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Fertility and Infertility Glossary

Monday, May 14, 2012
What is Involved with Surrogacy?

Surrogacy has helped couples and individuals in Cincinnati, Ohio as well as other parts of the state and country reach their goal of becoming parents. It is a process in which a third party carries a child for an otherwise infertile couple. The child may be conceived using donor eggs and sperm, eggs and sperm from the couple, the surrogate's eggs, or some combination of those options. Which method works best for you and your partner is something you will have to discuss with your partner and a fertility specialist familiar with surrogacy and the various assisted reproductive technologies and other fertility procedures.

Traditional surrogacy involves use of an embryo created with the surrogate's egg and sperm from the male partner or donor sperm. The sperm is introduced to the egg through intrauterine insemination, in which sperm is injected into the uterus, or in vitro fertilization, in which eggs and sperm are combined in a laboratory setting to produce embryos. In this case, the surrogate will be biologically linked to the child, but agrees to release the child to the legal parents at birth. 

Gestational surrogacy involves use of sperm and eggs from the couple, or from donors. The embryos are created by combining the sperm and eggs in a laboratory such as in IVF, and then transferring the embryo to the surrogate's uterus. In this case, the surrogate is not biologically linked to the child, but carries the child for the couple until birth. This is the most common type of surrogacy.

Candidates for surrogacy include those who struggle to conceive or carry a pregnancy to term, women with a uterine lining abnormality, women who have undergone hysterectomy, women with medical conditions that may lead to complications during pregnancy, as well as those who have unexplained causes of infertility. Gay couples who want a child that is genetically linked to one of the partners may turn to surrogacy to achieve their goals as well.

There are a number of financial and legal concerns that may be agreed upon before the process can begin. A specialist in Cincinnati may offer guidance and expertise on the matter, although legal consultation is encouraged for all of those involved, including the surrogate. This helps to ensure that all are comfortable with the process and their role, and documents must be signed to ensure all parties understand their rights and responsibilities throughout the treatment, pregnancy, and following delivery. Many surrogates are financially compensated, although some do not receive compensation, especially if they agree to carry a child for a family member or friend. The medical expenses, and perhaps other expenses, of the surrogate are paid for by the couple.

Learn more about surrogacy in Cincinnati, Ohio.


Monday, May 14, 2012
Possible Risks of In Vitro Fertilization

For a lot of people and couples in Atlanta, Georgia or in other parts of the country, in vitro fertilization represents hope in overcoming infertility to get pregnant. But the procedure is not without its risks, and those who are interested are encouraged to speak with a specialist to discuss them to help determine whether the treatment is right for them. IVF is one of the most common and well-known fertility treatments available. It's helped patients throughout the world reach their goals, and it's trusted by fertility specialists to give patients a good chance at success.

In vitro fertilization involves the combination of sperm and eggs in a laboratory to create embryos. The embryos are transferred a few days later to the woman's uterus using a fine tube, where they may implant in the uterine lining and develop. The egg retrieval process and sperm collection requires the couple visit the clinic prior to embryo creation, and the woman must return to the clinic for the transfer of the embryos to the uterus. Some women take fertility medication to assist in egg production, while some couples use donor eggs and/or sperm depending on whether they are able to produce healthy samples on their own.

Side effects may be associated with fertility medications used to stimulate production of mature eggs. Nausea and other side effects are possible, and it is important that women take this into consideration when deciding whether to take medications or coordinate egg retrieval with their natural cycle. 

Another risk of IVF is multiple births. To reduce this risk, most transfer a limited number of embryos. Some advocate transfer of only one embryo, although this is a conversation you should have with your Atlanta fertility specialist to determine if this is right for you. Most transfer two or three embryos per cycle, although this varies on a number of factors. Some choose to freeze unused embryos for use in a future IVF cycle.

Success rates of IVF and other assisted reproductive technologies hang around 40 to 50%, although this is largely determined by the cause of infertility, age of the couple (especially the female partner), and the number of embryos transferred. Women over the age of 35 experience a lower chance of success, and rates continue to decline with age. Still, the procedure has helped women of a variety of ages get pregnant, with some finding success into their 40s. 

Learn more about in vitro fertilization in Atlanta, Georgia.


Monday, May 14, 2012
When is IntraUterine Insemination Right for You?

Intrauterine insemination is a fertility procedure that has helped patients throughout Orlando, Florida and in other parts of the country get pregnant when struggling with infertility. It is often used as a first treatment method when couples struggling with infertility decide to seek help. It is less expensive than many other fertility procedures, making it an attractive first option before attempting other, more expensive treatment options such as in vitro fertilization or other assisted reproductive technologies. 

Intrauterine insemination is also known as artificial insemination, and involves transferring sperm to the woman's uterus. The procedure is performed hoping the sperm swim into the fallopian tubes to fertilize the egg. In some cases, the woman's natural cycle will be monitored to coordinate the procedure with it. In other cases, ovulation may be stimulated by using fertility medications. In either case, the procedure is performed following the release of the egg to give the procedure its best chance of success. The procedure is recommended for a number of couples, and patients should speak with an Orlando fertility specialist to determine whether the treatment is right for them.

Candidacy for the procedure includes couples in which the male partner struggles with sperm count, weak motility, or abnormal sperm shape and size. Women who have cervical factor infertility in which cervical mucus is too thick, preventing sperm from passing to the fallopian tubes, may be considered candidates as well. Other couples or individuals who may be considered candidates for the procedure include those with unexplained infertility, semen allergies, or when donor sperm are used. On the other side, women who have problems with the fallopian tubes—such as a blockage or other damage—are not considered candidates for the treatment.

Before treatment, patients should consult an Orlando fertility specialist to go over the risks associated with IUI. Risks may include infection from the procedure, cramping following the procedure, multiple pregnancies, and, when fertility medications are used, side effects from the medicine may be present as well. 

The procedure costs about $300 to $800 per cycle, and has a success rate of around 10% for those who are under 35 years old. Using fertility medication may improve success rates, and should be discussed thoroughly with a specialist in the area. Women who are over the age of 35 typically have a lower chance of success than those who are under 35.

Learn more about intrauterine insemination in Orlando, Florida.


Friday, April 13, 2012
Why Choose In Vitro Fertilization?

Infertility is an unwelcomed condition for a lot of couples in Houston, Texas and other parts of the country. It usually comes with depression, anxiety, and lots of stress as couples or individuals seek answers to their questions and worry about what can be done to get around it. Fortunately, many have overcome the condition through fertility procedures such as in vitro fertilization, or IVF. This is an assisted reproductive technology (ART) that involves the combination of sperm and eggs to create embryos in a laboratory. The embryos are later transferred to the uterus where they may implant in the lining and develop.

IVF is one of the most well-known fertility procedure on the market. Many equate IVF as being synonymous with infertility treatment. Yet despite its fame and popularity, IVF remains a rather hit or miss procedure, as does any infertility treatment. Chances of success vary depending on a number of factors including the age of the woman at the time of treatment. Women who are over 35 usually have a lower chance of success than women who are under the age of 35. Success rates tend to hang around 40 to 50%, although this varies.

The procedure works by extracting eggs from the female partner, and collecting a sperm sample from the male partner. The sperm and eggs are mixed along with a nutrient medium in a glass dish inside of a laboratory. In Latin, 'in vitro' means 'in glass'. The embryos that result are later transferred to the woman's uterus a few days later. But not all embryos are transferred. The number is limited to help reduce the risk of multiple pregnancies, although more than one embryo is usually transferred. Couples should talk with a Houston fertility specialist to determine a good number to transfer to improve the odds of success while keeping the chances of multiple births as low as possible.

Success of the procedure is determined a couple of weeks later through the use of a home pregnancy test.  A positive result will be confirmed by the doctor in his or her office. Those who are unsuccessful may opt to try again in another cycle of IVF. Some choose to freeze eggs or embryos during their initial session of IVF so they may be used on future cycles. This may reduce the cost of subsequent treatments, but success rates may decline when frozen eggs or embryos are used. This is another important issue to discuss with a Houston infertility specialist.

The cost of the procedure varies depending on one's geographic location, as well as the clinic at which treatment is sought. Most procedures tend to cost around $12,000 to $15,000, although some can be performed for around $10,000. Costs may surpass the $15,000, but rarely dip below $10,000. If they do dip below that level, inquire as to the reason for the low price. Insurance may not cover the cost of treatment, although this is something worth discussing with one's insurance company and the physician.

Learn more about in vitro fertilization in Houston, Texas.


Thursday, March 22, 2012
When is Vasectomy Reversal Appropriate?

A lot of men in Denver, Colorado and around the country choose to get a vasectomy. Their reasons for getting the procedure may vary, but it is a form of permanent birth control that prevents sperm from entering the ejaculate. Men who choose to get a vasectomy should be advised that it is a permanent procedure, thus requires that they thoroughly consider the procedure before undergoing it. However, vasectomy reversal procedures do exist and have helped many conceive successfully. 

Reasons for a vasectomy reversal vary and should be discussed with the specialist so that the patient has a clear idea of expectations going into the procedure. Some men get a vasectomy after having children in one marriage, and then change their minds and wish to have children in another marriage. Others simply change their mind and want to have more children in their original marriage.

A vasectomy reversal does not guarantee success. Even if the procedure seemingly goes well, men may not be able to conceive following treatment. Still, this is a viable option for men who have had a vasectomy but, for whatever reason, have changed their minds and would like to conceive a child. Fortunately, the success rates for the procedure are high. Success may be influenced by time that has passed since the original procedure, the type of surgery that was performed, and the abilities of the surgeon who performs the procedure. It is important that patients seek treatment from an experienced and highly skilled Denver specialist to improve their chances of success.

A vasectomy involves the severing of the vas deferens. A vasectomy reversal may rejoin the vas deferens in a procedure known as a vaso-vasostomy. When this type of procedure is performed and less than 10 years have passed since the time of the original procedure, the success rate can be very high—some report up to 95% success rates. If 15 years or more have passed, the success rate may drop to around 75%. In another vasectomy reversal procedure, called a vaso-epididymostomy, the vas deferens that is above the vasectomy scar is rejoined with the epididymal tube below the 'blow-out' scarring. Success rates for this type of procedure is about 75%.

However, pregnancy rates can vary. Vaso-vasostomy has a pregnancy success rate of about 75% and vaso-epididymostomy has a pregnancy success rate of about 40%. It is important to determine possible success rates with this procedure through consultation with the Denver specialist. 

Learn more about vasectomy reversal in Denver, Colorado.


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