ReproMed

The IVF & Reproductive Medicine Educational Center

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

Fertility Care for Same-Sex Couples

Fertility clinics offer services for a wide range of patient populations including services for same-sex couples looking to grow their families. Same-sex couples may require donor gametes (egg/sperm) and in some cases the assistance of a gestational surrogate. Continue reading to learn more about the procedures and process that you will discuss as you and your partner begin to seek care.

Finding the Right Fertility Clinic

With any medical procedure, it is important to feel comfortable with the facility you choose to work with in addressing your individual needs. Since no path for conception is the same for each patient, you may wish to talk to other same-sex couples who have used a reproductive center and secure their feedback and experiences. Visiting the clinic web site or accessing their social media platforms can provide insight as well in how they approach care for same-sex couples.

Third-Party Assistance

LGBTQ patients and couples may need to access additional third-party assistance in completing their care. Same-sex males will work with an egg donor and gestational carrier while same-sex females will select a sperm donor from the sperm bank.

Unique Reproductive Techniques

Same-sex females may undergo a process known as reciprocal IVF where one partner provides the eggs (which are fertilized in the lab with donor sperm) and the other partner receives the embryo transfer and carries the pregnancy. Same-sex males may both choose to fertilize the retrieved donor eggs. This will create embryos involving the genetics of both partners. These embryos can then be transferred to a gestational carrier or frozen for future use.

Remaining open with your partner.

Throughout fertility care, you want to express your concerns openly with your physician and your partner. Discussing every option is important, so you will feel comfortable with the process throughout every step of care.

At ReproMed, you can access a wide range of fertility care services, including services designed for same-sex couples with access to donor services and using a gestational carrier in Toronto. For a closer look at our services, visit our website. You can also call us directly at (972) 494-5438 to schedule a consultation.

What Happens During Microsurgical Tubal Reconstruction?

Tubal ligation is a procedure in which the fallopian tubes are severed or blocked which prevents the movement of eggs through the fallopian tubes. Since the eggs can’t meet the sperm, fertilization can’t occur. This procedure is a method of permanent birth control for women, but it can be reversed in certain circumstances. For women who have had tubal ligation, but have changed their minds about childbirth, microsurgical tubal reconstruction may be a solution. Many patients exploring this surgery consider going through IVF instead. Here are some concepts to consider in weighing the best path forward.

Accessing Services

This procedure is not covered by Provincial Health Plans and patients will need to secure a private practitioner to perform the surgery. Wait times, finding a doctor, and potential travel can be a challenge. Many patients who opt for tubal reconstruction in the belief that it is more cost effective than IVF. In fact, IVF treatment is very similar in cost. In cases where patients who have undergone tubal reversal, and in the end have to utilize IVF, the cost can be almost double. Most importantly, when discussing the surgery with your doctor, it is very important to review potential success related specifically to your case. Your age, the technique in how your tubes were “cut”, and other potential medical conditions (scarring or endometriosis) could all play a factor in your future success.

Undergoing Tubal Reconstruction

Microsurgical tubal reconstruction is performed laparoscopically, which makes it a minimally-invasive procedure that will have fewer risks than conventional, open surgery. Using special surgical tools, the doctor will carefully reconnect the fallopian tubes to restore ovulation. Patients who will be more likely to consider this surgery are those who have had tubal ligation within the past few years, women who are under the age of 35, and women who do not have other reproductive issues. Patients outside of these categories should consider IVF as an alternative treatment option.

Recovering from Your Surgery

You will not be able to become pregnant immediately after surgery. In fact, it can take up to two years in some cases for you to conceive following microsurgical tubal reconstruction. Since age is a major component in pregnancy, you should take this into consideration when looking at desired timelines. Patients can move forward with an IVF cycle in a matter of 6 weeks.

If you want to weigh all your options for advanced reproductive care in Toronto, call ReproMed for a consultation. You can reach us at (972) 494-5438. Our multidisciplinary team of specialists provides care for patients from all walks of life seeking care for infertility in Canada.

What Can You Expect During Cycle Monitoring?

If you have been trying to get pregnant, you may already be tracking your menstrual cycle so that you know when you are ovulating, and therefore most likely to become pregnant. As you begin working with a fertility specialist to address difficulties conceiving, you may begin the process of cycle monitoring, which is a bit more in-depth than simply tracking the timing of your cycle at home. With cycle monitoring, you will need to make several clinic appointments, during which you will receive several tests and, if appropriate, hormone injections. Tracking your cycle will facilitate the highest chances of successful pregnancy following insemination or timed-intercourse, and it may provide insight to guide future fertility tests and treatments if you are still not able to become pregnant.

How It Starts - Contacting Your Clinic

You’ll need to call your reproductive center on the first day of your cycle, which is the first day of steady flow, not spotting. You will schedule a visit on day 3 of your cycle, where you will have a baseline ultrasound and blood work and may begin taking fertility medications.

Receiving Ultrasound and Blood Tests

Your baseline ultrasound at your day 3 appointment will assist throughout the rest of your cycle, as you will continue to have ultrasound exams to monitor the maturation of follicles in the ovaries. Blood testing may also take place to measure hormone surges throughout your cycle. As you move through the cycle, the medical team will be monitoring your results.

Medication to Help Trigger Ovulation

Once you are ready for ovulation (based on your cycle progression), some patients will be given a single subcutaneous hCG injection to trigger ovulation. You will then either schedule insemination for the following day (or day after) or be provided with instructions for intercourse. Two weeks later you will return for a pregnancy blood test.

Coping with infertility in Toronto can be challenging, but ReproMed is available to provide the resources and state-of-the-art treatments you need to achieve your family planning goals. To explore our services or request a referral to our clinic, call (972) 494-5438.

What to Expect from the Embryo Transfer Procedure

The embryo transfer is the final step in an IVF cycle, which will take place at the peak time for implantation. It is a big day, and placement of these precious embryos in the uterine cavity is critical to the overall success of the in-vitro fertilization process. For some patients it is a long journey; and after the many Cycle Monitoring visits and the session of administering of fertility medications, it can be a relief. This procedure should not be stressful, and it is advisable that patients take some rest and relaxation afterward to increase the chances of conception.

Preparing for Embryo Transfer

For “fresh embryo transfers,” this may take place on day 3 or day 5 of embryo development, depending on your needs and preferences. For “frozen embryo transfers,” this will take place on a date driven by your medical protocol. On the day of your transfer procedure, you should come to the clinic dressed in comfortable clothing. It is also advisable to come with another adult for support and help you follow post-transfer instructions.

Undergoing the Procedure

Embryo transfer should feel no different than a standard pelvic exam, so there is no need for anesthesia or other types of sedation. To ensure accurate placement of embryos in the uterine cavity, the procedure may take place under the guidance of ultrasound imaging, which will require you to have a partially full bladder. The exact number of embryos transferred will vary from patient to patient, as each IVF case will have unique circumstances to consider. The Nursing team will work closely with you during the time in the operating room.

Allowing Recovery Time

You will not need to adhere to any instructions given by the medical team in the days following your embryo transfer. Continue to take all medications. Being positive, relaxed, and rested, for the remainder of the day after the procedure is advisable. For the next several days, you should avoid strenuous activity that may disturb the uterus, such as jogging, intercourse, or heavy exercise. You will return to the clinic setting 14 days after your transfer to complete a pregnancy tests to learn if the procedure was a success.

If your primary physician has recommended that you seek fertility care, ReproMed can provide the compassionate care you need in Toronto. To explore the assisted reproduction services we specialize in, call us at (972) 494-5438.

Spotlight on Our Courtesy Shipping Program

In addition to assisted reproduction services for couples facing fertility issues in Toronto, ReproMed provides a full range of donor semen services locally and regionally to better serve fertility clinics across Canada. If you are using our donor semen services, you may have your purchased vials delivered for free to clinics located within Toronto, Montreal, Quebec City, and Ottawa. For patients outside of these regions, we offer our Courtesy Shipping Program in certain regions. This can help remove the burden of shipping costs when you have shipments sent to your fertility clinic.

When you place an order, you must have a minimum of 2 vials purchased and shipped to your fertility clinic. Be sure to opt-in to the Courtesy Shipping Program when prompted, and you will not pay shipping costs. Vials will be sent within 30 days of placing your order. If you require your vials right away, you do not have opt in to the Courtesy Shipping Program and can specify your exact shipping day. Standard shipping rates will apply.

For a closer look at the donor semen services offered by ReproMed, visit our website. You can also connect with us directly by calling (972) 494-5438 to reach our Toronto clinic.

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