Artifical Insemmination (Donor)
Artificial insemination is a treatment for infertility that involves directly inserting sperm into a woman’s womb. In cases where donor sperm is used the woman is the gestational and genetic mother of the child produced, and the sperm donor is the genetic or biological father of the child. It is a procedure that requires a sperm donation. The sperm will be inserted into the woman’s vagina or directly into the uterus. A pregnancy resulting from artificial insemination will be no different from a pregnancy achieved by sexual intercourse. However, there may be a slight increased likelihood of multiple births if drugs are used by the woman for a ’stimulated’ cycle.
Artificial Insemination (AI)
Artificial insemination (AI) is a fertility treatment by which sperm is inserted into a woman’s reproductive tract for the purpose of impregnating the female by using means other than sexual intercourse. The woman is the gestational and genetic mother of the child produced, and the sperm donor is the genetic or biological father of the child. Increasingly this technique is being used to enable women without a male partner (i.e. single women and lesbians) to become pregnant and to produce children by using sperm provided by a sperm donor.
Egg & Ovarian Cortex Freezing
Some women who require such treatments as chemotherapy which are detrimental for ovarian functions are still able to reproduce. If these women desire future pregnancy part of the ovaries should be removed and frozen. This is done laparoscopically (in the abdomen). The outer layer of the ovary contains numerous eggs which can be frozen and used for ICSI procedures in the future.
Egg Freezing
This recent scientific advance allows woman the ability to freeze their eggs at a younger age whether for social or medical reasons. The egg freezing technique involves collecting eggs from the patient in the same way as if she was undergoing a cycle of IVF. The mature eggs are then frozen the same day. When pregnancy is desired, the eggs are thawed and fertilised via IntraCytoplasmic Sperm Injection (ICSI). Resulting embryos are then transferred to the uterus.
Embyro Freeze
Embryo freeze is when extracted embryos from an IVF cycle are stored and used later on if you decide to pursue further fertility treatments. If you have undergone fertility treatments, you and your partner may have extra embryos that have not been used during your cycles. Known as Frozen Embryo Transfer, this procedure allows you to thaw and use any remaining embryos after they have been frozen and stored. During IVF, you and your partner contributed eggs and sperm to create numerous embryos. However, IVF treatment cycles only use a small number of these embryos, leaving many viable embryos unused. Numerous couples do not wish to destroy these embryos or donate them to science. Through FET, couples have the opportunity to use their remaining embryos in the future.
Frozen Embryo Treatment (FET)
Frozen embryo cycles is a fertility treatment that allows previously frozen embryos to be place in the womb via an IVF procedures. Frozen embryos, previously extracted as part of a standard IVF cycle are stores in a special freezing chamber until you are ready to try fertility treatments again or if you decide to conceive another child. FET thaws your remaining embryos and then implants them into your uterus. Frozen embryo treatment is a popular option for couples that have already undergone previous IVF procedures.
Hysteroscopic Surgery For Fibroids/polyps/septum
Hysteroscopy is a minimally-invasive surgical procedure that can be used to remove certain types of fibroids, Polyps and Septum without difficulty. The surgery involves placing a small telescope instrument within the uterine cavity and examining the cavity.
ICSI And Laser Assisted Hatching
ICSI is an acronym for intracytoplasmic sperm injection, which simply means inject sperm into the middle of the egg. ICSI is a very effective method to get fertilization of eggs in the IVF lab after they have been retrieved from the female partner. This will usually result in normal fertilization in approximately 70-85% of eggs injected with viable sperm.
Intra-Cytoplasmic Sperm Injection (ICSI)
Intracytoplasmic sperm injection (ICSI, is an IVF procedure in which a single sperm is injected directly into an egg. A single sperm is injected into the cytoplasm of a ‘ripe’ egg (oocyte), resulting in fertilization. The treatment has been used for over 10 years with differing degrees of success. This procedure is most commonly used to overcome male infertility problems, although it may also be used where eggs cannot easily be penetrated by sperm, and occasionally as a method of in vitro fertilization, especially that associated with sperm donation. Successful fertilization of eggs is quite high at about 50 to 80 percent, with a lower 30 percent chance of giving birth to a healthy baby.
IVF
IVF – otherwise known as in vitro fertilisation – is a method of conception where the female egg cells are surgically removed and fertilised using male sperm outside of the womb (in vitro). IVF is a major treatment in infertility when other methods of assisted reproductive technology have failed. The process involves hormonally controlling the ovulatory process, removing ova (eggs) from the woman’s ovaries and letting sperm fertilise them in a fluid medium. The fertilized egg (zygote) is then transferred to the patient’s uterus with the intent to establish a successful pregnancy. The first test tube baby was born in 1978.
IVF + Egg Donation
Infertile couples may acquire eggs through egg donation when the female partner cannot have genetic children because she may not have eggs that can be successfully fertilized. This situation is often based on advanced reproductive age. The couple can personally get acquainted with the egg donor, her children and family members. Or a couple can request an anonymous egg donor.
IVF + Laser Assisted Hatching
There are a multitude of factors contributing to a couple’s inability to conceive, including male factor, uterine factor, tubal factor, pelvic factor, and ovulatory dysfunction. The majority of these factors can be circumvented through the application of advanced reproductive treatments like IVF, in vitro fertilization and ICSI. IVF success depends on three primary components: good quality embryos, a technically uncomplicated embryo transfer, and a receptive intrauterine environment for embryo implantation.
IVF, Egg Donation And Surrogacy
A program of egg donation from a donor and IVF treatment into a surrogate.
Laparoroscopic Surgery For Endometriosis (PCO)
Laparoscopy is the most common procedure used to diagnose and remove mild to moderate endometriosis. Endometriosis is the growth of endometrial tissue-which normally lines the uterus-in other parts of the body. Instead of using a large abdominal incision, the surgeon inserts a lighted viewing instrument called a laparoscope through a small incision to remove any visible endometriosis implants and scar tissue that may be causing pain or infertility.
Ovarian Cortex Freezing
For women with certain types of cancer (breast, lymphomas, etc.), chemotherapy is detrimental to ovarian functions. If these women would like to get pregnant in the future, part of the ovaries can be removed and frozen laparoscopic ally. The outer layer of the ovary contains numerous eggs, which can be frozen and used for ICSI procedures in the future. This new technique seems very promising and is available at very select clinics around the world. This procedure can also be used by women who wish to delay childbearing and save her eggs.
PGD – Aneuploidy Screening
Pre-implantation genetic diagnosis allows individuals and couples who are concerned about passing on a hereditary disease to screen eight cell embryos for specific disorders. After undergoing egg collection and fertilisation, the embryos are assessed and normal embryos only are selected for transfer to the uterus. Diagnosis before embarking on a pregnancy can often be preferable to medically invasive and emotionally demanding prenatal diagnostic techniques. Some of the screening procedures require highly specialised facilities.
PGD – Single Gene Disorder
Preimplantation genetic diagnosis (PGD or PIGD) refers to procedures that are performed on embryos prior to implantation. PGD is considered another way to prenatal diagnosis; its main advantage is that it avoids selective pregnancy termination as the method makes it highly likely that the baby will be free of the disease under consideration. PGD thus is an adjunct to assisted reproductive technology, and requires in vitro fertilization (IVF) to obtain oocytes or embryos for evaluation.
PGD- Single Gene Disorder + HLA
Preimplantation Genetic Diagnosis (PGD) is able to distinguish between genetically normal and affected embryos. Currently, this is the only way to determine whether an embryo is affected with a genetic condition prior to pregnancy. This often requires a blood sample from each partner and may require additional samples depending on the circumstances.
Sperm Freezing
The cryopreservation of sperm which can be used at a later date to attempt conception using assisted reproductive technologies.
Surrogacy + IVF
A procedure including IVF of embryo into a surrogate. Surrogacy is a term used to refer to when a woman carries a pregnancy and gives birth to a baby for another woman. Surrogacy is legally accepted in some countries such as the UK and India as a treatment option for selected groups of patients. However, surrogacy is still not allowed in many countries. Legislation governing surrogacy varies between countries and even in same country such as the USA, where policies vary between states.
Testicular Sperm Extraction
Testicular sperm extraction (TESA or TESE) is used where no viable sperm are present in a man’s ejaculate but is present in the testes is used to receive a sperm sample for IVF. Sperm can also be received from the epididymal sperm reservoir by using Microepididymal Sperm Aspiration (MESA).
Tubal Ligation
Tubal ligation (informally known as getting one’s “tubes tied”) is a permanent form of female sterilization, in which the fallopian tubes are severed and sealed or “pinched shut”, in order to prevent fertilization. Hormone production, libido, and the menstrual cycle can be affected by a tubal ligation.
Tubal Ligation Reversal
Regardless of the confidence level that a woman has that she will not want to conceive again, she may change her mind. A successful tubal ligation reversal will leave the woman able to have as many children as she wants. The egg is collected at the fimbrial end by the fallopian tube and carried to the uterus. Typically, the tubal ligation reversal procedure is about 50% to 80%. The chances of getting pregnant after a reversal are dependent on the length of the remaining fallopian tube, even with a successful reconnection. A tubal ligation reversal can be successfully carried out as long as the fimbrial end has not been damaged.
Vascectomy Reversal (Vasovasostomy)
A vasectomy reversal is a surgical procedure to reverse the results of a vasectomy.
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Check the Thailand Medical forum for more details.
