These two terms are very frequently mentioned during each one of your visits to the fertility clinic. Both of them imply different techniques using the same gametes, sperm and egg.
ICSI stands for Intra Cytoplasmic Sperm Injection. This is a technique, which takes one sperm inside a needle, and the sperm is then injected into the egg.
IVF stands for the In Vitro Fertilization technique, which is the placement of a sperm sample on a dish containing one or more eggs. This way the sperm will naturally penetrate de egg.
Both techniques are complex and require to be performed in an embryology laboratory.
Doctors usually have different criteria to decide if a patient goes to ICSI or IVF. Some of the criteria to do ICSI are:
Criteria to consider IVF:
Your fertility specialist will let you know about the results of the analysis and the criteria you have to either undergo ICSI or IVF.
Sometimes a split case of IVF/ICSI can be performed, and in most cases where the sperm quality is borderline, or there is unexplained infertility there is a good chance of success. A study shows that performing ICSI on at least some of the oocytes will avoid unnecessary fertilization failure in patients with borderline semen (1)(2).
Several serious studies have not shown any difference on embryo quality obtained with ICSI or FIV. Some of them concluded: embryo quality does not seem to be influences by the mode of fertilization (IVF or ICSI) (3)...Continue reading
There is a whole lot of information regarding this procedure online. There are books informing patients and doctors experiences with it. Leaflets can be found in fertility clinics explaining about it. However, we do receive many weekly emails asking about the procedure, what does involves, how is it done, the risks, tests needed, etc., and it makes me think there is still too much more to be known.
I can start by saying surrogacy is a kindness gesture a human can shown to life. It is the way a woman collaborates with other in order to make possible the growth of a baby. A woman gets pregnant with the future known intention of handing over the child to someone else after gibing birth. It is usually done using someone else’s gametes.
Today several patients need surrogacy, because of many reasons, they might not have uterus, they have a disease, they are a same sex couple, etc. A team of professional experts in surrogacy evaluates the need of the procedure and will advice the steps to follow next. Usually patients need to undergo an IVF procedure to obtain viable embryos, which will be frozen or transferred in fresh to the surrogate’s uterus. It is important to consider the legal aspects of surrogacy because they vary in different areas of the World. Some patients prefer to look in countries where surrogacy is allowed/legal or non-regulated, as they can benefit of not having to go through the adoption procedure which can take months.
I do work with a surrogacy team of experts to provide patients with the information of the best options of treatment. Costs also vary depending on the location, it can cost between 70,000 USD even to 150,000 USD in countries like USA. India 50,000 – 60,000 USD, Thailand 60,000 – 40,000 USD, Ukraine 70,000 – 50,000 USD, Mexico 50,000 USD, and Venezuela 30,000 USD (including the IVF procedure).
In many countries surrogacy is not illegal, but there are no regulations to support it or not. For that reason some patients chose to go to countries where they feel it is safer, even if is more expensive. Other patients take the low cost option...Continue reading
It will be the ultimate, luxurious relaxing experience.
As a fertility specialist I always though there was a gap in the field for patient’s wellbeing. I used to treat patients that underwent fertility procedures and asked me if there was a range of products dedicated to anxiety, stress-management and to help them prepare for the procedure, during the procedure and even after the procedure was performed. I decided to look for alternatives and none of them seemed to work well with the intention we had, which was offering the patient relaxation and wellbeing.
There is no need to buy expensive products with claims of increasing the chances of success, or to undergo stressful therapies for getting miraculous results.
The patient’s needs are specific and vary with each step of their fertility procedure. It is different a patient who is just coming to the clinic for consultation than one already being prepared for a procedure, and one that finished the procedure. The anxiety levels are different and their needs also are.
When patients come to the clinic they seem to have many questions waiting for the right answers. If they do not get the answers they wish, their anxiety and stress levels rocket. And 99% of patients feel the same way.
There are several interesting articles published online and serious magazines regarding this topic. Web MD says: “While doctors may not know the exact links between stress and fertility, a series of studies shows the impact is hard to ignore”. Also Human Reproduction’s magazine has good articles like this one: The impact of lifestyle factors on reproductive performance in the general population and those undergoing infertility treatment. It’s conclusion is: “Physiological stress may reduce female reproductive performance in various ways...Continue reading
There is an extensive information regarding the main causes of infertility. There are biological physical causes related to our bodies and non-biological causes related to our energy and well-being.
Regarding to biological causes we can separate them in female and masculine causes.
The female causes are:
– Ovulation disorders: these ones can be related to hormonal disorders, which prevents the egg to be released from the follicle of the ovary. These hormonal disorders may be related to genetic predisposition, disorders in our diet, tumours, injuries. Causes of these disorders can be related to polycystic ovarian disease, hyperprolactinemia, hypogonadotrophic hypogonadism, hypergonadotrophic hypogonadism.
– Endometriosis: which is presence of endometrial tissue outside the uterus. This can be painful and affect the function of the ovaries.
– Fallopian tube damage or blockage:..Continue reading
Through this blog I will communicate the discoveries I’ve made during my fertility experience. It has been a broad experience fulfilled with new discoveries, understanding and respect for the field of life.
I am sure many of the patients coming here will find comfort to several questions they may have, as a way to learn to understand what is the best way to prepare for a fertility treatment.
There is too much information out there, textbooks, magazines, internet; they all are a rich source of information. However, this information might be misinterpreted or confusing for most patients, even discouraging. There is no need to feel that way if you can find a resource with most of the answers to basic questions.
We all feel a negative sensation when something is not working properly in our bodies. We are afraid of changes and trying new things. But is important to learn it does not have to be so difficult. It can be accomplished.
What is life? it is the opportunity we have to live experiences. And that is the opportunity we all are waisting at not understanding the meaning of our own lives. Are you challenged in the fertility area? live it, face it and learn from it. There is always something to be learned.
I used to be a fundamentalist scientist, skeptical mind, motivated by pure science. The science that can be demonstrated...Continue reading
A bridge between Worlds. Witnessing life and death. By Lucy Coleman, MD.
How to describe the feeling of witnessing what I call “the bridge” between dimensions and realizing that feeling was always there, waiting to be explored further and understood in a deeper spiritual sense. The feeling is unimaginable. And this was my experience.
I am a doctor, specialist in Reproductive Medicine, a scientist, a former believer that everything could be demonstrated, even the things that have not being demonstrated yet, because their time to be demonstrated it is about to come. Now I know everything has a time.
I dedicated my entire life to science and medicine, believing that science had most of the answers. And most times found the explanation I was looking for, because it seemed they had the correct and scientific logic for most of the phenomena occurred in nature. My beliefs were that we had all the tools to find answers, explanations, reasons and logic. That was a fact until now, because realized I was far from being right. And the true was about to come to me. For some reason it was shown to me.
In Reproductive Medicine most events are amazing. From the beginning of the formation of each gamete, to the fertilization of the eggs, developing of the embryo, division, implantation, growing of the fetus, birth, every event is amazing. Research in this field had shown science is capable to find answers for most of the events happening during each step, and even go further to find explanations to events that before were unexplained. Scientist and observers have been looking at these events during centuries...Continue reading
In occasions we have to make decisions that will definitely impact the future of the world in many ways. Some people argued that being gay comes with genetics. There is a great article about this topic I would like to refer to ( In this study Kenrick Vezina makes a pretty good work at understanding the claims of some geneticists regarding genetics homosexuality. Michael Bailey, a geneticists from Northwestern University and Kevin Mitchell from Trinity College in Dublin claimed homosexuality has a very strong genetic component linked to the Y chromosome.
For what I understood in their work there is a difference between sexual preference and sexual orientation, being the later related to the Y chromosome. Preference is whether you are attracted to males or females, however orientation is the one linked to that Y chromosome and it is moderately heritable. There are regions on this chromosome that influence the development of sexual orientation in men. They say there is no universal path to homosexuality across all people and heterosexuality is not a single default state. For such, there should be a set of other genes that work together and influence the sexual orientation. The conclusion of this work: homosexuality is not a choice, the same as heterosexuality it is not either. It should not be labeled as a disorder. I encourage you to have a look at that article and make your own conclusions.
Where are those people who labeled homosexuality as a disease? And what is the reason they do not like it?
I have a great story. I have these great friends. They are both from well-educated backgrounds, both professionals and successful...Continue reading
To read this, I recommend you to have a look at some of my other articles, that way it will be easier to understand. I need you to have an open mind.
The article “Biological and non-biological causes of infertility” there contains explanations about all the biological causes. However, even though many patients present with biological causes, an increased majority are aware there is something else involved, and is not biological.
Once the non-biological causes are acknowledge, it will be easier to understand.
We humans are composed of matter. There is matter everywhere inside us. Matter is the connection with the physical world we live in. As we are submerged in our material or physical world there are ways to connect with the non-material world. It is possible to feel that connection with the non-physical world in several ways. Most people do not know this, or they prefer to ignore it because it makes it easier for their lives. I was one of them, one of the most skeptical of all, used to ignore there was another realm we can connect to in ways we are capable of receive Love and Light.
There are several non-biological causes of infertility, and they are related to our selfs and souls. Through them we can establish this connection with the rest of the Universe. They are difficult to understand at the beginning. It is hard to get the fact they affect us, because most times we are not even aware they are present.
We can summarise some of the reasons our selfs and souls get affected:
Principles of Oocyte and Embryo Donation | Review by Lucy Coleman.
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The Little Book of MEDICAL Breakthroughs Hardcover – 2010 | Review by Lucy Coleman.
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My name is Lucy Coleman. I am a Medical Doctor and specialist in Human Reproduction, Fertility and Embryology.