Estrogen and progesterone medication is given to support the uterine lining after egg retrieval and through the time of embryo transfer until the pregnancy test. With a positive pregnancy test, the patient continues estrogen and progesterone supplements until 10 weeks of gestation, at which time the medications are discontinued since placental estrogen and progesterone production is well underway at that point.
After embryo transfer, if there are surplus embryos that are good quality blastocysts, they can be cryopreserved for the future. The embryologists at Westlake IVF cryopreserve embryos by means of vitrification, which is a fast-freeze protocol. The vitrification of good quality blastocysts results in a high freeze-thaw survival rate. Some indications for IVF include tubal factor infertility, male factor infertility, severe endometriosis and unexplained infertility.
In cases where semen analysis parameters such as sperm concentration, motility, or morphology are low or in cases of unexplained subfertility, there is concern about the ability of sperm to fertilize the egg. In such circumstances, ICSI can be performed by our embryologists in order to optimize the opportunity for fertilization. ICSI is the process by which the embryologist uses an instrument called a micropipette and injects a single viable, motile sperm with a normal appearance into a mature oocyte while looking with a microscope.
Since one sperm is needed per mature oocyte injected, ICSI is a highly effective method to achieve fertilization in the cases of very low semen parameters and may be considered for cases of unexplained subfertility. As the embryo grows, it expands and, as a result, the surrounding zona pellucida becomes thinner.
As the zona pellucida thins, it eventually has an opening from which the embryo hatches out of the covering and then can interact with the endometrial lining in order to have an opportunity at implantation.
Assisted hatching is the artificial thinning or opening of the zona pellucida with the goal of increasing the chances for implantation and successful pregnancy. Traditionally, assisted hatching has been performed by using mechanical or chemical means; more recently, laser-assisted hatching LAH has been used for this process.
Embryos can be tested for abnormalities in chromosome number or for specific genetic diseases via PGS or PGD respectively. Embryo biopsy on day 3 embryos involves the removal of one cell from the embryo. Couples who are seeking fertility with us can be both evaluated by Dr. Shahryar K. Kavoussi, Dr. Maya Barsky, or Dr. Dan I. We want to make sure that each patient fully understands the distinct phases of the treatment process before they commit to IVF.
Our Austin IVF center team recommends preconception genetic testing before in vitro fertilization to rule out any genetic disorders that hopeful parents could pass to their children. We therefore offer preimplantation genetic testing for aneuploidy PGT-A as well as preimplantation genetic testing for monogenic or single-gene defects PGT-M and preimplantation genetic testing for chromosomal structural rearrangements PGT-SR as an additional step between fertilization and embryo transfer.
PGT-A can check embryos for chromosomal abnormalities to help select the best ones for transfer. Whatever your story, at FORA we are here for you. After a complete fertility assessment and consultation, we will customize a treatment plan that is right for you and your family goals. Your fertility, your family, your way. At FORA, our goal is to help you achieve the family of your dreams in your forum, on your terms.
Ovulation Induction OI is when medications pills such as clomid or letrozole are taken to help a woman develop one or more eggs for ovulation. All OI cycles include ultrasound monitoring to evaluate ovarian response to optimally time ovulation with intercourse. OI can help women with anovulation such as those with PCOS, polycystic ovarian syndrome ovulate in a predictable and regular fashion in order to time intercourse.
The IUI procedure is simple involving passage of a small guide through the cervix, and placing sperm directly into the uterine cavity. INVOcell involves ovarian stimulation with a minimal stimulation medication protocol, limiting potential side effects from medications. Ultrasound monitoring helps to determine when eggs oocytes are ready for collection. These mature eggs are then mixed with sperm and placed in the INVOcell device which is inserted into the vagina for incubation so that the sperm and egg can meet and form embryos.
After vaginal incubation for 5 days, the INVOcell device is removed and the best embryo is selected for transfer into the uterus.
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