Intracytoplasmic Sperm Injection (ICSI) is an assisted reproductive technique (ART) initially developed by Dr. Gianpiero D. Palermo in 1993 to treat male infertility. It is most commonly used in conjunction with in vitro fertilization (IVF) or a less commonly used technique called zygote intrafallopian transfer (ZIFT). In natural fertilization, the sperm must penetrate the surface of the female egg, or oocyte. When the male has a fertility problem such as low sperm count, malformed sperm shape, or sperm immobility, there is a significant decrease in the chance a healthy sperm will penetrate the outer surface of the oocyte. Other fertility problems ICSI can be used to overcome include the sperm having trouble attaching to the egg or the male having a blockage in his reproductive tract preventing normal ejaculation. In this procedure, the physician first obtains the sperm and oocytes from the male and female and then manually injects the sperm through a needle into the oocyte to fertilize it in an injection plate. The physician then places the fertilized egg into the female s uterus for implantation, following IVF procedures.
Three-dimensional anatomical models have long been essential to the learning of science and lend a sense of "control" to those practicing in the field. As the development of embryology grew in importance during the late 1800s, so did the need for models to show intricate details of embryos. Embryologists such as Wilhelm His, Ernst Haeckel, and Oscar Hertwig all initially constructed their own wax models of embryos but later handed over the modification and reproduction of their models to various "plastic artists." The most renowned among these artists was Adolf Ziegler.
Enovid was the first hormonal birth control pill. G. D. Searle and Company began marketing Enovid as a contraceptive in 1960. The technology was created by the joint efforts of many individuals and organizations, including Margaret Sanger, Katharine McCormick, Gregory Pincus, John Rock, Syntex, S.A. Laboratories, and G.D. Searle and Company Laboratories. Although there were many pieces and contributors to the final product, it was first conceived of and created by Gregory Pincus and Margaret Sanger through the Worcester Foundation in Worcester, Massachusetts, and was distributed by Searle, located in Chicago. This technology is important to the history of embryology because it changed the way people viewed birth control and revolutionized women's birth control methods. There is an extensive literature on the cultural and societal effects of the pill; for example, the effect it had on women's health care and how it changed perceptions of female sexuality.
A hysterectomy is the surgical removal of a woman's uterus. For many women, a hysterectomy comes as a solution to health problems as diverse as abnormal bleeding to reproductive cancers. First performed in the early 1800s, this procedure has evolved in terms of both technique and popularity. The first successful abdominal hysterectomy was performed by Ellis Burnham in Lowell, Massachusetts, in 1853, although earlier attempts were made in the 1840s. These first hysterectomies were not performed under effective anesthetics-it was not until later in 1853 that a patient of surgeon Gilman Kimball would benefit from the use of chloroform. The hysterectomy of the modern era has become a common and much safer procedure-so common, in fact, that many believe that the hysterectomy is performed too often and in place of other, perhaps healthier, alternatives. In addition to its inherent surgical risks, a hysterectomy also makes it impossible for a woman to have further children.
Endoscopy is a medical procedure that enables the viewing and biopsy of, and surgery on, internal tissues and organs. Endoscopic examinations are characterized by the introduction of a tube containing a series of lenses into the body through either an incision in the skin or a natural opening or cavity. During the mid-twentieth century, photographer Lennart Nilsson used endoscopes to capture the now-familiar images of embryos and fetuses. Examples of endoscopic procedures beyond embryonic observation include colonoscopy, cystoscopy, neurosurgery, endoscopic sinus surgery, appendectomy, and many more.
Intrauterine insemination (IUI), also known as artificial insemination, is one of the earliest and simplest assisted reproductive technologies (ART). With this technique, sperm from either a partner or donor (such as from a sperm bank) is inserted with a syringe into the woman's vagina during ovulation to increase the probability that fertilization will occur and lead to pregnancy. This procedure is most effective for couples with male fertility problems, such as impotence, though it is also used to treat idiopathic (of unknown cause) infertility, vaginismus (wherein the female involuntarily constricts her vagina), and hostile female cervical mucus that rejects the male's sperm. In the 1940s and 1950s cryopreservation facilitated the preservation of sperm through freezing methods for later use, such as in IUI.
In vitro fertilization (IVF) is an assisted reproductive technology (ART) initially introduced by Patrick Steptoe and Robert Edwards in the 1970s to treat female infertility caused by damaged or blocked fallopian tubes. This major breakthrough in embryo research has provided large numbers of women the possibility of becoming pregnant, and subsequent advances have dramatically increased their chances. IVF is a laboratory procedure in which sperm and egg are fertilized outside the body; the term "in vitro" is Latin for "in glass."
Cord blood banks are institutions designed to store umbilical cord blood (UCB) stem cells. UCB, a source of hematopoietic stem cells (HSCs), has garnered attention from scientific and medical communities since its first successful use in a hematopoietic stem cell transplant (HSCT) in 1988. The umbilical cord is the lifeline by which the growing fetus is nourished by the mother. Once regarded as medical waste, the umbilical cord has become a source of lifesaving treatment. The extraction of HSCs from umbilical cord is non-invasive since the umbilical cord is delivered immediately after the baby exits the womb. The most common application of umbilical cord blood derived stem cells is in unrelated (between donor and host) HSCT. Since these cells are not often needed at the time of delivery, cord blood banks have been established to preserve these cells for future use. In addition to harvesting a supply of cells for treatment, UCB stem cells can be used in research.
Preimplantation genetic diagnosis (PGD) involves testing for specific genetic conditions prior to the implantation of an embryo in the uterine wall. This form of genetic screening has been made possible by the growth of in-vitro fertilization (IVF) technology, which allows for the early stages of development to occur in a laboratory dish rather than in vivo. The purpose of PGD is to identify what are considered to be abnormal embryos in order to select the most desirable embryos for implantation. Diagnosis is comprised of two steps: extraction of one or two cells from an IVF-produced embryo, and application of the PGD test. PGD is important to embryology because it has advanced IVF results and allowed couples more opportunities to deliver a child to term; however, it has also created much controversy.
Zygote intrafallopian transfer (ZIFT) is an assisted reproductive technology (ART) first used in 1986 to help those who are infertile conceive a child. ZIFT is a hybrid technique derived from a combination of in vitro fertilization (IVF) and gamete intrafallopian transfer (GIFT) procedures. Despite a relatively high success rate close to that of IVF, it is not as common as its parent procedures due to its costs and more invasive techniques. Some patients prefer ZIFT, however, considering it more natural because the fertilized oocyte, the zygote, is placed in the woman's body for implantation much sooner than with IVF.