BARIATRIC SURGERY
June 11, 2019
Show all

INFERTILITY / IVF

Infertility/ IVF

 

Assisted reproductive technology (ART) are medical procedures used primarily to address infertility. It includes procedures such as in vitro fertilization. It may include intracytoplasmic sperm injection (ICSI), cryopreservation of gametes or embryos, and/or may involve the use of fertility medication. When used to address infertility, it may also be referred to as fertility treatment. ART mainly belongs to the field of reproductive endocrinology and infertility. Some forms of ART are also used with regard to fertile couples for genetic reasons (preimplantation genetic diagnosis). ART may also be used in surrogacy arrangements, although not all surrogacy arrangements involve ART.

Procedures[edit]

General[edit]

With ART, the process of sexual intercourse is bypassed and fertilization of the oocytes occurs in the laboratory environment (i.e., in vitro fertilization).

In the US, the Centers for Disease Control and Prevention (CDC)—which is required as a result of the 1992 Fertility Clinic Success Rate and Certification Act to publish the annual ART success rates at U.S. fertility clinics—defines ART to include “all fertility treatments in which both eggs and sperm are handled. In general, ART procedures involve surgically removing eggs from a woman’s ovaries, combining them with sperm in the laboratory, and returning them to the woman’s body or donating them to another woman.” According to CDC, “they do not include treatments in which only sperm are handled (i.e., intrauterine—or artificial—insemination) or procedures in which a woman takes medicine only to stimulate egg production without the intention of having eggs retrieved.”[1]

In Europe, ART also excludes artificial insemination and includes only procedures where oocytes are handled.[2][3]

The WHO also defines ART this way.[4]

Ovulation induction[edit]

Main article: Ovulation induction

Ovulation induction is usually used in the sense of stimulation of the development of ovarian follicles[5][6][7] by fertility medication to reverse anovulation or oligoovulation.

In vitro fertilization[edit]

Further information: In vitro fertilization

In vitro fertilization is the technique of letting fertilization of the male and female gametes (sperm and egg) occur outside the female body.

Translate »