In Vitro Fertilization in New Jersey
IVF Programs Offered in New Jersey
SJFC is the longest continuously running IVF program in South Jersey, with a proven track record of success. We strive every day to bring this tradition of excellence to our patients to help them succeed.
Assisted Reproductive Techniques (ART) include various methods of aiding human reproduction through techniques that involve retrieving a woman’s eggs from her ovaries. These procedures are best known by their acronyms, such as IVF and ICSI. An exciting technology called Pre-implantation Genetic Screening (PGS) allows selection of chromosomally normal embryos to dramatically increase pregnancy rates.
About the IVF Process
IVF is a process by which one or more eggs (oocytes) are fertilized outside the body. If the male partner has a very low sperm count then fertilization is achieved by injecting a single sperm into each egg in a process called Intra-Cytoplasmic Sperm Injection (ICSI). If the sperm count is normal, then the usual procedure is to place a droplet of washed sperm (50,000) onto each egg. Successfully fertilized eggs are called embryos. A select number of embryos are placed into the uterus for implantation and establishment of pregnancy. Prior to implantation, embryos can be tested for their genetic competence through PGS, and a single normal embryo can be implanted with a high probability of success.
Indications for IVF
• Absence or blockage of the fallopian tubes
• Functionally damaged tubes
• Male factor infertility
• Long standing infertility despite conventional therapy
• Unexplained infertility
“They are the nicest, friendliest people around! Very compassionate! I couldn’t have found a better place to help me through the process of having my son. My first round of IVF he was conceived! I’d do it all over again in a heartbeat with them.”
“SJ Fertility was simply amazing. Every step of our ivf journey was met with compassion, understanding, patience, and love. Mia Victoria was born on 4/4/15 at 2:12 am weighing in at 8lbs 14 oz 21 inches. Our miracle and bundle of joy thanks to SJF.”
“My experience with South Jersey Fertility Center and the ENTIRE staff was nothing short of wonderful. Having experienced infertility for nearly three years, the doctors and nurses never gave up on me nor did they allow me to give up on myself. When one procedure did not work, they tried another. Nevertheless, after a few rounds of IVF, I am pregnant with twins. From the specialized treatment each visit to the handwritten notes after egg transfers, there was no doubt that everyone at SJF was with my husband and me every step of the way.”
IVF Cycle Steps
Intra-Cytoplasmic Sperm Injection (ICSI)
In cases of sub-optimal sperm counts or poor sperm motility, Intra-Cytoplasmic Sperm Injection (ICSI) is used to increase the chance of successful fertilization. The procedure consists of injecting a single sperm directly into the egg. Manipulation of the eggs requires special equipment specifically designed to perform the very small, intricate movements used in this procedure.
Assisted Hatching is intended to benefit the patient by assisting the embryo to attach to the lining of the uterus. This procedure is performed just prior to transferring the embryos to the uterus by creating a small opening in the zona pellucida (egg shell) with the aid of a micro needle. The zona pellucida is opened in order to facilitate the normal hatching process, which must take place before the embryo is capable of contacting the endometrial lining of the uterus for implantation. Manipulation of the embryo requires specialized equipment, designed to perform these very small intricate movements. The risk of damaging the embryo from the Assisted Hatching procedure is exceedingly rare. Assisted Hatching is usually performed on all embryos being transferred to the uterus with the exception of embryos at the blastocyst stage.
Blastocyst Embryo Transfer
After 5 to 6 days of culture, healthy embryos usually reach the blastocyst stage. They contain more than 32 cells. When an embryo reaches this stage, it has proven itself to be quite viable. In January of 1999, we began extending the embryo culture in order to transfer many embryos at the blastocyst stage. By transferring blastocysts we are attempting to increase the pregnancy rates by transferring the best quality embryos. Our intention is also to decrease the high order multiple gestation by limiting the number of embryos we transfer. The embryo quality and stage of development will determine on which day the embryo transfer will be. This will not be known until the second or third day after the eggs are retrieved.
Choosing the Number of Embryos to Transfer
Increasing the number of embryos transferred into the uterus increases the chance for a resulting pregnancy, up to a point. The more embryos returned to the uterus, the higher the risk of multiple gestation. Our team of doctors, nurses, and embryologists will help you determine the best number of embryos to transfer in your individual situation. Our goal is to optimize the pregnancy rate while reducing the risk of high-order multiple gestation. The decision is based on your willingness to risk multiple gestation and your openness to the possibility of choosing selective reduction of fetuses in the event that there are triplets or more. Other important factors are your age, the reason for your infertility and the quality of the embryos to transfer. Patients under the age of 35 typically have only 2 embryos transferred if the embryos are of average or above average quality.
Many patients find that they have “extra” embryos beyond those needed for transfer into the uterus. The advance of embryo cryopreservation is to give the patients an added chance of achieving a pregnancy without having to undergo a complete IVF stimulation cycle. In the long run, embryo cryopreservation improves the likelihood of conception at a decreased cost.
Cryopreservation is performed on embryos between the second and sixth day of culture, thus it is done before you know if you have become pregnant from the fresh cycle. Thawing and transfer of the embryos is performed in a programmed cycle, which includes administration of Lupron, Estrogen pills and patches, and Progesterone supplements. Cryopreservation does not cause birth defects.
South Jersey IVF Specialists
The IVF specialists at South Jersey Fertility Center are highly experienced at helping patients achieve their dream of building a family. We serve patients in New Jersey and Pennsylvania with offices located in Marlton, Burlington, Sewell, and Egg Harbor Township. We are easily accessible to patients in Burlington, Mercer, Atlantic, Camden, Ocean and Bucks Counties.