude them from becoming pregnant. The patient may choose to bring her own carrier, or have the clinic provide a matching-service options. The age limit for gestational carriers is 40 years old. Patients who choose this treatment option undergo standard IVF treatment and the resulting embryos are transferred into the recipient after her uterus is prepared using hormonal therapy similar to that given the CET patients.


  • Zygote Intrafallopian Transfer (ZIFT) or Tubal Embryo Transfer: It is similar to IVF. Fertilization occurs in the laboratory. Then the very young embryo is transferred to the fallopian tube instead of the uterus.
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