advanced treatments

Infertility can often be solved with simple, conventional treatments, but if a patient requires a more advanced approach to treatment, Poma Fertility offers a full spectrum of advanced treatments including:

InVitro Fertilization

IVF is an assisted reproduction technique in which a man’s sperm is combined with a women’s egg in the fertility laboratory. The resulting embryos are allowed to develop before one or more of them are transferred into the woman’s uterus for implantation and pregnancy. Any additional embryos created during the IVF process may be frozen through cryopreservation for future use.

IVF is used for almost any infertility cause that fails to naturally create a viable pregnancy and in cases of:

  • Age-Related Infertility
  • Male Factor Infertility
  • Endometriosis or Tubal Factors
  • Uterine Factors
  • Unexplained Infertility
  • Recurrent Pregnancy Loss (Miscarriage)

IVF also assists people who are not infertile, but who have a cancer diagnosis and may become infertile or sterile from their cancer treatment and women without a partner who may want to bank their eggs while they are younger and more fertile.

The first in vitro fertilization (IVF) baby was born in 1978, and since then millions of babies around the world have been born using IVF.

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ICSI (Intracytoplasmic sperm injection)

Intracytoplasmic Sperm Injection (ICSI) is an assisted reproduction procedure where a single sperm is carefully injected into an egg to aid in fertilization. ICSI is not a treatment in itself but rather a special technique used as part of IVF treatment. ICSI should only be used in instances where the male partner has dysfunctional sperm. ICSI allows sperm that could not otherwise enter the egg, to achieve fertilization.

Because of its effectiveness in helping infertile couples, where the man has dysfunctional sperm, become pregnant, ICSI might be considered the second most important advance in infertility care.

ICSI is often used when male infertility conditions such as poor sperm quality or a low sperm count prevent fertilization, or when previous attempts at IVF fertilization have failed. However, ICSI does not help when the sperm function is normal and may increase the risk of the IVF process when used unnecessarily. When the sperm function is normal, the use of ICSI may increase the risks associated with the IVF process. Because of this, Poma Fertility limits the use of ICSI to those couples who truly need it. We never charge an extra fee for patients who need ICSI as part of assisted reproduction.

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Embryo and Oocyte Cryopreservation

Freezing human eggs (oocytes) and sperm is not a new technology. Scientists, veterinarians, and physicians began freezing and storing sperm in the 1950s. Since the 1980s, IVF centers routinely freeze and store excess human embryos for future use.

Frozen embryo transfer (FET), a fertility treatment in which frozen embryos (fertilized eggs) are thawed and then transfered in a woman’s uterus for pregnancy, provides a very cost effective method for getting pregnant if the first embryo transfer fails or the patient wants another child in the future.

While undergoing IVF treatment, most patients want to limit the number of embryos transferred into the uterus to avoid multiple pregnancies. Rather than destroy any embryos unused after IVF treatment, most patients opt to freeze them. By freezing extra embryos, patients have the opportunity to use them to become pregnant again in the future. Any unused embryos may also be donated to other infertile couples.

For women, freezing their eggs or embryos is an ideal choice for preserving fertility before treatment with toxic medications, radiation, or surgery for diseases such as cancer. Banked frozen embryos provide hope for a normal family life after treatment ends.

Men may decide to bank their frozen sperm before undergoing cancer treatments like chemotherapy. Some military servicemen freeze their sperm before deploying to combat zones. The cryopreserved semen is stored in a liquid nitrogen tank at a sperm bank where it will remain viable for assisted reproductive treatments for at least ten years.

These fertility preservation options help ensure the ability to have a child in the future even if someone’s health or life situation prevents them from doing so now.

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Non-Surgical Sperm Aspiration

Non-surgical sperm aspiration (NSA) allows the doctors at Poma Fertility to quickly and easily obtain sperm for use in IVF procedures from men who cannot ejaculate or from men who have no sperm in their semen due to vasectomy or blocked ducts. Men who can ejaculate, but lack sperm in their ejaculate may have at least some sperm in their testicles, but they usually require a surgical biopsy.

Non-surgical sperm aspiration is rapid, can be performed right at our medical center, does not require hospitalization, is pain-free when done under sedation, and recovery is virtually immediate. A tiny needle is used to extract sperm directly from the testis or the epididymis (part of the ducts just outside of the testicle).

NSA is immensely helpful to men who have had vasectomies and later decide that they want to have children - perhaps because they remarried.

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