Infertility Treatment Options

There are many treatment options available for infertility. Options that may be appropriate in your situation will be presented by your physician. An overview of treatment options includes:

In vitro fertilization

In vitro fertilization or “IVF” involves retrieving eggs and sperm to induce fertilization in a laboratory environment. To date, thousands of babies have been delivered worldwide as a result of IVF treatment. Over the years, the procedures to achieve IVF pregnancy have become increasingly simpler, safer and more successful.

To accomplish pregnancy as a result of IVF, several steps are involved:
  • Stimulation of the ovary to produce several fertilizable oocytes (eggs).
  • Retrieval of the oocytes from the ovary.
  • Fertilization of the oocytes and culture of the embryos in the IVF Laboratory.
  • Placement of the embryos into the uterus for implantation (embryo transfer or ET).
  • Absent fallopian tubes or tubal disease that cannot be treated successfully by surgery.
  • Endometriosis that has not responded to surgical or medical treatment.
  • A male factor contributing to infertility, in which sperm counts, motility or morphology are low but enough sperm can be produced or retrieved by surgical means to allow fertilization in the laboratory.
  • Unexplained infertility that has not responded to other treatments.
  • Donor insemination
  • Egg retrieval
  • Embryo transfer (ET)
  • Assisted Hatching (AH)
  • Embryo freezing
  • Oocyte freezing
  • Ovarian tissue freezing
  • Preimplantation genetic screening (PGS)

Cases in which IVF may be a treatment option:

  • Absent fallopian tubes or tubal disease that cannot be treated successfully by surgery.
  • Endometriosis that has not responded to surgical or medical treatment.
  • A male factor contributing to infertility, in which sperm counts, motility or morphology are low but enough sperm can be produced or retrieved by surgical means to allow fertilization in the laboratory.
  • Unexplained infertility that has not responded to other treatments.
  • Third Party Parenting
  • Donor egg IVG
  • Surrogacy

Blastocyst culture

Blastocyst culture is a technique utilized in in vitro fertilization in which embryos are typically cultured for 3 days before being transferred to the uterus. This method intends to maximize pregnancy while minimizing multiple pregnancies.

Intracytoplasmic sperm injection

Intracytoplasmic sperm injection or “ICS” is utilized in in vitro fertilization when defective sperm prevent fertilization. In ICS, a single sperm is injected directly into an egg. 

Intrauterine insemination

Intrauterine insemination or “IUI” involves increasing the number of sperm that reach the fallopian tubes by placing sperm inside a woman’s uterus to facilitate fertilization.

Controlled ovarian hyperstimulation

Controlled ovarian hyperstimulation utilizes fertility medication to induce ovulation by multiple ovarian follicles.

Ovulation induction

When the ovary fails to release eggs due to a variety of factors, medication can be utilized to induce this release in a process called ovulation induction or “OI." We have many different medications to help with infertility. Patients can be prescribed pills, injections or a combination of the two.   
  • Oral medicines for inducing ovulation.
  • Medications for inducing ovulation – a guide for patients.
When taking pills, injections, or a combination of the two, we monitor your infertility treatment cycles. You may need ovulation prediction kits to track your ovulation or ultrasounds to see how your ovaries respond to the medicine. You may also need bloodwork to monitor your hormones.