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 Assisted Pregnancy IVF

Assisted Pregnancy IVF

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If you have not conceived after trying actively for one year, your doctor may suggest that you try in vitro fertilization (IVF). “In vitro” means “outside the body” and fertilization refers to the coming together of an egg and a sperm to form an embryo.

Monday, January 16th, 2017

In IVF, your eggs and your partner’s sperms are fertilized outside your body in a dish and the resulting embryo is placed inside your uterus, where it will grow for 9 months.

When is IVF recommended?

The success of IVF depends on your age, previous history, and the number of embryos transferred. You may need several cycles of treatment to conceive. Be patient and don’t loose hope.

Your doctor may recommend IVF if:

  • You are not ovulating regularly because of endometriosis

  • Your fallopian tubes (where fertilization occurs) are blocked
  • Your partner’s sperm count and quality is not up to the mark

How is IVF done?

IVF is a 4-6 weeks procedure that contains multiple steps:

Preliminary tests: The doctor will test your egg quality and quantity and check the levels of certain hormones (oestrogen, luteinizing hormone, and follicle
stimulating hormone). Your uterus will also be examined and your partner’s sperm quality will be tested.

Stimulation of your ovaries: You may be put on contraceptive pills, if you have irregular cycles. You will get your periods once you complete taking the contraceptive pills. Your ovaries will now be stimulated by special injections to produce a large number of follicles. You may have to visit the clinic daily at a particular time to take these injections.

Monitoring your progress: You doctor will monitor your follicle development through blood tests and ultrasound. He may change the dosage of your medications after considering the results of these tests.

The hCG injection: Once sufficient numbers of follicles are detected through ultrasound, your doctor will give you a hormone injection known as the hCG (human chorionic gonadotropin) injection. This injection will stimulate the final maturation of your eggs.

Egg collection: A minor procedure is performed 34-36 hrs after the hCG injection to remove the eggs from the follicles. The eggs that have been removed are stored in a tube. You may have some vaginal bleeding for a few days after the procedure.

Sperm collection: You partner will be asked to provide a sperm sample (by masturbation) on the same day that your eggs are collected.

Fertilization in a dish: Your partner’s sperm will be washed and put in a dish containing your eggs so that fertilization can occur to produce embryos.

Embryo transfer: Your doctor will transfer 2-3 embryos in your uterus 3-6 days after egg collection (depending on your case history). The rest of the embryos will be frozen for future use. You may be given medications called progesterone supplements to support the attachment of the embryo to the uterus.

You will be called after 9-12 days to test for pregnancy.

Wish you a successful IVF!

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