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Assisted Reproductive Technologies | Diagnosis and Treatment | Egg Donor Program | Fertility Preservation | Success Rates | Complementary Care
 
Assisted Reproductive Technologies
 

Dr. Kelly is a recognized leader in the techniques of Assisted Reproductive Technologies (ART). Society Hill Reproductive Medicine strives for the highest pregnancy rates possible while maintaining a low multiple pregnancy rate.

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In Vitro Fertilization

The most common and well-known ART procedure is  known as IVF or In Vitro Fertilization.  An IVF cycle consists of four steps: ovulation induction, egg retrieval,  fertilization and embryo culture, and embryo transfer.  During the ovulation induction phase, medications are administered to stimulate the ovaries to produce multiple mature eggs.  The eggs are then retrieved and exposed to the sperm to fertilize in the laboratory.  Some of the healthy embryos are then transferred back into the uterus.

Additional Advanced Technologies

Depending on your diagnosis, new developments in reproductive medicine have been made that may greatly improve your chances for success, including the following laboratory technologies:

blastocystBlastocyst Transfer
Advances in blastocyst culture and transfer have maximized IVF pregnancy rates and lowered the higher order multiple birth rate.  This technique utilizes specific embryo culture media to facilitate embryo development in the laboratory up to day 5 or day 6, also know as the blastocyst stage.  The additional growth allows the physician and embryology team to determine with greater certainty which embryos are the healthiest and have the greatest chance of implantation.  As a result, fewer embryos need to be transferred, decreasing the chance for a multiple gestation, without compromising your chance for success.  This technique is typically used for patients who have a good response to ovarian stimulation and who produce numerous healthy eggs which is the same category of patients who are at an increased risk for higher-order multiple pregnancy.

Intracytoplasmic Sperm Injection (ICSI)
The ICSI procedure has changed the prognosis for patients with moderate to severe male factor infertility and those who, for other reasons, failed to achieve fertilization in the laboratory. Now even men with no sperm in the ejaculate can conceive with the help of the ICSI procedure.  To perform ICSI, the embryologist, working under magnification provided by a microscope, takes a single sperm and places it directly into the cytoplasm (center) of the egg using a micro-needle.

If no sperm are present in the ejaculate, a urologist can obtain sperm through either aspiration or testicular biopsy.

Assisted Hatching
Shortly before the embryo is transferred to the uterus, a small opening is made in the outer layer surrounding the egg in order to help stimulate the hatching and implantation process.  This technique is recommended in situations where the outer shell, the zona pellucida, appears thick.

Cryopreservation
High-quality embryos that are not used in an IVF cycle may be frozen for future use.  We take care to apply the most advanced freezing techniques at the most ideal stage of embryo development, which allows us to achieve the highest chance of success during frozen embryo transfer cycles ( FET).

 

 
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