FERTILITY TREATMENTS

Many treatments are available and we specialize in advanced assisted reproductive techniques.

OVULATION INDUCTION

Medications, such as clomiphene citrate (Clomid, Serophene) or human menopausal gonadotropins (Repronex, Menopur) or follicle stimulating hormone (Follistim or Gonal-F) are used to help induce ovulation. Some of these are administered orally while others are delivered into the body by needle injection. Ovulation induction can be monitored with temperature charts, ultrasounds and blood work.

INTRAUTERINE INSEMINATION (IUI)

IUI is used for male factors, cervical mucus problems and unexplained infertility. IUI requires careful timing so that it is done close to ovulation. An injection of human chorionic gonadotropin (HCG) may be used to trigger ovulation and time the insemination. The husband collects the sperm sample in the andrology laboratory 2- 2.5 hours prior to the actual insemination. The sperm are delivered to the uterus by means of a small catheter. No pain medication is required.

ADVANCED OPERATIVE LAPAROSCOPY

Patients who have endometriosis, pelvic adhesions (scar tissue), fibroids or blocked tubes can undergo advanced operative laparoscopy. New instrumentation allow surgical repair of tubal conditions as an outpatient procedure, where several years ago they required major operations and hospitalization.

TUBAL OR UTERINE MICROSURGERY

Patients with blocked tubes due to scar tissue can undergo microsurgery. In cases of uterine anomalies or fibroid tumors that may cause recurrent miscarriage or premature labor, the uterus can be repaired using these techniques.

ARTIFICIAL INSEMINATION WITH DONOR SPERM (AID)

Donor sperm insemination may be the only alternative for some couples with male factor infertility unresponsive to other treatment methods. Although we do have an established history with a few donor banks, patients may choose donor sperm from any certified sperm bank in the country. The donors from these banks have been screened for several hereditary and infectious diseases. Donor and patient identities are confidential. AID can also be done for single women who do not have a male partner.

REVERSAL OF TUBAL LIGATION

Tubal ligation can be reversed. It involves making an incision to remove the obstructed pieces of tube and reuniting both ends using a microscope. This is usually a major surgical procedure requiring an abdominal incision and a brief post-operative hospital stay. In general, tubal ligation reversal is not recommended for women 37 years of age or older. In this case, IVF is usually a better option.

IN VITRO FERTILIZATION (IVF)

Involves the union of sperm and eggs in a dish in the laboratory with transfer of the resulting embryo(s) directly to the uterus. We do not recommend IVF or ICSI (see below) when the woman is older than 43 years of age. Other treatments, especially IVF with donated eggs, may be a better alternative.

INTRACYTOPLASMIC SPERM INJECTION (ICSI)

Assists couples with very low sperm counts and/or motility or a history of poor fertilization with IVF. ICSI involves an embryologist physically injecting a single sperm into an egg.

NEW EGG FREEZING

We offer discount global fee programs, as well as patient refund programs. The recommended number of eggs to freeze rises with age. For a woman 37 years old or younger, we recommend freezing at least 15 eggs. For women 38 and older, we recommend at least 20 eggs. Although this can be achieved with one cycle, most of the time we recommend that you plan on doing two egg freezing cycles. For additional cost information, feel free to click on the above programs or call our Benefits Department at 410-296-6400.

EMBRYO FREEZING

Allows storage of fertilized eggs for future transfer, improving the pregnancy rate and lowering the risk of multiple pregnancy.

ASSISTED HATCHING (AH)

Involves an embryologist placing a microscopic hole in the shell/zona of the embryo. This process may be used to help an embryo implant in the woman’s uterus. AH is often used on thawed embryos or in cases where couples have had multiple transfers with no positive pregnancy test.

ADVANCED EMBRYO (BLASTOCYST) TRANSFER

The latest IVF technique available. This may also be referred to as a day 5 or day 6 embryo transfer.

DONOR EGG AND DONOR SPERM

Programs are available for patients who have poor or absent egg or sperm production. Donors undergo extensive screening according to established national guidelines. While many couples choose anonymous donors, it is possible to use a known donor.

GESTATIONAL CARRIER PROGRAM

This program is available for patients who have abnormalities of the uterus or do not have a uterus (hysterectomy) but still have their ovaries. It can also be done for women with other medical contraindications to pregnancy. This procedure involves IVF or ICSI and the use of eggs and sperm from the couple. Resulting embryos are then transferred to the uterus of the gestational carrier.