Assisted reproductive technology
Reproductive medicine is constantly evolving, breaking new ground and offering couples more options and greater hope at having a family than ever before. If standard treatment options did not bring results, we can provide the latest assisted reproductive technologies and techniques. These treatment options may include:
IVF (In Vitro Fertilization)
IVF is the most common type of ART treatment for female infertility. During IVF, one or more of the woman's eggs are removed and fertilized with sperm in a lab setting. Then, three to five days later, if the eggs have been fertilized, they're returned to the uterus.
IVF is offered in cases of irreparable tubal damage, severe endometriosis, cervical problems that cannot be corrected, low sperm count, diminished ovarian reserve, and unexplained infertility.
ICSI (Intracytoplasmic Sperm Injection)
ICSI is a form of standard IVF and uses most of the same methods. However, instead of letting the sperm and egg meet together on their own, the egg is stabilized under a special microscope. An embryologist then carefully selects a sperm and injects it into the egg directly. This method is used typically when it's determined that chances of fertilization by traditional IVF are low.
Preimplantation genetic diagnosis (PGD)/ Preimplantation genetic screening (PGS)
Parents at risk of passing on a genetic disorder to a child may choose to have genetic screening done. PGD and PGS are types of screening performed at Sanford Health.
PGD stands for pre-implantation genetic diagnosis and includes procedures that are performed on embryos prior to implantation during IVF. Sometimes (albeit much less commonly), the egg or sperm can be tested prior to fertilization. This method significantly decreases the chances of having a baby born who is affected by the particular disease.
PGS or pre implantation genetic screening is different from PGD in that these procedures don't look for a specific disease, instead they use techniques to identify embryos at risk.
During certain IVF procedures this technique can be used to increase the chances of successful implantation.
As an embryo develops it is contained in a layer of protective proteins. In order for successful implantation into the uterus, the embryo needs to hatch out of that protective layer. Sometimes embryos have a difficult time doing that, so assisted hatching is the process of making a small hole in the outer lining to help the embryos break out.