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That said, a variety of additional assisted reproductive technology treatments are available in addition to basic IVF. They may be used depending on a couples specific fertility problems, goals, age, and past success or failure rates.
ICSI
ICSI, pronounces ick-see, is an acronym for intracytoplasmic sperm injection. In regular IVF treatment, an egg is placed in a petri dish, along with lots of sperm, in hopes that one of the sperm will fertilize the egg on its own. With ICSI, an individual sperm is injected directly into an egg using a specialized needle. ICSI may be used in severe cases of male infertility, like when the sperm shape is impaired (aka abnormal sperm morphology) orn cases of very low sperm count. ICSI must be used if testicular sperm extraction (TESE) is used.
PGD
PGD stands for pre-implantation genetic diagnosis. During PGD, one or two cells are taken from an embryo, and tested for genetic diseases, before transferring the embryos to the woman's uterus. PGD may be used in cases of recurrent miscarriage or to avoid passing on a deadly genetic disease, specifically for couples with a high-risk. It's important to note that PGD doesn't guarantee the child will not have the inherited disease being tested, but it does significantly lower the risk. A controversial use of PGD is to select embryos with particular traits, like eye color. This isn't widely used, however, and the ability to accurately select "children-by-order" isn't proven.
Cryopreservation
Cryopreservation, when used as an assisted reproductive technology, is when embryos, eggs, ovarian tissue, or sperm are frozen for later use. Sperm freezing has a better rate of success than embryo freezing, and embryo freezing is more successful than egg freezing. Ovarian tissue freezing is still experimental. If there are extra embryos created during an IVF treatment cycle, you may want to freeze them for a later cycle. Sperm may be frozen prior to IVF treatment as back up (in case the man has trouble producing ejaculate the day of the egg retrieval), or prior to cancer treatment. Egg freezing may be used prior to cancer treatment, or as a means of preserving fertility despite age (though this is controversial).
FET (Frozen Embryo Transfer)
If a couple has frozen embryos from a previous IVF treatment cycle, they can have them thawed and transferred in a future cycle. A frozen embryo transfer is significantly less expensive than a full IVF treatment cycle, though success rates vary. Some studies have found FET is less effective than fresh embryo transfer, while other studies have found it more effective. For an FET, the woman takes hormones to help prepare the uterine lining for implantation, and at the right time, the frozen embryos are thawed and transferred to the woman's uterus. Sometimes the frozen embryos do not survive the freezing and thawing process.
Blastocyst Transfer
A fertilized egg is known as an embryo, and it begins as just a collection of cells, which divide and multiply. By the fifth day, a fluid cavity forms, and the tissues that will become the placenta and the fetus begin to separate. This is known as the blastocyst stage, and in some cases, a doctor may decide to wait until the cells reach the blastocyst stage before transferring them to the uterus. One advantage is that an embryo that makes it to this stage is probably healthier, and fewer blastocysts can be transferred, lowering the risk of multiples. A potential disadvantage is that embryos that may have made it if transferred earlier might die before reaching the blastocyst stage, leaving the couple with nothing to transfer.
However, few studies have been done to prove the effectiveness of micro-IVF.
Using an Egg, Sperm or Embryo Donor
Gamete donation is an option for IVF treatment. A sperm donor may be used in cases of severe male infertility, or if a single woman wants to have a child. An egg donor may be used in cases of poor ovarian reserves, previous cancer treatment that has eliminated fertility, or age related infertility, to increase the odds of conception. (IVF pregnancy rates drop significantly at age 40.) Embryo donation is also an option. The donor may be someone the couple knows personally, or the donor may be found through a fertility clinic or an agency.
Using a Surrogate
Surrogacy is another potential option. Sometimes, a woman's uterus is unable to carry a pregnancy (or the uterus has been removed because of cancer or some other medical problem), but she may still have her ovaries. In this case, the couple can use the woman's eggs, the man's sperm, and have the resulting embryos transferred into the surrogate's uterus. Sometimes, the surrogate mother's own eggs are used. In this case, IUI may be used to transfer the man's sperm to the surrogate's uterus.
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Infertility And Nosey People - Calorie Counter | Food ...
Luckily for them, their plans worked. She calls me every month, asking if I am pregnant yet. She just keeps saying that wishes Now I just need to see if the insurance will cover the testing. Ugh! Mama_Bear38Hoping to drop the fat and get fit. mama_bear38 Mar 04 2008 19:55 Member posts Send ... Read Article
YouTube - Broadcast Yourself.
You snidely make fun, from your high ivory tower, but you do not give any clue about what you would I'm forced to. It should be my choice. Companies who provide insurance will likely discontinue to do so, How is this good for anyone? It actually damages job creation plans, ... View Video
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I don't know much about IVF but i do want to wish you good luck <3. (our insurance didnt cover so it was over $20,000). Have you got any second opinions on why you cant Maybe God only has plans for you to take care of one little guy so be happy for him, because he ... View Video
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