The First in Vitro Fertilization Program in North Florida and South Georgia.
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In Vitro Fertilization (IVF)
Overview Jacksonville, FL and Roanoke, VA IVF Clinics
Our Florida IVF program has excellent IVF success rates that exceed the national average. IVF is an accepted medical treatment for many causes of infertility. IVF is considered a “first line” therapy for conditions such as fallopian tube disease, moderate to severe male infertility, older women, in those who have failed other treatments, such as IUI, and other cases deemed appropriate by Dr. Shaykh.
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IVF or “In vitro” literally means “outside of the body “and in a glass dish, where fertilization occurs. IVF involves many steps, the first of which is the production of numerous eggs. A women undergoing IVF receives follicle stimulating hormone (FSH; Gonal-F, Follistim, Bravelle, etc.) by subcutaneous or intramuscular injection during the first phases of her menstrual cycle. FSH stimulates the development of ovarian follicles, each of which contains an egg, a process termed ovulation induction. Many eggs are needed for the IVF processes as some are unavoidably damaged during handling and sometimes not all eggs will fertilize.
While the IVF patient undergoes ovulation induction, she must come to our office regularly for monitoring. Monitoring consists of blood tests (estradiol hormone measurements) and vaginal ultrasounds. Dr. Shaykh can visualize the follicles, ovaries, and endometrium using ultrasound. Estradiol levels confirm healthy follicular development during IVF and help avoid potential drug side effects.
Once IVF monitoring confirms that the follicles are mature, an injection of hCG is given and the egg retrieval is scheduled. IVF egg retrieval is conducted under twilight sleep (IV sedation) as an office procedure, guided by vaginal ultrasound. A small “needle” is used to withdraw the eggs from the follicles.
After the eggs are withdrawn, they are immediately passed to the embryologist where they are separated from the follicular fluid and prepared for fertilization with the husbands, or donor’s sperm. The embryos are next placed into incubators until mature. Sometimes more embryos will form than can be safely transferred to the mother. These embryos can by frozen for use in future cycles substantially reducing IVF treatment cost.
IVF and Intracytoplasmic Sperm Injection (ICSI)
Sometimes in an IVF cycle ICSI will be performed to improve the chances of fertilization. IVF with ICSI is used in cases of male infertility, where the sperm count is low or quality is poor, in older women, in cases of previously failed fertilization, and others as judged necessary by Dr. Shaykh.
Using ICSI, a single sperm is injected directly into the egg. After fertilization, the embryos are transferred to incubators where they will remain until ready for uterine transfer. Incubation usually requires two to five days. Dependent upon the number of viable embryos at day three, culture may be continued to day 5 or longer until the embryos have differentiated into blastocysts.
Blastocysts are typically heartier and more likely to implant and develop. During IVF, the endometrium (lining of the uterus) must thicken and become more vascular to support the developing embryos. Endometrial development is important for implantation, so progesterone is normally administered.
The IVF patient comes to our clinic for uterine transfer once the embryos are ready. This is a painless procedure usually requiring less than fifteen minutes. Our Florida IVF program provides hope to couples who otherwise would not be able to have children. This is especially true in cases of moderate to severe male infertility where once donor sperm was the only option. Using IVF with ICSI, pregnancy can be achieved as long as a single sperm can be obtained. In some cases, the sperm are withdrawn directly from the testicles or reproductive tract.
IVF treatment costs can be expensive and our Florida IVF clinic provides patients with lower cost IVF options such as discounts and minimal stimulation.
Florida, Virginia IVF Programs Participation
Dr. Shaykh has offered a successful IVF program to patients in Florida and Virginia for many years. He does not limit participation in his program to a certain patient profile. For example, some programs will not treat older women or those who fail the clomiphene challenge test because of concerns over their overall IVF success rates. Dr. Shaykh clearly explains the chances of successful conception to each couple but does not refuse treatment to those who choose to attempt IVF. Review our IVF patient brochure.
Low Cost IVF Florida, Virginia IVF Fertility Program
Dr. Shaykh is now offering substantial IVF discounts to couples In order to help those trying to build families. The discounted price for traditional IVF is $6,500. Minimal stimulation IVF is a low cost option for some patients. Smaller quantities of expensive fertility drugs are used thus reducing cost. See our page on low cost IVF options. Hotel accommodations are available for patients traveling to our center.
Hotel Accomodations are available at a discounted price if you are traveling to either of our clinics for treatment.