Intra-Cytoplasmic Sperm Injection (ICSI)
|
|
- Norman Knight
- 7 years ago
- Views:
Transcription
1 Saint Mary s Hospital Department of Reproductive Medicine Intra-Cytoplasmic Sperm Injection (ICSI) Information For Patients INS/DRM/CLI/018 V5/01/11/2013
2 2
3 Contents Page What is ICSI and why is it necessary? 4 Which couples require ICSI? 5 How is ICSI carried out? 5 How successful is ICSI? 6 What risks are associated with ICSI treatment? 7 Chromosomal abnormalities 7 What happens if my chromosome test shows a rearrangement? 8 Birth Defects 8-9 Developmental delays 9 3
4 What is ICSI and why is it necessary? Intra-cytoplasmic sperm injection (ICSI) refers to the technique of injecting a single sperm into the centre (cytoplasm) of the egg. In natural conception a large number of sperm surround the egg and many attach to the outside, but only one sperm penetrates and fertilises each egg. In IVF we mimic nature by adding a large number of sperm to the dish containing the egg. When fertilisation does not occur, it is usually because the sperm cannot attach to or penetrate the egg. This can be because of a fault with either sperm or egg. When abnormal fertilisation occurs, it is usually because more than one sperm has entered the egg. ICSI overcomes problems of failed or abnormal fertilisation by placing a single sperm directly in the centre of the egg. Any problems with ICSI arise because this one sperm may not be the right one, or because the injection procedure damages the egg. ICSI is relatively new and as such should still be regarded as experimental. 4
5 Which couples require ICSI? Currently we are using ICSI in couples with reduced semen counts or where there is reduced sperm motility, in which the risk of fertilisation failure is increased, and also those who have previously had very low or no fertilisation in an IVF cycle. ICSI is likely to be the treatment of choice if the sperm is suboptimal. We also use ICSI in the following situations: Reduced fertilisation rate after conventional IVF: less than 40% normal fertilisation with at least 4 mature eggs collected. Failed fertilisation after conventional IVF. Use of surgically retrieved sperm. Patients who have had ICSI in previous IVF cycles should continue to have ICSI in future cycles. How is ICSI carried out? Except for the method of fertilisation, every other aspect of your treatment cycle is identical for ICSI and conventional IVF, including hormonal stimulation, egg recovery, producing the sperm sample and embryo replacement. On the day of ICSI, the embryologist carefully removes the outer (cumulus) cells from each egg, using an enzyme normally produced by sperm. This enables the embryologist to see inside the egg using a high powered microscope and assess if the egg is mature. All eggs can be inseminated by IVF, but only mature eggs can be used in ICSI. In most treatment cycles, approximately 80% of eggs are mature. The sperm are prepared as normal for IVF. The embryologist then picks out individual live sperm, of normal appearance and injects one into each egg, using a special glass needle (see diagram on page 6). 5
6 After ICSI the eggs are returned to the incubator overnight and checked for fertilisation the following morning, as for conventional IVF. How successful is ICSI? Approximately 6 out of every 10 eggs will fertilise successfully by ICSI, similar to IVF. The reasons for ICSI fertilisation not being 100% successful include: Immature eggs cannot be injected. Some eggs may be damaged by the injection procedure. This appears to be related to the properties of the inner egg membrane. Even when injected directly into the egg, many sperm are not capable of activating the egg. Following successful fertilisation, embryo development is similar for ICSI and IVF. Following embryo transfer, pregnancy rates are similar to IVF. Many clinics report higher success rates for ICSI compared to IVF, but this is only because the women having ICSI are more fertile. 6
7 What risks are associated with ICSI treatment? ICSI offers the opportunity of success for couples who could not achieve it otherwise. However, it is still a relatively new technique and was not preceded by long term animal studies, as is usually required for new medical techniques or drugs. It is known that abnormal sperm production, as is the case in men with very low sperm count or absent sperm in the ejaculate, can be associated with genetic defects in the male. As ICSI bypasses the normal processes of sperm selection and fertilisation, these genetic defects may be transmitted to the children. It is also possible that the egg may be damaged by the injection procedure. Theoretically, this can result in damage to the resulting embryo if the damaged egg is fertilised normally. Although the great majority of babies born by ICSI appear to be normal, the full implications of treatment will not be known for many years, and you should be aware of the possible risks of this procedure as detailed below. For further information please see our main Patient Information booklet. Chromosomal abnormalities Men with very low sperm counts are more likely to have a rearrangement of their chromosomes known as a balanced translocation (approximately 3 5%). This will be discussed with you in clinic and a blood test can be arranged if this is the case. Many of these rearrangements involve the chromosomes responsible for sex determination (XX for women and XY for men). If there is a rearrangement, this can lead to a chromosome abnormality in any baby conceived. Many men with low sperm counts will have a small deletion of their Y chromosome, that is, a tiny genetic fragment may be missing. This will not be found in routine chromosome testing. This deletion may be passed on to a baby boy and may cause him to have a lowered sperm count when he grows up. 7
8 What happens if my chromosome test shows a rearrangement? If an abnormality is found, the chance of a pregnancy is less. The abnormality may increase your chance of miscarriage and there may be implications for any child conceived. The child may be unaffected, it may display the same abnormality as its father or it may inherit an abnormality, which will affect the child more than the father. If an abnormality is found in your chromosomes this would be discussed with you in detail by one of our genetics counsellors. Birth defects The evidence on whether or not babies born after IVF or ICSI treatment have a greater risk of birth defects is not yet completely clear. More studies are needed in order to gain further insight into these possible effects. In 2005, a major European review of children born after ICSI and IVF (followed up until 5 years of age) found that so-called major birth defects involving the heart, lungs, musculoskeletal or gastrointestinal systems, were present in about 2% of naturally conceived offspring, 4% of children conceived by routine IVF, and in 6% of children conceived after ICSI. A substantial proportion of the abnormalities in the ICSI children were problems in the development of the urinary or genital organs, especially in boys. However, all of them were correctable by surgery and they were found to be caused by genetic factors from the father, rather than a result of the ICSI procedure itself. 8
9 Minor birth defects were present in about 20% of naturally conceived offspring, 31% of children conceived by routine IVF, and in 29% of children conceived after ICSI. Minor anomalies are those which do not in themselves have serious medical, functional or cosmetic consequences for the child. More recent studies reported no difference in the risk for any anomaly or specific anomalies after different types of IVF technologies including ICSI. Developmental delays Some research papers concerning follow up of small numbers of ICSI children suggest possible developmental delay in some children conceived using the ICSI technique. This has not been found in ongoing follow up studies in the UK and Europe. Treatment will not be refused based on the results of above tests or if a couple declines the offer of testing. If you have any questions you feel need answering we would be pleased to do this when you next attend clinic. ICSI is relatively new and as such should still be regarded as experimental. 9
10 Own notes/questions 10
11 Violence, Aggression and Harassment Control Policy We are committed to the well-being and safety of our patients and of our staff. Please treat other patients and staff with the courtesy and respect that you expect to receive. Verbal abuse, harassment and physical violence are unacceptable and will lead to prosecutions. Suggestions, Concerns and Complaints If you would like to provide feedback you can: Ask to speak to the ward or department manager. Write to us: Patient Advice and Liaison Services, 1st Floor, Cobbett House, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL Log onto the NHS Choices website - click on Comments. If you would like to discuss a concern or make a complaint: Ask to speak to the ward or department manager they may be able to help straight away. Contact our Patient Advice and Liaison Service (PALS) Tel: pals@cmft.nhs.uk. Ask for our information leaflet. We welcome your feedback so we can continue to improve our services. 11
12 No Smoking Policy The NHS has a responsibility for the nation s health. Protect yourself, patients, visitors and staff by adhering to our no smoking policy. Smoking is not permitted within any of our hospital buildings or grounds. The Manchester Stop Smoking Service can be contacted on Tel: (0161) ( Translation and Interpretation Service These translations say "If you require an interpreter, or translation, please ask a member of our staff to arrange it for you." The languages translated, in order, are: Arabic, Urdu, Bengali, Polish, Somali and simplified Follow us on Facebook Copyright to Central Manchester University Hospitals NHS Foundation Trust TIG 125/13 Produced November 2013 Review Date November 2015 (SF Taylor CM14401)
Saint Mary s Hospital. Department of Reproductive Medicine. Legal Parenthood. Information For Patients
Saint Mary s Hospital Department of Reproductive Medicine Legal Parenthood Information For Patients 1 This leaflet applies to couples and individuals undergoing treatment with donor sperm, donor eggs or
More informationCare of the vulva following laser treatment
Saint Mary s Hospital Gynaecology Service Care of the vulva following laser treatment Information For Patients 2 The vulva is the term used to describe the visible part of the female genitalia. The laser
More informationOut-patient management of medical abortion
Saint Mary s Hospital Gynaecology Service Whitworth Clinic Out-patient management of medical abortion Please attend: 1st stage on at 2nd stage on at Follow up on at 2 Contents page Welcome... 4 First stage...
More informationFertility 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 informationIntroduction to the Gynaecological Oncology Multi-disciplinary Team (MDT) and the Macmillan Gynaecology Service
Saint Mary s Hospital Introduction to the Gynaecological Oncology Multi-disciplinary Team (MDT) and the Macmillan Gynaecology Service Information for patients What is a Macmillan Gynaecology Nurse Specialist?
More informationSaint Mary s Hospital. Ovarian Cysts. Information For Patients
Saint Mary s Hospital Ovarian Cysts Information For Patients 2 Contents Welcome 4 What are ovarian cysts? 4 How common are ovarian cysts? 6 Ovarian cysts and fertility 6 What are the symptoms of ovarian
More informationSaint Mary s Hospital Gynaecology Service. Useful information about your forthcoming out-patient appointment
Saint Mary s Hospital Gynaecology Service Useful information about your forthcoming out-patient appointment Contents Welcome...3 What if I cannot attend the appointment?...3 Cancellation by the hospital...4
More informationUltrasound Scanning on the IVF Unit
Saint Mary s Hospital Department of Reproductive Medicine Ultrasound Scanning on the IVF Unit Information For Patients INS/DRM/CLI/014 V4/01/11/2013 1 The ultrasound scan is an important part of the programme.
More informationPre-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 informationGynaecology 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 informationPALS. Patient Advice and Liaison Service. Royal Manchester Children s Hospital. Saint Mary s Hospital. Manchester Royal Eye Hospital
Royal Children s Hospital Saint Mary s Hospital Royal Eye Hospital PALS Patient Advice and Liaison Service Royal Infirmary University Dental Hospital of Central Community Services Trafford General Stretford
More informationStress Urinary Incontinence
Saint Mary s Hospital Gynaecology Service Warrell Unit Stress Urinary Incontinence Information for patients What is Stress Incontinence? Stress incontinence is a leakage of urine occurring on physical
More informationAssisted 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 informationInvestigation For Congenital Hypothyroidism
Royal Manchester Children s Hospital Investigation For Congenital Hypothyroidism Medical Investigations Unit, Ward 76 Instructions For Parents and Carers Introduction Welcome to the Medical Investigations
More informationAn operation for prolapse Colpocleisis
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Colpocleisis Information for Patients What is a prolapse? A prolapse is a bulge or lump in the vagina caused by sagging
More informationIn - 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 informationSaint Mary s Hospital. Gynaecology Service Warrell Unit. Overactive Bladder. Information for Patients
Saint Mary s Hospital Gynaecology Service Warrell Unit Overactive Bladder Information for Patients What is Overactive Bladder (OAB)? OAB is a condition that causes you to need to pass urine more often
More informationVasectomy Semen Analysis
Department of Reproductive Medicine Vasectomy Semen Analysis Information For Patients FRM/DRM/AND/037 V5/01/01/2016 Introduction After your operation you may resume having intercourse as soon as you feel
More informationWhat do I need to know about Mesh Implants in Prolapse Surgery?
Saint Mary s Hospital Gynaecology Service Warrell Unit What do I need to know about Mesh Implants in Prolapse Surgery? Information for Patients What is a mesh? A mesh is a material used in prolapse surgery.
More informationEndoscopic Mucosal Resection Endoscopy Unit
Manchester Royal Infirmary Endoscopic Mucosal Resection Endoscopy Unit Information For Patients 2 You have been advised to have an endoscopic mucosal resection to your oesophagus (gullet) or stomach. This
More informationClinical 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 informationBalanced. translocations. rarechromo.org. Support and Information
Support and Information Rare Chromosome Disorder Support Group, G1, The Stables, Station Rd West, Oxted, Surrey. RH8 9EE Tel: +44(0)1883 723356 info@rarechromo.org I www.rarechromo.org Balanced Unique
More informationGuide 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 informationAn operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Sacrospinous Fixation Sacrospinous Hysteropexy Information For Patients 1 What is a prolapse? Prolapse is a bulge or lump
More informationIVF 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 informationReproductive 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 informationMedication for Overactive Bladder
Saint Mary s Hospital Gynaecology Service Warrell Unit Medication for Overactive Bladder Information for Patients What medication is available for overactive bladder? There are two types of medication
More informationFertility 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 informationI want an operation and have a raised BMI. Why is this important?
Saint Mary s Hospital Gynaecology Service Warrell Unit I want an operation and have a raised BMI. Why is this important? Information for Patients What is a BMI? Over the years, many different ways of calculating
More informationPreimplantation 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 informationClinical 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 informationit 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 informationIN 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 informationMinimum standards for ICSI use, screening, patient information and follow-up in WA fertility clinics. January 2006
Minimum standards for ICSI use, screening, patient information and follow-up in WA fertility clinics January 2006 1. BACKGROUND ICSI has been shown to be effective for male factor infertility and it also
More informationAn operation for prolapse Laparoscopic Sacrohysteropexy
Saint Mary s Hospital Gynaecology Service Warrell Unit An operation for prolapse Laparoscopic Sacrohysteropexy Information for Patients What is a prolapse? Uterine prolapse is a bulge or lump in the vagina
More informationLesbian 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 informationTopic: 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 informationEast 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 informationStandardising Access Criteria to NHS Fertility Treatment FOR COMMISSIONERS OF FERTILITY SERVICES
Standardising Access Criteria to NHS Fertility Treatment FOR COMMISSIONERS OF FERTILITY SERVICES Status of the document This document offers guidance to help PCTs move towards more equitable provision
More informationHow To Get A Refund On An Ivf Cycle
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 informationTower 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 informationConsent 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 informationFinal 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 informationMale Infertility and Intracytoplasmic Sperm Injection (ICSI) in the Middle East
Male Infertility and Intracytoplasmic Sperm Injection (ICSI) in the Middle East Marcia C. Inhorn The Male Infertility Problem 1 Infertility is the inability to conceive after 12 months of regular, unprotected
More informationFERTILITY 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 informationLEUKODYSTROPHY GENETICS AND REPRODUCTIVE OPTIONS FOR AFFECTED FAMILIES. Leila Jamal, ScM Kennedy Krieger Institute, Baltimore MD
LEUKODYSTROPHY GENETICS AND REPRODUCTIVE OPTIONS FOR AFFECTED FAMILIES Leila Jamal, ScM Kennedy Krieger Institute, Baltimore MD 2 Outline Genetics 101: Basic Concepts and Myth Busting Inheritance Patterns
More informationAn operation for stress incontinence Tension-free Vaginal Tape (TVT)
Saint Mary s Hospital The Warrell Unit An operation for stress incontinence Tension-free Vaginal Tape (TVT) Information for Patients 1 Stress Incontinence Stress incontinence is a leakage of urine occurring
More informationWho 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 informationSymposium 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 informationA 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 informationEgg and sperm donation in the UK: 2012 2013
Egg and sperm donation in the UK: 2012 2013 Contents Introduction 2 Background to this report 2 Terms and acronyms used in this report 4 Methodology 5 How we gathered the data 5 Understanding the data
More informationAssisted 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 informationAGE & 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 informationEach person normally has 23 pairs of chromosomes, or 46 in all. We inherit one chromosome per pair from our mother and one from our father.
AP Psychology 2.2 Behavioral Genetics Article Chromosomal Abnormalities About 1 in 150 babies is born with a chromosomal abnormality (1, 2). These are caused by errors in the number or structure of chromosomes.
More informationOur 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 informationSO, 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 informationMidland 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 informationREPRODUCTIVE 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 informationRobertsonian Translocations
Robertsonian Translocations rarechromo.org Robertsonian translocations A Robertsonian translocation is an unusual type of chromosome rearrangement caused by two particular chromosomes joining together.
More informationInformation 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 informationOUR 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 informationUnderstanding Fertility
Understanding Fertility 6 Introduction The word fertile means the ability to become pregnant or to cause pregnancy. Basic knowledge of both the male and female reproductive systems is important for understanding
More informationIn 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 informationFREEDOM 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 informationConsent to Perform Preimplantation Genetic Screening (PGS) using. Comparative Genomic Hybridization (acgh) or Next Generation Sequencing (NGS)
Consent to Perform Preimplantation Genetic Screening (PGS) using Array Comparative Genomic Hybridization (acgh ) or Next Generation Sequencing (NGS) Purpose The purpose of Preimplantation Genetic Screening
More informationRisks 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 informationThe 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 informationFINANCIAL 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 informationLondon 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 informationReligious Attitudes to Matters of Life
Religious Attitudes to Matters of Life Sanctity of Life Life is a sacred God-given gift. It is only for God to decide when it starts and ends. It is extremely precious and should be treated with the utmost
More informationEgg 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 informationPreimplantation Genetic Diagnosis (PGD) for Fanconi Anemia and HLA matching
Preimplantation Genetic Diagnosis (PGD) for Fanconi Anemia and HLA matching Andria G. Besser, BEd, MS, CGC Licensed Genetic Counselor Reproductive Genetics Institute Chicago, IL Outline PGD overview In
More informationArtificial 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 informationSexuality after your Spinal Cord Injury
Sexuality after your Spinal Cord Injury Introduction Spinal Cord Injury (SCI) affects to varying degrees the mechanics and sensations of sex and sexuality. Some people think that spinal injury means an
More informationAssignment 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 informationFertility-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 informationAreas 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 informationInfertility 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 informationGenetics and Pregnancy Loss
Genetics and Pregnancy Loss Dorothy Warburton Genetics and Development (in Pediatrics) Columbia University, New York Estimates of Pregnancy Loss from Conception 1000 fertilized eggs (27% are lost) 728
More informationCenter 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 informationThe following chapter is called "Preimplantation Genetic Diagnosis (PGD)".
Slide 1 Welcome to chapter 9. The following chapter is called "Preimplantation Genetic Diagnosis (PGD)". The author is Dr. Maria Lalioti. Slide 2 The learning objectives of this chapter are: To learn the
More informationMidland 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 informationScience 10-Biology Activity 14 Worksheet on Sexual Reproduction
Science 10-Biology Activity 14 Worksheet on Sexual Reproduction 10 Name Due Date Show Me NOTE: This worksheet is based on material from pages 367-372 in Science Probe. 1. Sexual reproduction requires parents,
More informationPreimplantation Genetic Diagnosis. Evaluation for single gene disorders
Preimplantation Genetic Diagnosis Evaluation for single gene disorders What is Preimplantation Genetic Diagnosis? Preimplantation genetic diagnosis or PGD is a technology that allows genetic testing of
More informationMy Sister s s Keeper. Science Background Talk
My Sister s s Keeper Science Background Talk Outline Acute promyelocytic leukemia (APL) APL Treatment Savior Siblings In vitro fertilization (IVF) Pre-implantation Genetic Diagnosis (PGD) Risks of donating
More informationSaint Mary s Hospital. Hysterectomy. Information For Patients
Saint Mary s Hospital Hysterectomy Information For Patients 2 Contents Welcome 4 What is a hysterectomy? 4 Why is a hysterectomy necessary? 4 How common is it? 7 Things to consider before having a hysterectomy
More informationUniversity 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 informationIVF 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 informationCommissioning 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 informationINFORMED 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 informationIVF Waiting Times in Scotland
IVF Waiting Times in Scotland Quarter ending 31 March 2016 Publication date 31 May 2016 An Official Statistics Publication for Scotland Key Points The Scottish Government have set a target that at least
More informationREI Pearls: Pitfalls of Genetic Testing in Miscarriage
The Skinny: Genetic testing of miscarriage tissue is controversial and some people question if testing is helpful or not. This summary will: 1) outline the arguments for and against genetic testing; 2)
More informationWelcome 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 informationHow 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 informationHow to Find Out What s Wrong A BASIC GUIDE TO MALE. A doctor s guide for patients developed by the American Urological Association, Inc.
A BASIC GUIDE TO MALE How to Find Out What s Wrong A doctor s guide for patients developed by the American Urological Association, Inc. Based on the AUA Best Practice Policy and ASRM Practice Committee
More informationTrisomy 13 (also called Patau s syndrome or T13)
Screening Programmes Fetal Anomaly Trisomy 13 (also called Patau s syndrome or T13) Information for parents Publication date: April 2012 Review date: April 2013 Version 2 117 Information sheet to help
More informationPROFESSOR ROBERT EDWARDS AWARDED NOBEL PRIZE Cofounder of Bourn Hall, world s first IVF clinic, recognised by award
PROFESSOR ROBERT EDWARDS AWARDED NOBEL PRIZE Cofounder of Bourn Hall, world s first IVF clinic, recognised by award Professor Robert Edwards known affectionately as the father of IVF - has been awarded
More informationChoosing the sex of babies: Ethical debate
Choosing the sex of babies: Ethical debate This activity is designed to get students thinking about the moral and ethical implications of sex selection. The resources will encourage students to form their
More informationArtificial 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 informationpregnant pregnant pregnant pregnant pregnan pregnant ant pregnant pregnant pregnant egnant pregnant pregnant pregnant pregnant pregna
Pregnant and don t know what to do? A guide to your options pregna regnant ant pregnan egnant 2 3 Are you but not sure you want to have the baby? Do you need more information about the options available
More information