ABSTRACT

Nowadays, there are so many ways of implementing assisted reproduction that one particularly successful outfit may actually have little in common with another, and yet be equally successful. This important fact should be kept in mind when starting a new clinic for assisted reproduction. Systems may vary from a temporary make-shift drive-in type laboratory to a fully equipped purpose-built institute. Laboratory set-ups in temporary space for occasional use which may combine remote egg retrieval and transport systems of gametes and embryos are not discussed here. While these systems may be productive under some circumstances, there have not been any recent studies suggesting that such uncertain models are really compatible with optimal results. Also not covered here are designs that function as a central laboratory for remote locations where egg retrieval and embryo replacement are carried out. Such “transport IVF” systems can be adequately successful, depending on the distance traveled and the physical conditions of gamete transport.1,2 Both in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) can be applied to transported oocytes, and in certain situations “transport IVF” is a welcome alternative for those patients whose reproductive options have been limited by restrictive governmental regulations.3,4 This chapter discusses the more typical purpose-built all-inclusive laboratories that are adjacent or in close proximity to oocyte retrieval and embryo transfer facilities, with emphasis on the special problems of construction.