Newer still than in vitro fertilization are several other techniques that also require the use of fertility drugs. They are:
Gamete Intrafallopian Transfer (GIFT): Similar to IVF except that sperm and eggs are collected and immediately inserted into one or both fallopian tubes, where conception occurs. Unlike IVF, GIFT requires that the woman have at least one healthy fallopian tube. Success rates are similar to those of IVF.
Tubal Ovum Transfer: The woman's eggs are retrieved and put into the fallopian tube close to where it opens into the uterus. The couple then has intercourse or the woman is artificially inseminated. Since this method allows the eggs to be placed beyond the parts of the tube that may be damaged or blocked, it can often be used when GIFT cannot.
Embryo Lavage: A fertile female donor provides the eggs. At the proper time in her menstrual cycle, she is artificially inseminated with the would-be father's sperm. If the donor conceives, the early embryo is washed out of her reproductive tract and transferred to the uterus or a fallopian tube of the woman who is to bear the child. The recipient, meanwhile, has been hormonally treated with fertility drugs to make her uterus receptive to the embryo. This technique allows women who have no eggs of their own to become pregnant — provided they have a uterus.
Surrogate Motherhood: This is an option for women who do not respond to ovulation induction therapies or who have no ovaries or lack a uterus. It also may be an option for those for whom pregnancy might be life threatening or have good reason to worry that they might transmit a serious genetic disorder to the child.
A healthy, fertile woman agrees to be artificially inseminated and also agrees to let the infertile couple adopt the baby. If the female member of the infertile couple can safely provide eggs of her own, these can be fertilized by the IVF process and then transferred to the surrogate woman who carries the fetus to term. In that case, the surrogate mother takes fertility drugs to prepare her uterus. Surrogate motherhood is controversial and has resulted in court cases about custody and parentage, which is rare with other forms of fertility treatment.
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