Services & Treatment
Once you have been evaluated and infertility issues have been identified, it's time to decide the best course of treatment from options available at the Gundersen Fertility Center. From in vitro fertilization to use of and egg donor, and services for women and men, we offer options that will fit your situation and reproductive goals.
Timed intercourse is often the first treatment attempt for couples that have a good semen analysis and structurally healthy reproductive organs. The doctor may prescribe drugs in order to stimulate the ovaries and help develop one or a few follicles that may contain eggs. Additional drugs can be used to induce ovulation at a specific time or an ovulation predictor kit is used to determine when ovulation has occurred naturally. Sometimes the doctor will want to perform an ultrasound to see how follicles are developing. This will determine the optimal time for a couple to have intercourse, giving the egg and sperm the best chance at meeting and resulting in a pregnancy.
A woman's fertility hinges on her ability to ovulate. This is when an egg is released from an ovary. If you are not ovulating, you may be given hormone medicine to help.
Artificial insemination, using the male partner's sperm or anonymous donor sperm, puts many healthy sperm at the entrance of the cervix or right into the uterus. The sperm can then make their way to the fallopian tubes.
In Vitro Fertilization
IVF is an assisted reproductive technology typically used only other forms of fertility treatment have not resulted in pregnancy or other treatments are not an option.
Learn more about IVF
Assisted Reproductive Technologies
Fertility procedures that require laboratory handling of the sperm and egg are called assisted reproductive technologies (ART).
Learn more about ART
Donor Egg Program
Some women may experience diminished ovarian reserve (DOR) that prevents them from being able to get pregnant using their own eggs. DOR can lead to the recovery of few eggs or low quality eggs. If you experience DOR, you still have the option of achieving pregnancy using eggs provided by an egg donor.
Gundersen Fertility Center partners with these banks with continued success and very high pregnancy rates:
Our donor egg program includes:
- Baseline ultrasound and monitoring ultrasounds
- Baseline measuring and monitoring of estradiol levels
- Cryopreservation of back-up semen specimen
- Thawing and culture of eggs
- Sperm preparation and insemination of the eggs using Intracytoplasmic sperm injection (ICSI)
- Culture of embryos
- Preparation of embryos for transfer
- Embryo transfer with ultrasound guidance
Male factor infertility is present in about 50 percent of couples seeking infertility investigation and testing. If you are trying to get pregnant and have a diagnosis that includes male factor infertility, consider scheduling a consultation with our experts to consider treatments like:
- In Vitro Fertilization (IVF) with Intracytoplasmic Sperm Injection (ICSI): A proven method that effectively overcomes barriers to achieving pregnancy for couples with low sperm count, low motility, and or low morphology.
- Surgical Sperm Aspiration: A Gundersen urologist provides outpatient surgical sperm recovery, when it's a viable option. Sperm is collected, analyzed, frozen and stored so you only have to go through the recovery process once.
- Vasectomy reversal service: Our urologist also offers clinic-based vasectomy reversals for men who qualify for the service. These procedures were previously only performed in an operating room. Success depends on the number of years since the vasectomy, age of the female partner and her reproductive history. A consultation is recommended to determine the best options. You can also call (608) 775-2212 for more information.
- Cryopreservation: Available in the event pregnancy is not achieved naturally after vasectomy reversal. You may then be eligible for a discount if you elect to do IVF with ICSI using your cryopreserved specimen.
Other fertility conditions
- Recurrent pregnancy loss is a special type of fertility problem. While a couple does not have problems conceiving, a woman has difficulties carrying the baby to the time when it can survive outside the uterus. Various blood tests and checking the uterine cavity for abnormalities will sometimes provide clues to the problem. The woman's immune system may produce antibodies against a pregnancy or higher than usual clotting factor levels that can lead to clots in the placenta. Treatments are available.
- Endometriosis can cause significant pain and discomfort. Even when fertility is not the current issue, staff at the Gundersen Fertility Center can help with surgical and medical treatment.
- Polycystic Ovary Syndrome (PCOS) is a lifetime medical problem that leads to fertility issues. Because of the variable nature of PCOS, a diagnosis and treatment is often multifaceted. To address the complexity of PCOS, Gundersen has created a program for women who have been diagnosed with, or whose symptoms suggest, PCOS. Talk to you primary care provider about a referral to the Polycystic Ovarian Syndrome Program or call (608) 775-2306.
- Abnormal Female Reproductive Development: Full reproductive endocrinology care is available for women with uterine abnormalities or menstrual cycle disorders.