INFERTILITY

INFERTILITY

Sandhills Global Represents ReproArt, the Georgian – American Reproductive IVF Center.

For more information about the Hospital, Treatment Packages, and Costs please contact us.

IN VITRO FERTILIZATION / IVF

In Vitro Fertilization is an assisted reproductive technology (ART) used for infertility treatment and that involves collecting eggs from the woman and retrieving a male sperm sample to combine them in a laboratory. Subsequently, the embryo resulting from this procedure is transferred into the uterus. At the ReproART Reproductive Center, 57-86% of the In Vitro Fertilization cases result in a positive pregnancy test.

In Vitro Fertilization consists of the following stages: ovarian stimulation, egg aspiration (retrieval), fertilization and embryo development. The cycle is completed by embryo transfer, while the remaining embryos are frozen.

ASMIC SPERM INJECTION (ICSI)

Oocytes (eggs) may be fertilized using one of two techniques: standard insemination or ICSI. Standard insemination, when sperm and an egg are placed in culture, and fertilization proceeds by the sperm performing its natural functions despite being outside the body. Alternatively, fertilization may be achieved using ICSI, a procedure in which a sperm is injected directly into an oocyte (cytoplasm) with a glass micropipette while viewing with a microscope.

EMBRYO FREEZING

At ReproART, we will generally transfer no more than two embryos to the uterus, even when extra excellent embryos are available. In programs with excellent IVF success such as we have, transfer of more than 2 embryos does not improve chances of pregnancy but does increase the risk of multiple pregnancies, especially triplet pregnancy. (Multiple pregnancies is more dangerous than singleton pregnancy for both the mother and the baby.) Consequently, we cryopreserve (freeze) the attractive embryos remaining after any transfer.

In some cases, when your doctor believes that the uterus is not sufficiently ready, or when progesterone levels are elevated, we may wish to delay your embryo transfer by at least one month and to cryopreserve all of your embryos. Our experience has taught us that success is better using frozen embryos in a later cycle than it is using fresh embryos when the uterus is impaired.

OOCYTE FREEZING

REASONS FOR OOCYTE FREEZING

For example, a single woman may plan to have a child at an advanced maternal age when her reproductive system will no longer be able to produce, any healthy eggs. Using eggs frozen when she is young, on the other hand, offers her an opportunity to have a biological child.

Even though a woman may maintain her regular menstrual cycle, her fertility diminishes with age.  Various studies confirm that slight changes occur in the female body after 27, and her reproductive abilities drastically diminish after 35.

There are several health-related reasons that call for egg freezing:

  • Oncology; (chemotherapy and/or radiation therapy may lead to sterility);
  • Severe endometriosis (endometriosis lesions may damage the ovaries);
  • Recurring ovarian cysts;
  • Any condition that may lead to premature ovarian failure;
  • Family history of early (premature) menopause.

SEMEN CRYOPRESERVATION

Semen cryopreservation is required in the following cases:

If the male partner, for one reason or another, is unable to report to ReproArt on the day of insemination for IVF;

  • If there is a risk that the male partner will not be able to provide us with a semen specimen;
  • When the number of spermatozoa in the ejaculate is very small and there is a risk that spermatozoa cannot be identified in the ejaculate during the procedure;
  • In the case of azoospermia, when the semen is extracted through microsurgery;
  • For oncology patients, to save the reproductive function prior to chemotherapy and/or radiation therapy;
  • In Klinefelter syndrome cases, to freeze the sperm at a younger age in order to preserve reproductive function.

INTRACYT SURGICAL SPERM RETRIEVAL

Surgical sperm retrieval is performed when no sperm can be found in the ejaculate (azoospermia). This can occur when: 1.  sperm are produced in the testicle but are blocked from being transported into the ejaculate, or 2. sperm production in the testicle is severely impaired.

In either situation, surgical sperm retrieval may be successful by performing extraction of spermatozoa from the testicle or epididymis through microsurgery.

IUI – INTRAUTERINE INSEMINATION

IUI – Intrauterine Insemination is performed around the time of ovulation. Sperm are isolated from the semen of the male partner (or a donor). These processed sperm are injected through the cervix and directly into the uterine cavity. This facilitates access of the sperm to the oocytes in the Fallopian tube.

This procedure, which is quite similar to natural insemination, involves insemination either during a natural cycle or during ovarian stimulation with fertility medications.

Surgical sperm retrieval is performed when no sperm can be found in the ejaculate (azoospermia). This can occur when: 1.  sperm are produced in the testicle but are blocked from being transported into the ejaculate, or 2. sperm production in the testicle is severely impaired.

In either situation, surgical sperm retrieval may be successful by performing extraction of spermatozoa from the testicle or epididymis through microsurgery.

Sandhills

Sandhills

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