What is Assisted Reproduction Technology?

1. What is Assisted Reproduction Technology?

2. What is ART? • Group of high tech treatment methods to assist infertile couples. • Techniques include: • In Vitro Fertilization • Artificial Insemination • Gamete Intra-Fallopian Transfer • And many more

3. 1978- first successful birth using In Vitro Fertilization 1984- first successful birth using Gamete Intra Fallopian Transfer 1986-first successful birth using Zygote Intra Fallopian Transfer History of ART

4. What is Infertility? • Inability to conceive a baby after one year of unprotected intercourse. • Affects the reproductive organs of both men and women. • Infertility affects about 15% of couples in North America.

5. Production of healthy sperm Healthy eggs by the woman Blocked fallopian tubes The ability for the sperm to fertilize the egg The ability for the embryo to implant in the uterus Factors Affecting Conception

6. The older a woman is the higher her chances of becoming infertile. Ovulation disorder Blocked fallopian tubes caused by a pelvic inflammatory disease or endometriosis (a condition that causes adhesions and cysts). Causes of Infertility in Women

7. Azoospermia - lack of sperm production Inability to ejaculate normally Varicocele - veins in the scrotum are enlarged which can heat the inside of the scrotum and can affect sperm production. Teratospermia - increased percentage of abnormal shapes Causes of Infertility in Men

8. Statistics • Infertility affects more than 15% of the couples in North America. • About one-third of infertility cases are caused by male factors. • In about 20% of infertile couples the cause is unknown. • The remaining one-third of infertile cases is caused by a combination of factors in both partners. • The chances of becoming pregnant decreases 3-5% per year after the age of 30.

9. Artificial Insemination In Vitro Fertilization Gamete Intra Fallopian Transfer Zygote Intra Fallopian Transfer Intra-Cytoplasmic Sperm Injection Frozen Embryos Most Common Choices of Treatment

10. Sperm is collected and placed into a woman’s vagina, cervical canal or in the uterus. Sperm can come from your partner or an anonymous donor. Artificial Insemination

11. A woman’s eggs are removed from the ovary and mixed with sperm in a laboratory. Then once fertilized, the embryos are placed into the woman’s uterus. In-Vitro Fertilization

12. A mixture of a woman’s eggs and sperm are placed into the fallopian tube during a laparoscopy. Once inserted, fertilization is allowed to occur. Gamete Intra-Fallopian Transfer(GIFT)

13. Mixture of In Vitro Fertilization and Gamete Intra Fallopian Transfer. Fertilization takes place outside the uterus and placed into the fallopian tubes. Zygote Intra-Fallopian Transfer(ZIFT)

14. Sperm is injected directly into the eggs in a laboratory. Used if infertility originates from the male such as: Low numbers of sperm Severe Teratospermia Intra-Cytoplasmic Sperm Injection

15. Embryos may be taken from an individual and stored for later use. Once ready to use, they can be thawed and then placed into the uterus. This allows a higher chance of pregnancy. Frozen Embryos

16. Qualifications and experience of the clinic and its personnel. Support services available Cost Success rates of that specific program Factor to Consider when selecting an ART Program

17. Knowing your body, as well as taking care of your body increases your chances of becoming pregnant or having children. If you are considering having children in the future, the best thing to do is practice safe sex, take care of your body and stay away from harmful contaminants such as smoking and other types of drugs. Fertility affects us all, male or female and attending the doctor regularly can increase your chances of becoming pregnant in the future. How Does this Affect Me?

18. Works Cited • “Age and Female Fertility.”2006. American Fertility Association. 8 March 2006. http://theafa.org/faqs/afa_ageandfemaleinfertility.html • “Assisted Reproductive Techonologies.” Society for Assisted Reproductive Technology. 2005. 8 March 2006. <http://www.sart.org> • “Assisted Reproductive Technologies: A guide for Patients.” United States Department of Health & Human Services. 2003. American Society for Reproductive Medicine. 8 March 2006. http://asrm.org/Patients/patientechnologybooklets/Art.pdf • “Embryo Freezing.” IVF-Infertility.com. 15 October 2005. 8 March 2006. http://www.ivf-infertility.com/ivf/frozen.php • Insemination. 1 March 2005, Home ed., InfoTrac. College of the Sequoias Library, Visalia, CA. 1 March 1999. • The Reproductive System. Westport, CT: Greenwood Press, c2004 • “Male Infertility.” Familydoctor.org. 3 March 2005. American Academy of Family Physicians. 8 March 2006. http://familydoctor.org/766.xml • Understanding Fertility and Infertility: The Sourcebook for Reproductive Problems, Treatments and Issues. New York: CheckmarkBooks.c2003 • “What is Infertility?” Frequently Asked Questions About Infertility. 2006. American Society for Reproductive Medicine. 8 March 2006.http://www.asrm.org/Patients/faqs.html#Q1: • Wisot, Arthur L et. Al. Conceptions & Misconceptions: The Informed Consumer’s Guide through the Maze of In Vitro Fertilization and other Assisted Reproduction Techniques. • “Zygote Intrafallopian Transfer.” Pregnancyinfo.net. 2005. 8 March 2006. http://www.pregnancy-info.net/infertility_medical_options_zift.html