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Treatments

We offer a wide range of treatments

At Fertility Exeter we offer a wide range of assisted conception treatments to help you achieve your dream of creating a family.

Science keeps advancing, treatments keep getting better, and more and more babies are being born using techniques such as the ones listed below.

 

Consultation and Diagnostics

Fertility Exeter has a multidisciplinary team of staff consisting of Doctors, Nurses, Embryologists and Counsellors who can help to determine the cause of, and map out the most effective solution to your subfertility. This may include a number of tests and investigations to help with the diagnostic process.

In Vitro Fertilisation (IVF)

IVF is the process of creating embryos in the laboratory and placing them back in a woman’s womb to achieve a pregnancy. Eggs are taken from a woman’s ovaries after she has taken drugs to stimulate egg development. The eggs are mixed with sperm to create embryos (fertilised eggs) which are then replaced in the woman’s womb two to six days after egg collection with the hope of conception. The law relating to IVF limits the number of embryos that can be transferred. If there are high quality embryos remaining after embryo transfer, freezing may be offered.

Intracytoplasmic Sperm Injection (ICSI)

ICSI is an additional process in IVF in which a single sperm is selected from the processed semen sample using a special microscope and advanced micromanipulation equipment. An individual sperm is injected into each suitable egg to create an embryo. This technique is reserved for those couples where sperm function problems significantly increase the risk of a complete failure of fertilisation.

Frozen Embryo Transfer (FET)

If high quality embryos have been cryopreserved after an IVF cycle, an FET can be considered. The lining of the womb is prepared with a series of hormone drugs to optimise the receptivity of the lining of the womb prior to warming of the embryo/s and replacement within the woman’s womb.

Intra-uterine Insemination treatment (IUI)

IUI involves using a catheter to put washed, prepared sperm near the top of the cavity of the womb around the time of ovulation to increase the chance of getting pregnant. This is usually combined with ovulation induction drugs to ensure optimal timing of IUI.

Egg Banking

Egg banking is a process of storing eggs, obtained in a similar way as for conventional IVF, from a female who has reached puberty. The eggs are mixed with a special fluid to protect them from the harmful effects of freezing before being frozen and stored; for short or long periods. Egg banking is used at Fertility Exeter when there are factors likely to affect the future fertility of the female and in the egg donation/egg sharing programme. It is not suitable in certain types of cancer due to the delay in staring cancer treatment.

Semen Analysis

This is a test to check the ‘quality’ of sperm, which gives an indication, although not an absolute assessment, of a man’s fertility potential. It involves looking at a semen sample under the microscope to see how many sperm there are, what proportion are moving vigorously and what proportion have a ‘normal’ shape. A ‘trial preparation’ may be recommended to help decide what type of fertility treatment is most appropriate.

Egg Donation

Eggs can be donated from a fertile donor to a woman whose own egg reserve is reduced for a number of medical conditions. Donors may be egg sharing donors who donate as part of their own treatment or less commonly as altruistic donors who donate all their eggs in a non-treatment cycle.

Sperm Banking

Sperm banking is a process of storing sperm in a deep-frozen state for short or long periods. The sperm are mixed with a special fluid to protect them from the harmful effects of freezing before being frozen and stored. Banking is indicated when there are factors likely to affect the future fertility of a male who has reached puberty such as treatment for cancer or conditions needing drugs known to cause fertility problems or abnormalities in pregnancy. Sperm banking can also be provided for couples needing assisted conception where the man is likely to be absent due to circumstances beyond his control and for cases of male to female gender reassignment although these cases are very unlikely to receive NHS funding.

Donor Insemination (DI)

DI follows the same process as IUI, but uses screened, prepared donor sperm.

Surgical Sperm Recovery (SSR)

SSR is a method for obtaining living sperm directly from the testicles.. It is needed for men who have been born with or who have developed a blockage of the tubes which transport the sperm away from the testicles (including post-vasectomy); and men with disabilities which affect ejaculation. The method used at Fertility Exeter is called Testicular Sperm Aspiration (TESA).