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.

How Can Ontario's IVF Program Help You?

If you are seeking in-vitro fertilization (IVF) and you live in Ontario, you may be curious how the province’s IVF program can help you. IVF can sometimes be costly for patients, but it is among the most effective and widely utilized fertility treatments available in clinics offering assisted reproduction services.

In this video, you will learn about the IVF program in Ontario and hear from a couple it helped to make a difference for. Eligible patients can undergo one round of IVF treatment with a single embryo transfer. The program can also help patients who have existing embryos that were created outside of the program and looking at transferring these to achieve a pregnancy.

For answers to your questions about in-vitro fertilization and other assisted reproduction technologies, call ReproMed at (972) 494-5438. We welcome patients using OHIP assistance, and we can provide you with medical options to help grow your family.

A Look at the Process of Ovum Freezing

Though you might have goals to start a family and have children one day, unexpected health concerns or issues may threaten your future fertility. Fortunately, cryogenic technology has become sophisticated and reliable enough to provide many advanced options for preserving fertility following a cancer diagnosis or other illness that may require treatment with radiation and chemotherapy. Ovum freezing can allow women to preserve healthy eggs that may otherwise become damaged during medical treatments, providing the opportunity to seek assisted reproduction services following successful treatment of a given illness. At ReproMed, we provide our patients with all the information they need about ovum freezing, as well as many opportunities to ask questions and discuss alternatives. For patients who do choose this procedure, here is a look at the basic timeline of ovum freezing.

Deciding to Freeze Eggs

The decision to freeze your eggs may come after a medical diagnosis indicating a certain type of treatment that may harm your eggs and reproductive organs. In other cases, ovum freezing may be appropriate as a fertility preservation procedure for women looking to pursue other life goals prior to having children, since the quality of eggs will decline substantially with age. Because the process requires the use of hormonal medication to stimulate the ovaries, it is important to understand the complete medical process by speaking with a Reproductive Specialist.

Screening and Stimulation

Once you have made your decision to pursue treatment, your doctor will schedule blood testing, ultrasounds, and possibly other screening procedures to assess your health and the health of your eggs. If you are a good candidate for ovum freezing, you will then be prescribed medication to stimulate the ovaries to help produce multiple eggs during ovulation. Typically, medication is taken daily for ten days, and the retrieval is done on the 12 th day.

Retrieval

Eggs are retrieved through a trans-vaginal procedure, which is a minor procedure that will take place in the clinical operating setting. Though the procedure is completed in one day, it is still worth discussing all potential risks and complications with your doctor prior to scheduling egg retrieval. The retrieval itself takes approximately 7 minutes.


Freezing

Finally, eggs will be selected based on their viability for future reproductive use, and the healthiest will be cryogenically frozen. Patients will then need to determine their storage contract for the frozen oocytes. This can be done on an annual or 5-year pre-paid basis.

Facing a difficult medical diagnosis can leave you with many uncertainties, but ReproMed can help you restore your peace of mind with our advanced technologies for fertility assessment and preservation. To request a consultation in our Toronto practice, visit our website or give us a call today at (972) 494-5438.

Embryo Development - Day 3 and Day 5 Transfer

Working with a leading fertility clinic in Toronto can provide you with access to a wider range of treatment options in addition to standard reproductive medicine services like in-vitro fertilization, or IVF. One option that your physician may recommend is blastocyst transfer which requires the sophisticated laboratory setting of an advanced reproduction institute like ReproMed.

A day 3 embryo is one where it has been fertilized in the lab and grown for 3 days. A good quality day 3 embryo is far enough along the developmental stage to implant into the uterus. This is ideal as it allows the embryo to grow in the uterus, its natural environment. If a patient has a limited number of embryos to work with, a day 3 transfer will often be the best choice to proceed with a transfer. In some cases, it may be beneficial to culture the embryos further to day 5 (blastocyst) and then transfer.

Culturing to Day 5

If the patient has a large number of fertilized embryos to work with, the embryologist may allow for continued culturing of embryos in the lab to the blastocyst stage. The embryos that make it to day 5 are typically the best quality and become the ideal ones to use in a transfer. In this scenario, since the embryologist will now know the best quality embryo, a choice can be made to transfer a single embryo (the best quality) to avoid multiple pregnancies. Such a scenario is only considered when there are larger pool of embryos to work with. It would be very unfortunate to culture to day 5 with a limited number of embryos and have none develop to this stage. Such a scenario would leave no embryos to transfer.

Following Failed Implantation in a Previous IVF Cycle

If you have undergone unsuccessful IVF cycles, it is natural to feel frustrated and take on a negative attitude about your reproductive care. However, it is possible to learn from failed IVF cycles and make adjustments as your next cycle approaches. If you produced high-quality day 3 embryos in a previous cycle, but these failed to implant, a blastocyst transfer may boost the likelihood of successful implantation. The embryologist may culture existing frozen day 3 embryos to day 5 to ensure they have grown to their full potential before transferring.

Choosing the right doctor for your fertility care can help you balance the potential risks and benefits of your assisted reproduction treatments in Toronto. For exceptional care with a wealth of available resources for patients, connect with ReproMed at (972) 494-5438.

What Are the Advantages of Intracytoplasmic Sperm Injection?

It is commonly assumed that infertility is primarily an issue in female patients, but about 40% of infertility cases involve male infertility. Male infertility is primarily related to low sperm count and low motility, so treatment will typically separate the processes of harvesting and implanting sperm to increase the chances of insemination for a successful pregnancy. Intracytoplasmic sperm injection, or ICSI, is a revolutionary procedure to improve the results of male infertility treatment. It involves injecting a single sperm into each viable egg to create embryos in a laboratory setting.

Because ICSI isolates a single sperm for each egg, it can be successful with even very low sperm counts, possibly eliminating the need for surgery or donor sperm. This procedure also shows success relatively quickly, as only 18 hours of observation is necessary to assess whether fertilization has taken place.

If you have had difficulty conceiving or have been referred to a fertility specialist by your doctor, ReproMed can provide the complete, compassionate care you need in Toronto. From fertility screenings to second opinions and assisted reproduction procedures, we offer a continuum of care to reduce your stress and confusion. To learn more about us, visit our website or call our offices at (972) 494-5438.

Recurrent Pregnancy Loss: What Are Your Treatment Options?

A miscarriage is the loss of an embryo or a fetus before the 20 th week of pregnancy. Though miscarriages are incredibly common, they are still a devastating occurrence. Following a single miscarriage, it is helpful to discuss the possibility of fertility care with your doctor. Couples who have experienced two or more consecutive miscarriages should make an appointment with a fertility care specialist right away as they can help to research/investigate if an underlying reason can be determined. Even without a clear cause, treatment is possible through the use of donor or gestational carrier services, which are available at ReproMed, the Toronto Institute for Reproductive Medicine. Below you can gain a better understanding of your treatment options, though you should always consult a physician before making any decisions about your reproductive health.

Preimplantation Genetic Diagnosis

There are a few different reasons to consider preimplantation genetic diagnosis, which is a process that accompanies in-vitro fertilization and can diagnose certain genetic diseases in embryos before they are implanted into the uterus. Genetic disorders are frequently associated with early pregnancy loss, so opting for a preimplantation genetic diagnosis may greatly reduce the risk of recurrent miscarriage.

Gestational Carriers

In some cases, it may be determined that the uterus itself isn’t optimal for pregnancy, and in these cases, surrogacy may be a solution. With a surrogate or gestational carrier, couples will utilize their own or donor materials to create viable embryos for transfer to a surrogate who will carry the pregnancy to term. Gestational carriers may be selected from a bank of volunteers, or it may be someone you already know. In either case, the gestational carrier will have no genetic link to the baby, and she will have no legal rights over the baby once he or she is born.

Egg Donation

Women who are over the age of 40 may consider donor eggs in addition to in-vitro fertilization, since the risk for chromosomal abnormalities and other complications is much higher in older women.

The physicians at ReproMed can guide you toward the best treatment options for your unique situation. We are fully dedicated to patient education and compassionate reproductive care, so give us a call at (972) 494-5438 to begin your journey toward parenthood.

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