WHAT IS IVF?
In-vitro fertilization (IVF) is a common infertility treatment where an egg is fertilized by sperm outside of the body and then transferred into a woman’s uterus in order to establish a successful pregnancy. The egg is fertilized by sperm in vitro, meaning “in a glass.”
THE FERTILITY EVALUATION PROCESS
At New Hope, we focus on maximizing the quality of your remaining ovarian reserve, regardless of the quantity. Here’s what you can expect during your fertility evaluation.
- Fertility consultation/assessment. Your fertility doctor will review your past medical history and perform a thorough fertility evaluation to either confirm or identify the specific causes of your infertility.
- Female fertility analysis. It is important to check whether ovulation is occurring. This can be done through hormone-detecting blood tests and/or an ultrasound of the ovaries.
- Male fertility analysis. To evaluate the fertility of the male partner, our physicians will conduct a semen analysis to evaluate sperm count, movement, and structure.
- Recommendation. Based on what we discover from your initial fertility assessment and subsequent testing, our physicians will make a recommendation on your next steps. This may mean IVF with or without an egg donation or sperm donation.
WHAT TO EXPECT FROM FERTILITY TREATMENT
You understand the IVF meaning, but what about the process? While protocols are varied and customized for your body, there are some typical low-cost and quick approaches to fertility that we like to try before recommending a full IVF cycle. In cases where the indication for IVF is strong, these steps may be skipped. But it is important to discuss all your options with your doctor.
- Timed Intercourse:
We will monitor your naturally occurring fertility cycle and guide you and your partner to the optimal time to have intercourse for the highest chance of conception. This is a very low-cost approach to fertility treatment and has great success with patients who suffer from ovulatory irregularities (ovulation timing) or in conjunction with Intrauterine insemination.
- Ovulation Induction:
Ovulation Induction is the term for the stimulation of ovulation in the anovulatory patient. The aim is to stimulate the growth of a single follicle with the release of its egg. Superovulation is the term used for stimulating the growth of multiple follicles with the release of multiple eggs. Involving medication and fertility drugs, this is a typical step in any IVF journey and may be used in conjunction with initial pregnancy attempts using IUI and Timed intercourse.
- IUI (intrauterine insemination):
This is a method of recreating intercourse, artificially. After washing, sorting, and analyzing your partner’s semen, the best sperm samples will be introduced to the uterus through a catheter. This is great for patients whose sperm have difficulty reaching the egg naturally because of male factor infertility, or female factors that inhibit the sperm from passing the cervix.
- Minimally Invasive Surgeries:
In some cases, the specific cause of your infertility might not be evident or easy to identify. A Laparoscopy might be requested to discover what’s going on inside the abdominal cavity or around the pelvic organs. A Hysteroscopy may be requested in the case of Fibroids, tissue scarring, or several other reasons.
- Maternal Fetal Medicine (MFM):
Achieving a healthy pregnancy is critical. Because this is our primary concern, New Hope Fertility Center in New York can refer you to a local Maternal Fetal Medicine physician who will focus on managing the health concerns of both the mother and Fetus prior to, during and right after pregnancy.
- ACUPUNCTURE for Fertility:
Acupuncture has been documented to have measurable benefits to patients trying to conceive. From reducing stress and making you feel well to increasing the blood flow to improve implantation, acupuncture is recommended for all patients undergoing IVF.
- Infertility Counseling
Consultation with a psychologist can be useful for many reasons. In addition to emotional support during fertility treatment, the psychologist can assist with difficult decisions, help couples resolve differences, and provide counseling for the complex decisions surrounding family building through donor egg or donor sperm. The psychologist is compassionate, nonjudgmental, and discreet. Additionally, the psychologist can determine if psychotherapy is the best option for the individual and provide referrals to other knowledgeable mental health professionals when needed.
IVF TREATMENT PROS AND CONS
We encourage you to consider all relevant factors when choosing a fertility treatment.
- Assistance overcoming fertility issues:
anovulation, endometriosis, impaired sperm production or function, female and male infertility of unknown causes, and more.
- Success rates
While success rates are not 100%, IVF success rates are still very high with a national average of 41-43% for women under 35 using frozen embryos. We are proud to have the best success rate in NYC at 58% for this age group, according to official SART 2015 reporting.
- Lower chance of passing on genetic conditions
For couples with a high risk of passing on a genetic abnormality, a preimplantation genetic diagnosis (PGD) can provide answers before transfer to a woman’s uterus.
IVF can be expensive and is not always covered by insurance. Our staff will work with you to figure out if IVF can fit in your budget.
- Success rates
While IVF’s success rates are a pro, they can also be a con as IVF does not work for all couples. It is important to remember that a couple in perfect health and in their mid 20’s will only have a 25% chance of becoming pregnant naturally, each time they try.
- Complications and side-effects
There may be complications and side-effects to IVF that women should be aware of, including gastrointestinal pain, nausea, rapid weight gain, diarrhea, and bloating.
THE NEW HOPE ADVANTAGE
New Hope Fertility Center offers a complete spectrum of fertility and IVF services so that your journey to parenthood can be streamlined, low-stress, and as minimally disruptive to your life as possible. Because every patient’s needs are different, we offer a variety of services that allow us to truly customize your experience and give you the best possible chance of a successful pregnancy.
Conventional IVF or Traditional IVF (in vitro fertilization) is the process of stimulating the ovaries with a heavy dose of fertility medication, retrieving the eggs, fertilizing them in a laboratory setting, and then reimplanting or transferring them, back into the uterus for implantation and pregnancy.
MINI IVF™ / ULTRA MINI IVF™
This is New Hope Fertility’s cutting-edge, trademarked approach to in vitro fertilization that uses fewer fertility drugs to attain better IVF results. The focus is on high-quality eggs rather than a large number of eggs retrieved, and is gentler on the body, allowing back to back cycles.
The least invasive approach to IVF, we use your body’s naturally occurring fertility cycle to retrieve the one egg produced during your cycle. This is the highest quality egg, at any given time, that your body is maturing. In exchange for the quality, we only retrieve one egg at a time.
Needle-Free IVF is a convenient, lower-cost, pain-free fertility treatment. Patients won’t need to undergo daily injections and constant blood draws. During this simplified fertility treatment, hormone levels will be monitored through saliva and urine testing and all fertility medications will be administered orally and nasally.
IN VITRO MATURATION (IVM)
A proprietary process of retrieving immature oocytes (eggs) and then maturing them in a specialized culture in a laboratory setting. The resulting eggs can then be fertilized and transferred. Some protocols may include fertilizing and then maturing the embryo prior to transfer.
INTRACYTOPLASMIC SPERM INJECTION
Also called ICSI, Intracytoplasmic sperm injection is a laboratory method of stunning a sperm, removing it’s tale and injecting it into an oocyte for fertilization. Typically in conjunction with sperm washing and sorting, this allows our embryologists to pair the healthiest sperm with the most viable egg.
OTHER FERTILITY PROCEDURES
No two patients are alike, and the cause of each’s infertility may stem from a variety of reasons. In many cases, multiple causes contribute to infertility and in some cases, the specific cause of infertility may be undetermined. That is why NHFC provides an extensive repertoire of successful fertility procedures. This includes but is not limited to PGD, PGS testing, and more. We are committed to helping you start a family.
MALE FERTILITY CARE
Roughly 1/3 of all infertility is attributed to male factor infertility. New Hope Fertility Center offers some of the most comprehensive male fertility care in New York. With comprehensive sperm analysis, washing, sorting, and many procedures dedicated to improving male infertility, the male factor program at NHFC covers the full spectrum of issues.
LGBTQ FAMILY CREATION
Same-sex couples that want children face various challenges that other fertility patients don’t. In some cases, gender similarities might be the only hurdle between you and LGBTQ family building. For others, pre or post-operative conditions may need to be addressed. Some couples may not be looking to become pregnant themselves, but to use a surrogate or sperm donor. Whatever your needs are, New Hope Fertility Center provides a range of LGBTQ services designed specifically with same-sex couples in mind.
THIRD PARTY/ SURROGACY
New Hope Fertility Center has a comprehensive division for third-party reproduction, commonly referring to Egg donation or Surrogacy. Egg Donor’s at New Hope receive some of the highest and fastest compensation for US egg donation. We also provide the largest private egg bank in the country. Surrogacy helps match intended parents (IP’s) with their surrogate mothers, who undergo IVF and carry the pregnancy to term. The delivered baby is then given to the intended parents for ongoing parenting. Gestational Surrogacy is currently the most common form of surrogacy. We can help you navigate through all legalities and nuances of this extremely complicated fertility program and help find you the proper surrogacy agency to partner with.
Egg Freezing, also known as fertility preservation, is the process of cryopreserving a woman’s eggs for fertilization at a later date. New Hope Fertility Center pioneered modern egg freezing through Vitrification, an advanced technique designed to increase the chance that your egg will survive freezing, thawing, and fertilization. Vitrification is a type of flash freezing and has been used at New Hope Fertility Center since 2004. Often times, egg freezing allows patients undergoing IVF to attempt multiple cycles over time, without incurring the cost of repeated retrievals and multiple rounds of medication. Many women freeze their eggs to “stop time” and delay their family planning either for school, a career, or any other reason.
Join us every month to Learn All About Egg Freezing directly from top fertility doctors at New Hope Fertility Center. Not only will you listen to in-depth discussions about Egg Freezing, but attendees will have a chance to save on our services.
New Hope Fertility Center is a proud partner to the LiveSTRONG foundation, providing discounted services to qualified patients who are surviving with Cancer. Cancer treatments like Chemotherapy and Radiation or recommended surgeries often negatively impact a person’s reproductive ability, either immediately or down the line. We believe that everyone has the right to the family of their dreams. Around 10% of all American cancer patients are under the age of 40, which equals about 135,000 people each year that are of reproductive age. As surviving cancer becomes more prevalent, the importance of fertility preservation for patients does too. New Hope offers multiple solutions to ensure your ability to have children after you have been diagnosed with Cancer. This includes egg freezing, ovarian preservation, and other advanced technologies not found at other fertility centers.
Ovarian Rejuvenation Therapy is a new procedure where a woman’s ovarian function is restored through a simple procedure. One method that we use is aspirating the ovarian tissue above a dormant follicle to stimulate the growth of an egg. Two other forms involve PRP injections or ovarian tissue preservation and transplant. This new medical technology helps women in their advanced maternal years overcome infertility due to ovarian aging. Schedule an Ovarian Rejuvenation Therapy consultation at New Hope Fertility Center with Dr. Zaher Merhi.