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Assisted Reproductive Technology (ART) is treatments and procedures to treat infertility, assist couples in achieving pregnancy and reduce the risk of a genetic disease or chromosomal abnormality in a baby. ART may be introduced to couples who have already tried various infertility treatments but still have not achieved pregnancy. The main procedures we provided are
Most couples have a strong desire to have a child. Most couples (approximately 85%) will achieve pregnancy within one year of trying. An additional 7% of couples will conceive in the second year.
Infertility has come to be defined as the inability to conceive within 12 months, a diagnosis shared worldwide by about 15% of couples, but a percentage that is increasing.
If a couple who fail to conceive seek the help of a reproductive endocrinologist and infertility specialist within 12 months, then the chance of achieving a pregnancy is very high.
However, there are other conditions where it may be advisable to seek help earlier. These include;
First and foremost, your fertility clinician will take a very thorough medical and fertility history. Many other questions will help your clinician design a specific evaluation and potential treatment for you. In addition to a careful history, a physical evaluation may also be performed.
Ultrasound is an important tool in evaluating the structure of the uterus, tubes, and ovaries. It also allows your clinician to assess the relative number of available eggs. This measurement is called the antral follicle count and may correlate with fertility potential.
Your clinician will request a series of pre-IVF blood tests, and dependent on your history perhaps some specific blood tests. The most common tests are blood levels of certain hormones such as AMH (anti-mullerian hormone), estradiol, FSH, etc. which are related to ovarian function and overall egg numbers. There will also be general blood tests such as CBC, Hb typing, viral test, etc.
May be ordered dependent upon your medical history. This test is essential for evaluating fallopian tubal patency, uterine filling defects such as fibroids and polyps, and scarring of the uterine cavity.
The semen analysis is the main test to evaluate the male partner, and includes semen volume, sperm concentration, sperm motility or movement, and sperm morphology or shape. An abnormal semen analysis may require further evaluation or use of specialist semen collection techniques or fertilisation methods.
You want to have children someday but are not at a point where you are able to, either due to career, relationships, and other life goals, or you have been diagnosed with a medical condition (eg. cancer) and are about to have treatment that may affect your fertility.
Women’s eggs have an expiry date. Around 40 years of age they will decline in number and quality quite rapidly, and will remain poor until menopause, after which they are unavailable.
By freezing you can maintain “younger” eggs for use when you are ready to have children.
Egg freezing is a process, following ovarian stimulation and surgical egg retrieval from the woman’s ovaries, of freezing the retrieved eggs using the latest Vitrification techniques. The eggs can be held in deep frozen storage and then thawed, fertilized, cultured and transferred to the woman’s uterus when she is ready. Egg freezing became a viable option several years ago with a breakthrough in the freezing and thawing technique called Vitrification, a technique that ultra-rapidly freezes the egg while preventing ice crystals forming in the eggs.
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