Center for Women's Reproductive Care / Reproductive Endocrinology and Infertility, New York

Micromanipulation Techniques

Micromanipulation techniques can be used during in vitro fertilization (IVF) for specialized cases, when recommended by a physician. Our center offers the following micromanipulation procedures.

Intracytoplasmic Sperm Injection (ICSI)

Intracytoplasmic sperm injection (ICSI) is typically used to treat couples with male factor infertility. ICSI is a procedure in which single sperm are injected directly into individual eggs by means of a microscopic glass needle. ICSI may aid in such cases of male factor infertility as low sperm count, azoospermia (absence of sperm in the ejaculate), poor sperm motility, or abnormal sperm structure.

Assisted Hatching (AH)

Assisted hatching (AH) may be utilized in cases where there is believed to be a risk of hatching abnormalities or difficulties. AH is a procedure in which a very minute amount of a weak acid is placed on the clear shell of an embryo (known as the zona pellucida), prior to the embryo's transfer into a woman's uterus.

Pre-implantation Genetic Diagnosis (PGD)

Pre-implantation Genetic Diagnosis (PGD) may be used during IVF cycles to screen an embryo for certain conditions, such as genetic diseases or chromosomal abnormalities, prior to embryo transfer. PGD is used in conjunction with embryo biopsy, in which a single cell from a multi-celled embryo is examined under a microscope.

Services		Our Team
Initial Consultation and Fertility Assessment Egg Donor Program Recipient Screening and Preliminary Testing Donor Selection and Matching Process Donor Testing Donor / Recipient IVF Cycle Donor Compensation Micromanipulation Techniques Micromanipulation Techniques Assisted Hatching (AH) Pre-implantation Genetic Diagnosis (PGD) Basic Treatments Intrauterine Insemination (IUI) Male Infertility Semen Analysis Testicular/Epididymal Sperm Aspiration (TESA) Testicular Biopsy	Reproductive Endocrinology and Gynecology Advanced Treatments In Vitro Fertilization (IVF) Blastocyst Embryo Transfer Embryo Cryopreservation Oocyte Cryopreservation (Egg Freezing) Frozen Embryo Transfer Ovulation Induction Reproductive Surgery & Procedures Hysteroscopy – Diagnostic and Operative Laparoscopy – Diagnostic and Operative Tubal Microsurgery (Laparoscopic Tubal Reanastomocis) Fertility Preservation for Cancer Patients Patient Support Services Admissions and Support Counselor Patient Relations Coordinator Egg Donor Coordinator Teaching Class Fertility Education Workshops	Mark V. Sauer, MD Professor of Obstetrics and Gynecology Janet M. Choi, MD Assistant Professor of Obstetrics and Gynecology Cary L. Dicken, MD Assistant Professor of Obstetrics & Gynecology Nataki C. Douglas, M.D. Ph.D. Assistant Professor of Obstetrics & Gynecology Michael M. Guarnaccia, MD Associate Professor of Clinical Obstetrics & Gynecology Rogerio A. Lobo, MD Professor of Obstetrics and Gynecology Beth W. Rackow, MD Associate Professor of Clinical Obstetrics and Gynecology Briana J Rudick, MD Assistant Professor of Obstetrics and Gynecology Melvin Thornton II, MD Associate Professor of Clinical Obstetrics and Gynecology Ralf C. Zimmermann, MD Associate Professor of Obstetrics and Gynecology