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GIFT is an assisted
reproductive technology which was developed in 1984
as a variation of the IVF procedure. GIFT can be a successful
alternative for couples with unexplained infertility
provided that the woman has at least one open fallopian
tube.
GIFT may be used in
patients where infertility is caused by cervical or
immunological factors, mild endometriosis, older women,
and in some cases of moderate male infertility. GIFT
also represents an alternative for patients whose religious
beliefs prohibit conception outside of the body. Our fertility specialists will discuss your treatment options so please let your physician know if you are interested in GIFT.
In the GIFT procedure,
fertilization takes place within the fallopian tube
and this is also where a limitation of the procedure
is evident. In IVF, fertilization
occurs "outside" of the body. Unfortunately,
GIFT does not allow for confirmation of fertilization
because it occurs inside the body. The stages involved
in the GIFT procedure are very similar to IVF; however,
GIFT is more expensive because it requires a laparoscopy.
Steps
in the GIFT Technique
1. Ovarian stimulation
and monitoring: The initial steps of the ART procedures
are the same. The patient takes hormonal
medications to stimulate the ovaries to encourage
the development of multiple oocytes. The patient is
followed during this phase of treatment with ultrasounds
and estradiol hormone measurements.
2. Egg retrieval: With
GIFT, our doctors retrieve the eggs through transvaginal
ultrasound aspiration. The sperm is prepared in advance
and the eggs are examined microscopically and then combined
with the sperm in a special catheter.
3. Gamete transfer:
The gametes (sperm and eggs) are transferred using a
laparoscope. The catheter is inserted into the fallopian
tube(s) and the sperm and egg are placed directly into
the tube. Hopefully, the transferred gametes will fertilize
and the developing embryos will then move to and implant
in the uterus.
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