Assisted Reproduction

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Assisted Reproduction

Assisted Reproduction

In Assisted Reproduction the use of specialized medical procedures to bring about a pregnancy, when a couple cannot achieve this on their own. It includes the following:

    • Intrauterine insemination (IUI): This is a process where the man’s sperm is collected and treated, after which it is directly inserted into the uterus when it has been confirmed that the woman has ovulated. It can be done in cases of disorders of ejaculation or poor sperm motility in the male, and tubal factors in the female. It can be done with a natural cycle, or together with ovulation induction.
    • In Vitro Fertilization (IVF): In an IVF cycle, the man’s sperm and the woman’s eggs are collected and placed together under special conditions in a laboratory, to allow the sperm fertilize the eggs. The fertilized eggs (embryos) are then assessed and one or two with the highest quality are put back into the uterus for implantation to occur. Usually, the woman is placed on medications that will cause her to ovulate and produce a number of eggs that can be used. After the embryos are put back in the uterus, she will also be on some medications to aid implantation and growth of the embryo. This cycle takes a number of weeks and involves taking medications for a long time. IVF has helped numerous couples with infertility, and thousands of babies are born every year through this method. However, it doesn’t always work, and it is possible to have an unsuccessful try or tries before it does work.
    • IVF with Intra Cytoplasmic Sperm Injection (ICSI): In this process, when the sperm and eggs are placed together, the sperm is injected directly into the egg in order to improve the chances of fertilization occurring. This is used in cases where there is a problem with the sperm.
    • Gamete donation: Couples who have an issue with the production of sperm or eggs (for example in older women with reduced ovarian reserve) that cannot be treated have the option of using donor sperm or donor eggs for the IVF process, after which the resulting embryo is put into the woman’s uterus. She will be placed on medications to aid implantation and growth of the embryo. Assisted Reproduction
    • Surrogacy: In cases where there is a problem with the uterus that cannot be treated with surgery or medications, an option is to have an IVF process done (either with the use of the woman’s own eggs if they are suitable, or with the use of donor eggs or sperm), and put the resulting embryo into the uterus of another woman, who is called the surrogate mother. If the pregnancy is successful, the baby is carried to term and at delivery, the intending couple take their baby, whom they will have to formally adopt. Assisted Reproduction

IVF Overview