In Vitro Fertilization - IVF
IVF involves the stimulation of follicles with gonadotropins combined with ultrasound monitoring. HCG is used to prepare the oocytes for retrieval. Retrieval is performed by transvaginal needle aspiration before the oocytes are released into the abdomen. The oocytes are then combined with the sperm so that fertilization may occur. Techniques such as ICSI and assisted hatching require the IVF process. Patients with tubal factor infertility or male factor infertility will need IVF if the abnormalities are severe enough to preclude COH. Also, patients that have failed other therapies such as COH may be referred for IVF.
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