INFERTILITY SERVICES:

We provide the following comprehensive services for infertility and reproductive endocrine issues:

INFERTILITY:

  • Initial Evaluation.
  • Ultrasound Evaluation.
  • Ovulation Induction with injectable medications.
  • Intrauterine Insemination.
  • Semen Analysis CASA ( Computerized Assisted Semen Analysis).
  • Sonohysterogram.
  • Reproductive Immunology Testing and Treatment.
  • Early Pregnancy Ultrasounds.

SUPPORTIVE ON-SITE SERVICES:

  • Acupuncture.
  • Psychologist.
  • Nutrritionist.

ASSISTED REPRODUCTIVE TECHNOLOGIES:

  • In Vitro Fertilization with ICSI ( Intra-cytoplasmic transfer).
  • In Vitro Fertilization with Pre-Implantation Genetic Diagnosis (PGD).
  • Blastocyst Transfers.
  • Laser Assisted Hatching of Embryos.
  • Vitrification of oocytes.
  • Frozen Embryo Transfer from cryopreserved oocytes.
  • Cryopreservation of sperm.

MALE FACTOR:

  • Testicular Sperm Aspiration (TESE).
  • Epididymal Sperm Aspiration.

OUR PROCESS:

This section describes our process of helping you:

  • 1. INITIAL CONSULTATION – At Al Nahda Fertility Center, our approach to infertility is to provide the most comprehensive infertility services available. We will properly diagnose the cause of your infertility and in a very detailed and personalized fashion, outline all of your available treatment options. .
  • 2. PRE-CYCLE EVALUATION – Initial diagnostic testing includes hormone testing, hysterosalpingogram (evaluation of the uterus and tubes) and semen analysis..
  • 3. OVARIAN STIMULATION – Women generally produce one mature egg per month. There are women who have problems with this process and thus they are diagnosed with ovulatory dysfunction. There are 3 levels of treatment depending on the individual’s situation. They are: .
  • LEVEL 1: Ovulation Induction with Clomid.
  • LEVEL 2: Ovulation Induction with Injectable Gondaotropins (Gonal F, Puregon etc.) with intercourse or intrauterine insemination.
  • LEVEL 3: In Vitro Fertilization and Embryo Transfer.

INTRAUTERINE INSEMINATION (IUI):

IUI is a fertility procedure in which sperm are washed, concentrated and injected directly into a woman’s uterus. In natural intercourse only a fraction of the sperm make it to the woman’s genital tract. IUI increases the number of sperm in the fallopian tubes , where fertilization takes place.

Studies show that IUI will not be effective in cases where the male has a low sperm count or poor sperm shape (morphology).

INDICATIONS FOR IN VITRO FERTILIZATION:

  • 1. Blocked fallopian tubes or pelvic adhesions.
  • 2. Failed cycles (2-6) of ovarian stimulation with intrauterine insemination.
  • 3. Advanced female age of >38 years.
  • 4. Reduced Ovarian Reserve.
  • 5. Severe Endometriosis.
  • 6. Male Factors – low sperm counts, increased abnormal sperm.

IVF procedure is based on a 6 step process:

  • 1. Preparation for treatment (required testing).
  • 2. Ovulation Induction – stimulation of the ovaries in order to produce more than the one mature egg that occurs in a natural cycle.
  • 3. Egg Retrieval – removal of the eggs by an ultrasound guided needle aspiration .
  • 4. Fertilization – the sperm are introduced into the eggs resulting in fertilization
    ICSI – intra cytoplasmic Sperm Injection – ICSI involves the injection of a single sperm into a single egg in order to achieve fertilization resulting in an embryo . This process also allows us to achieve fertilization and embryos in cases where there are very low numbers of sperm. We are able to select the best morphologically normal sperm. Pregnancy rates for IVF with ICSI have been shown to be higher than for IVF without ICSI.
  • 5. Embryo Transfer – after 3- 5 days growing in the lab the embryos are transferred back into the uterus.
  • 6. Post transfer support to pregnancy tests.

Laser Assisted Hatching (AH) - technique used in IVF cycles in which the shell around the egg ( the zona pellucida) is opened or thinned to facilitate the embryo hatching process. AH is not performed in all cases and is most usually recommended when one or more of the following criteria is present:

  • 1. Advanced Reproductive Age (>38 years).
  • 2. Elevated Basal FSH levels.
  • 3. Embryos that have uniform thick zona layers.
  • 4. Previous failed cycles.
  • 5. Embryos created from frozen eggs.

INFERTILITY CAUSES:

  • Polycystic Ovarian Disease.
  • Endometriosis.
  • Male factor Infertility.
  • Advanced Reproductive Age.
  • Ovulation problems.
  • Tubal Disease/Occlusion.
  • Uterine Fibroids.
  • Recurrent Pregnancy Loss.
  • Intrauterine Defects ( scar tissue, polyps, fibroids, anomalies).
  • Unexplained Infertility.
  • It is recommended that if an individual has irregular cycles and a history of any of the above that they seek some infertility evaluation early when attempting pregnancy.

STAFF:

DR. ELLEN SNOWDEN - received her training in the United States. She attended Boston University School of Medicine. Her Residency training in Obstetrics and Gynecology was at Michael Reese Hospital in Chicago (affiliate of University of Chicago) Her Fellowship Training in Reproductive Endocrinology and Infertility was at the University of Illinois. Dr. Snowden practiced Reproductive Endocrinology and Infertility as part of a group private practice and acted as an Assistant Professor of Clinical Obstetrics and Gynecology at Northwestern University in Chicago. In 1998 she relocated to California to work with Pacific Fertility Center (a nationally known organization specializing in IVF) Dr. Snowden continued her career in California with the Sher Institute for Reproductive Medicine ( an organization known worldwide for their expertise in all aspects of Assisted Reproduction).Her practice included couples coming from all different parts of the world for treatment. Dr. Snowden has participated in research activities and has produced a number of publications in the area of reproductive medicine.

Dr. Snowden has both a professional and personal perspective in regards to infertility. Having been an infertility patient, she brings a unique understanding as to the difficulties both emotional and physical that couples endure going through the process of fertility evaluation and treatment. It is important to her to create an environment for the couples involved in this process that reduces the stresses and helps to promote a successful outcome.

DR. TAREK LAHLOUB – Embryologist with over 18 years of experience in all laboratory techniques. This includes ICSI (Intra cytoplasmic Sperm Injection), PGD ( Pre-genetic Diagnosis, .Blastocyst Transfer, Vitrification of oocytes, Laser Assisted Hatching. He has added experience handling challenging cases of male infertility and diminished sperm availability.
Dr. Lahloub received his Bachelor’s degree from the University of Jordan
He attended the Fraun Clinic at Lubeck University in Germany for Embryology training
He received his Master’s degree in Clinical Embryology from Leeds University in the UK

Our nurses have over 10 years of experience working in areas of women’s health. Their training has included labor and delivery, the maternity unit and the fertility unit with the majority of time devoted to IVF. They are well equipped to assist you with concerns involving early pregnancy and those issues arising as a result of fertility treatments.
The Administrative IVF Coordinator has knowledge of the financial aspects of managing the costs of fertility treatments. She can provide information on the financial options that are available to you.

We look forward to the continued tradition of successful pregnancies at Al Nahda International Hospital.