Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY"

Transcription

1 Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY Dr Niel Senewirathne Senior Consultant of Obstetrician & Gynaecologist De zoyza Maternity Hospita 1

2 ART - IVF & ICSI 2

3 Infertility No pregnancy has occurred after 1 year of regular unprotected sexual intercourse 1 in 6 couples remains unintentionally childless 3

4 Treatments available in ART Gamete Intrafallopian transfer [GIFT] In-vitro Fertilisitation [IVF] Intracytoplasmic Sperm Injection [ICSI] Assisted Hatching [AH] Ovum Donation Embryo Donation Cryopreservations 5

5 In Vitro Fertilization Test tube babies 6

6 History In 1978 Louise Brown, first IVF baby was born as a result of collaborative work by Robert Edwards, a scientist from Cambridge and Patrick Steptoe, a gynaecologist in Lancashire 7

7 In July 1978, Louise Brown 8

8 Origin of IVF Most of the technological steps needed for Louise Brown s conception had been developed years earlier in veterinary medicine 9

9 History 1981 Elizabeth Carr, first IVF baby in USA 1983 First birth after egg donation 1985 First birth from cryopreserved embryo 1985 Transvaginal ultrasound for follicle monitoring 1990 First report of births after PGD 1990 First report of egg donation to older mothers 1992 First human birth after ICSI 10

10 Success rate of IVF? Success rates vary and are often exaggerated To attract more clients Probably around 30 % successful (under the age of 36 years ) At 43 years - success rate 5% Female age - the most powerful predictor of success in IVF Also - Smoking, obesity, poor diet, occupational hazards has a significant impact on IVF outcome. 11

11 Indications Failed IUI (after 4 6 trial IUI) Severe tubal disease/blockage Severe endometriosis Significant male factor(poor sperm quality) Unexplained infertility Others-genetic disorders/cancers 12

12 Male infertility related to sperms Low sperm count: milliliter of semen. 10 million sperms per Poor sperm motility: sperm will be unable to swim through cervix to meet the egg in the fallopian tube. Poor morphology: individual sperm is unable to penetrate the outer layer of an egg & to get fertilized. 13

13 Principals of IVF is simple 1. Controlled ovarian stimulation 2. Ovum Pick up 3. Fertilization in Culture Media 4. Embryo Development 5. Embryo Transfer 6. Luteal phase support 14

14 What is IVF cycle? 15

15 Controlled ovarian Stimulation A. Long GnRH Agonist Protocols B. Short GnRH Agonist Protocol C. Ultra-short GnRH Agonist Protocol D. GnRH Antagonist Protocol? Natural Cycle 16

16 17

17 B. SHORT GnRH AGONIST PROTOCOL Menses (day 1) Oocyte collection GnRH agonist starts day 2 to day of hcg ganodotrophin stimulation from day 3 to day of hcg hcg 18

18 C. ULTRA-SHORT GnRH AGONIST PROTOCOL Menses (day 1) Oocyte collection GnRH agonist from day 2 for 3 days gonadotrophin stimulation from day 3 to day of hcg hcg 19

19 D. GnRH ANTAGONIST PROTOCOL Menses (day 1) Oocyte collection Gonadotrophin stimulation From day 2 to day of hcg Single injection antagonist day 9 hcg 20

20 Egg collection About 34hours after an injection of hcg, the eggs are recovered by sucking them from the follicle into a very fine needle inserted through wall of the vagina with the help of transvaginal sonography. 21

21 Collect eggs from the woman cont 22

22 23

23 Oocyte retrieval 24

24 Oocyte retrieval 25

25 26

26 27

27 Insemination of Egg & Sperm The eggs are brought together with the prepared sperm (as per IUI) in a culture media in a laboratory. Eggs & sperm remain in this special fluid in an incubator at 37 C, 6% CO2 atmosphere. 28

28 Fertilization After about hrs of sperm insemination, a check is made to see whether fertilization has occurred or not? If 2 PN and / or 2 PB seen then it consider as fertilization occurred Again fertilized eggs are incubated for more 24 hrs in fresh culture media at 37 C 6% CO2. 29

29 Fertilized eggs are incubated 30

30 Embryo Development About after 48 hrs of insemination, when fertilized eggs grows in to 4 8 cell stage, is known as Embryo development 31

31 Blastocyst Culture Allowing fertilized eggs (Embryos) to develop into multi cellular stage for 4 5 days outside the body (inside laboratory) in special culture media called Blastocyst culture. Embryos reach upto Blastocyst shows highest viability of particular Embryo and may required less no. to transfer 32

32 Blastocysts 33

33 34

34 Transfer embryos into uterus of woman Using a flexible transfer catheter into which the embryos are loaded suspended in 50 μl of culture medium 2-3 embryos are transferred Insertion of the transfer catheter to about 1 cm below the fundus Abdominal ultrasound is used to monitor catheter placement 35

35 36

36 Luteal Phase Supplementation Progesterone supplemention hcg Administration 37

37 Complications Ovarian hyperstimulation Higher order pregnancy Ectopic pregnancy Ovaum retrieval complications Ovarian abscess, bowel damage rate <1% 38

38 Intra Cytoplasmic Sperm Injection 39

39 ICSI Male factor infertility (very less count, motility, abnormal morphology etc.) Obstructive Azoospermia. Failed Fertilization through IVF. Egg quality is not good (thick zona etc.) 40

40 ICSI ICSI is a further development of IVF. ICSI is the injection of a single sperm into each viable egg, the objective being to increase the chance of fertilization & development of embryo used in conjuction with a IVF procedure 41

41 42

42 43

43 THANKYOU 44

Assisted Reproductive Technologies at IGO

Assisted Reproductive Technologies at IGO 9339 Genesee Avenue, Suite 220 San Diego, CA 92121 858 455 7520 Assisted Reproductive Technologies at IGO Although IGO no longer operates an IVF laboratory or program as such, we work closely with area

More information

Fertility Treatment - Glossary

Fertility Treatment - Glossary {loadpositionaddthis} Fertility Treatment - Glossary Adoption: The legal process in which a couple adopt parents. a child and become its legal Annovulatory: Absence of ovulation. Antral Follicles: Smaller

More information

In - Vitro Fertilization Handbook

In - Vitro Fertilization Handbook In - Vitro Fertilization Handbook William F. Ziegler, D.O. Medical Director Scott Kratka, ELD, TS Embryology Laboratory Director Lauren F. Lucas, P.A.-C, M.S. Physician Assistant Frances Cerniak, R.N.

More information

Illinois Insurance Facts Illinois Department of Financial and Professional Regulation Division of Insurance

Illinois Insurance Facts Illinois Department of Financial and Professional Regulation Division of Insurance Illinois Insurance Facts Illinois Department of Financial and Professional Regulation Division of Insurance Insurance Coverage for Infertility Treatment Revised November 2004 Infertility is a condition

More information

Authorized By: Holly C. Bakke, Commissioner, Department of Banking and Insurance.

Authorized By: Holly C. Bakke, Commissioner, Department of Banking and Insurance. INSURANCE DIVISION OF INSURANCE Actuarial Services Benefit Standards for Infertility Coverage Proposed New Rules: N.J.A.C. 11:4-54 Authorized By: Holly C. Bakke, Commissioner, Department of Banking and

More information

In Vitro Fertilization. New England Fertility

In Vitro Fertilization. New England Fertility In Vitro Fertilization New England Fertility In Vitro Fertilization New England Fertility offers a wide variety of infertility treatments to individuals and couples struggling to conceive, including in

More information

In Vitro Fertilization (IVF) Page 1 of 11

In Vitro Fertilization (IVF) Page 1 of 11 In Vitro Fertilization (IVF) Page 1 of 11 This document is a part of your informed consent process. Both partners should read the entire document carefully. In vitro fertilization (IVF) is a treatment

More information

The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES

The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES The Olive BRA NCH Fertility unit PATIENT INFORMATION SERIES What you need to know about IVF/ICSI- ET? The following information explains briefly the procedures of In Vitro Fertilisation (IVF/ICSI). This

More information

Infertility Services Medical Policy For University of Vermont Medical Center and Central Vermont Medical Center employer groups

Infertility Services Medical Policy For University of Vermont Medical Center and Central Vermont Medical Center employer groups Infertility Services Medical Policy For University of Vermont Medical Center and Central Vermont Medical Center employer groups File name: Infertility Services File code: UM.REPRO.01 Last Review: 02/2016

More information

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic.

NICE Pathways bring together all NICE guidance, quality standards and other NICE information on a specific topic. In vitro fertilisation treatment for people with fertility problems bring together all NICE guidance, quality standards and other NICE information on a specific topic. are interactive and designed to be

More information

Referral Policy. Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI))

Referral Policy. Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI)) Referral Policy Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI)) This Policy sets out NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation

More information

IN VITRO FERTILIZATION (IVF) INFORMATION PACKAGE Form # CFRH -102 (13-Dec-2013)

IN VITRO FERTILIZATION (IVF) INFORMATION PACKAGE Form # CFRH -102 (13-Dec-2013) Centre for Fertility & Reproductive Health 250 Dundas St W., Suite 700 Toronto, ON M5T 2Z5 tel: 416-586-4748; fax: 416-586-4686 IN VITRO FERTILIZATION (IVF) INFORMATION PACKAGE Form # CFRH -102 (13-Dec-2013)

More information

Regional Fertility Centre

Regional Fertility Centre Regional Fertility Centre Patient Information In-Vitro Fertilisation (IVF& ICSI) Page 1 of 7 Contents 1.0 IVF& ICSI 2.0 Early Embryo Viability Assessment (EEVA) 3.0 Problems that can occur during treatment

More information

Referral Policy. Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI))

Referral Policy. Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI)) Referral Policy Assisted Conception (Intrauterine insemination (IUI) and Donor insemination (DI)) This Policy sets out NHS Eligibility Criteria for assisted conception services (excluding In vitro fertilisation

More information

Reproductive Technology. Chapter 21

Reproductive Technology. Chapter 21 Reproductive Technology Chapter 21 Assisted Reproduction When a couple is sub-fertile or infertile they may need Assisted Reproduction to become pregnant: Replace source of gametes Sperm, oocyte or zygote

More information

Clinical Policy Committee

Clinical Policy Committee Northern, Eastern and Western Devon Clinical Commissioning Group South Devon and Torbay Clinical Commissioning Group Clinical Policy Committee Commissioning policy: Assisted Conception Fertility assessment

More information

Lesbian Pregnancy: Donor Insemination

Lesbian Pregnancy: Donor Insemination Lesbian Pregnancy: Donor Insemination (Based on an article originally published in the American Fertility Association 2010 National Fertility and Adoption Directory. Much of this information will also

More information

Welcome to chapter 2. The following chapter is called "Indications For IVF". The author is Dr Kamini A. Rao.

Welcome to chapter 2. The following chapter is called Indications For IVF. The author is Dr Kamini A. Rao. Welcome to chapter 2. The following chapter is called "Indications For IVF". The author is Dr Kamini A. Rao. The indications for an IVF treatment have increased since the birth of the first IVF baby. The

More information

OHTAC Recommendation. In Vitro Fertilization and Multiple Pregnancies

OHTAC Recommendation. In Vitro Fertilization and Multiple Pregnancies OHTAC Recommendation In Vitro Fertilization and Multiple Pregnancies October 19, 2006 The Ontario Health Technology Advisory Committee (OHTAC) met on October 19, 2006 and reviewed the health technology

More information

East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception. December 2014

East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception. December 2014 East and North Hertfordshire CCG Fertility treatment and referral criteria for tertiary level assisted conception December 2014 1 1. Introduction This policy sets out the entitlement and service that will

More information

Assisted Conception Policy. February 2016. Dr. Liz Saunders Cyril Haessig

Assisted Conception Policy. February 2016. Dr. Liz Saunders Cyril Haessig Assisted Conception Policy February 2016 Dr. Liz Saunders Cyril Haessig CONTENTS Executive Summary... 3 Policy outline... 5 Detailed criteria... 8-2 - ASSISTED CONCEPTION COMMISSIONING POLICY EXECUTIVE

More information

Consent for In Vitro Fertilization

Consent for In Vitro Fertilization Consent for In Vitro Fertilization Print Patient s Name Print Partner s Name We (I), the undersigned, request, authorize and consent to the procedure of In Vitro Fertilization (IVF) and Embryo Transfer

More information

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER

THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER THE CENTER FOR ADVANCED REPRODUCTIVE SERVICES (CARS) (The Center) CONSENT FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER Partner #1 Last Name (Surname): Partner #1 First Name: Partner #1 Last 5 Digits

More information

ASSISTED REPRODUCTIVE TECHNOLOGIES (ART)

ASSISTED REPRODUCTIVE TECHNOLOGIES (ART) ASSISTED REPRODUCTIVE TECHNOLOGIES (ART) Dr. Herve Lucas, MD, PhD, Biologist, Andrologist Dr. Taher Elbarbary, MD Gynecologist-Obstetrician Definitions of Assisted Reproductive Technologies Techniques

More information

COVENTRY HEALTH CARE OF ILLINOIS, INC. COVENTRY HEALTH CARE OF MISSOURI, INC. Medical Management Policy and Procedure PROPRIETARY

COVENTRY HEALTH CARE OF ILLINOIS, INC. COVENTRY HEALTH CARE OF MISSOURI, INC. Medical Management Policy and Procedure PROPRIETARY COVENTRY HEALTH CARE OF ILLINOIS, INC. COVENTRY HEALTH CARE OF MISSOURI, INC. Medical Management Policy and Procedure PROPRIETARY Policy: Infertility Evaluation and Treatment Number: MM 1306 Date Effective:

More information

IN VITRO FERTILISATION (IVF) & INTRACYTOPLASMIC SPERM INJECTION (ICSI) INCLUDING FREEZING OF EMBRYOS CONSENT FORM

IN VITRO FERTILISATION (IVF) & INTRACYTOPLASMIC SPERM INJECTION (ICSI) INCLUDING FREEZING OF EMBRYOS CONSENT FORM IN VITRO FERTILISATION (IVF) & INTRACYTOPLASMIC SPERM INJECTION (ICSI) INCLUDING FREEZING OF EMBRYOS CONSENT FORM Patient Name... DOB... Partner Name (if applicable)...dob... Patient Number... I/ We request

More information

European IVF Monitoring (EIM) Year: 2008

European IVF Monitoring (EIM) Year: 2008 European IVF Monitoring (EIM) Year: 2008 Name of country POLAND Name and full address of contact person. professor Rafal Kurzawa MD PhD Fertility and Sterility Special Interest Group Polish Gynaecological

More information

Olive BRANCH Fertility

Olive BRANCH Fertility PATIENT INFORMATION ASSISTED CONCEPTION Assisted Conception at Olive Branch Fertility Infertility Infertility is a common and distressing problem, which often creates pressure in a previously stable and

More information

REPRODUCTIVE MEDICINE AND INFERTILITY ASSOCIATES Woodbury Medical Arts Building 2101 Woodwinds Drive Woodbury, MN 55125 (651) 222-6050

REPRODUCTIVE MEDICINE AND INFERTILITY ASSOCIATES Woodbury Medical Arts Building 2101 Woodwinds Drive Woodbury, MN 55125 (651) 222-6050 REPRODUCTIVE MEDICINE AND INFERTILITY ASSOCIATES Woodbury Medical Arts Building 2101 Woodwinds Drive Woodbury, MN 55125 (651) 222-6050 RECIPIENT COUPLE INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION

More information

Illinois Insurance Facts Illinois Department of Insurance

Illinois Insurance Facts Illinois Department of Insurance Illinois Insurance Facts Illinois Department of Insurance Insurance Coverage for Infertility Treatment Revised December 2014 Note: This information was developed to provide consumers with general information

More information

CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM

CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM CONSENT TO PARTICIPATE IN THE IN VITRO FERTILIZATION-EMBRYO TRANSFER PROGRAM I, after consultation with my physician, request to participate in the In Vitro Fertilization (IVF)-Embryo Transfer (ET) procedures

More information

Areas of Concern. Reproductive Ethics: Issues &

Areas of Concern. Reproductive Ethics: Issues & Reproductive Ethics: Issues & Areas of Concern Conception Control: under what conditions is conception control in harmony with a Christian ethic? Genetic Screening & Counseling: under what conditions should

More information

Community Hospital North. Clearvista Dr.

Community Hospital North. Clearvista Dr. 100% IVF Refund Program Community Hospital North Clearvista Dr. N Dr. David Carnovale and Dr. Jeffrey Boldt, along with everyone at Community Reproductive Endocrinology, are committed to providing you

More information

Clinical Reference Group Quality & Safety Committee Governing Body. Policy Screened

Clinical Reference Group Quality & Safety Committee Governing Body. Policy Screened Fertility Policy 1 SUMMARY This policy is intended to support individuals and couples who want to become parents but who have a possible pathological problem (physical or psychological) leading to them

More information

Artificial insemination

Artificial insemination Artificial insemination What is involved? Artificial insemination is an assisted reproduction technique that consists of inserting laboratory-treated spermatozoa into the woman s uterus or cervical canal.

More information

CONNECTICUT FERTILITY ASSOCIATES CONSENT FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER. Female Name: SS#: - - Partner Name: SS#: -

CONNECTICUT FERTILITY ASSOCIATES CONSENT FOR IN VITRO FERTILIZATION AND EMBRYO TRANSFER. Female Name: SS#: - - Partner Name: SS#: - Female Name: SS#: - - Partner Name: SS#: - - We (I), the undersigned, request, authorize and consent to the procedure of In Vitro Fertilization (IVF) and Embryo Transfer (ET) by Connecticut Fertility Associates

More information

Consent for Frozen Donor Oocyte In Vitro Fertilization and Embryo Transfer (Recipient)

Consent for Frozen Donor Oocyte In Vitro Fertilization and Embryo Transfer (Recipient) Name of Patient: Name of Partner: We, the Patient and Partner (if applicable) named above, are each over the age of twenty-one (21) years. By our signatures below, I/we request and authorize the performance

More information

The facts about: Intra Cytoplasmic Sperm Injection (ICSI)

The facts about: Intra Cytoplasmic Sperm Injection (ICSI) The facts about: Intra Cytoplasmic Sperm Injection (ICSI) What is ICSI? ICSI is very similar to conventional IVF in that gametes (eggs and sperm) are collected from each partner. The eggs are fertilised

More information

טופס הסכמה לטיפולי הפרייה חוץ גופית

טופס הסכמה לטיפולי הפרייה חוץ גופית טופס הסכמה לטיפולי הפרייה חוץ גופית CONSENT FORM: IN-VITRO FERTILIZATION (IVF) 1. General In-vitro fertilization is performed in cases of impaired fertility, which may be caused by the following: Obstruction

More information

IN VITRO FERTILISATION IVF and ICSI

IN VITRO FERTILISATION IVF and ICSI IN VITRO FERTILISATION IVF and ICSI Page 1 of 7 WHAT ARE IVF and ICSI? IVF is short for in vitro fertilisation which means fertilisation outside the body. It usually involves stimulation of the ovaries

More information

European IVF Monitoring (EIM) Year: 2010

European IVF Monitoring (EIM) Year: 2010 European IVF Monitoring (EIM) Year: 2010 Name of country: Poland Name and full address of contact person: Professor Rafal Kurzawa, MD PhD Fertility and Sterility Special Interest Group Polish Gynaecological

More information

IVF OVERVIEW. Tracy Telles, M.D.

IVF OVERVIEW. Tracy Telles, M.D. IVF OVERVIEW By Tracy Telles, M.D. Dr. Hendler: Hello and welcome to KP Healthcast. I m your host Dr. Peter Hendler and today our guest is Dr. Tracy Telles. Dr. Telles is an IVF physician in Kaiser Walnut

More information

Tower Hamlets CCG Fertility policy

Tower Hamlets CCG Fertility policy Tower Hamlets CCG Fertility policy Approved December 2014 Introduction Tower Hamlets CCG is responsible for commissioning a range of health services including hospital, mental health and community services

More information

Assisted reproductive technology in Australia and New Zealand 2010

Assisted reproductive technology in Australia and New Zealand 2010 Assisted reproductive technology in Australia and New Zealand 2010 ASSISTED REPRODUCTION SERIES Number 16 Assisted reproductive technology in Australia and New Zealand 2010 Alan Macaldowie Yueping A Wang

More information

Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services.

Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services. East Midlands CCGs Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services April 2014 CONTENTS Page 1. INTRODUCTION 3 2. GENERAL

More information

INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION OF PREVIOUSLY CRYOPRESERVED OOCYTES

INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION OF PREVIOUSLY CRYOPRESERVED OOCYTES INFORMED CONSENT AND AUTHORIZATION FOR IN VITRO FERTILIZATION OF PREVIOUSLY CRYOPRESERVED OOCYTES We, the undersigned, as patient and partner understand that we will be undergoing one or more procedures

More information

Assisted reproductive technology in Australia and New Zealand National Perinatal Epidemiology and Statistics Unit

Assisted reproductive technology in Australia and New Zealand National Perinatal Epidemiology and Statistics Unit Assisted reproductive technology in Australia and New Zealand 2013 Never Stand Still Medicine National Perinatal Epidemiology and Statistics Unit Assisted reproductive technology in Australia and New Zealand

More information

Egg Donation Process, Risk, Consent and Agreement

Egg Donation Process, Risk, Consent and Agreement Department of Obstetrics and Gynecology Strong Fertility Center Kathleen Hoeger, MD, MPH Director Bala Bhagavath, MD Vivian Lewis, MD John T. Queenan, Jr., MD Wendy Vitek, MD Egg Donation Process, Risk,

More information

Fertility Facts and Figures 2008

Fertility Facts and Figures 2008 Fertility Facts and Figures 2008 Contents About these statistics... 2 Accessing our data... 2 The scale of fertility problems... 3 Treatment abroad... 3 Contacts regarding this publication... 3 Latest

More information

How to choose an IVF clinic and understand success rates: Questions to ask when choosing an IVF clinic.

How to choose an IVF clinic and understand success rates: Questions to ask when choosing an IVF clinic. Australia s National Infertility Network How to choose an IVF clinic and understand success rates: Questions to ask when choosing an IVF clinic. updated 26 05 2015 20 The information contained here is

More information

In Vitro Fertilization

In Vitro Fertilization Patient Education In Vitro Fertilization What to expect This handout describes how to prepare for and what to expect when you have in vitro fertilization. It provides written information about this process,

More information

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES

COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES COMMISSIONING POLICY FOR IN VITRO FERTILISATION (IVF)/ INTRACYTOPLASMIC SPERM INJECTION (ICSI) WITHIN TERTIARY INFERTILITY SERVICES Version number V2.3 Author(s) Trish Allan Date ratified by Governing

More information

DARTMOUTH-HITCHCOCK MEDICAL CENTER Lebanon, New Hampshire IN VITRO FERTILIZATION PROCEDURE DESCRIPTION

DARTMOUTH-HITCHCOCK MEDICAL CENTER Lebanon, New Hampshire IN VITRO FERTILIZATION PROCEDURE DESCRIPTION DARTMOUTH-HITCHCOCK MEDICAL CENTER Lebanon, New Hampshire IN VITRO FERTILIZATION PROCEDURE DESCRIPTION I. INTRODUCTION A. The Assisted Reproductive Technology (ART) Program. The ART Program is operated

More information

Informed Consent Packet - In Vitro Fertilization (IVF)

Informed Consent Packet - In Vitro Fertilization (IVF) Center for Reproductive Medicine (CRM) Informed Consent Packet - In Vitro Fertilization (IVF) This packet contains the required IVF treatment consent documents. Please read, consider and, if you agree,

More information

IVF AND ICSI - THE ESSENTIALS

IVF AND ICSI - THE ESSENTIALS The Centre For Women s Reproductive Care Baringa Private Hospital, 31 Mackays Rd Coffs Harbour NSW 2450 Harvey Ward MB ChB, BSc(Med), FCOG (SA), MMed (O&G), FRANZCOG Obstetrician & Gynaecologist Phone:

More information

AGE & FERTILITY: Effective Evaluation & Treatment I. LANE WONG, MD, FACOG. www.hopefertilitycenter.com www.hopeivf.com

AGE & FERTILITY: Effective Evaluation & Treatment I. LANE WONG, MD, FACOG. www.hopefertilitycenter.com www.hopeivf.com Page 1 of 6 AGE & FERTILITY: Effective Evaluation & Treatment I. LANE WONG, MD, FACOG. www.hopefertilitycenter.com www.hopeivf.com Age has a profound effect on female fertility. This is common knowledge,

More information

A POWERFUL IN VITRO FERTILIZATION

A POWERFUL IN VITRO FERTILIZATION A POWERFUL During the past 50 years technological advances in the field of bovine reproduction have led to some dramatic changes in the way cattle look, reproduce, perform, and even taste. Artificial Insemination

More information

Risks and complications of assisted conception

Risks and complications of assisted conception Risks and complications of assisted conception August 005 Richard Kennedy British Fertility Society Factsheet www.fertility.org.uk No medical treatment is entirely free from risk and infertility treatment

More information

Recent Progress in In Vitro Fertilization and Intracytoplasmic Sperm Injection Technologies in Japan

Recent Progress in In Vitro Fertilization and Intracytoplasmic Sperm Injection Technologies in Japan Research and Reviews Recent Progress in In Vitro Fertilization and Intracytoplasmic Sperm Injection Technologies in Japan JMAJ 52(1): 29 33, 2009 Kaoru YANAGIDA* 1 Abstract The three basic pillars of fertility

More information

FERTILITY AND AGE. Introduction. Fertility in the later 30's and 40's. Am I fertile?

FERTILITY AND AGE. Introduction. Fertility in the later 30's and 40's. Am I fertile? FERTILITY AND AGE Introduction Delaying pregnancy is a common choice for women in today's society. The number of women in their late 30s and 40s attempting pregnancy and having babies has increased in

More information

Merton Assisted Conception and Pre-implantation Genetic Diagnosis Policy2015/16

Merton Assisted Conception and Pre-implantation Genetic Diagnosis Policy2015/16 Merton Assisted Conception and Pre-implantation Genetic Diagnosis Policy2015/16 1. Introduction 1.1 This policy describes circumstances in which Merton CCG will fund treatment for assisted conception as

More information

Assisted Reproductive Technologies

Assisted Reproductive Technologies Assisted Reproductive Technologies Last Review Date: December 10, 2015 Number: MG.MM.ME.34j Medical Guideline Disclaimer Property of EmblemHealth. All rights reserved. The treating physician or primary

More information

East Midlands CCGs Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services

East Midlands CCGs Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services East Midlands CCGs Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services November 2013 Reference Number: CG023 Version: 5.0

More information

SO, WHAT IS A POOR RESPONDER?

SO, WHAT IS A POOR RESPONDER? SO, WHAT IS A POOR RESPONDER? We now understand why ovarian reserve is important and how we assess it, but how is poor response defined? Unfortunately, there is no universally accepted definition for the

More information

Technological & Ethical Issues In Laboratory-Assisted Reproduction A Short History to Accompany the Lecture

Technological & Ethical Issues In Laboratory-Assisted Reproduction A Short History to Accompany the Lecture 1 Technological & Ethical Issues In Laboratory-Assisted Reproduction A Short History to Accompany the Lecture Richard Bronson, M.D. Professor of Obstetrics & Gynecology and Pathology The treatment of infertility

More information

Assisted Reproductive Technology

Assisted Reproductive Technology AMERICAN SOCIETY FOR REPRODUCTIVE MEDICINE Assisted Reproductive Technology A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction

More information

OUR IVF/ICSI PROGRAMME

OUR IVF/ICSI PROGRAMME OUR IVF/ICSI PROGRAMME The Manzanera Fertility Clinic has designed a simple fertility programme that aims to be convenient for couples living outside of Spain while maximising your chances of success.

More information

The IUI procedure Who should consider an IUI IUI success rates IUI cost What to consider if IUI is unsuccessful. The IUI procedure:

The IUI procedure Who should consider an IUI IUI success rates IUI cost What to consider if IUI is unsuccessful. The IUI procedure: A Complete Guide to understanding IUI (intrauterine insemination) and artificial insemination (Eric Daiter, MD Board Certified in Reproductive Endocrinology and Infertility) The IUI procedure Who should

More information

IN VITRO FERTILIZATION (IVF) GAMETE INTRAFALLOPIAN TRANSFER (GIFT)

IN VITRO FERTILIZATION (IVF) GAMETE INTRAFALLOPIAN TRANSFER (GIFT) -1- IN VITRO FERTILIZATION (IVF) GAMETE INTRAFALLOPIAN TRANSFER (GIFT) Information for the Patient PHYSICIANS: William H. Kutteh, M.D., Ph.D. Diplomat - American Board of Obstetrics and Gynecology Subspecialty

More information

Fertility care for women diagnosed with cancer

Fertility care for women diagnosed with cancer Saint Mary s Hospital Department of Reproductive Medicine Fertility care for women diagnosed with cancer Information For Patients INF/DRM/NUR/16 V1/01/11/2013 1 2 Contents Page Overview 4 Our Service 4

More information

Final Version Two (Sept 2014) Eastern Cheshire Clinical Commissioning Group NHS Funded Treatment for Subfertility Policy

Final Version Two (Sept 2014) Eastern Cheshire Clinical Commissioning Group NHS Funded Treatment for Subfertility Policy Final Version Two (Sept 2014) Eastern Cheshire Clinical Commissioning Group NHS Funded Treatment for Subfertility Policy NHS FUNDED TREATMENT FOR SUBFERTILITY ELIGIBILITY CRITERIA Table of Contents 1.

More information

Center for Women s Reproductive Care at Columbia University

Center for Women s Reproductive Care at Columbia University Center for Women s Reproductive Care at Columbia University Oocyte Recipients Greetings, Thank you for your interest in the Center for Women s Reproductive Care at Columbia University. We hope that the

More information

it right? activity (page 4) to highlight ethical issues associated with IVF

it right? activity (page 4) to highlight ethical issues associated with IVF IN VITRO FERTILIZATION I V F In some cases, a sperm is directly injected into an egg IVF: THE MEETING OF SPERM AND EGG IN GLASS Louise Brown, the first test tube baby was born in 1978. Since then, there

More information

The relevant NICE Clinical Guidance 156, Fertility can be accessed here: http://www.nice.org.uk/guidance/cg156

The relevant NICE Clinical Guidance 156, Fertility can be accessed here: http://www.nice.org.uk/guidance/cg156 City and Hackney CCG Fertility policy Approved January 2015 Introduction City and Hackney CCG is responsible for commissioning a range of health services including hospital, mental health and community

More information

The following chapter is called "Follow-ups with a Positive or a Negative Pregnancy Test".

The following chapter is called Follow-ups with a Positive or a Negative Pregnancy Test. Slide 1 Welcome to chapter 7. The following chapter is called "Follow-ups with a Positive or a Negative Pregnancy Test". The author is Professor Pasquale Patrizio. Slide 2 This chapter has the following

More information

University Hospitals Coventry and Warwickshire NHS Trust. Centre for Reproductive Medicine. We Care. We Achieve. We Innovate.

University Hospitals Coventry and Warwickshire NHS Trust. Centre for Reproductive Medicine. We Care. We Achieve. We Innovate. University Hospitals Coventry and Warwickshire NHS Trust Centre for Reproductive Medicine We Care. We Achieve. We Innovate. Introduction We were the first NHS Hospital in the West Midlands to set up a

More information

Endometriosis, Fertility and Pregnancy

Endometriosis, Fertility and Pregnancy This leaflet covers endometriosis and fertility. It provides information for women who have been diagnosed with endometriosis who would like to know if and how this can affect their fertility, and for

More information

Contents. Chair s foreword 4. Summary 5. Background 7. Frequently asked questions 9. Section 1: Overview 13

Contents. Chair s foreword 4. Summary 5. Background 7. Frequently asked questions 9. Section 1: Overview 13 Contents Chair s foreword 4 Summary 5 Background 7 Frequently asked questions 9 Section 1: Overview 13 How many fertility clinics were there in the UK in 2012? 13 How many women received fertility treatment?

More information

Director, IVF Program, Division of Reproductive Endocrinology & Infertility

Director, IVF Program, Division of Reproductive Endocrinology & Infertility Director, IVF Program, Division of Reproductive Endocrinology & Infertility Date: January 17, 2006 To: From: RE: All IVF candidates Chief, Reproductive Endocrinology & Infertility Criteria for IVF program

More information

DONOR INSEMINATION (DI)

DONOR INSEMINATION (DI) The James Cook University Hospital Department of Reproductive Medicine DONOR INSEMINATION (DI) Women and Children - Gynaecology What is donor insemination (DI)? Donor insemination (DI) uses sperm from

More information

MINISTRY OF HEALTH Quality and Service Administration. Fe r t i l i z at i o n. to I n - V i t r o. G u i d e. i n I s r a e l

MINISTRY OF HEALTH Quality and Service Administration. Fe r t i l i z at i o n. to I n - V i t r o. G u i d e. i n I s r a e l MINISTRY OF HEALTH Quality and Service Administration G u i d e to I n - V i t r o Fe r t i l i z at i o n i n I s r a e l Contents Introduction 3 The Natural Fertilization Process 4 In Vitro Fertilization

More information

Assisted reproductive technology in Australia and New Zealand 2012

Assisted reproductive technology in Australia and New Zealand 2012 Assisted reproductive technology in Australia and New Zealand 2012 In 2012, there were 70,082 assisted reproductive technology (ART) treatment cycles performed in Australian and New Zealand. Of these,

More information

Topic: Male Factor Infertility

Topic: Male Factor Infertility Topic: Male Factor Infertility Topic Overview: Male Factor Infertility Comparisons of pregnancy rates at insemination based on total motile sperm counts from the 1999 and 21 World Health Organization (WHO)

More information

1: Intra Uterine Insemination (AIH and IUI)

1: Intra Uterine Insemination (AIH and IUI) Infertility National Public Awareness Campaign Information Sheet Infertility Treatment 1: Intra Uterine Insemination (AIH and IUI) Artificial insemination of sperm is usually performed by placing a sample

More information

FREEDOM OF INFORMATION ACT 2000 Birmingham CrossCity CCG Ref: FOI/002790 IVF Funding Policy

FREEDOM OF INFORMATION ACT 2000 Birmingham CrossCity CCG Ref: FOI/002790 IVF Funding Policy Our Ref: FOI/002790 08 th August 2014 Bartholomew House 1 st Floor 142 Hagley Road Birmingham B16 9PA www.bhamcrosscityccg.nhs.uk Email: bham.crosscity@nhs.net Tel. 0121 255 0700 FREEDOM OF INFORMATION

More information

Ovulation Induction/ Intrauterine Insemination

Ovulation Induction/ Intrauterine Insemination Ovulation Induction/ Intrauterine Insemination ivf.com.au 1800 111 IVF Ovulation induction and intrauterine insemination (IUI) are approaches that are commonly used to treat infertility in women who have

More information

In vitro fertilisation (IVF) & intra-cytoplasmic sperm injection (ICSI)

In vitro fertilisation (IVF) & intra-cytoplasmic sperm injection (ICSI) In vitro fertilisation (IVF) & intra-cytoplasmic sperm injection (ICSI) Inside: The stages of ivf & icsi What to expect from treatment Coping with stress Part of the Pathways to Parenthood booklet series

More information

Your guide to the facts of fertility

Your guide to the facts of fertility Your guide to the facts of fertility What is infertility? Infertility is defined by the World Health Organisation ( WHO ) as the inability of a couple to conceive after a year or more of regular unprotected

More information

Section IV Financial Information

Section IV Financial Information Section IV Financial Information Payment In keeping with our desire to streamline and simplify IVF billing for you it is necessary to collect the full amount for in vitro fertilization before you start

More information

Assisted reproductive technologies (ART) in Canada: 2011 results from the Canadian ART Register

Assisted reproductive technologies (ART) in Canada: 2011 results from the Canadian ART Register 1 Assisted reproductive technologies (ART) in Canada: 2011 results from the Canadian ART Register Joanne Gunby, M.Sc. CARTR Co-ordinator Email: gunbyj@mcmaster.ca Supported by the IVF Directors Group of

More information

Age and Fertility. A Guide for Patients PATIENT INFORMATION SERIES

Age and Fertility. A Guide for Patients PATIENT INFORMATION SERIES Age and Fertility A Guide for Patients PATIENT INFORMATION SERIES Published by the American Society for Reproductive Medicine under the direction of the Patient Education Committee and the Publications

More information

Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services.

Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services. East Midlands CCGs Commissioning Policy for In Vitro Fertilisation (IVF)/ Intracytoplasmic Sperm Injection (ICSI) within tertiary Infertility Services April 2014 CONTENTS Page 1. INTRODUCTION 3 2. GENERAL

More information

Carol Ludowese, MS, CGC Certified Genetic Counselor HDSA Center of Excellence at Hennepin County Medical Center Minneapolis, Minnesota

Carol Ludowese, MS, CGC Certified Genetic Counselor HDSA Center of Excellence at Hennepin County Medical Center Minneapolis, Minnesota Carol Ludowese, MS, CGC Certified Genetic Counselor HDSA Center of Excellence at Hennepin County Medical Center Minneapolis, Minnesota The information provided by speakers in workshops, forums, sharing/networking

More information

IVF & FET SURROGAC Y PROCEDURES EXPLANATION OF FEES

IVF & FET SURROGAC Y PROCEDURES EXPLANATION OF FEES CANBERRA FERTILITY CENTRE IVF & FET SURROGAC Y PROCEDURES EXPLANATION OF FEES VERSION: JAN 2014 QWB 425 Canberra Fertility Centre Suite 9, Level 2 Peter Yorke Building, John James Health Campus, Strickland

More information

ICSI vs. IVF: the correct choice

ICSI vs. IVF: the correct choice ICSI vs. IVF: the correct choice Milan Reljič Department for Reproductive Medicine and Gynecologic Endocrinology, UKC Maribor, SLOVENIA Developments preceding ICSI IVF - in vitro fertilization (Steptoe

More information

In Vitro Fertilisation

In Vitro Fertilisation This booklet is designed as a general guide to your forthcoming IVF treatment cycle. It will help you to understand what will happen during your treatment. There will be detailed discussions at your consultations

More information

Centre for Preimplantation Genetic Diagnosis. Genetic testing. Care. Excellence. Support. Advice PGD

Centre for Preimplantation Genetic Diagnosis. Genetic testing. Care. Excellence. Support. Advice PGD Centre for Preimplantation Genetic Diagnosis Genetic testing Care Excellence Support Advice PGD Contents Welcome to the Centre for Preimplantation Genetic Diagnosis 3 The PGD team 3 Counselling 4 What

More information

Gestational Carrier / Directed Donor In-Vitro Fertilization Handbook

Gestational Carrier / Directed Donor In-Vitro Fertilization Handbook Gestational Carrier / Directed Donor In-Vitro Fertilization Handbook William F. Ziegler, D.O. Medical Director Scott Kratka, ELD, TS Embryology Laboratory Director Lauren F. Lucas, PA-C, M.S Physician

More information

In vitro Fertilization: The status of the frozen embryo

In vitro Fertilization: The status of the frozen embryo In vitro Fertilization: The status of the frozen embryo Prof Anne Muigai Jomo Kenyatta University of Agriculture and Technology, Juja, Kenya The first Kenyan IVF babies were born on 8 th May 2006 The event

More information

London Fertility Centre Price List

London Fertility Centre Price List London Fertility Centre Price List Fertility Testing Packages Standard Female fertility testing package AMH Ultrasound scan 15 minute doctor consultation to discuss your results Premium Female fertility

More information