Gondra Center for Reproductive Care and Advanced Gynecology helps families in the Phoenix area of Arizona, and beyond, grow their family with in-vitro fertilization. Families dealing with infertility issues find compassionate and professional care from Dr. Mercedes Gondra.
In vitro means that the eggs are fertilized in a laboratory, as opposed to in vivo, in which the eggs are fertilized in the fallopian tube.
The process begins with the suppression of ovarian function via the administration of birth control pills. This allows for the development of several eggs at the same time.
Next, follicle-stimulating hormones (Gonadotropins) are used to stimulate egg development in the ovaries. Serial ultrasounds and hormone assessments are used to decide when the follicles have matured. Then an injection of HCG is given and about 34-36 hours later an egg retrieval is performed.
Using an ultrasound probe to produce images of the reproductive organs while the patient is under general anesthesia, eggs are gently extracted using a very fine needle.
After a brief maturation in the laboratory, the partner or donor sperm is introduced, and the eggs undergo in vitro fertilization.
There are two ways that an egg may be fertilized by IVF: traditional and ICSI. In traditional IVF, 50,000 or more swimming sperm are placed next to the egg in a laboratory dish. Fertilization occurs when one of the sperm enters into the cytoplasm of the egg. In the ICSI process, a tiny needle, called a micropipette, is used to inject a single sperm into the center of the egg. With either traditional IVF or ICSI, once fertilization occurs, the fertilized egg (now called an embryo) grows in a laboratory for 1 to 5 days before it is transferred to the woman’s uterus.
The fertilized eggs are cultured for a period of five days before the strongest are selected for transfer to the uterus. Some prospective parents will choose to have preimplantation genetic screening performed prior to embryo transfer in order to select healthy embryos.
The day of the embryo transfer the embryos are evaluated once again. Based on their grading, a recommendation for which ones and how many embryos to transfer is done and discussed with the couple. Embryos are inserted into the uterus using a catheter via the cervix. All of the embryos that are to be transferred are loaded into the transfer catheter. Under ultrasound guidance, they are placed 1 to 2 cm from the top of the uterine cavity.
Post-procedure, the catheter is checked to ensure there are no retained embryos.
The usual number of embryos transferred depends on a number of factors, including maternal age, the number of oocytes retrieved and availability of embryos for cryopreservation. We follow The American Society for Reproductive Medicine current guidelines on how many embryos to transfer.
When there are embryos in excess after the embryo transfer, they can be cryopreserved for future use.
Gondra Center is contracted with most major insurance companies, infertility benefits in the state of Arizona are not considered “standard care” causing benefits to vary greatly between carriers and policies. If you do not see your insurance carrier listed, please call our office to verify in-network participation. Click below for more information:
"Dr. Gondra isn't just an amazing doctor, she is a wonderful and genuine person who is truly invested in helping you grow your family."
"We are forever thankful for Dr. Gondra, her relentless positivity and optimism in making our dreams of having children a reality."
"I have loved my experiences with her because she cares about her patients and takes the time to get to know you. We couldn't be more grateful!"
"Being diagnosed with infertility was devastating, but Dr. Gondra and her team were able to identify a successful treatment plan and now we are almost 9 weeks along!"
"She always told me that she had a plan A,B,C,D, all the way to Z. Which made me not give up on my dream of being a mother, and soon we will be meeting our daughter!"
"I highly recommend her to everyone, she is always taking the time to care and be there for you and she will make all those dreams come true."
"I LOVE Dr. Gondra. I felt so supported and so much compassion during my fertility journey. There isn’t anything more important than knowing you matter to your doctor."