The reproductive process is so intricate that even the most fertile couple has only a one in four chance of conceiving each month.
There are many possible causes of infertility:
- Failure to ovulate
- Low ovarian reserve
- Low sperm count or low motility
- Tubal obstruction
- Underdeveloped uterine lining
- Pelvic adhesions
- Mucus factors
- Uterine fibroids
In Vitro Fertilization (IVF)
IVF is the oldest ART (Assisted Reproductive Treatment) procedure and is still the most frequently used. The term “in vitro” refers to fertilization outside the body. Originally designed to bypass damaged fallopian tubes, new applications for IVF quickly developed for male factor infertility, endometriosis, unexplained infertility and other conditions. Variations of IVF include donor egg, donor embryo, “natural cycle” IVF and gestational surrogacy. Because of consistently low pregnancy rates but similar costs, natural cycle IVF has been forgone for stimulated IVF cycles with higher chances of pregnancy.
Fertility Leaders offers many advantages for couples needing IVF with Board Certified expertise and lower costs. IVF costs vary depending on your particular needs and will best be determined after the initial appointment when all of your medical records have been reviewed and discussed. We happily offer the most economical IVF costs in comparison to the national average and will be happy to discuss them in detail.
Intrauterine Insemination (IUI)
Intrauterine Insemination allows the introduction of specially prepared sperm into the uterus through the cervix using a plastic catheter. IUI is commonly used for male factors and unexplained infertility. IUI requires careful timing so that it is done close to ovulation and it is commonly performed 1 to 2 days after the ovulation triggering injection. No pain medication is required.
Preimplantation Genetic Screening (PGS)
The science of human reproduction is constantly advancing, bringing tangible benefits to patients. For women experiencing the doubt and grief common with recurrent pregnancy loss, there is new hope with Preimplantation Genetic Screening.
PGS is a recently developed technique that allows selection and transfer of only the most healthy embryos. PGS reduces the chance of miscarriage and improves the reproductive chances for some older women.
The successes of this breakthrough technology have been astoundingly positive.
At last … hope of overcoming a common and painfully frustrating experience for women. If you or someone you know has suffered from pregnancy loss, please be encouraged and encouraging to them to learn more.
Surgery – Laparoscopy
Laparoscopy (“band-aid surgery”) is the method of choice when surgery is needed to evaluate and to treat infertility associated with conditions such as endometriosis and adhesions. This minimally invasive and outpatient surgical approach offers shorter recovery and proven outcomes.
Endoscopic expertise extends to hysteroscopic surgery for removal of “internal” fibroids, polyps, and endometrial ablation as effective alternatives to hysterectomy that may maintain childbearing as an option.
Tubal Ligation Reversals
A previous sterilization by a tubal ligation does not have to be permanent!
We experience excellent surgical results with re-opening of one or both tubes in 95% of cases.
A pre-surgical consultation and testing will help assure that TLR is the correct choice and that a successful pregnancy is likely. Though the woman’s age is a factor, for women with confirmation of open tubes, the Fertility Leaders treatment offers a 71% pregnancy rate.
For a tubal reversal the hospital stay is same-day or overnight for most patients.
Egg (Oocyte) Donation
Egg donation involves harvesting one or more oocytes from the ovaries of a woman with normal ovaries (“egg donor”), inseminating it/them with the sperm of the intended father and transferring a number of any resulting embryos to the uterus of the intended mother. If pregnancy is established, the mother then becomes the gestational mother and intended parent and experiences the pregnancy and birth, although she is not the genetic mother. Her partner providing the sperm is the genetic father.
The oocyte (egg) donation service has been developed to treat infertility arising from the absence of ovaries or the inability of ovaries to produce healthy eggs. The service can also be used to help couples with potential genetic abnormalities.
Easy and affordable egg donation is available through our office. Call 817.769.2850 and our staff will be happy to respond to your specific questions.
Freezing (Cryopreservation or “Cryo”) of living cells has been successfully used in research laboratories and human reproductive medicine for many years.
The best available data from the U.S. and abroad suggest that the chance of birth defects in children born following the cryopreservation of embryos is the same as the rate observed in an age-matched group of pregnant women. There is no further evidence of an increased risk of birth defects or obstetrical problems in these pregnancies compared to fresh, non-frozen embryos.
The purpose of cryopreservation with ART is to optimize the stimulation to obtain good quality eggs without the obligation to transfer too many at one time if several good quality embryos develop. Since the majority of risk, inconvenience and expense of ART is associated with the oocyte stimulation and retrieval, it is desirable to gain as much benefit from these steps without increasing the rate of multiple births. In the situation where more normally dividing embryos result than the couple desires to transfer, the couple is given the choice before starting the cycle to cryopreserve any excess embryos for future pregnancies.