IVF & Reproductive Health - medECUBE
IVF & Reproductive Health

IVF & Reproductive Health

In-vitro fertilisation (IVF) is a process by which an egg is fertilized by sperm outside the body.

The process involves monitoring a woman’s ovulatory process, removing egg or eggs  (Ova) from the woman’s ovaries and letting sperm fertilize them in a fluid medium in a laboratory and then transferring it to the patient’s uterus with the intention of establishing a successful pregnancy.

The reasons causing infertility include: Male relate, Female related or combined.

Male Related

  • Low sperm counts/quality
  • Testicular causes
  • Mechanical causes
  • Hormonal Causes

Female related

  • Advanced Age
  • Endometriosis
  • Tubal Blockage
  • Hormonal problems
  • Diseases of the ovary- polycystic ovaries

Combined

  • Subfertility in both.
  • Immunological- antibodies against sperms.

Sometimes the causes for infertility can be difficult to diagnose.

 

Most IVF treatments begin with a course of hormone therapy to stimulate the development of several follicles in the ovary. These are collected as eggs, which are then fertilized in a test-tube (‘in vitro’) to create several embryos. After up to five days in an incubator, one or two of these embryos are transferred through the vagina to the uterus, where implantation occurs and pregnancy begins. It is important to note that in IVF as in natural conception, not every embryo implants leads to pregnancy, which is why surplus embryos are frozen in an eventuality first one fails and the procedure might have to be repeated.

 

FAQ on IVF:

Duration of egg retrieval procedure ?

Egg retrieval is relatively a rapid procedure. The duration of the procedure depends on the number of follicles present. The accessibility of the ovaries will determine the duration of procedure. Accessibility denotes ease to reach the ovaries with the ultrasound probe, also if they have a tendency to move away from the probe and so on. An egg retrieval might take around 30 minutes.

Damage to ovaries ?

Most of the data suggests it does not harm the ovaries. There have been many women who have undergone multiple egg retrievals. They respond to subsequent stimulation, produced eggs and pregnancies .This implies that the ovaries were functional after egg retrieval.

Procedure painful?

Usually Egg retrieval is done under anesthesia. Anesthesia specialists will decide the type of anesthesia to be given. By this approach one feels less pain. Some people might experience a few typical side effects of anesthesia such as nausea and vomiting.

Bleeding after the egg retrieval?

Vaginal bleeding is not uncommon after an egg retrieval. Usually this bleeding is from the needle puncture sites in the vaginal wall. It is usually minor and similar to a period or less. The bleeding experienced is analogous to the bleeding that will take place from an IV or from the arm after blood has been drawn.

Is the embryo transfer painful?

The embryo transfer may not require any anaesthesia. It is performed using a speculum that allows the doctor to see the cervix and is very similar in technique to an intrauterine insemination (IUI).

Leftover embryos?

Embryos  not transferred are usually maintained in a culture to determine if they develop to the blastocyst stage. Good quality embroyos can be cryopreserved if desired.

Duration between a failed IVF cycle and repeat procedure.

Usually procedure is repeated after waiting for one full menstrual cycle of  before repeating IVF for a second time. Time is required for inflammation to settle down before procedure is attempted.

Number of IVF procedure tries?

Most procedures are successful and some pregnancies are achieved within two or three attempts.

Cost of IVF

IVF – $ 4000-5000

 

 

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