You are ready to consider becoming a parent, but need help. Every story is unique and every fertility journey is yours alone. Maybe you need help because you have been actively trying to become pregnant or have had pregnancies which ended in pregnancy loss. Maybe you need help because you are currently unpartnered and ready to be a parent or in a same sex relationship. Maybe you need help because you have low ovarian reserve and want to preserve your fertility. Maybe you need help because you have endometriosis or polycystic ovarian syndrome (PCOS). Maybe you need help because you need donor eggs or a gestational carrier. Whatever your story, at FORA we are here for you.
At Fora, we believe in tailored education and personalized care. After a complete fertility assessment and consultation, we will customize a treatment plan that is right for you and your family goals. Fertility treatments provided at FORA include ovulation induction, intrauterine insemination (IUI), INVOcell, In vitro fertilization (IVF), preimplantation genetic testing (PGT), donor egg IVF, gestational surrogacy, reproductive surgery, and more. Your fertility, your family, your way. At FORA, our goal is to help you achieve the family of your dreams in your forum, on your terms.
Ovulation Induction (OI) is when medications (pills such as clomid or letrozole) are taken to help a woman develop one or more eggs for ovulation. All OI cycles include ultrasound monitoring to evaluate ovarian response to optimally time ovulation with intercourse. OI can help women with anovulation (such as those with PCOS, polycystic ovarian syndrome) ovulate in a predictable and regular fashion in order to time intercourse.
Ovulation induction can also be combined with intrauterine insemination (IUI) to help treat mild male infertility or for unexplained infertility. With OI/IUI, a sperm sample is collected at the time of ovulation and processed into a highly concentrated specimen. The IUI procedure is simple involving passage of a small guide through the cervix, and placing sperm directly into the uterine cavity.
AT FORA, our physicians were involved in some of the initial trials of INVOcell in the United States and we are thrilled to offer this option to our patients.
INVOcell is a lower cost, lower complexity version of IVF. INVOcell is also called “in vivo fertilization” since this technology allows sperm and eggs to meet inside the female body rather than inside the laboratory. INVOcell involves ovarian stimulation with a minimal stimulation medication protocol, limiting potential side effects from medications. Ultrasound monitoring helps to determine when eggs (oocytes) are ready for collection. These mature eggs are then mixed with sperm and placed in the INVOcell device which is inserted into the vagina for incubation so that the sperm and egg can meet and form embryos. After vaginal incubation for 5 days, the INVOcell device is removed and the best embryo is selected for transfer into the uterus. Any remaining embryos will be frozen for future embryo transfers.
Patients are now benefiting from INVOcell technology over the traditional approach of intrauterine insemination. INVOCELL often results in achieving pregnancy in a shorter period of time for an overall lower treatment cost. However, INVOcell is not perfect for all people, and a complete fertility consultation and evaluation will help identify couples who could benefit from treatment with INVOcell.
IVF (in vitro fertilization) has the highest success rate of any available fertility treatment. During IVF, a woman takes hormone injections over the course of approximately 2 weeks, while being monitored with blood work and ultrasound in the office to evaluate egg (oocyte) growth. Once eggs are at a mature size, they are collected and fertilized with sperm in the lab to create embryos (future babies). The goal is then to grow (culture) embryos in the lab until they reach the potential implantation stage, called the blastocyst stage. At the blastocyst stage, most often embryos are sampled for genetic rearrangements which would make them unable to form a baby, and thus, unsuitable for embryo transfer. This testing technology is called PGT-A or preimplantation genetic testing for aneuploidy. Embryos found to have the correct chromosomal complement with PGT-A (called euploid embryos) have the highest chance of becoming a baby upon embryo transfer. Under certain circumstances, embryos may also be transferred to the uterus without such testing or frozen for later transfer to the uterus.
PGT-A has also revolutionized options for those looking to plan for a future family. This process, called embryo banking, allows patients to create and preserve euploid embryos as part of a family building strategy. Patients who are embarking on their fertility journeys but who desire more than one child can benefit from creating, testing, and preserving embryos for the future. IVF is also the process by which we fertilize donor eggs to create embryos We also use this technology to create embryos for patients which require a gestational carrier to complete their families.
At FORA, we understand that IVF can seem like a challenging process, so we are here for you every step of the way. Dr. Skillern’s experience as an IVF Director means that your IVF protocol and journey will be specifically tailed to your body and your goals. At FORA, we also provide the option of our concierge injection service to make your IVF journey easier.