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Fertility Evaluation | Fertility Procedures | IVF Procedures | Reversal Procedures | Gender Selection | Procedure Fees | |
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Fertility Procedures All services at the Fertility Institutes are offered on a seven day a week basis. The Fertility Institutes are registered with the American Society of Reproductive Medicine (the American Fertility Society). We maintain an active SART membership, and report all treatment outcome statistics to the Society. We were responsible for the first ICSI assisted birth in the Western United States and have continued to maintain state of the art treatment options for our patients at costs that remain highly affordable. Financing for many of our programs is available in many instances. Procedures Offered
These procedures are utilized to treat a variety of fertility conditions that may include poor cervical mucus production resulting from previous cervical surgery (freezing, cone biopsy, LEEP), cervical antibodies being produced against sperm, diminished sperm motility and donor sperm placement. Intraperitoneal insemination (IPI) has shown high pregnancy rates in some women who have failed to concieve with other forms of insemination and is always considered by us prior to moving on to more costly and invasive procedures. With IPI, treated sperm are injected by way of the vagina, directly into the pelvic cavity where eggs are released. A very small catheter is used to avoid discomfort. Gradient Sperm Washing, Filtration and Improvement Highly effective, inert density solutions are commonly used to prepare sperm for In Vitro Fertilization and related procedures with excellent success. Though more costly and time consuming than other methods for preparing sperm for artificial insemination, it is the method utilized in nearly all of our standard sperm preparations for artificial insemination. This method produces a purer sperm sample with increased motility and fertilizing capacity. Testicular Sperm Aspiration (Extraction) MESA, PESA, TESA, Including for Failed Vasectomy Reversal Our urologists, together with our Reproductive Endocrinologists are able to successfully aspirate or extract sperm directly from different areas of the testicle, and use this sperm to microinject (ICSI) a single sperm directly into the harvested eggs of the female. Using these methods, pregnancies and births are now possible with sperm from men who have had vasectomies, have had unsuccessful or failed vasectomy reversals, and in those men with an absence of the vas deferens, and those with extremely low sperm counts (less than 1 million), very poor motility (less than 2%) or, in some cases, even men with no sperm motility or no sperm seen in the ejaculate. We offer comprehensive descriptions of these procedures over the phone, and you are invited to call for more details. We also provide electroejaculation procedures for men with ejaculatory dysfunction resulting from a variety of causes including spinal cord injuries. All of our facilities provide full access for the disabled. MORE ON MESA, TESA, TESE, PESA Controlled Multiovulation (Fertility Drugs), Including the GnRH Infusion Pump for "Single Egg" Production We are one of the largest users of native (natural), pulsatile infusion GnRH for the production of single healthy eggs in women with hypothalamic amenorrhea who do not ovulate regularly. By employing very small, portable automated infusion pumps, very tiny doses of fertility medication can be administered in small pulses around the clock. This method more accurately simulates what occurs in a "natural" cycle, and largely avoids the chance of a multiple pregnancy resulting. Immature Oocyte Harvest The harvest and culture of immature oocytes is under active development by our program. We have yet to see significant encouraging results from programs carrying out this procedure. Our initial investigational efforts have shown promise but we will wait until further safety and outcome data become available prior to undertaking this procedure clinically. We update our Web site frequently and will report to you developments in the field. (Updated 4/98). Secure embryo cryopreservation (freezing & storage) Our entire fertility laboratory is licensed by all appropriate agencies. We hold a valid California Tissue Bank License assuring ongoing compliance with all safety, security and methodology requirements for the handling and cryopreservation of patient specimens. All Nevada State requirements have been met as well. Oocyte Micromanipulation: ICSI, Assisted Hatching, Preimplantation Genetic Diagnosis The Fertility Institutes perform highly successful micromanipulation procedures. We achieved the first successful ICSI derived pregnancy in the Western United States as well as the first multiple pregnancy from purely ICSI derived embryos. Our ICSI success has been extended to men with sperm counts far less than 1 million and to patients who had previously failed multiple earlier IVF attempts at other programs.  Immunology, Antibodies and Miscarriage Prevention We offer complete couple tissue type compatability testing through our association with a leading immunology laboratory. We work closely with the country's leading immunology experts, and offer full laboratory testing that includes preparation for and administration of paternal leukocyte immmunization, aspirin/heparin/prednisone protocols as well as a variety of cutting edge methods to both improve pregnancy outcome associated with advanced fertility procedures, as well as to prevent pregnancy loss from occuring.
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