SERVICES – Victory Reproductive Care

Gynaecology Services

GYNECOLOGY SERVICES
Dr. Victory provides full Gynaecology services.

Advanced Minimally Invasive Surgery

Laparoscopy
Treatment of simple and complex endometriosis, including excision of endometriomas, always with ovarian sparing techniques.
Hysteroscopy

Hysteroscopy

-Endometrial ablation using rollerball or rollerbar.

Resection of small and large fibroids and/or polyps.
Septum resection and correction of uterine anomalies.
Treatment of Asherman's syndrome.
During a hysteroscopy, your doctor uses a thin, lighted instrument (hysteroscope) to view the inside of your uterus.

Advanced hysterectomy techniques:

-Laparoscopic-assisted vaginal hysterectomy.

-Laparoscopic subtotal hysterectomy.

-Total laparoscopic hysterectomy.

Infertility


At Victroy Reproductive Care we use the latest in technology along side our skilled embryologists to help increase your chances of pregnancy. Some of the procedures availalbe at VRC include: Diagnostic Testing, Ovarian Stimulation, Blactosyct Transfer, Diagnostic Testing, Ovarian Stimulation, Blactosyct Transfer and In-Vitro Fertilization (IVF)
Diagnostic Testing

A Blood draw and analysis, 4 dimensional ultrasound, follicular growth monitoring, saline infusion sonohysterography, basic and advanced semen analysis, testicular sperm extraction procedures, minimally invasive surgery for treatment of adhesions, ovarian cysts, and basic and/or extensive endometriosis.


Ovarian Stimulation

Oral medications including Metformin, Serophene or Clomiphene Citrate, and Letrozole for stimulation of egg production.Injectable medications including recombinant FSH and LH, human menopausal gonadotropins, low dose Human Chorionic Gonadotropin (HCG) protocols delivered via both short and long-term Gonadotropin Releasing Hormone (GRH) agonist protocols, or via Gonadotropin Releasing Hormone (GRH) antagonist protocols.


Tubal Reversal

Both simple and complex cases have been treated successfully with an operating microscope and mini-laparotomy technique requiring no hospital stay.


Intracytoplasmic Sperm Injection ICSI

ICSI is part of the whole IVF process. During a normal menstrual cycle, only 1 egg is usually recruited to mature in a capsule of fluid called a follicle. The maturation time of the egg inside the follicle, is usually 10-14 days. Most follicles measure about 16 – 20 mm when the egg is mature. At this time during natural ovulation, the follicle ruptures and the egg is released.
During IVF, fertility drugs are used to stimulate the ovaries and recruit a bunch of eggs. So instead of just one follicle maturing, a whole number of follicles are stimulated to grow. These follicles are monitored by ultrasound, and when they reach maturity the eggs are surgically retrieved. For retrieval, a fine needle is passed through the vagina and into the ovaries, where eggs are aspirated from the follicles.
Concurrently the sperm is prepared. Sperm may be collected from an ejaculated specimen of semen, or prepared from a previously frozen surgically retrieved specimen.
The eggs are then stripped of the cumulus cells (which are the sunburst array of cells around the egg). The cells are removed to assess the maturity of the egg, to better visualize the egg during the ICSI process, and to prevent the inadvertent injection of DNA from the cumulus cells into the egg. The stripping is done with an enzyme called hyaluronidase, which is normally found in the sperm heads. In normal fertilization it is this enzyme that allows the sperm to digest their way through the cumulus cells to the egg.
A tiny collection of sperm is placed in a viscous solution called “sperm crash” and this slows down the motility of the sperm making them more easily assessed and caught. A healthy sperm is identified and then immobilized by striking the tail with a tiny glass needle called the injection pipette. The sperm is then aspirated tail-first into the same glass pipette. Using a high-powered microscope with sophisticated manipulation equipment, the egg is located and held in position by a holding pipette. The injection pipette is inserted into the egg thereby tenting the membrane and gentle suction is applied until the elastic membrane is broken. Once the membrane is broken the sperm can be deposited into the egg and then the injection pipette is removed. Once the pipette is removed the egg will resume its normal shape and is then put into a specialized culture medium in an incubator. It is then assessed for fertilization 18 to 20 hours after the injection.


Obstetrical Services


Pregnant patients are seen at Victory Reproductive Care at the first available opportunity, where they are extensively evaluated, counseled, and monitored throughout the pregnancy. We manage both low and high-risk pregnancies, focusing on patient-centered care that accommodates patient choice and the highest level of safety for both mother and baby. Obstetrical deliveries are performed at Windsor Regional Hospital, Metropolitan Campus

LGBT+ Parenting


At Victory Reproductive Care, we are committed to ensuring a safe, welcoming and inclusive environment for all lesbian, gay, bisexual, transgender and other (LGBT+) patients, visitors and staff. LGBT+ individuals who wish to become parents have a number of assisted reproductive options available to them including: Donor eggs Donor sperm* Fertility preservation for trans people who produce sperm Fertility preservation for trans people with ovaries and uteri Gestational carrier options Intrauterine insemination (IUI)/Donor Insemination (DI) IVF Reciprocal IVF. *In the case of a known/designated sperm donor (i.e., a friend or family member), in accordance with Health Canada and the Processing and Distribution of Semen for Assisted Conception Regulations, certain requirements are mandatory before the donated sperm can be used, including for cycle monitoring/ovulation induction for home insemination. This includes an infertility work-up as well as a 6-month quarantine of the sperm to screen for infectious diseases..