Minggu, 12 Februari 2012
IVF Medication Tips
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Adoption
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Cyro Shipment
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Surrogate Mom
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Egg Donation
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Pregnancy Test Beta hCG
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Sperm Donor
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Two Weeks Wait
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Embryo Freeze
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Embryo Transfer
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Embro Biopsy
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Stages of Embryo Growth
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Egg Fertilization
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Embryo Retrieval
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Follicle Stimulation (Monitoring Stage)
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
IVF ICSI with PGD
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
ICSI Method
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Long vs Short Protocol
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
IVF Calendar
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Getting ready before IVF
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Testing before IVF
When attending an IVF clinic for the first time, the doctor will conduct a consultation. He or she will review in depth the past medical history, conduct physical and internal examination and your doctor may perform a 'dummy' embryo transfer to make sure there is no technical problems with the procedure. The doctor may order some investigations before proceeding with treatment.
These usually include:
Semen analysis to check for sperm number, swimming ability, shape, and survival. . For men who have difficulty in producing semen samples on demand, the doctor may recommend that semen is produced at a convenient time and then frozen and stored prior to IVF treatment as a 'back up' just in case the male partner is unable to perform on the day of egg collection.
Blood hormone tests to assess the female partners response to fertility drugs (ovarian reserve). The commonly used tests include baseline levels of FSH, LH, estradiol, inhibin B and anti-Mullerian hormone (AMH). The ovarian reserve tests to date have only modest-to-poor predictive value (Broekmans et al 2006 Human Reproduction).
Blood test to check for immunity to German measles.
In some women, hysteroscopy or HSG may be ordered to inspect the uterine cavity.
Screening for chlamydia infection is usually considered if the patient is at risk.
Some clinics will require screening both partners for HIV, hepatitis B and Hepatitis C and only accept the couple for treatment if the tests results are negative. The European Union Tissue and Cell Directive (EUTCD) which came into effect in 2006 and each EU country is expected to adopt into local legislation require compulsory screening for blood born viral infections of all patients undergoing licensed treatments and planning to have samples frozen. The reasons for screening is that knowledge of infection allows measures to be taken to reduce risk of transmission between partners, and to the fetus or newborn as well as to protect healthcare professionals. In addition, knowledge of infection enables couples to make informed decision regarding proceeding with treatment. Infection of one or both partners with any of these infection is no longer precludes the couple from receiving fertility treatment.
Transvaginal ultrasound scan for antral follicle count (AFC) and ovarian volume, this have only moderate to poor predictive value for assessing ovarian reserve. In addition Assesssing endometrial thickness, texture and any significant distortion of the uterine cavity by polyp or fibroid which may hinder embryo implantation.
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
These usually include:
Semen analysis to check for sperm number, swimming ability, shape, and survival. . For men who have difficulty in producing semen samples on demand, the doctor may recommend that semen is produced at a convenient time and then frozen and stored prior to IVF treatment as a 'back up' just in case the male partner is unable to perform on the day of egg collection.
Blood hormone tests to assess the female partners response to fertility drugs (ovarian reserve). The commonly used tests include baseline levels of FSH, LH, estradiol, inhibin B and anti-Mullerian hormone (AMH). The ovarian reserve tests to date have only modest-to-poor predictive value (Broekmans et al 2006 Human Reproduction).
Blood test to check for immunity to German measles.
In some women, hysteroscopy or HSG may be ordered to inspect the uterine cavity.
Screening for chlamydia infection is usually considered if the patient is at risk.
Some clinics will require screening both partners for HIV, hepatitis B and Hepatitis C and only accept the couple for treatment if the tests results are negative. The European Union Tissue and Cell Directive (EUTCD) which came into effect in 2006 and each EU country is expected to adopt into local legislation require compulsory screening for blood born viral infections of all patients undergoing licensed treatments and planning to have samples frozen. The reasons for screening is that knowledge of infection allows measures to be taken to reduce risk of transmission between partners, and to the fetus or newborn as well as to protect healthcare professionals. In addition, knowledge of infection enables couples to make informed decision regarding proceeding with treatment. Infection of one or both partners with any of these infection is no longer precludes the couple from receiving fertility treatment.
Transvaginal ultrasound scan for antral follicle count (AFC) and ovarian volume, this have only moderate to poor predictive value for assessing ovarian reserve. In addition Assesssing endometrial thickness, texture and any significant distortion of the uterine cavity by polyp or fibroid which may hinder embryo implantation.
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Why IVF?
Have you ever wondered why IVF treatment is the best way to conceive for infertile couples? Here are some important things that you need to remember which will help you conceive at the earliest while undergoing the IVF.
Why IVF maybe the best way for infertile couples to have a baby?
Patients and doctors perceive illness and treatment from completely different perspectives. Let's look at infertility, for example. Most doctors look at the world through a biomedical perspective. They want to diagnose the problem; and then come up with solutions to help the couple to conceive. This is traditional in medicine, where the first step is making a diagnosis; after which we create a treatment plan. Text books will talk in terms of treatments based on correcting an underlying problem; and will usually offer a sequence of treatment steps which progress from simple to complex; and less expensive to more expensive. This is the stepped care approach, which makes a lot of sense from a societal perspective.
However, the patient's perspective is completely different. They don't really care as to whether the reason they can't have a baby is because he has a low sperm count or she has blocked tubes. All they want is a baby, so they can move on with their lives.
This often creates a lot of tension between patients and doctors. From a patient's perspective, rather than waste time, money and energy on ineffective treatments which have a low success rate, it makes sense for them to move on directly to the treatment which gives them the best chances of success - and this is IVF - the final common pathway, which allows us to bypass all medical problems !
However, most doctors do not share this point of view. Many are not very empathetic and do not understand the emotional pain infertile couples suffer from. They would prefer taking a text book approach to the problem . Many are tied down by treatment guidelines published by Gynecology Societies or the government, which limits the options they can offer to patients.
Also, doctors often tend to be quite arrogant. They take the approach that they know what's best for the patient, because they are the experts; and often will not take the patient's viewpoint into consideration at all.
Let's look at a 35 year old couple who want a baby. They are very successful; very well off; and need a baby to complete their life . Traditionally, doctors would do a workup to find out what the problem is; and then start treatment to correct this problem. Unfortunately, this sort of approach can be very time consuming - and not very efficient. Patients will often get fed up - and they simply do not have the time or energy to keep on going back to the doctor for repeated followups, all of which exact an emotional toll. Not only is there the pain of failure; there is also the opportunity cost; and the waste of time. From a doctor's view point, this is par for the course, but I feel doctors need to be more flexible, and to tailor treatments to suit the patient's perspective.
For this couple, the bottleneck is much more likely to be the time and energy they can devote to their baby making project, rather than money. It would make much more sense to just do IVF for them to maximise their chances of having a baby quickly. Now I understand that a lot of doctors will feel this is too aggressive and is overkill. I used to think so myself. However, I now feel we should let the patient decide, rather than make decisions for them. If the trade-off is between time and money, many will decide to go for the most efficient route, even if this is more expensive, as this may be the most cost effective for them !
Not only are we saving the couple a lot of time by giving them a baby quickly by IVF; we are also helping to improve the quality of their parenting, so that they can spend quality time with their baby when they are young and have energy - rather than waiting till they turn 40 before moving on to IVF !
In a fee for service setting, I feel decisions as to which treatment option to explore are best left to patients, rather than to doctors. A good doctor will explain all the options to the patients; the trade-offs involved; and then allow the patient to decide for themselves !
Unfortunately, especially in the UK, most GPs are not very empathetic towards infertile couples; and they while away a lot of the couple's valuable years in ineffective treatments before referring them to a specialist. This represents hundreds of years of wasted opportunity and heartburn for thousands of infertile couples, causing enormous private pain .
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Why IVF maybe the best way for infertile couples to have a baby?
Patients and doctors perceive illness and treatment from completely different perspectives. Let's look at infertility, for example. Most doctors look at the world through a biomedical perspective. They want to diagnose the problem; and then come up with solutions to help the couple to conceive. This is traditional in medicine, where the first step is making a diagnosis; after which we create a treatment plan. Text books will talk in terms of treatments based on correcting an underlying problem; and will usually offer a sequence of treatment steps which progress from simple to complex; and less expensive to more expensive. This is the stepped care approach, which makes a lot of sense from a societal perspective.
However, the patient's perspective is completely different. They don't really care as to whether the reason they can't have a baby is because he has a low sperm count or she has blocked tubes. All they want is a baby, so they can move on with their lives.
This often creates a lot of tension between patients and doctors. From a patient's perspective, rather than waste time, money and energy on ineffective treatments which have a low success rate, it makes sense for them to move on directly to the treatment which gives them the best chances of success - and this is IVF - the final common pathway, which allows us to bypass all medical problems !
However, most doctors do not share this point of view. Many are not very empathetic and do not understand the emotional pain infertile couples suffer from. They would prefer taking a text book approach to the problem . Many are tied down by treatment guidelines published by Gynecology Societies or the government, which limits the options they can offer to patients.
Also, doctors often tend to be quite arrogant. They take the approach that they know what's best for the patient, because they are the experts; and often will not take the patient's viewpoint into consideration at all.
Let's look at a 35 year old couple who want a baby. They are very successful; very well off; and need a baby to complete their life . Traditionally, doctors would do a workup to find out what the problem is; and then start treatment to correct this problem. Unfortunately, this sort of approach can be very time consuming - and not very efficient. Patients will often get fed up - and they simply do not have the time or energy to keep on going back to the doctor for repeated followups, all of which exact an emotional toll. Not only is there the pain of failure; there is also the opportunity cost; and the waste of time. From a doctor's view point, this is par for the course, but I feel doctors need to be more flexible, and to tailor treatments to suit the patient's perspective.
For this couple, the bottleneck is much more likely to be the time and energy they can devote to their baby making project, rather than money. It would make much more sense to just do IVF for them to maximise their chances of having a baby quickly. Now I understand that a lot of doctors will feel this is too aggressive and is overkill. I used to think so myself. However, I now feel we should let the patient decide, rather than make decisions for them. If the trade-off is between time and money, many will decide to go for the most efficient route, even if this is more expensive, as this may be the most cost effective for them !
Not only are we saving the couple a lot of time by giving them a baby quickly by IVF; we are also helping to improve the quality of their parenting, so that they can spend quality time with their baby when they are young and have energy - rather than waiting till they turn 40 before moving on to IVF !
In a fee for service setting, I feel decisions as to which treatment option to explore are best left to patients, rather than to doctors. A good doctor will explain all the options to the patients; the trade-offs involved; and then allow the patient to decide for themselves !
Unfortunately, especially in the UK, most GPs are not very empathetic towards infertile couples; and they while away a lot of the couple's valuable years in ineffective treatments before referring them to a specialist. This represents hundreds of years of wasted opportunity and heartburn for thousands of infertile couples, causing enormous private pain .
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
In-vitro Fertilization (IVF)
In Vitro Fertilization is commonly referred to as IVF. IVF is the process of fertilization by manually combining an egg and sperm in a laboratory dish. When the IVF procedure is successful, the process is combined with a procedure known as embryo transfer, which involves physically placing the embryo in the uterus.
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What is involved with in vitro fertilization?
There are five basic steps in the IVF and embryo transfer process which include the following:
Monitor and stimulate the development of healthy egg(s) in the ovaries.
Collect the eggs.
Secure the sperm.
Combine the eggs and sperm together in the laboratory and provide the appropriate environment for fertilization and early embryo growth.
Transfer embryos into the uterus.
Step 1: Fertility medications are prescribed to control the timing of the egg ripening and to increase the chance of collecting multiple eggs during one of the woman's cycles. This is often referred to as ovulation induction. Multiple eggs are desired because some eggs will not develop or fertilize after retrieval. Egg development is monitored using ultrasound to examine the ovaries, and urine or blood test samples are taken to check hormone levels.
Step 2: Eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity. Sedation and local anesthesia are provided to reduce and remove potential discomfort. The eggs are removed from the ovaries using a hollow needle, a procedure called follicular aspiration. Some women may experience cramping on the day of retrieval, which usually subsides the following day; however, a feeling of fullness or pressure may continue for several weeks following the procedure.
Step 3: Sperm, usually obtained by ejaculation is prepared for combining with the eggs.
Step 4: In a process called insemination, the sperm and eggs are placed in incubators located in the laboratory. The incubators enable fertilization to occur. In some cases where there is a lower probability of fertilization, intracytoplasmic sperm injection (ICSI) may be used. Through this procedure, a single sperm is injected directly into the egg in an attempt to achieve fertilization. The eggs are monitored to confirm that fertilization and cell division are taking place. Once this occurs, the fertilized eggs are considered embryos.
Step 5: The embryos are usually transferred into the woman's uterus from one to six days later, but in most cases the transfer occurs between two to three days following egg retrieval. At this stage, the fertilized egg has developed into a two-to-four cell embryo. The transfer process involves a speculum which is inserted into the vagina to expose the cervix. A predetermined number of embryos are suspended in fluid and gently placed through a catheter into the womb. This process is often guided by ultrasound. The procedure is usually painless, but some women experience mild cramping.
These steps are followed by rest and watching for early pregnancy symptoms. A blood test and potentially an ultrasound will be used to determine if successful implantation and pregnancy have occurred.
Are there variations of in vitro fertilization?
Gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT) are two procedures related to IVF.
GIFT is similar to IVF, but the gametes (egg and sperm) are transferred to the fallopian tubes rather than the uterus, and fertilization takes place in the tubes rather than in the laboratory. GIFT also involves a laparoscopic surgical procedure to transfer the sperm and egg into the tubes. GIFT accounts for approximately 2% of assisted reproductive technology (ART) procedures in the United States.
ZIFT differs from GIFT in that the fertilization process still takes place in the laboratory versus the fallopian tubes. It is similar to GIFT in that the fertilized egg is transferred into fallopian tubes, and it involves a laparoscopic surgical procedure. ZIFT accounts for less than 1.5% of assisted reproductive technology (ART) procedures in the United States.
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Find an Infertility Specialist in Your Area
Get Your Free journal, forums, & more
What is involved with in vitro fertilization?
There are five basic steps in the IVF and embryo transfer process which include the following:
Monitor and stimulate the development of healthy egg(s) in the ovaries.
Collect the eggs.
Secure the sperm.
Combine the eggs and sperm together in the laboratory and provide the appropriate environment for fertilization and early embryo growth.
Transfer embryos into the uterus.
Step 1: Fertility medications are prescribed to control the timing of the egg ripening and to increase the chance of collecting multiple eggs during one of the woman's cycles. This is often referred to as ovulation induction. Multiple eggs are desired because some eggs will not develop or fertilize after retrieval. Egg development is monitored using ultrasound to examine the ovaries, and urine or blood test samples are taken to check hormone levels.
Step 2: Eggs are retrieved through a minor surgical procedure that uses ultrasound imaging to guide a hollow needle through the pelvic cavity. Sedation and local anesthesia are provided to reduce and remove potential discomfort. The eggs are removed from the ovaries using a hollow needle, a procedure called follicular aspiration. Some women may experience cramping on the day of retrieval, which usually subsides the following day; however, a feeling of fullness or pressure may continue for several weeks following the procedure.
Step 3: Sperm, usually obtained by ejaculation is prepared for combining with the eggs.
Step 4: In a process called insemination, the sperm and eggs are placed in incubators located in the laboratory. The incubators enable fertilization to occur. In some cases where there is a lower probability of fertilization, intracytoplasmic sperm injection (ICSI) may be used. Through this procedure, a single sperm is injected directly into the egg in an attempt to achieve fertilization. The eggs are monitored to confirm that fertilization and cell division are taking place. Once this occurs, the fertilized eggs are considered embryos.
Step 5: The embryos are usually transferred into the woman's uterus from one to six days later, but in most cases the transfer occurs between two to three days following egg retrieval. At this stage, the fertilized egg has developed into a two-to-four cell embryo. The transfer process involves a speculum which is inserted into the vagina to expose the cervix. A predetermined number of embryos are suspended in fluid and gently placed through a catheter into the womb. This process is often guided by ultrasound. The procedure is usually painless, but some women experience mild cramping.
These steps are followed by rest and watching for early pregnancy symptoms. A blood test and potentially an ultrasound will be used to determine if successful implantation and pregnancy have occurred.
Are there variations of in vitro fertilization?
Gamete intrafallopian transfer (GIFT) and zygote intrafallopian transfer (ZIFT) are two procedures related to IVF.
GIFT is similar to IVF, but the gametes (egg and sperm) are transferred to the fallopian tubes rather than the uterus, and fertilization takes place in the tubes rather than in the laboratory. GIFT also involves a laparoscopic surgical procedure to transfer the sperm and egg into the tubes. GIFT accounts for approximately 2% of assisted reproductive technology (ART) procedures in the United States.
ZIFT differs from GIFT in that the fertilization process still takes place in the laboratory versus the fallopian tubes. It is similar to GIFT in that the fertilized egg is transferred into fallopian tubes, and it involves a laparoscopic surgical procedure. ZIFT accounts for less than 1.5% of assisted reproductive technology (ART) procedures in the United States.
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
Sabtu, 11 Februari 2012
Menopur 75 IU
For your IVF medication needs, please contact Jakarta IVF Pharmacy @ 0819 2774 0999. We are a full-service fertility pharmacy. "We make dreams come true".
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