Advanced Minimally Invasive Surgery
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.
Infertility
Diagnostic Testing
ABlood 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.
Blactosyct Transfer
IRecent advances in IVF laboratory methods have allowed for the successful culture of embryos to the blastocyst stage. Blastocysts may have a better potential to implant into the uterine wall than earlier stage embryos. Many embryos stop growing at the four- to eight-cell stage, probably because of some inherent problem. Therefore, fewer embryos will have the ability to grow to the blastocyst stage. Those that successfully reach the blastocyst stage are probably more developmentally competent than earlier stage embryos. As well, their stage of development when replaced into the uterus is very similar to what it would be in a natural conception cycle.
Intrauterine Insemination
Our clinic uses the highest quality sperm preparation technique for intrauterine insemination; the same, in fact, used for In-Vitro Fertilization with pre and post-sperm wash analyses.We incorporate extensive cervical cleaning techniques and use the best intrauterine insemination catheters available.
In-Vitro Fertilization (IVF)
We are affiliated with the Nahal Fertility Program where Dr. Victory conducts all egg retrieval and embryo transfer procedures.We provide basic IVF and Intracytoplasmic Sperm Injection Procedures. We are a nationally top ranked IVF program with outstanding success rates. We now offer a live-birth money back guarantee for qualifying female patients less than 37 years of age.
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
