Once Dr. Mac has determined the possible cause of infertility
, he may prescribe medication and perform procedures to further aid/reverse the cause of infertility.
If medical treatments like hormone therapy or surgery to remove blockages are not considered options, Assistive Reproductive Technologies (ART) may be considered to increase the likelihood of successful conception and implantation.
Thought you would enjoy a new picture of the twins. They are now 5 months and starting to scoot around in their walker and play with toys. We will always remain grateful to all of you for the part you played to help us have these beautiful blessings!
Tammy and John
Intrauterine Insemination (IUI) is also referred to as artificial insemination. Intrauterine Insemination may be indicated for: 1) low sperm count; 2) women who produce poor cervical mucus; and/or 3) for couples with unexplained infertility. Intrauterine inseminations are performed in our office and timed with ovulation.
The process first begins by taking a semen specimen and “washes” out the debris/dead cells that are naturally present in semen—resulting in a specimen that contains highly concentrated and active sperm. The semen is then placed inside a small syringe/ long thin cannula. Next, this plastic cannula is inserted into the woman’s cervix where the sperm are deposited. The IUI procedure often is done in combination with fertility medications.
In Vitro Fertilization
One of the more well-known options for infertility is In Vitro Fertilization (IVF). IVF begins with stimulating the ovaries to prepare mature follicles and eggs. Eggs are then extracted by Dr. McLaughlin using a hollowed needle, guided by ultrasound. Eggs are then prepared with sperm by our embryologist, Kassi. Once fertilization takes place, the fertilized eggs are placed back inside the uterus with the assistance of ultrasound.
Intracytoplasmic Sperm Injection (ICSI) is a laboratory procedure first performed in the early 1990’s to help infertile couples undergoing IVF due to male factor infertility. ICSI involves the injection of a single sperm directly into the cytoplasm of a mature egg. This increases the chances of fertilization when there are abnormalities in the number, quality, or function of the sperm.
Tubal Ovum Transfer
Tubal Ovum Transfer (TOT) is a specific modification to GIFT that is accepted by the Catholic Church, pioneered by Dr. McLaughlin and published in The Lancet nearly two decades ago. By using a perforated silastic condom, the sperm is collected through intercourse. It is available to those who may have a specific moral objection to the “in vitro” laboratory fertilization process required with IVF.
Frozen Embryo Transfer
All your embryos created through In Vitro Fertilization (IVF) are used either immediately or later after embryo freezing; none are discarded. After your primary IVF cycle, your frozen embryos will be stored and may be transferred into a woman’s uterus at a later date- resulting in significant cost-savings for a couple needing less medication and monitoring. Frozen Embryo Transfer (FET) requires that fertilized embryos be cryopreserved (frozen at temperatures well below freezing) and mixed with a cryoprotectant solution to prevent damage due to extreme freezing.
Once couples decide to attempt FET, the embryos are thawed and washed to remove the cryoprotectant. After the embryos are thawed and washed, they are inserted into the uterus in a similar manner to IVF. The cryopreserved embryos obtained at our office-based IVF center are stored off-site at Reprotech for future use.
- Acupuncture - Acupuncture, commonly used to manage pain, stress, or emotional issues, is more frequently being used to treat infertility problems. A growing number of women are turning to acupuncture to relieve stress related to infertility. Stress during and before such procedures as IVF can make it more difficult for the body to be prepared for pregnancy. Acupuncture is often used several weeks before IVF or other procedures begin.
- Reproductive Immunology