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Term Definition
Assisted Hatching

Assisted hatching is the use of a micromanipulation technique to help an embryo break through the protective shell of the egg (the zona pellucida) and successfully attach to the wall of the uterus. In some women, the zona pellucida of the egg is too hard or tough for the embryo to emerge from the shell. Micromanipulation (using chemical or laser-assisted methods) is used to thin or perforate the zona pellucida

Blastocyst

At the blastocyst stage of embryonic growth, the embryo consists of some 100 cells in an outer shell around an inner group of cells covering a fluid core. The outer cells of the blastocyst will become the placenta attached to the fetus.

Controlled Ovarian Hyperstimulation

Sometimes referred to as superovulation, Controlled Ovarian Hyperstimulation (COH) is a treatment that uses drugs to stimulate development of multiple ovarian follicles to obtain multiple eggs. This treatment is used for women who do not ovulate or who ovulate infrequently, and to obtain eggs for in vitro fertilization (IVF).

Cryopreservation

See Embryo Freezing

Culture Medium

a solid or liquid substance that covers cells in a culture dish, which contains nutrients to feed the cells as well as other growth factors that may be added to direct desired changes in the cells. Also known as Growth Medium.

Donor Egg IVF

An egg from a donor is fertilized in vitro (IVF) and then implanted in another woman who has been unable to conceive using her own eggs.

Egg

An egg is the female gamete (cell bearing genetic information). Eggs are released from the ovaries into the fallopian tubes during the menstrual cycle. One cause of infertility in women is the failure to ovulate (release eggs) regularly.

Embryo

A fertilized egg in the initial stages of growth up to the eighth week of a pregnancy. Eggs that are fertilized in vitro (IVF) are implanted in the uterus during either the zygote or blastocyst stage.

Embryo Freezing

Also called cryopreservation, this is a method used to preserve embryo for later implantation. It is also used to preserve gametes and zygotes.

Embryology

Embryology focuses on the study of the embryo from fertilization throughout the first eight weeks of the embryos development.

Endometriosis

In women suffering from endometriosis, tissue from the uterine lining (endometrium) grows outside of the uterus. When the superficial part of this tissue is shed during a menstrual cycle, blood and tissue collect in the abdominal cavity. Endometriosis can be a cause of infertility.

Endometrium

The mucous membrane that lines the uterus. During the menstrual cycle, the endometrium grows blood-rich tissue that either provides nutrients for an embryo or is shed if the cycle continues without implantation of an embryo.

Epididymis

Sperm mature and are stored in the epididymis, a highly convoluted tubule that is the central passageway from the testicles to the penis. Blockage or narrowing of the epididymis can be a cause of infertility.

Estrogen

Estrogen is a female sex hormone, produced by the ovaries, that stimulates the maturation of eggs and prepares the endometrium for egg implantation.

Fallopian Tubes

These narrow ducts, on either side of the female pelvis, lead from the ovaries to the uterus. The sperm meets the egg in the fallopian tube, after which the fertilized egg attaches to the uterine lining.

Family Balancing

In family balancing, sperm are sorted under a microscope to separate sperm bearing a female (X) chromosome from those bearing a male (Y) chromosome. Insemination using the separated sperm raises the chances of having a child of the preferred gender to 70-80 percent. (See MicroSort Flowcytometry.)

Fertility

Fertility is the ability to have a child. Both men and woman can have physical conditions that reduce or interfere with their fertility. (See infertility.)

Fertilization

During fertilization, the sperm penetrates the egg and genetic material from the male and female gametes fuses. The resulting cell is called a zygote.

Gamete

A gamete is a specialized reproductive cell that carries half of the genetic information required to create an embryo. Sperm cells and egg cells are both gametes.

In vitro fertilization (IVF)

In vitro fertilization of an egg by sperm refers to fertilization that takes place in a laboratory instead of in the body. For this procedure, eggs are surgically removed from a woman's body, fertilized by sperm, and then allowed to divide until they become multi-celled blastocysts. At that stage, one or more of the embryos will be implanted surgically in the woman's uterus.

Infertility

Infertility describes situations in which a man, a woman, or both, have physical problems that interfere with the conception of a child. Causes of infertility can range from low sperm count or damaged sperm to problems with ovulation or embryo viability in utero. (See also male factor infertility.)

Intracytoplasmic Sperm Injection

Intracytoplasmic Sperm Injection (ICSI) is an infertility treatment used when a male has weak sperm or low sperm count. A single sperm is injected into an egg in vitro to enable fertilization. The resulting embryo is then transplanted into the woman's uterus.

Male factor infertility

Male factor infertility is the term used when a couple's lack of fertility is linked to a physical problem with the male partner. Male infertility can be caused by a variety of conditions including lack of sperm, low sperm count, poor sperm quality, and problems with sperm delivery, such as retrograde ejaculation (which causes sperm to flow into the male bladder). Thirty-five percent of infertility cases are attributed to male factor infertility, with about 25 percent of cases attributed to a combination of male and female factors.

MicroSort Flowcytometry

Human sperm cells carrying a (female) X chromosome have more total DNA than sperm cells with a (male) Y chromosome, making them slightly larger. MicroSort technology uses a flow cytometer to sort sperm by size so that parents can increase their chances of having a child of a particular gender. The success rate for selecting gender is about 80 percent for female babies and 70 percent for male babies. (See also Family Balancing.)

Oocyte

The oocyte is an unfertilized egg cell.

Ovarian Follicles

Ovarian follicles are structures in the ovary that nurture eggs prior to ovulation. Some treatments for infertility use COH to stimulate the activity of ovarian follicles.

Ovaries

The ovaries are female sex organs that release mature eggs and produce the female hormones estrogen and progesterone. Located on either side of the pelvis, the ovaries are connected to the uterus by the fallopian tubes.

Ovulation

The release of an egg from the ovarian follicle into the fallopian tube. A frequent cause of infertility is lack of ovulation or irregular ovulation.

Ovulation Induction

Ovulation induction fertility treatments use injections or pills to mimic the actions of the natural hormones that control the development of eggs. Ovulation induction can be used to control the timing of ovulation and to stimulate the production of multiple eggs, increasing the likelihood that a woman will become pregnant.

Preimplantation Genetic Diagnosis

Preimplantation Genetic Diagnosis (PGD) is the screening of cells from embryos from in vitro fertilization (IVF). Doctors and geneticists test the embryos for genetic and chromosomal disorders to increase the likelihood of successful implantation and pregnancy.

Reproductive Endocrinology

Reproductive Endocrinology is a sub-specialty of Obstetrics and Gynecology that is focused on reproductive medicine and infertility.

Reproductive Surgery

In many instances, surgery can be used to treat physical problems of the reproductive systems that cause infertility. These include blockage of the fallopian tubes, endometriosis, and uterine fibroid tumors in women and obstruction of the epididymis or the occurrence of varicocele in men.

Semen Analysis

See Sperm Testing

Sperm

A sperm is the male gamete (a specialized reproductive cell bearing genetic information). A sperm is made up of a head (containing the nucleus of the cell) and a motile tail. One cause of male factor infertility is lack of motility in the sperm.

Sperm Testing

Sperm testing, also called semen analysis, measures the quantity and the quality of a man's sperm, looking for abnormal sperm, problems with motility, and presence of infection. Sperm testing includes a sperm count, expressed as the number of sperm per milliliter of semen. (See also Male Factor Infertility.)

Superovulation

See Controlled Ovarian Hyperstimulation (COH)

Testicles

Two testicles (glands) in the male reproductive system produce sperm and hormones, including testosterone. Physical problems with the testicles can cause infertility.

Testosterone

A male sex hormone produced in the testicles, testosterone stimulates the production of sperm and controls the development of male sex characteristics.

Varicocele

A varicocele is an enlarged (varicose) vein in the scrotum. When blood pools in the dilated vein, the temperature surrounding the testicles increases, which may cause or contribute to infertility in some men.

Vitrification

An alternative cryopreservation (freezing) method to traditional cryopreservation. It involves a rapid cooling method that helps to prevent formation of ice crystals that cause damage to the cell. May be used to freeze embryos and oocytes.

Zona Pellucida

The zona pellucida is the protective outer surface of the egg. The zona pellucida must be breached, physically or chemically, before a fertilized egg can successfully implant itself in the uterus.

Zygote

A zygote is a fertilized egg that has not yet divided. It contains the DNA of both parents and has a gender. Eggs fertilized in vitro (IVF) are typically implanted in the uterus as zygotes.

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