TREATMENTS

Ovulation Induction & Cycle Monitoring
Consists in inducting the ovulation and follow up with some ultrasound exams, which will enable to identify the ideal timing for sexual intercourse.
Indication: Women patients with irregular ovulation or diffiiculties to ovulate.
Egg and Sperm Donation 
Egg and sperm donation are most commonly used when the patients are unable to produce their own eggs or sperms. The patient will accept to receive the egg or sperm donated and it will be fertilised with the partner´s gamets. After the fertilisation, the embryo will be tranferred to the patient´s uterine cavity, and will be able to carry on pregnancy normally.
Indication:
-  Ovarian or testicles failures
- Premature menopause
 
- Previous surgery or chemotherapy
Patients who are in a same sex couple
- Patients who are single.
Egg freezing or cryopreservation
Consists on follicular induction and cryopreservation of the collected eggs for future use.
Indication:
- Patients who will be submitted to chemotherapy
- Patients who will be submitted to surgeries
- Patients who, for personal or professional reasons, decide to postpone pregnancy and wishes to have better results in the future.
Intrauterine insemination
The treatment where previous selected sperm is placed inside the uterine cavity of the woman that wants o get pregnant.
Indication:
- Men whose sperm have mild motility problems.
- Women with a mild endometriosis,
- Women that produce antisperm antibodies. 
- Women who want single motherhood

Sperm freezing

Consists in collecting sperm and cryopreservate for future use.

Indication:

- Patients with testicular cancer

- Patients who are about to have a vasectomy and want sperm available in case they change their mind about having (more) children.

- Patients who will be submitted to chemotherapy

- Patients who won't be able to be present on the day of the partner treatment

- Patients with low sperm count or

the quality of the sperm is deteriorating.

- Patients who have a condition, or are facing medical treatment for a condition that may affect your fertility.

- Men who are at risk of injury or death (for example, members of the Armed Forces who are being deployed to a war zone).

- You are about to undergo a sex change operation.

Surrogacy
It is a treatment offered when pregnancy is medically impossible or poses a risk to the mother´s health.
The embryo from the biological parents is transferred to the surrogate mother, who is a sibling, relative or friend of the couple.
Indication
-  Women who does not have an uterus, either by surgery or by congenital malformation. 
- Male couples.
Preimplantation genetic testing (PGT)
PGT is a treatment which involves checking the genes or chromosomes of the embryos for a specific genetic condition. .
Indication:
- Patients over 40 years old
- Patients who had repeated miscarriages
- Repeated unsuccessful IVF treatments
- Couples with known genetic disorders
In Vitro Fertilisation (IVF) 
In Vitro fertilisation is a human reproduction technique where a significant number of sperms are placed around the woman´s egg. The fertilisation happens naturally.
Indication:
- Women with blocked or damaged fallopian tubes,
- People with unexplained fertility problems, or who have tried other treatments that were unsuccessful.
- Men with mild problems on low sperm counts or abnormal shape or movement. 
- Women who have difficulty with ovulation and who haven’t been successful with other treatments.
 
- Older women who are less likely to be successful with more natural/less invasive treatments.
ICSI - Intracytoplasmic sperm injection
ICSI (Intracytoplasmic sperm injection) is a technique where each egg may need to be injected individually with a single sperm. This is to avoid the difficulties of the natural fertilisation process.
Indication:
- When previous IVF had problems with fertilisation
- When men have severe sperm abnormalities (very low count, abnormal shaped (poor morphology) or they don’t move normally (poor motility)
- Severe endometriosis
- Men who had surgically collected semen
- Patients who are having embryo testing for a genetic condition.
Embryo freezing
It´s the preservation of embryos formed from an IVF or ICSI treatment.
Indication:
- Couples that have been submitted to fertilisation treatment and had a number of embryos leftover, and may wish to use them on a future treatment.
- Family planning: couples who want postpone parenthood and want more than one child. 
- When treatment needs to be cancelled after egg collection (for example, if patient has a bad reaction to fertility drugs). 

©  Dr. Cassio Sartorio - MD and fertility expert

Tel: +55 21 2210-2323

Tel: +55 21 2493-0758 / +55 21 2484-2918 / +55 21 2484-8564 

Av. Erasmo Braga, 227 sl 810 - Centro, Rio de Janeiro

Av. das Américas, 6.205 (MDX Barra Medical Center), Sala 303-305