One of the most important things to consider when looking into infertility treatments is that no two patients are identical. In fact, every patient is unique and each should receive a treatment plan tailored to their specific needs. Going to a fertility clinic that offers a standard, "cookie-cutter" treatment plan could result in misdiagnosis and could lengthen the time you wait to have a child. The right fertility clinic for you will be sure to take several factors under consideration and treat you with a tailored approach.
So what does a tailored approach look like? It all starts with your infertility testing and diagnosis. Once you have gone through this initial step, you should meet with an infertility specialist for a follow-up consultation where you review your test results and begin exploring various treatment options. The specialist you are working with should also complete a thorough review of your medical history. This helps them determine which type of treatment will offer you the highest success rate possible. They should also be reviewing your individual characteristics such as:
During this meeting, you will go through some of the plans that your specialist recommends. Below is a quick overview of some of the infertility treatments, otherwise known as assisted reproductive technologies, that offer the best success rates.
Non-Donor and Donor Egg In Vitro Fertilization (IVF)
IVF is a commonly performed fertility treatment where eggs are removed from the ovaries and mixed with sperm. IVF is typically used in cases where the woman has decreased fertility potential, based on age or other causes. IVF is also used frequently in couples with “unexplained” infertility. This occurs when all the testing is normal, but a pregnancy has not resulted despite trying for 6 or more months.
Intrauterine Insemination (IUI)
An IUI is performed when a woman is releasing eggs (ovulating). The sperm that will be used for insemination will either be produced by the male partner or will be obtained from a sperm donor, depending on your treatment plan.
PGD involves taking a single cell, or blastomere, from a developing embryo and testing it for genetic disease or chromosomal abnormality. As a result, for an increasing number of genetic conditions, PGD allows only those embryos diagnosed as being free from the genetic condition to be transferred back to the uterus for implantation and possible pregnancy.
Assisted Zona Hatching (AZH)
Assisted Zona Hatching (AZH) is a procedure that, in select patients, may help to increase the chances of embryo implantation and pregnancy. The preimplantation embryo is surrounded by a protective “shell” called the zona pellucida, which is necessary for embryo development up to the blastocyst stage.
Intracytoplasmic Sperm Injection (ICSI)
This is a laboratory procedure whereby, using micromanipulation, a single sperm is injected directly into the cytoplasm of a mature egg. This process increases the likelihood of fertilization when there are abnormalities in the number, quality, or function of the sperm or when there are problems with sperm penetration of the egg. ICSI must be done in conjunction with an in-vitro fertilization cycle.
Todd Mensik is the Practice Representative at InVia Fertility. He is passionate about making sure that the overall experience of each and every patient exceeds expectations. He also works with the referring physician to ensure that the transition into our office is seamless.