Frequently Asked Questions

A: Risks and complications are the same as with a naturally conceived baby.
A: It takes approximately eight weeks from start to finish. The first month prepares you for
your stimulation cycle, which then takes about two weeks. Then, following your embryo transfer, we wait two more weeks for your positive pregnancy test.
A: Derived from a Latin term literally meaning “in glass”, “in-vitro” means outside of the body. IVF is a method of assisted reproduction in which a man’s sperm and a woman’s egg are combined outside of the body in a laboratory dish. If fertilization occurs, the resulting embryo is transferred to a woman’s uterus, where it will hopefully implant and result in a pregnancy.
A: A complete semen analysis is often the starting point in male fertility testing. It measures certain parameters such as semen volume, the number of sperm, and the progressive motility of sperm. Most importantly, the semen analysis gives the physician a detailed look at the morphology, or shape/appearance of the sperm. Theoretically, the more normal sperm observed, the better the odds the sperm fertilize the egg (ova). Some abnormalities in morphology include double heads, double tails, bent or broken necks, tiny heads, amorphous (“blob”) heads, neck and tail deformities, and immature sperm cells.
A: Sperm may look normal on the outside, but in reality their DNA must properly combine with the DNA of an egg for pregnancy to occur and to continue. If the sperm DNA shows a high degree of breakage (“fragmentation”) or if the DNA can’t properly function in one of its critical processes (“decondensation”), then the odds of getting and staying pregnant may be decreased. These tests are not typically offered at other fertility centers, and, if they are not normal, the odds of delivering a baby via intercourse, IUI, or even standard IVF may be low. Our patients can have these tests performed while under our care, and abnormalities can then be either treated or overcome with great success.
A: Testicular epididymal sperm extraction (TESE) and aspiration (TESA) are procedures performed by a urologist during which minute pieces of tissue are removed from the testes (yes, a type of anesthetic is used). Once the tissue sample arrives at the IVF laboratory, the tissue is minced and observed under the microscope. If sperm are present, they can be used to fertilize eggs through Intracytoplasmic Sperm Injection (ICSI) to produce embryos. These procedures bring hope to men with vasectomies, failed vasectomy reversals, congenital absence of the vas deferens, obstruction of the epididymis, etc.
A: Preimplantation Genetic Diagnosis (PGD) is a procedure that screens for and detects numerical abnormalities in the chromosomes of embryos prior to transfer of the embryo to the uterus during the IVF process. An abnormal number of chromosomes is one of the major contributors to spontaneous abortions (miscarriage) and may also explain some IVF implantation failures. PGD is also useful for certain men/women diagnosed with their own chromosomal abnormalities (such as balanced translocations) or who are genetic carriers of diseases and disorders that may affect the health and well-being of their offspring (such as Cystic Fibrosis, Spinal Muscular Atrophy, Sickle Cell Disease, and Tay-Sachs).
A: The IVF process may result in an excess number of embryos. If the excess embryos are ideal in quality, they can be cryopreserved, or frozen, for future attempts at pregnancy. Embryos that were cryopreserved can produce successful pregnancies in subsequent attempts even if no pregnancy was obtained during the fresh IVF cycle.
A: Although fresh sperm samples are ideal for IVF or intrauterine insemination procedures, semen cryopreservation offers an alternative to patients whose partners travel during treatment or have difficulty producing samples upon request. Semen cryopreservation also assists in providing sperm samples for future treatments in men who are diagnosed with cancer or have other medical illnesses requiring surgery and/or treatment, in men working in high-risk occupations that may impair fertility over time, and in men undergoing vasectomies (sterilization) who may possibly want to use their sperm at some time in the future.
A: If you meet and agree with our strict criteria, we can help you balance your family. Candidates for family balancing include those who have a child of one gender (sex) and desire a child of the opposite gender, and those with more than one child but the number of one gender outnumbers the other gender they desire (“unbalanced”).
A: IVF is not as expensive as you think! We have different financial packages that make IVF affordable to most. Contact us and let us show you how easy it is to achieve your goals.
A: Your chances depend on your specific situation. Keep in mind that IVF is the most successful infertility treatment available today.
A: In ICSI, a single sperm cell is injected directly into an egg in order to assist fertilization.
A: In most cases, sperm can be retrieved from the male reproductive tract and used for fertilization.
A: In most cases, sperm can be retrieved from the male reproductive tract and used for fertilization.
A: In most cases, sperm can be retrieved from the male reproductive tract and used for fertilization.
A: Yes, but we are not involved in the selection process of your surrogate.
A: There are many possible reasons for a failed IVF cycle. At IVFMD, IVF patients receive individualized care and protocols, unlike some centers that may use the same treatments for most patients (“cookbook medicine”). We’ve heard many patients say they felt “lost” at other IVF centers (“take a number”), while their experience here is personalized and patient-friendly. Our IVF experts and embryology laboratory staff may utilize cutting-edge technologies that may not be found at some other practices. There may be immunological causes interfering with implantation, and these can also predispose to miscarriage. If you haven’t seen how important success rates can be, you should do so at: www.sart.org Let us take a closer look at your individual case and see if we can help!
A: Always get a second opinion. We offer reconstructive surgery and minimally invasive procedures in an effort to preserve the uterus.
A: We adhere to extremely strict guidelines set forth by oversight organizations in the speciality of assisted reproductive technologies. Our screening of each and every egg donor includes a family and genetic history, a thorough physical examination to rule out sexually transmitted diseases, testing for infectious diseases such as hepatitis, basic genetic testing, hormone evaluations, and assessment of psychiatric pathologies.
A: It depends upon your personal matching criteria. However, since the matching process is so strict and exacting, the average wait is typically 4 to 6 months.
A: Both you and your partner (if applicable) need to be tested for sexually transmitted diseases. In addition, the female needs a full evaluation of her uterine lining, while the male will require a semen analysis and semen culture. Finally, any female or male patient utilizing an egg donor will be required to meet with our psychologist.