This technology gives us more accurate and reliable measurements than we had in the past. We try to stimulate the woman to get at least 4 follicles with sizes of mm diameter. Ideally, there would be at least 8 follicles between mm. The goal is to get a good number about of quality eggs Blood hormone levels and developing follicle sizes are monitored.
Ultrasound is used to measure the follicles discussed above on this page Estrogen hormone blood levels are important. The HCG shot is needed to induce final egg maturation. Share on facebook. Share on twitter. Share on linkedin. Next Details about how to give fertility shots — subcutaneous injections for infertility treatment and IVF Next.
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Our state-of-the-art factility spans 10, square feet, and offers patients the latest in fertility technology. June 3, Dr. Lawrence B. February 23, Dr. Werlin and Coastal Fertility Honored in June 2, The Fertility World: Dr. December 12, View All News Call Coastal Fertility Medical Center offers one of the most affordable fertility treatments and is completely transparent regarding the costs of procedures and any other expenses that you may have to pay before commencing your treatment.
This differentiates us from some fertility clinics that reduce prices before the signing of the contract but charge you extra later on. We make sure our patients are well aware of any possible extra pricing that may occur over the course of their treatment. Increased hCG levels usually indicate a positive pregnancy test. For fertilization to take place, the collected egg and sperm are combined in a petri dish and cultured in an embryo incubator.
This dish is closely watched to check whether any of the eggs have been fertilized. Once the egg is fertilized, it is referred to as an embryo or a blastocyst on the 5th day of development. Our in-house embryologist carefully nurtures every embryo to the right time, even if it means working outside the standard business operating hours. For instance: If an oocyte is not mature, our laboratory will wait for it to mature and then ICSI it at the right time.
The egg retrieval is a slightly invasive medical procedure that takes about 20 to 30 minutes. You will be given an anesthetic to make you sleep for the duration of the procedure. Using ultrasound technology, your doctor will harvest your eggs transvaginally with a small, hollow needle connected to an ultrasound probe.
The sperm are washed and prepared, and the top-quality sperm extracted is used to fertilize the eggs. Your doctor will create a customized medication schedule that contains information about the fertility medications and hormone injections you have to take. Medication and injections are taken to encourage your ovaries to mature a large number of eggs for fertilization. At Coastal Fertility, we will monitor you closely, letting you understand the changes occurring in your body and keeping track of how your egg follicles are growing.
On-site consultations typicallyinclude a standard fertility evaluation, consisting of a physical examination, complementary follicular ultrasound, and testing to enable your doctor to know your present fertility status and draw up a treatment plan.
This consultation includes a detailed medical evaluation with a doctor. You and your physician will review your health records and have enough time to talk about your goals and get answers to your questions.
We recommend that you jot down all your questions before the visit to allow you to make the best use of the time spent with your doctor. Your Reproductive Endocrinologist will take all factors into consideration and create a comprehensive plan of care, otherwise known as the treatment plan. This plan will include treatment recommendations from the physician and enable your financial coordinator to make a precise quotation once you meet.
Our globally respected team of specialists are helping improve IVF technologies to enter into a generation of better outcomes for infertility. The infertility industry is currently segmented, with each service or treatment being handled by a different provider. Our all-inclusive model simplifies an otherwise complex and difficult process. We are here to revolutionize the infertility industry by offering a one-stop-service model to assist our patients through infertility challenges while reducing physical, emotional, and financial risks.
Our fertility clinic focuses on helping you build your family regardless of your sexual orientation or the gender you choose to identify with. We are even taking further steps to make LGTB people feel more welcome at our fertility clinic.
Each of our patient-facing staff goes through LGTB training to let family-building clinicians provide necessary support and make you feel highly welcome. In addition, many of the follicles in women over 40 or those with DOR, are empty since the eggs may have degenerated over time.
The US evaluation can only tell us about follicles, not eggs. The retrieval with anesthesia will not be painful and most women will have mild to moderate pain afterwards, easily controlled with oral pain medications. A few minutes after the retrieval, we will know the total of eggs we retrieved, so you will be given that information before you leave 30 minutes later. The egg maturity will not be determined for another 2 hrs, until the embryologist begins trying to fertilize the mature and normal looking eggs.
The embryologist attempts to fertilize only mature and normal appearing eggs with the sperm in the IVF embryology lab. For most couples, even when there are no male sperm factor problems, ICSI Intracytoplasmic Sperm Injection is utilized to pick out the best morphologic looking sperm to place inside the egg.
This improves fertilization rates, as well as better embryo development. The morning after your retrieval, you will be notified about how many of your eggs were mature and normal and how many fertilized properly to become embryos on day 1. The embryologists place all fertilized eggs embryos in your own incubator and carefully monitor the development of the embryos for several days. Day 6 is good for freezing as well. For example, many embryos, if not genetically normal, may often grow very slowly or poorly from d1 to d5.
An embryo on day 3 averages only cells. By day 5, an embryo will average approximately cells and have 2 cellular compartments.
Embryo Grading : The 1 st compartment of cells, called the inner cell mass, will become the fetus or baby. The 2 nd group of cells will become the future placenta. The vast majority of embryo transfers will be done without anesthesia. Valium is often used to relax the uterine muscle and the patient.
On occasion, if we anticipate a more challenging transfer, sedation can be used. When the embryologist removes the embryo s from the incubator, they will show you the embryos on the video screen magnified x and then we will begin using the vaginal speculum in order to wash off the cervix with some sterile fluid. You will feel pressure but generally not pain.
For those of you who have undergone intrauterine inseminations IUIs it should be very similar. We do the embryo transfer under ultrasound US guidance so that we can be very exact in the embryo placement location, generally 1 to 2 cm from the top of the uterine cavity.
After cleansing the cervix with solution, an empty transfer catheter is placed through the cervix into position inside the uterine cavity. Next, we will wait a few moments for the embryologist to bring the catheter containing the embryo s from the lab a few feet away so we can minimize the time that the embryos are exposed.
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