1. Hope and Life Through Egg and Embryo Donation

    Women with diminished ovarian reserve, poor egg quality, advanced maternal age, genetic concerns or premature ovarian failure are encouraged to explore the options of our egg and embryo donation programs when trying to conceive.

    Egg Donation Program at Brown Fertility

    Egg donation, also known as ovum or oocyte donation, is a fertility treatment option for women whose eggs are unable to achieve a successful pregnancy due to advanced reproductive age, genetic abnormalities, previous surgeries and/or other conditions. Brown Fertility’s respected and experienced Egg Donation Team is known for its focus and success in matching the highest quality donors with recipients, while providing compassionate care throughout the matching and treatment process. Thanks to our team, hundreds of individuals and couples have built their families using donor eggs.

    The donors we recruit are healthy women between the ages of 18 and 34 with no known genetic or sexually transmitted diseases. By having an onsite donor program, recipients can avoid the costs associated with using a donor agency.  The process begins with potential donors submitting applications to our practice. The applicants are then contacted to complete an initial FDA screening, and if eligible, they will complete an extensive questionnaire, detailing individual family history, physical characteristics, and general interests.   Potential donors are then interviewed in person by our Third Party Nurse and one of our Reproductive Endocrinologists.  Those deemed eligible to donate are then screened to ensure a clean bill of health and are required to complete a psychological evaluation confirming they fully understand the donation process.  The potential donors are then entered into our password protected website and will be contacted to begin a cycle upon being chosen by the intended recipient.  We are proud to offer our recipients one of the largest selections of donors in the state of Florida from various racial and ethnic backgrounds.

    Recipients select a donor with our Egg Donation Team and once matched, both the recipient and donor will begin their medication and treatment plan as prescribed by our physicians. The eggs retrieved from the donor will then be fertilized with the recipient partner’s sperm (or donor sperm) via in-vitro fertilization, using a technique called intracytoplasmic sperm injection (ICSI). The fertilized eggs (embryos) are then monitored and transferred to the recipient. Remaining quality embryos are cryopreserved and placed in storage.

    While egg quality deteriorates with age, a woman’s uterus and her ability to carry and deliver a child remains relatively constant. Therefore, egg donation offers a substantially higher chance for the delivery of a healthy baby, even in women of advanced maternal age. Brown Fertility offers some of the highest success rates for donor cycles in the country.

    Embryo Donation Program at Brown Fertility

    Another option available to patients who require the use of donor egg and/or donor sperm is our Embryo Donation Program.  We invite these patients to explore our program as it is an opportunity for them to achieve the dream of conceiving a miracle at a significantly lower cost in comparison to the egg donation program.  The program consists of donated embryos from our previous patients who have gone through IVF and have completed their family, but have cryopreserved embryos that they have chosen to donate.  These embryos have been previously screened when the donating couple went through the IVF process.  Intended recipients are provided with demographic information from the donating couple including age, ethnicity, height, weight, hair and eye color, medical and family history.  As with our egg donation program, embryo donation is completely anonymous.  The donating couple will not be given the identity of the recipient couple and vice versa.  In addition, the recipient is required to complete a psychological evaluation just as is required for our egg donation program.  Once matched, the recipient will begin to prepare her body for the embryo transfer.

    We Are Here to Help

    Choosing to participate in Brown Fertility’s egg donation or embryo donation is a big decision, both emotionally and financially.  While these options may not be for everyone, they do provide much needed hope and opportunity to couples who otherwise are not able to conceive a child.  We encourage couples to schedule a consultation to discuss with one of our dedicated and knowledgeable team members.

  2. Vasectomy Reversal vs. IVF with ICSI

    There are two options available to couples who find they want to conceive using their partner’s sperm after the male has undergone a vasectomy: TESE/PESA (Vasectomy Reversal) and In-vitro Fertilization (IVF) with Intracytoplasmic Sperm Injection (ICSI). Several variables should be considered as a couple decides whether vasectomy reversal or IVF with ICSI is their best treatment option. These include the amount of time passed since the vasectomy and the reproductive age of the female partner,

    Vasectomy Reversal

    A vasectomy reversal is performed by rejoining the ends of the vas deferens through a procedure called Vasovasostomy or by connecting the vas deferens to the epididymis via the procedure Vasoepididymostomy. Vasectomy reversals are most successful if completed within the first 7 years of having the vasectomy. After 5-7 years, vasectomy reversal success rates plummet due to various factors that include sperm antibody formation, tagging sperm that interfere with natural fertilization of egg and impair motility of sperm. Other factors that can also contribute to infertility include: epididymal dysfunction or blocking of the vas deferens due to scar tissue. Moreover, a successful vasectomy reversal does not ensure a couple will have a successful pregnancy. The female partner should check her fertility with a Reproductive Endocrinologist before the male partner proceeds with a vasectomy reversal (i.e. HSG, AMH).

    Needle Aspiration of Sperm

    With epididymal/testicle sperm aspiration (ie: PESA/TESE) the cost is 1/5 less than a typical vasectomy reversal, contraception remains intact, and can be combined with the IVF process with noted less pain. Then, directly injecting the sperm into the egg with IVF/ICSI eliminates the need for sperm binding allowing the couple to conceive even when there is a low sperm count, poor motility or physical blockage. Furthermore, IVF with ICSI is ideal when considering the reproductive health of both partners.

    Advantages to IVF with ICSI:

    • IVF with ICSI offers a shorter wait time before a couple can try to conceive. A couple may try immediately with IVF once the sperm extraction has been performed. This is much faster than a vasectomy reversal, IVF with ICSI will address many female infertility issues the couple may have
    • IVF with ICSI is a better option for women who have a limited window of time due to advanced reproductive age
    • IVF with ICSI leaves the contraception intact for couples who only want one childIn summary, there are always choices, but it’s important to discuss all these points, along with the couples’ medical history, with a Reproductive Endocrinologist. At Brown Fertility, we can assess both partners and give advice on which option will give the best chance of a successful pregnancy.

    Contact online or call our caring staff at Brown Fertility as you consider all the variables of whether a vasectomy reversal or IVF with ICSI is your best treatment option.

  3. Recurrent Miscarriages: Debunking the Myths

    The American Society of Reproductive Medicine (ASRM) redefined recurrent miscarriage as two or more consecutive pregnancy losses, by 20 weeks of gestation, as opposed to the previous criteria of three or more consecutive losses. Approximately 5% of couples trying to conceive are diagnosed with recurrent miscarriage or recurrent pregnancy loss (RPL).

    At Brown Fertility, our goal is to help patients achieve their dream of becoming parents by debunking common miscarriage myths while providing proper diagnoses and appropriate care.

    Myth #1: “It’s something I did…”

    Oftentimes couples may be tempted to place blame on themselves to explain their pregnancy loss. However, miscarriages do not occur due to a missed prenatal vitamin or by the mother’s emotional state or physical activity. The majority of early miscarriages are due to chromosome problems with the pregnancy, meaning that the embryo had abnormal chromosome counts, leading to nonviable pregnancy.

    Rarely, there are conditions in which patients have a “chromosome translocation” in which a healthy couple’s chromosomes are rearranged, which leads to mishaps when egg and sperm chromosomes come together. These instances are easy to diagnose with a blood test and can be overcome by testing embryos for chromosomal abnormalities and implanting healthy embryos through the use of IVF with preimplantation genetic diagnosis (PGD).

    A woman’s immune system may also play a role in recurrent pregnancy loss. Thrombophilia or clotting disorders, hormone abnormalities along with hormone imbalances, thyroid disease and diabetes can also contribute to pregnancy loss. These factors can be screened for and addressed through various treatments.

    Finally, there could be a uterine abnormality that leads to miscarriage. This can be diagnosed through an ultrasound, HSG or hysteroscopy. These will screen for possible uterine defects, fibroids, polyps or adhesions.

    Myth #2: “I will never have a baby.”

    Although devastating, both mentally and emotionally, to hear “try again,” the odds of a successful pregnancy are still very high. In fact, according to ACOG, even after multiple losses a woman has a 65% chance of conceiving and carrying a full-term pregnancy.

    The decision on when to try again is a personal choice that should be decided between you, your spouse and your medical provider. But overall, the prognosis of recurrent miscarriage is encouraging.

    Myth #3: “You should wait to consult a physician…”

    In the past, women were told to wait until they had three consecutive miscarriages before seeking intervention. That is no longer the rule. With modern improvements in genetic testing and infertility treatments, couples can identify genetic problems earlier and how to prevent future heartache. Brown Fertility offers the latest genetic screenings and looks forward to consulting patients’ on their options.

    It is important to remember there is a lot of misinformation that can be found on recurrent miscarriages; but with our expert team at Brown Fertility, combined with the latest testing and screening options, we would be privileged to help those achieve their dream of growing their family.

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“Throughout our journey to conceive, Dr. Brown became so much more than our reproductive endocrinologist. He became our therapist, problem-solver, cheerleader, and—most importantly—our friend.”Greg & Dana