reprodUCtIVe systeMs 319
hoW may assisted reproductive technologies
help overcome infertility?
- Fertility drugs include hormones that stimulate ovulation.
- In vitro fertilization, artificial insemination, and intrafallopian
transfers are techniques for producing an embryo that may be
transferred to a prospective mother’s body.
taKe-hoMe Message
20 percent of the time, a normal pregnancy follows. An
alternative is ZIFT (zygote intrafallopian transfer). First,
oocytes and sperm are placed in a laboratory dish. If fertil-
ization occurs, the zygote is placed in a woman’s oviducts.
GIFT and ZIFT have about the same success rate as in
vitro fertilization.
Intracytoplasmic sperm injection, or ICSI, is a variation
on IVF. A single sperm is injected into an egg with a tiny
glass needle. Although IVF and ICSI are both in common
use, evidence is mounting that babies conceived through any
form of in vitro fertilization have a much higher risk of low
birth weight and related developmental problems later on.
In artificial insemination with embryo transfer (Figure 16.15),
a fertile female volunteer is inseminated with sperm from
a man whose female partner is infertile. If a pregnancy
results, the developing embryo is transferred to the infertile
woman’s uterus or to a “surrogate mother.” This approach
is technically difficult and has major legal complications. It
isn’t a common solution to infertility.
In GIFT (gamete intrafallopian transfer), sperm and
oocytes are collected and placed into an oviduct. About
F i g u r e 16.15 Various options exist for assisted reproductive technologies.
(© Cengage Learning)
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+=
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- Father is infertile. Mother is
inseminated by donor and carries child.
3.
4.
5.
6.
7.
3.
4.
- Mother is fertile but unable to conceive.
Egg from mother and sperm from father
are combined in laboratory. Embryo is
placed in mother’s uterus.
Father is infertile and mother is fertile but
unable to conceive. Egg from mother is
combined with sperm from donor.
+=
+=
Mother is infertile and unable to carry
child. Egg of donor is combined with sperm
from father. Embryo is transferred to donor
(also see number 3, column at left).
+=
Both parents are fertile, but mother is
unable to carry child. Egg from mother
and sperm from father are combined.
Embryo is transferred to donor.
+=
Father is infertile. Mother is fertile but
unable to carry child. Egg from mother
is combined with sperm from donor.
Embryo is transferred to surrogate
mother.
+=
+=
+=
+=
Sperm from father
Egg from mother
Baby born of mother
Sperm from donor
Egg from donor
Baby born of donor
(surrogate)
KEY
Artificial Insemination
and Embryo Transfer In Vitro^ Fertilization (IVF)
Mother is infertile but able to carry child.
Egg from donor is combined with sperm
from father and implanted in mother.
Mother is infertile but able to carry
child. Donor egg is inseminated by
father via IVF. Embryo is transferred
and mother carries child.
Mother is infertile and unable to carry
child. Donor of egg is inseminated by
father and carries child.
Both parents are infertile, but
mother is able to carry child. Donor
egg is inseminated by sperm donor
via IVF. Embryo is transferred and
mother carries child.
Both parents are infertile, but mother is
able to carry child. Egg and sperm
from donors are combined in laboratory
(also see number 4, column at left).
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