Beginning infertility treatment is an important decision, and you can rest assured knowing you are in good hands at Conceptions Florida. Dr. Armando Hernandez-Rey and Dr. Sinem Karipcin are caring and personable physicians who are devoted to helping people like you become parents. We are recognized as a “Center of Excellence” for advanced reproductive technology (ART), which is why patients from all across the country and the world choose Conceptions Florida in Miami. Please learn more about our new state-of-the-art lab featuring LifeAire technology which is dramatically increasing pregnancy rates.
If problems that may require surgery have been ruled out, we can consider basic and advanced treatments for infertility. Please know that Dr. Hernandez-Rey is careful when recommending the most advanced treatments such as IVF. If there is a less invasive or less expensive alternative, we will always offer these to our patients first. Our goal is for our patients to get pregnant as quickly and simply as possible.
Basic infertility treatments include:
- Medical treatment for PCOS and other reproductive endocrinology disorders
- Hormone therapy to stimulate ovulation (Clomid)
- Intrauterine insemination (IUI)
Many couples succeed with a combination of basic treatments such as ovulation induction and insemination. Using methods to detect ovulation and provide a higher concentration of sperm directly into the uterus, couples have a better chance of getting the timing just right for conception. At Conceptions Florida, success rates for this method average are well above typically reported rates.
Advanced infertility treatments include:
- In-vitro fertilization (IVF)
- Pre-implantation genetic diagnosis (PGD) and screening (PGS)
- Intracytoplasmic sperm injection (ICSI)
- Assisted hatching (AH)
IVF can feel overwhelming, but for some couples it provides the only opportunity to become parents. The rate of success for IVF is much higher than natural fertility. The procedure involves collecting your eggs and sperm, combining them in our laboratory, and transferring an embryo in to the uterus, usually after 5 days, as a blastocyst. Transferring embryos on day 5 (instead of day 3 as used to be common) dramatically increases pregnancy rates. However, it also requires the technology and know-how to culture embryos to this stage. At Conceptions Florida, we perform our ART services in our state-of-the-art lab. Starting in September 2015, this lab will be the only center to offer the LifeAire system in all of Florida. So while you may be anxious about IVF, you can rest assured that we perform these services using a technology that has been proven to dramatically increase success rates, making your financial and emotional investment all the more worthwhile.
We also offer fertility preservation, surrogacy, and donor services. Call (305) 446-4673 (HOPE) for more information or request a consultation now.
The In Vitro Fertilization (IVF) Process
1 Stimulate Mom’s Ovary Production
Special medications are used to signal the female body to release more eggs than usual and allow multiple follicles to grow, which is necessary for multiple eggs to mature and be harvested for IVF. The level of stimulation we use depends on whether or not the female has a low egg count. This step takes about 10 days.
2 Harvest the Eggs from Mom
The final stage of egg maturation is triggered by an injection of a hormone called HCG (human chorionic gonadotropic). About 3 days later, the eggs can be harvested under ultrasound guidance in our office. The female is sedated during the procedure and may have mild pain and cramping for a few hours afterwards.
3 Fertilize the Eggs with Sperm from Dad
The same day that eggs are harvested (aspirated), they are also fertilized in our state-of-the-art lab. Each egg is incubated overnight in a laboratory dish containing thousands of sperm. It only takes one sperm to fertilize the egg. If low sperm count is a concern, some people opt for intracytoplasmic sperm injection, or ICSI, which is the manual injection of a sperm into an egg.
Some eggs can be frozen if you do not want to fertilize them all. Learn more about how this works.
4 Let the Embryos Grow
The embryos are carefully monitored for the first 3 to 5 days following fertilization. Every aspect of their environment is accounted for in our lab. The woman will begin taking progesterone to prepare her body for pregnancy.
5 Transfer Embryo Back to Mom
When your eggs are fertilized and cultured in our laboratory, the embryos can be transferred into the uterus or frozen after 3 to 5 days. This is the most critical step, but it is painless. One or two healthy embryos are typically transferred to the uterus. At this stage, you have substantially increased your chance for a positive pregnancy test.