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In vitro fertilization (IVF) is a technique that helps couples who have difficulty getting pregnant. It usually involves stimulation of the ovaries to produce multiple eggs, the retrieval of these eggs from the ovaries, fertilization of the eggs with sperm in the laboratory to create embryos. The embryos are later transferred into the uterus to achieve pregnancy.
Minimal stimulation IVF is a gentle approach to fertility treatment that uses lower doses of medications to stimulate the ovaries. It offers a more controlled and tailored approach to ovarian stimulation, potentially resulting in fewer side effects, lower risks of complications like ovarian hyperstimulation syndrome (OHSS), and improved egg quality for fertilization and embryo development.
Natural cycle IVF is a fertility treatment approach that involves collecting and fertilizing a naturally selected egg during a woman’s normal menstrual cycle, without the use of fertility medications to stimulate multiple egg development. This method relies on monitoring the woman’s natural ovulation cycle and retrieving the one egg that is naturally produced each month. This method is chosen by some patients who prefer a more natural and medication-free approach to IVF treatment.
Patient consultation
During the initial consultation, our doctors will review your medical history and discuss your family-building goals. Further testing will be recommended to evaluate the most important aspects of fertility: eggs, sperm, structures such as the ovaries, fallopian tubes and the uterus, along with blood hormone levels on one or both partners. The results of these tests will guide our doctors in formulating the type of procedure that will provide you with the optimal chances of achieving a successful pregnancy. From there, you can freely ask our doctors any and all of your fertility treatment questions. They are committed to helping you have the best experience, and that starts with you fully understanding what to expect during the fertility treatment process.
Transvaginal ultrasound
For IVF patients, transvaginal ultrasound tracking is crucial. Transvaginal scans get up close and personal, enabling our doctors to determine any uterine abnormalities, such as fibroids or polyps. In addition, it is used to examine a woman’s ovaries, uterine lining and determine her antral follicle count, which is an estimate of how many eggs she still has in her ovaries, and it is also used to monitor the follicle growth and determine the day of ovulation.
Hormone assays
Hormones, both male and female, play a huge role in our reproductive systems. When couples are having fertility problems, our doctors will often request blood tests for hormonal imbalances. For women, when these hormones are out of balance, ovulation, implantation and the survival of pregnancy can be affected.
Semen Analysis
Also known as a Sperm Count, analyzes the health and viability of a man’s sperm. Semen is the thick, white fluid released from the penis during ejaculation. Patient is instructed to abstain from all sexual activities that can result in ejaculating sperm for 2-5 days before the sample is collected to make sure the sperm analysis result is accurate.
EmbryoScope is an advanced incubator system utilized in IVF treatments to monitor the development of embryos. This innovative equipment features a built-in camera that captures continuous images of the embryos at regular intervals, allowing embryologists to observe their progress without disrupting the incubation conditions. By providing a detailed, real-time assessment of embryo growth and quality, the EmbryoScope aids in the selection of the most viable embryos for transfer, potentially improving the outcomes of IVF procedures.With the incorporation of Artificial Intelligence (AI) technology with the EmbryoScope system, a more sophisticated and data-driven analysis of embryo development can be achieved. AI can swiftly process and interpret the vast amount of imaging data, identifying subtle patterns and potential markers associated with embryonic health and developmental potential.
This collaboration allows medical professionals to make more informed decisions on selecting embryos for transfer, potentially improving the success rates of IVF treatments.
Testicular Sperm Extraction (TESE) is a surgical procedure performed to retrieve sperm directly from the testicles of men who have difficulty producing sperm through ejaculation.
TESE involves removing a small tissue sample from the testicles and isolating viable sperm for use in in vitro fertilization (IVF) to help couples conceive.
Laser-assisted hatching is a procedure used during in vitro fertilization (IVF) to help embryos hatch out of their surrounding outer layer (zona pellucida) and implant into the uterus. This technique involves using a focused laser beam to create a small opening in the embryo’s protective layer, improving the chances of successful pregnancy for some patients undergoing fertility treatment.
Laser-assisted hatching is typically considered for patients with a history of implantation failures or older women undergoing IVF treatment.
Magnetic-activated cell sorting (MACS) for sperm is a technique that uses magnetic nanoparticles to sort and select sperm cells with certain qualities, like healthy DNA or maturity.
These labeled sperm cells are then separated by passing them through a magnetic field, allowing for the isolation of sperm populations with desired qualities. This method enhances the selection process of sperm for assisted reproductive techniques.
Preimplantation genetic testing for aneuploidy (PGT-A), is a genetic test used during the IVF process to screen embryos for chromosomal abnormalities. PGT-A aims to identify embryos that have the correct number of chromosomes, which can improve the chances of a successful pregnancy and reduce the risk of miscarriage.During PGT-A, a few cells are biopsied from each embryo created through IVF.
PGT-A is particularly helpful for couples with a history of recurrent miscarriages, failed IVF cycles, advanced maternal age. It can also be beneficial for individuals or couples who have a known genetic condition that they want to avoid passing on to their children.
However, it is essential to understand that PGT-A does not guarantee a pregnancy, as other factors beyond chromosomal abnormalities can affect implantation and development.
Pre-implantation genetic testing for structural rearrangements (PGT-SR) is a technique used in assisted reproductive technology to identify embryos that carry structural changes in their chromosomes. This testing helps detect genetic abnormalities that can impact a future pregnancy. By analyzing embryos before implantation, PGT-SR enables the selection of healthy embryos with normal chromosome structures for transfer, improving the likelihood of a successful pregnancy.
Fertility Preservation prior to medical treatment (e.g.chemotherapy) and/or surgery
Fertility preservation techniques are crucial for patients who will undergo surgery or medical management that may impact their reproductive abilities. Here are some common methods of fertility preservation:
- Egg Freezing (Oocyte Cryopreservation
- Sperm Banking
- Embryo Freezing
- Ovarian Tissue Cryopreservation ( Ovarian tissue banking)