fertility treatment

IVF

In-vitro fertilization (IVF) is an assisted reproductive procedure that involves retrieving a woman’s egg (commonly referred to as “oocyte”) and manually combining it with their partner or donor’s sperm in a laboratory.

The first IVF cycle in the United States was completed in 1980, since then it has grown to become one of the most common infertility treatments. IVF is a minimally invasive procedure performed in an outpatient setting. Dr. Friberg will take time to thoroughly discuss all aspects of the procedure and any risks that may apply to you prior to scheduling your surgery.

How It Works:

Dr. Friberg will begin by developing a treatment plan that is specific to your body, your cycle, and your needs. Based on that, we will tailor the selection and dosage of your medication.

Please note: No two patients are alike! Dr. Friberg will walk you step by step through the treatment plan that he has developed for your case.

1. Ovarian Stimulation

Over the course of 7-14 days, injections of medication will be used to stimulate your ovaries into producing multiple eggs. These eggs are housed inside fluid-filled sacs, commonly referred to as “follicles.” During this stimulation course, you will have multiple appointments to monitor the growth of your follicles. These follicles are later retrieved and combined in our embryology lab with sperm to create an embryo.

2. Monitoring

Ovarian response is measured by checking hormones in your bloodstream and by performing an ultrasound during monitoring appointments. The ultrasound is necessary to give us the most accurate measurement of your uterine lining and the size/growth of your follicles. When your eggs have reached an optimal maturity level, an injection will be used to trigger ovulation and prepare your body for egg retrieval. Egg retrieval occurs within 36 hours of this injection.

3. Egg Retrieval

Just before expected release of the eggs, you will meet us at our surgery center site in downtown Chicago. Skilled anesthesiologists will then put you under intravenous sedation to ensure the egg retrieval is pain free. The follicles are then aspirated via needle with the guidance of ultrasound. The follicles that were successfully retrieved will then be handed off to the talented Dr. Abeer, our embryologist, who will introduce sperm to the embryos for fertilization.

4. Preparing for Fertilization

When you wake up from IV sedation, your embryologist will be hard at work in the laboratory. During this time, both the eggs and sperm samples will be prepared for fertilization. Dr. Friberg and you will discuss which method is right for your cycle.

5. Embryo Development and Transfer

Within eighteen to twenty hours after your procedure, our embryologist will check if fertilization has occurred. Once fertilized, our embryologist then cultures embryos for several days. On day three you will receive a developmental assessment of the cultures. To be more selective with embryos, we try to culture to day 5 before we do a transfer.

Certain circumstances such as age, number of embryos and quality of embryos determines if a day 3, a day 5 fresh, or even a frozen embryo transfer is best for your cycle.

Additional Options

ICSI

Intra-cytoplasmic sperm injection (ICSI) is when our embryologist selects a single sperm to be directly injected into the egg for fertilization. The majority of physicians elect to use ICSI to ensure sperm delivery into the oocyte. However, ICSI is not a guarantee that fertilization will occur. Some factors that may make you a candidate for ICSI include the following:

  • sperm samples that have low motility and/or poor morphology
  • sperm that must be extracted via testicular biopsy
  • low sperm count
  • sperm antibodies

Assisted Hatching

Some embryos may be stuck inside their zona (a membrane that encases the new embryo), which prevents hatching and implantation into the uteran lining. Assisted hatching is a simple micromanipulation procedure performed by an embryologist that helps encourage the embryo to come out of the zona.

Clomid cycle

The Clomid Cycle is a process involving a pill taken to improve fertility, sometimes paired with hormone treatment. It is an affordable, non-invasive option that many patients ask for as their first step. The Clomid Cycle is not right for everyone, and Dr. Friberg will work with each patient to find the best treatment for them.

IUI

What it is:

IUI cycle begins with a patient receiving a customized dosage of medication timed with her cycle. When ready, Dr. Friberg will trigger ovulation and introduce a specially prepared sperm sample to the patient’s uterus or fallopian tubes transvaginally via catheter.

The process:

The entire process takes approximately 45 minutes to an hour, including prep and recovery. At Friberg Fertility, we have designed a smaller, less invasive catheter than those used by most clinics, to make a more comfortable experience for our patients. Once the semen has been inserted, the patient can then go home, and we will monitor progress from there.

Waiting can be an emotionally difficult time for many of our patients, and we provide a number of resources to support you during this time. To learn more, please visit our Integrated Care page.

Donor Egg, Donor Sperm, and Surrogacy

To ensure that your donor egg, donor sperm, and surrogacy experiences meet the same standards that we have for the rest of our services, Friberg offers full-service, in-house donor and surrogacy programs. This means you never have to worry about about the often unpredictable results from juggling multiple third-party providers, and you can trust that our knowledgeable and dedicated staff has screened every step of the process for you.

To learn more about using an egg donor, please fill out this brief questionnaire and we will be in touch with you shortly.

To learn more about becoming an egg donor, please fill out this brief questionnaire and we will be in touch with you shortly.

Donor Sperm

We have relationships with several sperm banks to provide a multitude of options to our patients.

Surrogacy

We offer a full service gestational carrier program to help our patients select the gestational carrier that is right for them. Dr. Friberg has years of experience helping patients from all around the world to have successful surrogacy cycles.

To learn more about using a surrogate, please fill out this brief questionnaire and we will be in touch with you shortly.

To learn more about becoming a surrogate, please fill out this brief questionnaire and we will be in touch with you shortly.

Egg Freezing

Each month in a woman's cycle several hundred eggs are initiated to become the dominant egg for ovulation. Normally only one will develop to maturity and the others are lost. Beginning as early as the mid-thirties this process accelerates and more eggs are lost to each cycle. As each year passes, the number of eggs available decreases and the likelihood of chromosomal abnormality increases. Our egg freezing and oocyte preservation options give you the power to preserve your fertility so you can start a family when the time is right for you.

Semen Analysis

Dr. Friberg has developed a rigorous and proprietary technique for semen analysis. All analysis is done in-house, giving us the best understanding of any possible issues.

"The journey to our little one was not an easy one, but Dr. Friberg and his team provided my husband and I with excellent care."

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