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Re: ART questionFrom: Laurie (anonymous@obgyn.net)Fri, 25 Jul 1997 17:35:40 -0500 (CDT)
At Wed, 23 Jul 1997, Kelly wrote:
>I don't know about price differences. They're all expensive. I hope Dr Once again, Dr. Shanahan sounds very expert on a topic she claims not to be an expert on! Next time I'm out of town, maybe Dr. Shanahan can come up and cover my practice! :-) There are different reasons for doing the three different procedures. In general, most centers today are doing mostly IVF. This saves the patient a laparoscopy with its risks and costs (adding at least $3000 to the cost of an already-expensive procedure) and can also give information about how well the eggs and sperm are fertilizing. GIFT and ZIFT are still performed because of the theory that there was something about the passage along the Fallopian tube that helped the development and eventual implantation of the embryos, though that issue is debated. Even if there is a small improvement, it is worth the extra risk + cost? Also debatable. I think most people would agree, though, that GIFT and/or ZIFT should only be used with PERFECT tubes. At our center, we reserve GIFT and/or ZIFT for women with cervical stenosis (making transcervical transfer of embryos impossible) or some other indication for laparoscopy. Hope this helps.
>note: Opinions here are for educational purposes only. This information is not intended to supplant the need for you to consult with your own physician. It cannot take the place of a face to face consultation and examination.
-- Laurie Lovely, MD RE fellow, UNC-Chapel Hill
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