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Our IVF Program
Infertility Solutions, P.C., with offices in Allentown and Clarks Summit, Pennsylvania, has been performing in vitro fertilization since 1994. Our objective has always been to offer technologically leading-edge care.
We feel that our program also offers patients significant advantages over many other programs in the United States. One of these advantages is derived from the fact that we are a small program and have a close integration between the laboratory and medical aspects of this procedure. In many programs, physicians are not involved in evaluating laboratory issues. Dr. Rose has extensive interest and experience in the laboratory aspects of IVF and often both the laboratory and medical aspects of an IVF cycle can be individualized to meet a patient's needs. This can improve the success of an IVF cycle. Unlike some area programs, our laboratory is located within our office and is not shared with any other group or practice. Our smallness also makes every patient an important individual to us and not a number who is placed on a fixed ovulation induction and IVF protocol. We can provide a level of support that makes our patients feel well cared for. Each of our nurses individually educates each patient about the planned details of her IVF procedure and then maintains close contact with the patient as needed to help her through the IVF cycle. This makes it easier and less stressful to undergo IVF.
IVF involves treating a woman with hormones that stimulate the development of eggs in her ovaries. Most women are constantly producing eggs contained in tiny cysts (follicles). Each month, only one of those cysts grows large enough to ovulate when it is mature. The hormonal drugs used in IVF enable a larger of cysts (10-12) to mature and be harvested in a office-based surgical procedure. Eggs are then fertilized in the laboratory. The embryos are grown in the laboratory for 3 to 5 days before the best embryos are selected and transferred back into the uterus.
A major focus of our program has been on how to provide IVF services in a more cost efficient manner than that which has traditionally been offered. We offer, as options, simplified versions of conventional IVF which enable many of patients to achieve pregnancy more simply and more inexpensively than conventional IVF. The majority of patients requiring IVF don't really require the production of as large a number of eggs as occurs in most conventional IVF cycles. Most women under age 35 with male factor or tubal disease as the cause of their infertility produce good quality eggs and the basic process of egg retrieval and sperm injection into eggs completely solves their specific infertility problems. The cost of injectible medications and the associated cycle monitoring is about 1/2 the cost of a conventional IVF cycle. The amount of injectible medications, the number of lab tests required for monitoring, and the number of injections a woman takes is about 1/10th of a conventional IVF cycle.
Although simplified IVF cycles using much less medication will work for many people, relatively few IVF programs take a similar approach. One reason for this is that the pregnancy rate per gentle IVF cycle will be lower than for the more aggressive conventional IVF cycle. This diminishes the programs overall success rate which is a major factor in how many patients choose programs.
One of variations of IVF offered, we call Mini-stim IVF. Programs use the terms Mini-IVF, Mini-stim IVF, minimal stimulation IVF and micro-IVF interchangably as the terminology is not well established. One program's Mini-IVF is not necessarily the same as another program's.
For most of our patients, this is a procedure that is best used either after failure to achieve pregnancy using oral medications with IUI. Our approach to mini-IVF uses a mixture of oral and injectible medications to gently stimulate the ovaries to produce one or two good eggs. It is much more powerful than IUI but less powerful than IVF. It can be used to overcome sperm problems or any tubal problem.
Many patients who get pregnant with IVF could have gotten pregnant more conveniently and less expensively with Mini-stim IVF. Women are not exposed to high levels of hormones with this approach and the risk of multiple birth is much less than with traditional IVF. Women above age 40, may especially benefit from this technique. For more detailed information about Mini-IVF, go to our Mini-stim IVF information page.
We are one of few programs that offer IVM (in vitro maturation) which is a natural cycle variant of IVF. The patients for whom IVM is best suited are younger patients with a PCO pattern in their ovaries. A typical patient may have had a prior ovulation induction as part of their failed IVF therapy and has responded with the production of a large number of eggs or had hyperstimulation symptoms (swelling or discomfort) after an IVF retrieval. However most of our IVM patients qualify by having had an ultrasound evaluation which showed that she still had a high number of eggs in her ovaries. The group at Oxford University uses this approach for all young women (under age 30) who wish to use this approach.
IVM is a newer procedure than IVF and involves taking immature eggs from the ovaries and maturing them in the laboratory, before proceeding with more routine fertilization, culture and transfer. (For conventional IVF, this maturation process for eggs takes palace in the ovary.) IVM requires almost no injectable medications or blood tests prior to retrieval. It is an effective natural cycle approach to IVF. Since the ovaries have not been stimulated, there is NO risk of ovarian hyperstimulation syndrome. IVM is less expensive, more convenient, and less painful than IVF. For more detailed information on IVM, go to our IVM information page.
The links at left provide important information about our IVF center and about IVF in general. If you have any further questions or if you would like to schedule an appointment with Dr. Rose, please click here.