Your Care at NYP Fertility Treatments

There are several fertility treatment options, and your care team will match you with those that are best for you based on the results of your fertility evaluation. Our fertility treatments include:

• Oral medications to stimulate ovulation, including clomiphene citrate (Clomid®) and letrozole (Femara®)
• Injections to stimulate the development of mature eggs in the ovaries, such as human menopausal gonadotropin (Menopur®, Repronex®, Pergonal®) or follicle-stimulating hormone (Gonal-F®, Follistim®)
• Medications to treat diabetes, insulin resistance, polycystic ovary syndrome, and high prolactin levels
• Intrauterine insemination (IUI) places sperm into the uterus, sometimes after the women have received medications to stimulate ovulation. 
• Surgery to restore fertility may be performed using minimally invasive laparoscopy to treat conditions such as blocked fallopian tubes, ovarian cysts, pelvic adhesions, uterine fibroids, or endometriosis. Our surgeons often perform these procedures using robotic surgery.

Assisted reproductive technology

Fertility treatments in which eggs or embryos are handled outside of the body are called assisted reproductive technologies (ART). The most common ART is in vitro fertilization (IVF). This can include the use of donor eggs, donor sperm, and donor embryos. About 2.1% of all babies born each year in the United States are conceived using ART. Types of ART include:

• IVF where eggs and sperm are combined in a laboratory to create embryos. Fertility medicine is used to stimulate the development of mature eggs, which are then retrieved through a transvaginal surgical procedure. The eggs are placed in a glass dish with sperm so the sperm can "swim" to and fertilize the egg(s). One or more embryos is implanted in the woman's uterus. Embryos can also be frozen for transfer in the future.
• If a couple has infertility due to a problem with the function of the sperm, intracytoplasmic sperm injection (ICSI) may be used during IVF. Instead of sperm fertilizing eggs on their own, a single sperm is injected directly into a mature egg.
• Assisted embryo hatching may be performed in conjunction with IVF before the transfer of an embryo. The doctor uses a laser to thin the outer shell of an embryo to make it easier to implant itself in the uterus.
• Donor eggs and donor sperm are sometimes used if a patient cannot produce eggs on their own, for couples where a parent has a genetic disease they do not wish to pass on to their child, and for a parent who wants to become pregnant without a male partner. A couple may also choose to have a donor embryo implanted in the uterus. Donor eggs, sperm, and embryos can also be used in same-sex couples who wish to become parents.
• A gestational surrogate is an individual who carries a pregnancy for someone else. The embryo may have been created using a couple's eggs and sperm or from a combination of a couple's eggs or sperm with donor eggs and sperm. 
• Egg and sperm freezing is available for people who are not ready to become pregnant but may wish to do so in the future. This includes individuals undergoing cancer treatments that may impair their fertility.