Dr. Ghadir
14Fertility Care

Assisted Reproductive Technologies

Beyond IVF — the full toolkit of modern reproductive medicine, used precisely when it helps.

In short

ICSI, PGT, frozen transfer — the modern IVF toolkit, used precisely.

Toolkit
ICSI, PGT-A/M/SR, FET, hatching
Used
Selectively — never reflexively
FET adds
4–6 wks prep, better receptivity
Transfer
Single-embryo standard

ART is an umbrella term for the lab-based techniques that extend what IVF can do. ICSI, PGT, frozen embryo transfer, assisted hatching, and blastocyst culture aren't add-ons sold across the board — they're tools applied when the biology calls for them.

Who this is for
  • Patients with prior failed IVF cycles or unexplained low fertilization.
  • Couples with male-factor infertility (low count, motility, or morphology).
  • Patients with a family history of genetic disease considering PGT-M.
  • Anyone over 35 weighing the benefit of chromosomal screening (PGT-A).
  • Patients pursuing single-embryo transfer to minimize multiple-pregnancy risk.
Why patients choose this with Dr. Ghadir
  • Embryology lab partnerships with some of the most experienced teams in the country.
  • ICSI used selectively — never reflexively — based on sperm metrics and prior fertilization history.
  • PGT discussion grounded in the actual evidence, including its limits.
  • Frozen-embryo transfer protocols built around your endometrium, not a calendar.
The process
  1. 01
    ICSI — Intracytoplasmic sperm injection
    A single sperm is injected into each mature egg. Used when male factor, prior fertilization failure, or limited eggs make conventional insemination too risky.
  2. 02
    Blastocyst culture
    Embryos are grown to day 5 or 6, allowing the lab to select the strongest candidates for transfer or biopsy.
  3. 03
    PGT-A / PGT-M / PGT-SR
    Genetic testing screens for chromosomal abnormalities (PGT-A), specific inherited diseases (PGT-M), or structural rearrangements (PGT-SR).
  4. 04
    Assisted hatching
    A laser thins the embryo's outer shell to support implantation — used selectively in older patients or thicker-shell embryos.
  5. 05
    Frozen embryo transfer
    Embryos are thawed and transferred in a prepared cycle with a receptive endometrium — now standard for most patients.
  6. 06
    Single-embryo transfer
    Transferring one tested embryo maximizes success while keeping multiple-pregnancy risk near zero.
What to expect

ART procedures are integrated into the IVF timeline — adding days, not weeks. The biggest shift is between fresh and frozen transfer: a frozen-transfer cycle adds 4–6 weeks of preparation but generally improves outcomes and uterine receptivity.

Risks & considerations

Every ART tool carries cost, risk, and benefit tradeoffs. PGT in particular is appropriate for many patients and unnecessary for others — Dr. Ghadir walks through the data, not the marketing.

Frequently asked
Should I do ICSI?
Only if the sperm metrics or prior fertilization history justify it. Used as a default it can introduce more variability than it solves.
Is PGT-A worth it?
It depends on age, embryo count, and goals. We discuss live-birth probability with and without testing — the answer isn't universal.
Fresh vs. frozen transfer?
Frozen is standard now for most patients due to better uterine receptivity, but fresh still makes sense in select cases.
What about mosaic embryos?
Mosaic embryos can result in healthy pregnancies. We follow current SART/PGDIS guidance and counsel each case individually.
Begin your journey

A clear, calm conversation is the first step.

Schedule a private consultation with Dr. Ghadir to discuss your goals, options, and a path forward built around you.

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