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Assisted reproductive technology (ART) is a term that describes several different methods used to help infertile couples. ART involves removing eggs from a woman's body, mixing them with sperm in the laboratory and putting the embryos back into a woman's body. How often is assisted reproductive technology (ART) successful? Success rates vary and depend on many factors. Some things that affect the success rate of ART include: age of the partners reason for infertility clinic type of ART if the egg is fresh or frozen if the embryo is fresh or frozen The U.S. Centers for Disease Prevention (CDC) collects success rates on ART for some fertility clinics. According to the 2003 CDC report on ART, the average percentage of ART cycles that led to a healthy baby were as follows: 37.3% in women under the age of 35 30.2% in women aged 35-37 20.2% in women aged 37-40 11.0% in women aged 41-42 ART can be expensive and time-consuming. But it has allowed many couples to have children that otherwise would not have been conceived. The most common complication of ART is multiple fetuses. But this is a problem that can be prevented or minimized in several different ways. Different types of assisted reproductive technology (ART) Common methods of ART include: In vitro fertilization (IVF) means fertilization outside of the body. IVF is the most effective ART. It is often used when a woman's fallopian tubes are blocked or when a man produces too few sperm. Doctors treat the woman with a drug that causes the ovaries to produce multiple eggs. Once mature, the eggs are removed from the woman. They are put in a dish in the lab along with the man's sperm for fertilization. After 3 to 5 days, healthy embryos are implanted in the woman's uterus. Zygote intrafallopian transfer (ZIFT) or Tubal Embryo Transfer is similar to IVF. Fertilization occurs in the laboratory. Then the very young embryo is transferred to the fallopian tube instead of the uterus. Gamete intrafallopian transfer (GIFT) involves transferring eggs and sperm into the woman's fallopian tube. So fertilization occurs in the woman's body. Few practices offer GIFT as an option. Intracytoplasmic sperm injection (ICSI) is often used for couples in which there are serious problems with the sperm. Sometimes it is also used for older couples or for those with failed IVF attempts. In ICSI, a single sperm is injected into a mature egg. Then the embryo is transferred to the uterus or fallopian tube. ART procedures sometimes involve the use of donor eggs (eggs from another woman), donor sperm, or previously frozen embryos. Donor eggs are sometimes used for women who can not produce eggs. Also, donor eggs or donor sperm is sometimes used when the woman or man has a genetic disease that can be passed on to the baby. In vitro fertilization: IVF, a laboratory procedure in which sperm are placed with an unfertilized egg in a Petri dish to achieve fertilization. The embryo is then transferred into the uterus to begin a pregnancy or cryopreserved (frozen) for future use. IVF was originally devised to permit women with damaged or absent Fallopian tubes to have a baby. Normally a mature egg is released from the ovary (ovulated), then enters the Fallopian tube, and waits in the neck of the tube for a sperm to fertilize it. With defective Fallopian tubes, this is not possible. The first IVF baby, Louise Joy Brown, was born in England in 1978. In vitro fertilization literally means "fertilization in glass." A child born by in vitro fertilization is inaccurately known a "test tube baby." Zygote intrafallopian transfer (ZIFT) Zygote intrafallopian transfer (ZIFT): A technique in which a woman's egg is fertilized outside the body, then implanted in one of her fallopian tubes. This technique is one of the methods used to overcome infertility, the inability of couples to produce offspring on their own. First, the egg and the male sperm needed to fertilize it are harvested. Then the egg and the sperm are united in a petri dish, a multi-purpose glass or plastic container with a lid. If all goes well, the sperm fertilizes the egg, and the physicians then implant it in a fallopian tube. From there, nature takes its course, and the egg eventually is deposited by the fallopian tube into the uterus (womb) for development. A zygote is the combined cell resulting from the union of sperm and egg. A zygote develops into an embryo. An embryo, a mass of cells with no recognizable human features, begins formation of a human body. After about seven or eight weeks, the embryo exhibits recognizable features such as a mouth and ears. At this stage, the developing human becomes known as a fetus. The word "zygote" is derived from the Greek word "zygon" (yoke). The term "intrafallopian" means "inside the fallopian tubes." ("Intra," a Latin word, means "within" or "inside.") Thus, the term "zygote intrafallopian transfer" refers to the transfer of a zygote into a fallopian tube. Intracytoplasmic sperm injection (ICSI) Intracytoplasmic sperm injection (ICSI): A test-tube fertilization procedure in which a sperm is injected directly into an egg to achieve fertilization. ICSI is done for male infertility. Babies conceived by ICSI have no more major birth defects or delays in development than children conceived by natural means.
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