The IVF & Reproductive Medicine Educational Center

The physicians and professional staff at ReproMed in Toronto are committed to providing cutting edge reproductive technology.

Spotlight on Ovulation and Its Detection

Understanding ovulation is critical when attempting to conceive naturally or through assisted reproduction in fertility treatment. Ovulation occurs when an egg is released from its follicle within one of the ovaries. During natural conception, this will allow the sperm to fertilize the egg prior to implantation. With in-vitro fertilization, and other means of assisted reproduction, ovulation is an important step in a treatment cycle in which a woman undergoes egg retrieval or artificial insemination, depending on her fertility treatment needs. This ovulation step takes place after stimulation and follicular development.

What happens during ovulation?

Ovulation is triggered by a spike in luteinizing hormone (LH), which will occur about 36 hours before an egg is released. If an egg is fertilized following ovulation, it will hopefully implant in the uterus, beginning a pregnancy. If this does not happen, the endometrial lining is shed during menstruation, which completes the cycle. Though ideally ovulation will take place on a regular, predictable schedule, there are a number of different problems that can disrupt the process, resulting in infertility. Utilizing various ovulation methods, physicians specializing in reproductive medicine can pinpoint the appropriate treatment option for patients experiencing infertility as a result of ovulation irregularities.

How do you know when ovulation is taking place?

When a woman has a normal menstrual cycle, predicting ovulation is simply a matter of timing. For many women, however, there is a need for clinical or at-home tests to monitor ovulation. One of the simplest at-home methods is a urine test to measure LH levels, which are often used in conjunction with basal body temperature tracking, as this temperature will indicate different stages of the menstrual cycle. These tests however are not always accurate and many cases, physicians may recommend transvaginal ultrasound, endometrial biopsy, or blood tests to measure hormone levels.

From ovulation induction to egg donation, in-vitro fertilization, ReproMed provides comprehensive care in reproductive medicine to treat male and female factor infertility in Toronto. To schedule a consultation with our experienced team, call us at (972) 494-5438 or visit our website to further explore our services.

Talking to Your Child About Donor Sperm

As a sperm bank and fertility center, our focus and expertise lies in the “medical aspects” related to reproductive medicine. Sometimes patients will ask questions that encompass various “social aspects” in regards to raising a family and supporting children as they grow. Though many of these topics fall outside our scope of practice, we always try our best to direct patients in the right direction for support or suggest practitioners and counselors they may wish to talk to.

A common question we receive is around the notion of talking to a child about their conception through donor sperm. These patients often have unique experiences in the development of their families and part of this experience may include discussing the use of a sperm donor with their child at some point in the future. Again, though this is outside our scope of expertise, we wanted to share some aspects of this topic to assist those that wish to explore this more in depth.

For some parents, this conversation may assist in the child’s history, health, and development. For others, this conversation may arise when children who grow up with talents, looks, and interests totally distinct from those of their parents may begin to wonder why these differences exist.

Regardless of family dynamics, some may wish for their children to grow up with the knowledge that they were conceived through a sperm donor from the beginning. Early knowledge of this may create an open environment for discussion as the child gets older and they want to explore this topic.

The specific details of your discussion will vary. One theme that may present itself is that a sperm donor, while an important part of your child’s conception, is not his or her parent. You might develop a narrative in which the sperm donor is an individual who wanted to help you start a family, but is not directly part of the family. Sometimes the terms used in the discussion, such as “biological father,” can have a great impact on the child’s understanding so it is always important to keep this in mind.

At ReproMed, you will not only find innovative care in assisted reproduction, but you will have the support of counselors and experienced staff members who can provide insight to help you start your family. For more information about our services or appointment booking, call (972) 494-5438 or visit our website.

A Quick Look at Follicular Maturation

During assisted reproduction treatments like intrauterine insemination (IUI), doctors will often monitor follicle growth and development to better predict ovulation for higher chances of a successful pregnancy following treatment. Follicles are located within the ovaries, and they are responsible for releasing eggs during ovulation, which is the first step in conception.

In a normal cycle, a single dominated follicle will develop to grow an egg while the other follicles will go away. Follicular maturation is a highly delicate and sensitive process, which is often at the root of female infertility issues. To ensure healthy, normal ovulation is taking place, your assisted reproduction specialist may monitor your follicle growth through digital imaging and hormone testing.

ReproMed is a leader in reproductive medicine in Toronto, offering a wide range of assisted reproduction technologies, counseling, and donor services. To schedule a consultation with our team, call us at (972) 494-5438, or click through our website for more information.

The Process of IVF

In-vitro fertilization is among the most common infertility treatments available today, so it is likely that your assisted reproduction specialist will discuss IVF as an option for conception. As this excellent video explains, IVF has helped more than 5 million couples conceive following struggles with infertility.

This complex treatment requires careful monitoring of a woman’s follicular maturation and ovulation, which will facilitate planning of egg retrieval to achieve the first step in the process. Once healthy eggs have been gathered, they are fertilized in a laboratory setting. As embryos develop, the most viable ones are selected for a transfer where they are to be implanted into the uterus and hopefully a pregnancy will be achieved.

Whether you are considering IVF or you are concerned about your future fertility, ReproMed can provide the care you need in Toronto. To connect with our reproductive medicine institute, call us at (972) 494-5438.

What to Expect During Egg Retrieval

For women facing infertility for such factors like age, known endometriosis, or inoperable tubal disease, IVF is an effective solution for achieving pregnancy and starting a family. An essential step in the IVF process is egg retrieval. Once complete, it will facilitate fertilization (with partner or donor sperm) and embryo development. Embryologists will then help select the best quality embryos to transfer to the uterus in the hopes of a successful implantation. Egg retrieval will require the use of prescribed fertility drugs prior to the procedure. It will also entail careful monitoring in your reproductive clinic to ensure accurate timing for the harvesting of the eggs. Below you can get a better idea of what the egg retrieval procedure will require so that you are well-prepared for this process.

Preparing Your Body

Egg retrieval is scheduled well in advance because there are some essential steps that must occur beforehand. Shortly after the start of your menstrual cycle, you will begin taking medications to help stimulate the ovaries to develop as many viable eggs as possible during the cycle. During this time, your ovulation progress is monitored through hormone levels and ultrasound imaging. Just before egg retrieval takes place, the doctor will provide an injection of the hormone hCG / Lupron which will further the chances of a successful retrieval.

Getting Ready for Your Procedure

Food and drink should be restricted from midnight, the night before the procedure. Alcohol, tobacco, and CNS depressants (anything that makes you drowsy) are to be strictly avoided for 4 days prior to the procedure. On the morning of the retrieval, do not wear any perfume, makeup, contact lenses, or jewelry. Be sure to arrive at the clinic in comfortable clothes with an adult companion ready to drive you home.

During the Procedure

You will be under conscious sedation which is administered through an IV (intravenous) to help with pain relief. Common side effects from this include allergic reactions, drowsiness, dizziness, unusual weakness, headaches, and memory impairment. For these reasons, you will be required to be accompanied by adult to be discharged. During the procedure, the doctor will use a needle guided by ultrasound to puncture the ovarian follicles and retrieve eggs to be fertilized within hours in a laboratory setting.

At ReproMed, you can expect to be fully informed about your infertility diagnosis and your treatment options, as patient education is a top priority in our Toronto assisted reproduction institute. To schedule a consultation with our compassionate and dedicated team, give us a call today at (972) 494-5438.

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