Fertility Services

Fertility Evaluation

Male Infertility
  • Diagnosing male factor infertility through semen analysis and other tests.
Female Infertility
  • Identifying obstacles to pregnancy through complete diagnostic testing.

ART Procedures

IVF (In Vitro Fertilization)
  • Fertilizing eggs with sperm, and transferring the embryos to the mother’s uterus.
FET (Frozen Embryo Transfer)
  • Transferring embryos preserved from a previous IVF cycle.
Blastocyst Transfer
  • Culturing embryos for a 5-day transfer to increase pregnancy odds.
Egg Donor Program
  • The option of parenthood through the use of eggs donated by a known or anonymous donor.
GIFT and ZIFT
  • Alternatives to conventional IVF fertilization as an option in special circumstances.

Embryology

ICSI (Intracytoplasmic Sperm Injection)
  • Achieving fertilization by injecting a single sperm directly into the egg.
PGD (Preimplantation Genetic Diagnosis)
  • Selecting healthy embryos by screening for chromosomal and genetic disorders.
Assisted Hatching (AH)
  • Helping the embryo hatch from its outer shell to improve chances of implantation.
Embryo Cryopreservation
  • Secure storage of frozen embryos for future use.

Fertility Procedures

Timed Intercourse with Clomid Therapy
  • Helping couples detect ovulation and time intercourse appropriately.
Artificial Insemination / Intrauterine Insemination (IUI)
  • Becoming pregnant by placing sperm directly into the woman’s uterus.
Ultrasonography
  • Ultrasound visualization for diagnostics and monitoring.
Laparoscopy
  • Viewing the reproductive organs using fiber optics.
Tubal Ligation Reversal
  • Restoring fertility using microsurgery to repair the fallopian tubes.
Sperm Donation
  • Access to a national accredited sperm donor bank.

Lab Services

Andrology Lab
  • Evaluation, analysis, preparation and storage of sperm specimens.
Hormonal Testing
  • State of the art facility for hormonal testing.

Egg Donor Program

  • For many couples, the option of having a child using a donated egg can make the dream of parenthood come true. Egg donation is a medically appropriate treatment in cases where the woman, for a wide variety of reasons, is unable to produce her own eggs, and only a donor egg can provide a real chance for conception. The egg donor may be known, such as a relative or friend, or anonymous.
    The process of egg donation is complex, but you can be assured that the experienced staff at Huntsville Reproductive Medicine will guide both donors and recipients through each step of the process.

    Information for Egg Donors
    By donating your eggs, you have a unique opportunity to help a couple fulfill a lifelong dream of having a family. You can give a priceless gift that lasts a lifetime.
    Information for Egg Recipients
    Becoming pregnant using egg donation as a path to starting or enlarging your family.
  • By donating your eggs, you have a unique opportunity to help a couple fulfill a lifelong dream of having a family. You can give a priceless gift that lasts a lifetime.

    Who can be an egg donor?

    You may qualify for our anonymous egg donor program if you are a woman between the ages of 19 and 30, have two healthy ovaries, are a non-smoker, have normal body weight (BMI < 30), and have some college education. Women from any ethnic background may qualify.

    How much will I be paid?

    You are not paid for your eggs, but rather compensated for your time and effort that you have invested in the process. If you are accepted as a donor, you can expect to receive $2,500 at the end of the first donation cycle; and $3,000 at the end of the second and subsequent donation cycles. You will also have the immeasurable fulfillment of possibly helping an infertile couple become parents.

    How many times can I donate?

    You may donate a maximum of four to six times.

    Will it hurt when my eggs are taken?

    The egg retrieval involves only minimal, if any, discomfort. It is an office-based procedure that does not require any visits to the hospital. You will undergo gentle sedation using intravenous (“in the vein”) medications. There is no incision or stitches, and you should be able to resume your normal activities the next day.

    Can I donate anonymously?

    Yes, the anonymity of both donors and recipients is completely protected by our program, in strict accordance with the guidelines set by the FDA (US Food and Drug Administration) and the ASRM (American Society of Reproductive Medicine).

    What are the criteria for being accepted as a donor?

    You must have current medical insurance, and undergo physical and medical screening to ensure that you are a suitable donor.

    I have been asked to be a donor by a friend or relative. Can I be a known donor?

    Yes, if you are between the ages of 19 and 36, and have sufficient ovarian function. You must also undergo the same medical screening tests as an anonymous donor, such as HIV, hepatitis, and psychological screening.

    If I want to have a baby later, could my eggs be used up by donating?

    No. Each woman is born with a lifetime supply of eggs in her ovaries, with plenty to spare. You were born with tens of thousands, or even hundreds of thousands, of eggs in your two ovaries. During each of your monthly cycles, a few eggs will naturally die. You can give the precious gift of parenthood by donating some of these eggs that would otherwise be unused.

    Are there any long-term risks of egg donation?

    There are no long-term risks to your health with egg donation. Women who donate their eggs retain their future fertility and do not go through menopause at an earlier age.

    If each woman is born with so many eggs, why is there a need for donated eggs?

    Some couples need donor eggs to become parents because the woman’s ovaries do not produce enough healthy eggs, due to her age, premature ovarian failure, or other problems. Some women may have a genetic disorder that they do not want to pass on to their children. For many, the reason why their eggs are unable to fertilize and become a healthy embryo may be unknown. Whatever the reason, your donation can help make the dream of parenthood possible.

    Is there a real need for egg donors?

    Yes, there is a real shortage of egg donors both locally, regionally, and nationally. Many couples who could benefit from egg donation often wait many months for a suitable donor to become available.

    What is the egg donation process?

    Qualification

    • You will participate in an initial introductory overview with our staff, and complete a comprehensive medical history questionnaire and personal profile to be officially qualified for our egg donor program.
    • The donation process will be discussed in detail in a consultation with a nurse coordinator and a physician from our Donor Team, making sure that you understand the process each step of the way.
    • Several medical screening tests are necessary to complete the medical portion of the donor application process. These tests must be performed at specific points throughout your menstrual cycle and for that reason, may require more than one visit.
    • After all testing is completed, reviewed and approved by the Medical Director of our Donor Team, you will be formally matched with a recipient couple and the donation cycle will be scheduled. All costs for your medical care will be covered by the recipient couple.

    Egg Donation

    • At the beginning of the egg donation cycle, you will be given medications for up to 12 days to stimulate multiple egg production in your ovaries.
    • During this time, you will need to be monitored in our office every one to two days. Blood samples and ultrasounds will be used to check your hormone levels and determine the number and size of your egg follicles. These monitoring visits are extremely important to safeguard your health throughout the process, and to properly time the egg retrieval process, which is critical to maximize the chances of a successful cycle.
    • At a time determined by the physician, you will be given IV sedation and your eggs will be retrieved via transvaginal ultrasound.
    • Once the eggs have been retrieved, your portion of the egg donation process is complete.

    Embryo Transfer

    • In our laboratory, the donor eggs are mixed with the recipient partner’s sperm, and hopefully fertilize. Three to six days following egg retrieval, the developing embryos will be transferred to the recipient’s uterus, which has been previously prepared through medications to receive the embryos. A pregnancy test will be performed on the recipient in 11 days.

    Egg Donor Application Apply online to qualify and make a wish come true

  • For many hopeful parents, the option of using donated eggs provides the chance to experience pregnancy, give birth and have a child that is genetically related. The decision to use a donated ovum may not be an easy one, but at Huntsville Reproductive Medicine we’re here to help you determine if this is the best choice for your future family.

    Who is a candidate for IVF using donated eggs?

    Married or single women with premature ovarian failure, malfunction of the reproductive organs, chromosomal abnormalities, genetic disorders, removal of the ovaries or radiation to the ovaries are candidates for IVF with donated eggs. Previous IVF patients who have had a poor response to ovarian stimulation or poor quality eggs may also be candidates.

    What medical screening tests are necessary?

    American Society for Reproductive Medicine (ASRM) guidelines include screening for sexually transmitted diseases, infectious diseases such as Hepatitis and HIV, antisperm antibodies and hormonal evaluations, among others. The uterine cavity will be evaluated using several methods to ensure its receptivity at the time of embryo transfer. One such method is a Preparatory Cycle (Prep Cycle) that hormonally mimics a natural menstrual cycle. Since pregnancy puts added stress on a woman’s body, if you are 44 or older, you will need to obtain medical clearance before starting in our program and may need to do some additional testing.

    How do I select a donor?

    Donors can be either known (a relative or friend) or anonymous. There may be a waiting period, according to the waiting list and your donor requirements. Donors are offered to recipients who have completed their screening tests or are near completion. If you are offered a donor with whom you do not feel appropriately matched, you may refuse that donor and wait for the next available one without compromising your position on the waiting list. The donor you rejected will be offered to the next couple on our list. Any special requests you may have for a donor should be noted on your history form and should be brought to the attention of the nurse coordinator.

    What is HRM’s criteria for egg donors?

    Donors must undergo extensive physical testing before they are accepted into our program. Anonymous donors must be 19-31 years of age while known donors may be 19-36 years of age. It is important to note that known donors, regardless of their age, must have sufficient ovarian function to respond adequately to stimulation. A woman may donate a maximum of 4 times. If you choose to use an anonymous donor you will be given a complete medical history of the donor and her family as well as a thorough description of her physical characteristics.

    I have been asked to be a donor by a friend or relative. Can I be a known donor?

    Yes, if you are between the ages of 19 and 36, and have sufficient ovarian function. You must also undergo the same medical screening tests as an anonymous donor, such as HIV, and hepatitis screening.

    How much does a donor egg cycle cost?

    IVF using donated eggs can be quite expensive. Your costs for will include:

    Blood tests, medications and ultrasounds for both donor and recipient.
    $3,000 compensation to the donor for her time and effort.
    Some of these fees may not be covered by your insurance. If not covered by insurance, one cycle of IVF with donor egg can cost from $13,500 to $16,000.
    What kind of person becomes an egg donor?

    Many different types of women chose to become donors. Often, the donor is a young mother or a full time student who finds donation a way to supplement her income and satisfy her unselfish desires at the same time. All donors undergo thorough screening before being accepted into the program.
    Can I ask a family member or friend to be my egg donor?

    Yes, provided that the donor undergoes the same screening that would be required for any other donor.
    How does the process work?

    Initial Consultation

    • You will meet with the physician to review your medical history, and possibly have a physical exam, blood testing, ultrasound, pap test and cultures.
    • You will also meet with a nurse coordinator to review the program in detail, discuss the required medical screening tests for you and your partner.
    • In a financial consultation we will review the cycle costs, insurance reimbursement and payment schedules.

    Egg Production

    • Before beginning the IVF cycle, the donor and recipient’s menstrual cycles are synchronized using the medication Lupron.
    • The donor will begin taking daily injections of fertility drugs to increase the number of eggs produced. When more eggs are available, more embryos can be fertilized increasing the chances of having healthy embryos to select for implantation.
    • During this phase, the donor will be evaluated on a daily basis by blood tests and ultrasound to determine the number and maturity of egg producing follicles on the ovaries.

    Preparing for Pregnancy

    • During this time, you will take medications to prepare your uterus for an implanting embryo. The lining of the uterus, the endometrium, will be evaluated through blood tests and ultrasounds.
    • To prepare for the actual embryo transfer, a “mock transfer” may be performed by inserting a catheter (a very thin, flexible tube) to determine the angle and depth of your cervix and uterus.

    Egg Retrieval

    • At a time determined by the physician, your donor will undergo the egg retrieval, during which eggs are removed from the ovary while the donor is under IV sedation.

    Fertilization and Embryo Transfer

    • Your partner will produce a semen sample that will be used to fertilize the eggs.
    • The resulting embryos will be held in an incubator for 3 to 5 days.
    • Your physician will discuss the number and quality of the embryos with you, and help you decide how many embryos to transfer. If you have extra embryos, you may decide to cryopreserve (freeze) the embryos for future pregnancy.
      The transfer procedure is performed under sterile conditions. The embryos are placed into the uterus through a thin catheter, and the procedure is quick and painless.
    • Following the transfer, you will lie down for 30 minutes, and then you may return home to relax for the rest of the day.
    • Approximately one week later we will check your progesterone level, and one week after that we will perform a pregnancy test. If you are pregnant we will follow your progress for an additional 4-5 weeks before discharging you to your own obstetrician.

    Egg Recipient Application