In-Vitro Fertilization (IVF) involves mixing of woman’s eggs and men’s sperms under artificial condition in laboratory and then transferring resulted embryos to women’s uterus. Other associated technique like Assisted Hatching (AH) and Embryoscope are also used in conjugation with IVF to provide better outcome as per specific couple requirement. The patients with following conditions will be indicated for IVF.
- Male Factor Infertility
- Absent or Damaged Fallopian Tubes
- Unexplained Infertility
- Recurrent Intrauterine Insemination Failure
- Tubal and Pelvic Adhesions
- Preimplantation Genetic Diagnosis (PGD)
IVF may also be used in cases of unexplained infertility, women who need to use an Egg Donor IVF, those who are using gestational carrier, or after multiple failed fertility treatments.
The general process of IVF involves with woman partner start taking birth control pills that prevent ovulation cycle before the IVF, thus stopping the women’s normal ovulation cycle. This is done so that fertility specialist can regulate the ovulation and not lose the eggs before the retrieval.
After preliminary assessment for both partners, doctor start stimulation medication for female partner at Day 2 of her menses with Gonadotropins injections. The doctor will follow up follicles growth and hormone levels with blood tests and scan during stimulation protocol. When follicles are ready, the woman is given final injection or trigger of hCG for final maturation of eggs. The egg pick up will be done exactly 34-36 hours after the trigger, under mild sedation.
Meanwhile, male partner will be asked to give semen sample on day of egg pick up or previously frozen semen sample from him will be used for fertilization in lab.
A few days later, an embryologist will help select the healthiest of the fertilized embryos, if any, and your fertility doctor will help decide how many embryos to transfer. Leftover embryos may be cryo preserved for a later cycle or donated to another couple.