IVF Can Help You Begin Building Your Family
IVF (in vitro fertilization) is an innovative treatment option for patients struggling to conceive naturally. At our fertility clinic in Dallas, TX, we can perform this procedure to collect and fertilize eggs that are then implanted into the uterus. Dr. Ali R. Guerami is dedicated to outstanding fertility care and is directly involved with the patient’s treatment. He performs each procedure personally to help make his patient’s dreams of having a family a reality. As a board-certified reproductive endocrinologist and infertility specialist with over 30 years of experience, he has helped many patients start their families through IVF.
Who is IVF Recommended For?
IVF can improve chances of conception for patients who have certain medical conditions, including:
- Damaged or blocked fallopian tubes
- Male factor infertility (low sperm county or motility)
- Pelvic endometriosis
- Unexplained infertility
- Certain cases of ovulation disorders and PCOS, such as infrequent or absent ovulation
- Patients with low ovarian reserve
- Certain genetic disorders
- Medical or social fertility preservation
- Certain congenital anomalies of female or male reproductive systems
- Patients over the age of 40 or certain cases of premature ovarian failure
Our team will typically recommend beginning your fertility journey with other techniques if possible. However, IVF can help patients who are unable to conceive through other less invasive treatments, such as treatment with fertility drugs or IUI (intrauterine insemination).
The IVF Treatment Process
The IVF treatment process requires a great deal of precision and experience and should be executed by a trusted fertility specialist with a high success rate. Each step of the process is crucial to the overall success. One misstep, or failing to follow your instructions carefully, could lead to failed IVF or procedural postponement. Before beginning the treatment, Dr. Guerami will perform a fertility evaluation and a series of tests to determine if you are a good candidate for this procedure. Once candidacy is determined, the five-step process can begin.
1. Ovarian Stimulation
During this phase, the female patient will be given a series of injectable hormone medications to stimulate the ovaries to increase follicle development and growth, and as a result to increase the number of eggs available. Throughout this phase, Dr. Guerami will monitor the patient's response to the treatment with a blood test and vaginal ultrasound as indicated.
2. Semen Collection
Before the egg retrieval, the partner’s semen will be collected. Once collected, it will be carefully processed. In cases where the male partner travels extensively for his job and is unable to coordinate their schedules with the IVF timeline, this step can be performed in advance and the sperm is frozen to be utilized when needed. In cases when donor sperm is needed, the screened and frozen specimen will be thawed and used for fertilization.
3. Egg Retrieval
Once the semen is collected, the eggs will be retrieved. To minimize discomfort, you will be sedated and provided pain medication. During this procedure, a specialized needle attached to an ultrasound probe is inserted through the vagina, guided by ultrasound technology, to retrieve the eggs from the ovaries.
After egg retrieval and processing of the sperm, the eggs and sperms will be combined to promote fertilization. For patients with abnormal sperm count or motility or those who have experienced previously failed fertilization, we can fertilize the egg via ICSI (intracytoplasmic sperm injection). This technique involves injecting a single sperm directly into the egg with a special needle. Over the course of the next three to five days, our Embryologist will monitor the embryo development. Usually the embryos will be frozen when they are five days old (blastocyst) to be transferred later. Occasionally, the embryo can be transferred as fresh embryo or frozen at an earlier stage.
5. Embryo Transfer
Embryo transfer can occur anywhere between two to five days after fertilization, however, many clinics transfer embryos on day five. When the embryos are able to make it to day five, they have a greater chance of implantation. Occasionally, and if there are a limited number of embryos after day two, some clinics may consider a day two or day three transfer. The number of embryos transferred will depend on their quality and your chances for multiple births. Any remaining embryos after your round of IVF can be frozen for later use. Today, however, many clinics freeze all embryos when they reach day five and transfer the embryo at a later date when the uterus will be more receptive. Dr. Guerami usually recommends transferring a single thawed blastocyst (five-day-old embryo) in most, if not all, patients.
The Risks and Benefits Associated with IVF
Before undergoing IVF, it is important to understand the possible risks involved which can include multiple births if more than one embryo is transferred, ovarian hype-stimulation syndrome (OHSS) infection, bleeding from the ovaries after egg retrieval, and failed procedures with lack of conception. Despite a potential change of failure to conceive, it should be emphasized that IVF is a highly successful infertility treatment and has given many patients the opportunity to start their families.
Schedule Your IVF Consultation
If you have been unable to conceive with the help of fertility drugs, it may be time to consider other more extensive treatments, such as IVF. To meet with Dr. Guerami about how this procedure can benefit you, contact our office online today.
“Helping patients build a family is my passion. I am completely invested in your treatment and will apply my full knowledge and abilities to achieve your goals.” Dr. Guerami