In continuing to post about some of my unique and interesting cases, this article will address my standard practice of care in the treatment of patients who are suffering from polycystic ovarian syndrome (PCOS) after undergoing in vitro fertilization (IVF).
Giving birth to a healthy baby is a common dream. Unfortunately, not all women can achieve pregnancy naturally. There are many misconceptions and questions about infertility.
The uterus is the cradle of life where the fetus is conceived and grows. So where does the fetus come from? The fetus is created by a man (his sperm) and a woman (her eggs). Where are eggs produced? Eggs are created in the ovaries. Ovaries are small walnut-like organs that are one of the main organs of a woman’s reproductive system.
At New Hope Fertility Center in New York, I have encountered a few couples who, after a few years of trying to conceive and no infertility tests done, come and tell me that they wanted to do and are ready for an IVF treatment. When this situation happens, we explain to patients that not all infertile couples need to do IVF. First, we will need to check the semen quality. If it is poor quality, the woman does not need to have a tubal patency test undergoing IVF treatment. If the semen quality is poor, the sperm does not have the ability to naturally fertilize the egg. On the other hand, if the semen quality is good, the woman will need to have a tubal patency test. If the tubes are normal, they may consider artificial insemination; if the tubes are abnormal (or blocked), they may need IVF treatment.
According to research, the miscarriage rate increases as a woman gets older. Women who are undergoing IVF treatment can benefit from Pre-implantation Genetic Screening (PGS). PGS evaluates an embryo to determine if it has the correct number of chromosomes. Having too many or too few chromosomes is evidence of a genetic defect. This test does not look for specific diseases, rather it aims to identify embryos that have an abnormal number of chromosomes. As a woman ages, the chance of her having embryos with an abnormal number of chromosomes rises.
Seeing that you’re bleeding during early pregnancy can be extremely alarming. Often, a woman’s first thought is that there’s a serious problem or that she’s having a miscarriage. Bleeding during the early stages of pregnancy is common and typically not indicative of a major issue. However, because it can be an indication of an issue, it is important to see your doctor as soon as possible to verify the health and safety of yourself and your growing baby.
With IVF treatment, best treatment does not exist; only the most appropriate treatment is available from a leading medical provider. The IVF treatment program most suitable to your individual needs is considered the best treatment.
Fertility preservation is growing in popularity for a number of reasons. Women of today are waiting longer to start a family. Some women aim to achieve their personal goals before starting a family. Other women are looking to become established professionally and then have children. Another group of women may need to preserve their fertility for a medical reason. Advancements in fertility medicine have allowed for a new method of fertility preservation – ovarian tissue freezing.
Ovarian Tissue Freezing Explained
A woman’s eggs are located in the outer layer of her ovaries. During ovarian tissue freezing, the outer layer is removed from the body. This layer contains a large number of eggs that have not yet matured. Once retrieved, the layer is divided into strips and is frozen to be used later. When a woman is ready to have children, the retrieved tissue is placed back into the body and is able to function normally. This allows a woman who otherwise may have difficulty becoming pregnant with her own eggs to start a family.
Benefits of Ovarian Tissue Freezing
With traditional fertility preservation methods, such as egg and embryo freezing, mature eggs are retrieved after a cycle that uses fertility medication. There is a limited number of eggs that can be achieved via this method, with an average of 10 mature eggs being retrieved during a single cycle. When ovarian tissue freezing is done, hundreds of eggs can be retrieved and frozen at one time. There is no need for fertility medication and no need to wait while the cycle progresses.
Further Advancements in Treatment
The field of fertility medicine is continually improving. Great strides are being made in the specialty of in vitro maturation. This process would allow eggs to be matured in a laboratory setting. When this technology becomes widely used and understood, it would avoid the need to transfer the ovarian tissue back. Instead, the IVF process could begin as soon as a woman is ready.
For additional information on ovarian tissue freezing or to learn about your options for fertility preservation, please contact a member of the New Hope Fertility Center team today. Please click the link below to enter your information and New Hope will contact you, or simply call 212-517-7676. Thank you.
Fertility treatment is often thought of as a woman’s issue. This is partially due to the fact that women have more working parts in their reproductive systems. Additionally, women are more likely to talk about fertility concerns with their friends and family. Men play a vital role in the fertility process. However, they may be unprepared for what it means to provide a sperm sample.
Many people begin fertility care unsure of where they should begin. Although there are a vast number of fertility treatment options available, they are not well suited for everyone. Knowing the benefits of various fertility treatments can help you start a dialogue with your fertility care team.