Maximizing Success

Ultrasound Guided Transfer:

Traditionally when IVF is performed for a couple the embryos transferred back into the uterus are done using a catheter. Physicians would typically perform this procedure (embryo transfer or ET) by feel. Essentially the physician would estimate how far to place the catheter into the uterus and deposit the embryos where he felt the embryos should be placed.

With today’s excellent Ultrasound technology we perform all our transfers using the ultrasound as our guide. Now we can visualize the catheter and even visualize the droplet of fluid that the embryos are in. In short we can “see” the best place to deposit the embryos. Not only does it ensure proper placement but it also minimizes the likelihood of the catheter touching the sides of the uterus or the top of the uterus (the fundus). By visualizing the path the catheter is taking the procedure becomes less traumatizing to the uterus and thereby increasing implantation and pregnancy rates.

For patients with congenital anomalies of the uterus or patients with a known history of difficult embryo transfers we can even visualize the uterus in 3D to again better visualize the appropriate placement.

Studies have shown that utilizing this method will increase pregnancy rates when compared to the traditional “blind” method.

                      GE's Latest In Ultrasound Technology

 


Assisted Hatching

Assisted hatching is a technique that is used as part of IVF therapy. During the hatching process the zona pellucida (the embryo’s outer shell) is thinned or partially opened. This allows the embryo to leave (hatch) this outer shell and attach to the mothers womb.

This technique is often used when the embryos ZP (zona pellucida) or outer shell is observed to be thick; it is also often utilized in patients that have failed IVF treatments in the past, advanced maternal age or with patients that have elevated FSH levels.

Once a specific treatment plan is outlined to you feel free to have our doctors or embryologists discuss hatching with you. Not everyone needs hatching, but when indicated it can optimize your chances of a successful pregnancy.

Hatching at American Reproductive Centers is done utilizing the latest in laser technology and the most advance micromanipulation microscopes available.

Microscopic Laser Incision Made

 

ICSI (IntraCytoplasmic Sperm Injection):

ICSI is a procedure where a single sperm is directly injected into an egg (oocyte) causing fertilization. This procedure is the treatment of choice for severe male infertility. It is also the treatment of choice when it is observed that an egg has issues with its membrane preventing fertilization from occurring.

At American Reproductive Centers we utilize this technique with the majority of our IVF cases. We believe that ICSI increases fertilization rates of the eggs and thereby giving us a higher number of potential embryos to choose from for the Embryo Transfer (ET) procedure.

There have been reported cases where eggs from an IVF cycle don’t fertilize. ICSI can prevent this from happening and ensures that every egg that is produced has the chance of becoming an Embryo.

 

Uterine Mapping Procedure:

One of the most delicate and important steps in ensuring success with IVF is the embryo transfer procedure. (learn more).  Placing the embryos into the most appropriate part of the uterus is critical.  The smoother and less traumatic this procedure the higher the success rate of implantation.  With a procedure called hysteroscopy the uterus is evaluated to ensure it is free of any clinical conditions that may decrease implantation, it is also used to learn where to transfer the embryos.  During this procedure we measure the angle, curvature, tilt and depth of the uterus.  Visualizing the uterine cavity and making these measurements allows us to perform your embryo transfer with ease and maximize success. Talk to your doctor if Uterine Mapping and hysteroscopy is appropriate for your care.