Gamete Intra Fallopian Transfer (GIFT)
Gamete Intra Fallopian Transfer (GIFT)
It is a tool of assisted reproductive technology (ART) to treat infertility. Eggs are removed from the woman's ovaries by an abdominal laparoscope, and placed in one of the Fallopian tubes, along with the man's sperm. The technique allows fertilization to take place inside the woman's uterus.
With the advances in IVF the GIFT procedure is used less because pregnancy rates in IVF tend to be better and do not require laparoscopy when the egg is put back.
It takes, about, four to six weeks to complete a cycle of GIFT. First, the woman must take a fertility drug to stimulate egg production in the ovaries. The doctor will monitor the growth of the ovarian follicles, and once they are mature, the woman will be injected with Human chorionic gonadotropin (hCG). The egg retrieval will take place 34 - 37 hours after the trigger injection using a laparoscope then the eggs mixed with the man's sperm will be placed back into the woman's Fallopian tubes.
Indications of GIFT
A woman must have at least one normal fallopian tube in order for GIFT to be suitable. It is used where the fertility problem is related to sperm dysfunction, and where the couple has unknown cause infertility.
Some patients may prefer the procedure to IVF due to ethical or religious reasons, since the fertilization takes place inside the body and not outside the body as in the case of IVF.
Bioethical issues:
Gamete intra fallopian transfer is not technically In Vitro Fertilization because with GIFT, fertilization takes place inside the body and by laparoscopy from the abdomen, and not on a petri dish in a laboratory (outside the body) as in the case of IVF and where the eggs are retrieved from the vagina.

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