Homerton Fertility Centre, London

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Homerton Fertility Centre, London fertility@homerton.nhs.uk www.homerton.nhs.uk/fertility"

Transcription

1 Homerton Fertility Centre, London

2

3

4 Overview Individualised care and protocols Medical aspects of IVF/ICSI Nursing support Embryology and laboratory aspects of IVF/ICSI Counselling support

5 Menstrual Cycle Growth of the egg and womb lining Ovulation and womb support Follicle Stimulating Hormone Luteinizing Hormone Oestrogen Progesterone

6 ZP Cumulus Egg Sperm Storage Site Fertilization Site Fallopian Tube Uterus Ovary

7 What is IVF/ICSI? IVF is a form of fertility treatment where we help assist you get pregnant using your egg and sperm outside your body with the help of technology ICSI technique is an extension of conventional IVF where a single sperm is injected in to the egg to assist you get pregnant

8

9 IVF is performed When the tubes are damaged, blocked and not possible to repair at surgery Unexplained fertility problem where other methods have failed Ovulation problems where other methods have failed Female age is advanced Other issues such as endometriosis, fibroids or combinations of any of the above

10

11 ICSI is performed Where sperm count is very low or sperm motility is very poor or a combination of both along with highly abnormal sperm Where man fails to produce sperm and needs a surgery to extract sperm Where frozen sperm are needed such as donor sperm with significant female problems Where IVF has failed to fertilise the eggs

12 Cycle timeline Approximately 8 weeks until the pregnancy test from the start Phone in with the D 1 of the period and leave a message on the nurse phone (this is a voic ) Nurses offer you the date to start (usually D 21 of period) supracure/suprafact injections to switch off the natural egg production

13 Cycle timeline Scan appointment in about 3 weeks - assess the lining of the womb/ovaries ( Down regulation scan) along with a possible hormone blood test A start date for stimulation is organised Stimulation of the ovaries with menopure/gonal-f injections for egg production started followed by scans (vary according to specific needs)-about 2-33 scan on an average over days

14 Cycle timeline Trigger ovulation with appropriate injections Egg collection hours later under sedation and local anaesthetic as a day procedure Male partner to produce the sperm sample on the day of egg collection at the fertility unit Fertilisation check and phone call to inform you before mid day on the day after the egg collection

15 Cycle timeline Embryo transfer on Day 2/3/5 after egg collection depending on individual circumstances Progesterone hormone support with pessary or gel until the pregnancy test Pregnancy blood test about 2 weeks after the Embryo transfer with the results available on the same day usually

16

17 IVF/ICSI Cycle: 6 phases Preparation- switch off natural egg production and ovulation Stimulation- production of more than one egg Ovulation trigger Egg collection Embryo transfer Support to the womb lining and the pregnancy test

18 Preparation Aim-medical medical menopause (temporary) by hormones to prevent unplanned ovulation Long protocol is conventional with daily Suprafact/Supracure injections from the D21 of natural menstrual cycle- any time of the day as long as no more than a couple of hours apart Short/Antagonist protocol is being used more and more as we become more familiar and comfortable at using it. This does not include any preparation except a short course of the Pill to facilitate the convenience of scheduling

19 Preparation Short/Antagonist protocol also uses Cetrotide injection from Day of the stimulation to prevent unplanned ovulation Possible common side effects: headaches, hot flushes, night sweats, mood swings, period like bleeding Small selective group of patients may need individualised protocols such as flare protocol, short protocols without the Pill or estrogen priming protocol Dosages and protocols along with side effects are variable from a person to person

20 Un-stimulated Ovary

21 Stimulated Ovary

22 Stimulation Daily Menopure/Gonal-F F injections for about days Possible side effects: Soreness/bruising at the injection site, nausea, bloating in the tummy, pressure on the bladder or bowel Can be done any time of the day as long as it is done more or less the same time and no more than a couple of hours apart

23 Ovulation trigger To release the eggs Late night injection of Ovitrelle or Pregnyl or Superafact depending on the individual case Timed hours prior to the egg collection Timing is crucial and must be adhered to the given time otherwise you run the risk of unplanned ovulation or un able to collect the eggs

24 Egg collection No food or drink including water/tea/coffee/milk at least 6 hours before the procedure Lasts between minutes usually but depends on the number of eggs and varies from a patient to patient and generally you will go home in a few hours afterwards Pain relief during the procedure with Intravenous sedation and local anaesthetic followed by more pain relief in the form of suppositories and take home oral tablets

25

26 Egg collection Performed under conscious sedation according to the NICE guideline for improved patient safety General Anesthetic is only offered if there is a medical reason as this is a riskier procedure when compared to the conscious sedation Partners are not allowed to be present due to the sterility issues in the theatres

27 Egg collection Some discomfort for up to a couple of days can be expected It is possible that you may get some discharge and mild bleeding for a day or two It is expected to have some hang over for several hours after the procedure and hence some one needs to take you home You should definitely not be driving on the day!

28

29 Egg collection Serious side effects such as major bleeding or injury to the internal organs such as bladder, bowel or blood vessels are rare and are likely to occur in less than 1% of patients, thankfully If there is any major side effects, you may not be sent home and kept under observation for longer

30 Embryo transfer Usually takes place between days after the egg collection Does not require any pain relief for 99.99% of patients and is as quick as a smear test! Performed under ultrasound guidance and with a full bladder Partners are welcome and encouraged to be present at the procedure unlike egg collection

31

32 Embryo transfer Discussions of final embryo quality, availability, number to transfer ( mostly 1 or 2 and rarely 3) as well as any to freeze It is a very delicate and a crucial step Performed by the senior specialists only Instructions for post transfer are handed out verbally and in written form

33 Embryo transfer

34 Support to the womb lining Progesterone hormone pessaries or gel to be taken daily as per the instructions- rectal/vaginal Possible common side effects- breast tenderness, bloating, vaginal discharge To continue for about 14 days until the pregnancy blood test and for longer if pregnant

35 Pregnancy test Blood test at the general blood collection centre for the hospital on the pre determined day in the morning Results phoned in to you by the same day late afternoon or early evening Pregnancy scan weeks later when pregnant

36 Failed treatment Period can start within 2 weeks but could be different from normal Appointment to see the doctors will be arranged as soon as possible after a recovery interval Counselling is available if required

37 Unexpected events Preparation: cyst formation, unable to suppress the normal cycle Stimulation: poor response, over response, total failure to respond Egg collection: no eggs, no sperm, major bleeding from needle entry site Post egg collection: fertilisation failure, failure to cleave, difficult embryo transfer, infection

38 Ovarian Hyperstimulation (OHSS) Mild OHSS is the aim of the IVF treatment Moderate to severe OHSS can occur and is unpleasant and can be potentially serious Patients with polycystic ovaries (PCOS) are more likely to develop-up to 10% Overall risk of severe OHSS needing intensive care is less than 1%

39 OHSS Bloated tummy Nausea Vomiting Diarrhea Shortness of breath-mainly due to fluid in tummy and lungs dehydration

40 OHSS

41 Prevention is better than cure OHSS Low dosage stimulation of ovaries in PCOS patients Cycle cancellation if over response Avoiding ovulation trigger Ovulation trigger with alternative medicines Special medications to reduce the intensity without affecting the treatment cycle Delaying or avoiding Embryo replacement and freezing all embryos Limiting the number of embryos being replaced

42 OHSS Management of most patients with OHSS as outpatients Some may need admission and tapping of tummy/lung fluid Unfortunate one with severe OHSS may need ITU care and close monitoring for a few days If pregnant, increased risk of early pregnancy loss

43 Multiple Pregnancy (MP) Fortunately triplets are rare (less than 5%) are the law does not allow more than 2 embryos to be transferred in women < 40 yrs Twins are more common than natural conception Most of the twin pregnancies in the UK come from assisted conception IVF/ICSI twins rates are on decline due to Single Embryo Transfer policy of HFEA Multiple pregnancy is risky for the babies and mum

44

45 MP Risks to babies- 3x higher miscarriage, birth defects and premature delivery rates as compared to single baby with several fold increase (6x)in Cerebral Palsy due to prematurity Risk to mother- morning sickness, raised blood pressure, diabetes, interventions such as cesarean sections and its complications several times higher when compared with single baby Can be stressful for the family and increased cost to NHS and society

46 MP reduction strategy Complete prevention impossible Single Embryo Transfer (SET) in selected group of mothers to be- young patients below the age of 35 years, first treatment cycle, excellent quality embryos on D3 ord5 of replacement Patients who have had live births before are also advised to have SET if suitable SET is not a law as yet

47

48 MP reduction strategy Advantages- less problems with pregnancy, increased chance of live birth, less cost to the society overall Disadvantages- reduce pregnancy rate marginally in unselected group, defies patient choice On a balance, One at a time is better than Two at once!

49 Ectopic Pregnancy (EP) 5% risk at IVF/ICSI treatment More likely in women with tubal problems Women who have swollen and blocked tubes which are beyond repair are thus advised to have their tubes clipped prior to the treatment to reduce EP and also to increase the pregnancy rates by up to 6x Ultrasound guided ET can help better position the embryos to reduce the EP rates

50

51

52 EP Most EP need surgery by keyhole to remove them Small numbers can be managed conservatively by observation and appropriate medications Early pick up and diagnosis is crucial for successful management and hence a pregnancy scan at weeks when pregnant

53 Success national level % (1980/6922) for women aged under % (1205/4684) for women aged between % (496/2887) for women aged between % (262/2466) for women aged between % (25/513) for women aged between % (1/129) for women aged over 44

54 Success Homerton IVF /ICSI IUI USING DONOR SPERM (COMBINED STIMULATED AND NON STIMULATED DATA) IUI USING PARTNER SPERM *NATIONAL LIVE BIRTH DATA (LATEST HFEA DATA 2008) *NATIONAL LIVE BIRTH DATA (LATEST HFEA DATA 2008) NO AVAILABLE DATA FROM HFEA HOMERTON HOSPITAL CLINICAL PREGNANCY RATE HOMERTON HOSPITAL CLINICAL PREGNANCY RATE HOMERTON HOSPITAL CLINICAL PREGNANCY RATE Less than 35 years old 38% *32.3% 8% * % 11% years old 35% *27.3% 20% * % 9% years old 20% *19.1% 13% * % 10% 40+ years old 20% *11.9% 6% * % 0%

55 Nutritious diet Preconception Care Healthy body weight-bmi between and definitely below 30 at the time of treatment No smoking Alcohol- <6u/wk for woman and <10u/wk for man Up to date yr normal smear tests Folic Acid 0.4 mg/day to start 3 months prior to treatment ideally Rubella immunity

56 Opening times Monday - Friday: hrs Saturday and weekday evenings: Only by appointments Sunday- closed Out of hours: for patients having treatment cycle only, a facility to contact an on call team member for advice through the switchboard at the Homerton Please remember: the on call person has no access to your data or o file as they are at home!! Please be considerate when you call for advice if they do not immediately reply to your query - it takes several calls between switchboard and us before we can call you back!

57 Telephone Nurses usually reply to your phone messages left during the day only after 3pm on a weekday Messages left on the weekend can only be replied by late Monday afternoon Please do not turn up at the fertility unit without appointments as we are unable to deal with such situations If you prefer communication, please let us know As a matter of confidentiality and to avoid miscommunication, we do not generally give any results on the phone unless it has been agreed specifically We may ask you to confirm your personal details while having phone conversation, so please do not feel offended!!

58 Clinic timetable Please arrive no later than 15 minutes for your appointments- you may be refused to be seen and that upsets everyone! Allow plenty of time for travel and parking! Please ring or intimate in advance if you are late or are unable to attend- allows us to reschedule appointments When booking over the phone, please be as specific as you can as there are many different types of appointments to avoid wrong appointments Be sure you know what to do next before leaving the unit- this will avoid un necessary phone calls

59 Hormone injections Please consider who is going to do it- self or partner or someone else Nurses will show the process and give you the leaflets for the same You will not be able to come to the fertility centre to have injections Please ensure that you have the right amount and right type, syringes, needles, sharp disposal boxes Lack of hormonal injections can affect your treatment and since we do not store any at the centre it might be difficult to obtain out of hours.

60 At your initial appointment Please attend with your partner if seeking treatment as a couple Please provide us your up dated address and contact numbers and s for both partners Please provide us a photo ID such as passport or DVLA license for both partners

61 At a scan appointment Please empty your bladder immediately prior to scan You may normally have a chaperone accompanying a doctor/sonographer You may be asked to give a urine sample prior to the scan if needed All fertility scans are internal scans unless specified otherwise You may be asked to see the nurses prior to leaving the unit

62 At Embryo Transfer (ET) Please keep your bladder full by drinking adequate water and not going to the toilet This makes the procedure easier to perform for the doctor though not any easier for you! You can empty the bladder immediately after the ET You are welcome to have your partner or anyone else to accompany you at the ET-only 1 person though!

63 Consents Plenty of consents to understand and sign however boring they may sound! These are the HFEA (Human Fertilisation and Embryology Authority) mandatory requirements for safety, confidentiality and welfare of the unborn child Doctors will go through the consents for communication, research, your treatment, HFEA sperm and egg usage and storage as well as embryo storage and embryo transfer

64 Consents Nurses will help you understand the cost implications for those who pay for their treatments and organise the invoicing consents You may change these consents at any time after further discussion

65 Payment If you are paying for your IVF/ICSI treatment, the payment must be made prior to egg collection otherwise your treatment may get cancelled at the last minute Payment can be made by cash or credit cards only Cheque can not be accepted to pay towards your treatment Patients eligible to have NHS funded treatments will usually not pay for the IVF/ICSI treatment

66 Medications Fee paying patients will be contacted by the homecare company who delivers the medications at your home for payment Hospital does not charge you for medications Cost of medications once paid can not be refunded even if they are unused You can buy your own medications but we have usually specially negotiated rates with the pharma companies due to the number of cycles we perform

67 Contact us Fertility Unit Phone: automated service with options to contact administration, nurses and embryologists Postal address: Homerton Fertility Centre, Homerton Hospital, Homerton Row, London E9 6SR Website:

68 Embryology Embryologists are the scientists who deal with your eggs, sperm and embryos in the laboratory You may not see them until the egg collection and embryo transfer! Your partners may meet them early on when the sperm analysis is performed though

69 Sperm analysis Normal sperm count takes in to consideration generally three parameters Sperm count Sperm motility Sperm abnormal forms We do not check routinely for sperm antibodies

70

71 Sperm Analysis Males will normally bring a sample from home at the pre booked appointment only Sperm sample should not be produced using lubricants or in normal condoms as this may give a false result Sperm sample once produced must arrive at the centre within 2 hours otherwise it may give false results

72 Sperm Analysis If you have difficulty producing a sample, please let the team know as soon as possible Sperm samples for the actual IVF/ICSI treatment cycle needs to be produced at the centre on the day of egg collection due to the HFEA regulatory requirements If you are unable to do so due to having difficulty producing a sample, please fore warn us if possible by discussing with a member of nursing/medical team On the day of egg collection, if you are unable to produce a sample, your whole treatment cycle may get cancelled

73 Egg Collection Fluid aspirated from your follicles in the ovary is checked for the egg one by one Approximately 60% your follicles may give eggs At the end of the egg collection all the eggs are promptly transferred in to an incubator at 37 degree C Meanwhile the sperm sample will be prepared by special technique for either IVF insemination or ICSI injection

74

75

76 IVF Insemination Usually several hundred thousand sperm are required per egg for this process Insemination process is performed within hours from the time of ovulation trigger injection This is crucial as earlier or later insemination may result in to poor fertilisation as per standard practice

77

78

79 ICSI Only mature egg is injected after removal of surrounding cell with single sperm thus one sperm per egg is the ratio within 42 hours of the ovulation trigger injection for optimum result Pregnancy rates are similar to IVF No major concerns are observed especially with regards to fetal malformations after several years of research if performed for the right indication

80 Fertilisation Check Approximately 60% of eggs may get fertilised with IVF/ICSI This check happens about hours after the insemination or injection, next day early morning Unfertilised eggs will be discarded as they can not be used. These eggs may also be used after your consent for the trainee embryologists to learn the ICSI technique using glass beads You will be called by an embryologists before mid day to inform about the fertilisation and book a date and time for the ET ET days can change depending on the embryo development and growth and you will be kept informed

81

82 Witness process Every laboratory process from checking your identification from the time of egg collection till the embryo transfer and freezing as well as storage is witnessed by two people using your name and date of birth Soon we will be introducing a computerised witnessing system to ensure accuracy and confidentiality This is taken very seriously and we comply 100% with the HFEA standards

83 Embryo Development

84

85

86

87 Embryo Transfer Majority of the ET we perform at Homerton are either Day 3 or Day 5 Small number of patients with fewer eggs have Day 2 ET Day 5 ET is also popularly known as Blastocyst transfer Number of embryos being transferred depend on the number, quality, patient age and of course patient choice where possible within the legal obligations

88

89

90 Blastocyst ET Aim of doing the blastocyst transfer is to choose the best possible embryo or embryos to enhance the conception chances Depending on the individual patient circumstance hence the day of ET will vary

91

92 Embryo Freezing Blastocyst grade Day 5/6 embryos of good quality are suitable for freezing Thus we can freeze the ones surplus to the requirement They are frozen now by a process called Vitrification or fast freezing to improve the chances of survival when thawed About 60% of embryos will survive freezing Embryo freezing may incur costs depending on your NHS funding and the duration of freezing

93

94 Egg Freezing Vitrification or fast freezing ha improved the egg freezing technology but it still remins in its infancy We offer freezing eggs in cases of cancer patients who are single or when the male partner unexpextedly fails to produce a sperm sample Egg freezing also may incur charges depending on your circumstances We do not offer social egg freezing as yet

95

96 Sperm Freezing We offer this service for patients who have undergone operations to obtain sperm by surgery or in male cancer patients needing treatments If we have to freeze sperm as a back up for the male partner for medical indication such as a very low sperm count, there is no charge involved Back up sperm freezing for male partner unable to attend on the day of egg collection will incur charge

97 Change of address When you have embryo, sperm or eggs stored with us at Homerton, please provide us with your most up dated address and phone/ contact details and change of personal circumstances. This will be your responsibility! We do appreciate that people move homes and even countries and hence If we are unable to contact you for renewal of your storage consents once they expire, we have no choice but to discard them as per HFEA regulations which are very strict

98 Counselling Counselling is available to all the fertility patients before and after the treatment as well as during the treatment cycle It is free of charge to all and we actively encourage you to meet up with our counsellor if necessary

99

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

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

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

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

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

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

Our laboratory guide for you and your embryos

Our laboratory guide for you and your embryos Lab guide Our laboratory guide for you and your embryos We hope that this guide will give you a better understanding of the journey you and your embryos will take through our laboratory, and help you contribute

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

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

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

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

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

FINANCIAL INFORMATION FOR PATIENTS

FINANCIAL INFORMATION FOR PATIENTS IVF Hammersmith Hammersmith Hospital Du Cane Road London W12 0HS Tel: 0203 313 4411 Fax: 0203 313 8534 www.ivfhammersmith.com IVF Hammersmith FINANCIAL INFORMATION FOR PATIENTS We hope this guide will

More information

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

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

Acute pelvic inflammatory disease: tests and treatment

Acute pelvic inflammatory disease: tests and treatment Acute pelvic inflammatory disease: tests and treatment Information for you Information for you Published August 2010 Published in August 2010 (next review date: 2014) Acute What is pelvic inflammatory

More information

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly

progestog progestogen stogen-only pill progestogen progestogen-only pill he progestogen-only pill progestogen-onl progestogen-o the progestogenonly your guide to the progestogenonly pill Helping you choose the method of contraception that is best for you the progestogen rogestogen-only the progestogen-only pill progestogen-only pill stogen-only progestoge

More information

Fertility-related choices. A decision aid for younger women with early breast cancer

Fertility-related choices. A decision aid for younger women with early breast cancer Fertility-related choices A decision aid for younger women with early breast cancer Fertility-related choices Section 1 About this booklet 1 Overview 3 Summary of fertility options 4 Section 2 Some background

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

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

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

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im

implant contraceptiv contraceptive contraceptive raceptiv contraceptive implant contraceptive contraceptive ontraceptive implant ontraceptive im your guide to the contraceptive implant Helping you choose the method of contraception that is best for you contra ontraceptive im contraceptive implant mpl ceptive contraceptive contracepti ntraceptive

More information

EARLY PREGNANCY LOSS A Patient Guide to Treatment

EARLY PREGNANCY LOSS A Patient Guide to Treatment EARLY PREGNANCY LOSS A Patient Guide to Treatment You have a pregnancy that has stopped growing, or you have started to miscarry and the process has not completed. If so, there are four ways to manage

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

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

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

Pre-implantation Genetic Diagnosis (PGD)

Pre-implantation Genetic Diagnosis (PGD) Saint Mary s Hospital Department of Genetic Medicine Saint Mary s Hospital Pre-implantation Genetic Diagnosis (PGD) Information For Patients What is PGD? Pre-implantation genetic diagnosis (PGD) is a specialised

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

Gynaecology Service. Saint Mary s Hospital. The Whitworth Clinic. Information for patients

Gynaecology Service. Saint Mary s Hospital. The Whitworth Clinic. Information for patients Gynaecology Service Saint Mary s Hospital The Whitworth Clinic Information for patients Welcome to the Whitworth Clinic at Saint Mary s Hospital This leaflet will give you information about the service,

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

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Birth Control Pills Birth Control Pills WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Birth control pills (also called oral contraceptives or "the pill") are used by millions of women in the United States to

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

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

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

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

injections injections injections injections injections injection injections injections injections tions njections injections injections injections

injections injections injections injections injections injection injections injections injections tions njections injections injections injections your guide to contraceptive Helping you choose the method of contraception that is best for you ions ections injection njections injection tions 2 Contraceptive Contraceptive contain a progestogen hormone

More information

How do fertility drugs work?

How do fertility drugs work? How do fertility drugs work? Under normal circumstances, ovulation occurs once a month when a ripened egg which is ready to be fertilised is released from the ovaries. For couples who are trying to conceive,

More information

Information for you Abortion care

Information for you Abortion care Information for you Abortion care Published in February 2012 This information is for you if you are considering having an abortion. It tells you: how you can access abortion services the care you can expect

More information

IVF MONEY-BACK PLAN IN PARTNERSHIP WITH

IVF MONEY-BACK PLAN IN PARTNERSHIP WITH IVF MONEY-BACK PLAN IN PARTNERSHIP WITH Programmes Refund Programme Up to 3 fresh cycles of IVF/ICSI and all frozen embryo transfers Available to women under 40 years old Medical Review required for all

More information

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to your guide to Helping you choose the method of contraception that is best for you IUD he the the the 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your

More information

ivf Step-by-step through IVF Optimising success Risks and side effects Decisions to be made Managing your cycle

ivf Step-by-step through IVF Optimising success Risks and side effects Decisions to be made Managing your cycle ivf Step-by-step through IVF Optimising success Risks and side effects Decisions to be made Managing your cycle IVF basics What happens in IVF? An IVF treatment cycle can be divided into five steps: 1.

More information

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD the IUD. the IUD. the the IUD. the IUD. the IUD. the IUD. the IUD. the IUD.

IUD. the IUD. the IUD. the IUD. the IUD. the IUD. the IUD the IUD. the IUD. the the IUD. the IUD. the IUD. the IUD. the IUD. the IUD. your guide to Helping you choose the method of contraception that is best for you I the IUD 2 3 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put into your uterus (womb).

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

Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility

Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility Getting Pregnant: The Natural Approach Revealing the Secrets to Increase Your Fertility Page 1 Contents Introduction 3 Part I Understanding Fertility and Infertility Chapter 1: What is Fertility? 4 - Signs

More information

the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD your guide to

the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD the IUD your guide to your guide to Helping you choose the method of contraception that is best for you IUD IUD the e IUD IU IUD the IUD 2 The intrauterine device (IUD) An IUD is a small plastic and copper device that is put

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

Polycystic Ovarian Syndrome

Polycystic Ovarian Syndrome Polycystic Ovarian Syndrome What is Polycystic Ovarian Syndrome? Polycystic ovary syndrome (or PCOS) is a common condition affecting 3 to 5% of women of reproductive age. It is linked with hormonal imbalances,

More information

Copper intra-uterine device (IUD)

Copper intra-uterine device (IUD) Oxford University Hospitals NHS Trust Copper intra-uterine device (IUD) Page What is an inter-uterine device? 3 How does it work? 4 Would an IUD be suitable for me? 5 Are there any risks or complications?

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Endometriosis Endometriosis WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 The lining of the uterus is called the endometrium. Sometimes, endometrial tissue grows elsewhere in the body. When this happens

More information

Guide to IVF Laboratory Results

Guide to IVF Laboratory Results Guide to IVF Laboratory Results PACIFIC CENTRE FOR REPRODUCTIVE MEDICINE 500-4601 Canada Way, Burnaby BC V5G 4X7 LAB-416-20140122-1 The following information will guide you through what results to expect

More information

NON MEDICARE FEES CANBERRA FERTILITY CENTRE VERSION JANUARY 2015 AM QWB 295

NON MEDICARE FEES CANBERRA FERTILITY CENTRE VERSION JANUARY 2015 AM QWB 295 NON MEDICARE FEES CANBERRA FERTILITY CENTRE VERSION JANUARY 2015 AM QWB 295 1 CANBERRA FERTILITY CENTRE Suite 9, Level 2, Peter Yorke Building, Calvary John James Hospital, 173 Strickland Crescent, DEAKIN

More information

ABORTION WHAT YOU NEED TO KNOW

ABORTION WHAT YOU NEED TO KNOW ABORTION WHAT YOU NEED TO KNOW ABORTION What you need to know Everyone who is pregnant has decisions to make. It might be unexpected. You might have many different feelings. It may be news that you re

More information

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system.

Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Ovarian Cysts Introduction Ovarian cysts are a very common female condition. An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime

More information

Midland Fertility Services Blastocyst Transfer

Midland Fertility Services Blastocyst Transfer Midland Fertility Services Blastocyst Transfer Building futures, transforming lives What is a blastocyst? When a sperm fertilises an egg the resulting embryo develops from the original single cell into

More information

Egg Donation Patient Information Becoming or using an egg donor

Egg Donation Patient Information Becoming or using an egg donor Egg Donation Patient Information Becoming or using an egg donor Contents Introduction 2 General information 2 What is egg donation? 2 What is Recipient Recruited Donation? 2 Who can use donor eggs? 2

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

Who is this leaflet about and who is it for? Why would I need to receive donated eggs?

Who is this leaflet about and who is it for? Why would I need to receive donated eggs? International Egg Recipient Information for Patients and Partners Date of Issue:21.10.15 Doc 578 Issue 04 1 of 10 Who is this leaflet about and who is it for? This leaflet is produced for women who require

More information

Preimplantation Genetic Diagnosis (PGD) in Western Australia

Preimplantation Genetic Diagnosis (PGD) in Western Australia Preimplantation Genetic Diagnosis (PGD) in Western Australia Human somatic cells have 46 chromosomes each, made up of the 23 chromosomes provided by the egg and the sperm cell from each parent. Each chromosome

More information

Assignment Discovery Online Curriculum

Assignment Discovery Online Curriculum Assignment Discovery Online Curriculum Lesson title: In Vitro Fertilization Grade level: 9-12, with adaptation for younger students Subject area: Life Science Duration: Two class periods Objectives: Students

More information

Information Leaflet about IVF and ICSI

Information Leaflet about IVF and ICSI Newcastle Fertility Centre at Biomedicine West Wing, International Centre for Life Times Square, Newcastle upon Tyne, NE1 4EP Telephone: 0191 2138213 Fax: 0191 2138214 www.newcastle-hospitals.nhs.uk Information

More information

Artificial insemination with donor sperm

Artificial insemination with donor sperm Artificial insemination with donor sperm Ref. 123 / 2009 Reproductive Medicine Unit Servicio de Medicina de la Reproducción Gran Vía Carlos III 71-75 08028 Barcelona Tel. (+34) 93 227 47 00 Fax. (+34)

More information

Women s Health Laparoscopy Information for patients

Women s Health Laparoscopy Information for patients Women s Health Laparoscopy Information for patients This leaflet is for women who have been advised to have a laparoscopy. It outlines the common reasons doctors recommend this operation, what will happen

More information

Timing is everything. Ovulation Tracking. Patient Information Booklet

Timing is everything. Ovulation Tracking. Patient Information Booklet Timing is everything Ovulation Tracking Patient Information Booklet Contents Getting pregnant naturally 3 Getting pregnant the basics 3 What is ovulation? 3 Menstrual cycle 4 When does ovulation take place?

More information

Consultations & other investigations

Consultations & other investigations Pricelist Please note as part of pre-treatment consultations, you may be required to have blood tests performed, the costs of which are not included in the treatment cycles. These costs are outlined below.

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

TERMINATION OF PREGNANCY- MEDICAL

TERMINATION OF PREGNANCY- MEDICAL TERMINATION OF PREGNANCY- MEDICAL Information Leaflet Your Health. Our Priority. Page 2 of 8 You have been offered a medical termination of pregnancy using mifepristone. You will have been given some verbal

More information

Egg Sharing Price list

Egg Sharing Price list Egg Sharing Price list IVF Egg Sharing with anonymous recipient COMPLETE PACKAGE S1 1500 An all-inclusive package for women who need IVF or ICSI treatment and choose to share their eggs with an anonymous

More information

Diary Card. Cerazette. Keeping a record. For women prescribed Cerazette. How do I find out more? www.cerazette.co.uk

Diary Card. Cerazette. Keeping a record. For women prescribed Cerazette. How do I find out more? www.cerazette.co.uk Cerazette Keeping a record How do I find out more? You can ask for more information on Cerazette at your doctor s surgery or at family planning clinics. A diary card is attached. We suggest you keep a

More information

Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY

Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY Symposium on RECENT ADVANCES IN ASSISTED REPRODUCTIVE TECHNOLOGY Dr Niel Senewirathne Senior Consultant of Obstetrician & Gynaecologist De zoyza Maternity Hospita 1 ART - IVF & ICSI 2 Infertility No pregnancy

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

Information for Egg Donors for Research

Information for Egg Donors for Research Newcastle Fertility Centre at BioScience Centre, International Centre for Life Times Square, Newcastle upon Tyne, NE1 4EP Telephone: 0191 2138213 Fax: 0191 2138124 www.nfc-life.org.uk Information for Egg

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 & 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

Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde

Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde Information on termination of pregnancy (abortion) A series of information leaflets on termination of pregnancy services in Greater Glasgow & Clyde Your first doctors appointment The assessment clinic

More information

Menstruation and the Menstrual Cycle

Menstruation and the Menstrual Cycle Menstruation and the Menstrual Cycle Q: What is menstruation? A: Menstruation is a woman s monthly bleeding, also called a period. When you menstruate, your body is shedding the lining of the uterus (womb).

More information

HPV is very common and usually clears up on its own

HPV is very common and usually clears up on its own What is HPV? All cervical cancers are linked to a very common virus called the human papillomavirus or HPV. HPV usually doesn t cause any harm and most people will be infected with it at some point in

More information

Uterine fibroids (Leiomyoma)

Uterine fibroids (Leiomyoma) Uterine fibroids (Leiomyoma) What are uterine fibroids? Uterine fibroids are fairly common benign (not cancer) growths in the uterus. They occur in about 25 50% of all women. Many women who have fibroids

More information

Endometriosis Obstetrics & Gynaecology Women and Children s Group

Endometriosis Obstetrics & Gynaecology Women and Children s Group Endometriosis Obstetrics & Gynaecology Women and Children s Group This leaflet has been designed to give you important information about your condition / procedure, and to answer some common queries that

More information

NHS cervical screening Helping you decide

NHS cervical screening Helping you decide NHS cervical screening Helping you decide What is cervical cancer? 2 What causes cervical cancer? 2 What is cervical screening? 3 Cervical screening results 6 What is a colposcopy? 8 What are the benefits

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

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients

Department of Gynaecology Early medically induced termination of pregnancy. Information for patients Department of Gynaecology Early medically induced termination of pregnancy Information for patients Medically induced termination of pregnancy In this procedure the termination of pregnancy is brought

More information

abortion your questions answered

abortion your questions answered abortion your questions answered About Marie Stopes International Marie Stopes International is a specialist reproductive healthcare organisation and a registered charity working in both the UK and overseas.

More information

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Menstruation

WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500. Menstruation Menstruation WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Menstruation is a normal and healthy part of growing up. The discharge of blood and tissue from the lining of your uterus each

More information

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002

Ovarian Cyst. Homoeopathy Clinic. Introduction. Types of Ovarian Cysts. Contents. Case Reports. 21 August 2002 Case Reports 21 August 2002 Ovarian Cyst Homoeopathy Clinic Check Yourself If you have any of the following symptoms call your doctor. Sense of fullness or pressure or a dull ache in the abdomen Pain during

More information

Information on. Abortion Services. www.sandyford.org. Telephone 0141 211 8130 1

Information on. Abortion Services. www.sandyford.org. Telephone 0141 211 8130 1 Information on Abortion Services www.sandyford.org Telephone 0141 211 8130 1 Contents 1. First Steps... Page 3 2. The Assessment Clinic... Page 4 3. Medical Abortion... Page 6 4. Surgical Abortion... Page

More information

So you think you might be pregnant?

So you think you might be pregnant? So you think you might be pregnant? British Pregnancy Advisory Service British Pregnancy Advisory Service Contents What are the signs of pregnancy? 4 Where can I get a pregnancy test? 6 Who can I talk

More information

Laparoscopic Hysterectomy

Laparoscopic Hysterectomy Any further questions? Please contact the matron for Women s Health on 020 7288 5161 (answerphone) Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering

More information

Name of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary)

Name of procedure: Laparoscopic (key-hole) ovarian surgery. Left/ Right unilateral salpingo-oophorectomy* (removal of one fallopian tube and ovary) For staff use only: Patient Details: Surname: First names: Date of birth: Hospital no: Female: (Use hospital identification label) Gynaecology Patient agreement to treatment Name of procedure: Laparoscopic

More information

Sterilisation for women and men: what you need to know

Sterilisation for women and men: what you need to know Sterilisation for women and men: what you need to know Published January 2004 by the RCOG Contents Page number Key points 1 About this information 2 What are tubal occlusion and vasectomy? 2 What do I

More information

ency emergency contra-

ency emergency contra- your guide to emergency contraception Helping you choose the method of contraception that is best for you emergency cont gency contrace emergency contraception ency emergency contra- emergen mergency contraception

More information

Abnormal Uterine Bleeding

Abnormal Uterine Bleeding Abnormal Uterine Bleeding WOMENCARE A Healthy Woman is a Powerful Woman (407) 898-1500 Abnormal uterine bleeding is one of the most common reasons women see their doctors. It can occur at any age and has

More information

, hereby agree to a form of treatment known

, hereby agree to a form of treatment known Patient Consent for Therapy Human In Vitro Fertilization and Embryo Transfer This is to certify that I, as In Vitro Fertilization and Embryo Transfer., hereby agree to a form of treatment known I have

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

Ovarian cancer. Patient information from the BMJ Group. What is ovarian cancer? What are the symptoms?

Ovarian cancer. Patient information from the BMJ Group. What is ovarian cancer? What are the symptoms? Patient information from the BMJ Group Ovarian cancer Ovarian cancer is a serious disease. If it s diagnosed at an early stage, ovarian cancer can usually be cured. But even cancers that are more advanced

More information

Midland Fertility Services

Midland Fertility Services Midland Fertility Services ICSI: Intra Cytoplasmic Sperm Injection Building futures, transforming lives Useful Contacts Infertility Network UK 0870 118 8088 www.infertilitynetworkuk.com British Infertility

More information

POLYCYSTIC OVARY SYNDROME

POLYCYSTIC OVARY SYNDROME POLYCYSTIC OVARY SYNDROME Information Leaflet Your Health. Our Priority. Page 2 of 6 What is polycystic ovary syndrome? (PCOS) Polycystic ovary syndrome (PCOS) is the most common hormonal disorder in women

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

The Menstrual Cycle, Hormones and Fertility Treatment

The Menstrual Cycle, Hormones and Fertility Treatment The Menstrual Cycle, Hormones and Fertility Treatment How many of us understand how our monthly cycle works? Every 28 days (or thereabouts), between the ages of around 13 and 51, a woman will release a

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

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional

OVARIAN CYSTS. Types of Ovarian Cysts There are many types of ovarian cysts and these can be categorized into functional and nonfunctional OVARIAN CYSTS Follicular Cyst Ovarian cysts are fluid-filled sacs that form within or on the ovary. The majority of these cysts are functional meaning they usually form during a normal menstrual cycle.

More information