IVF Process for Women and Men And What To Expect
What Exactly Is IVF?
The In vitro fertilization (IVF) process involves egg fertilization outside the body. This is done utilizing your own sperm and eggs or with one of the two or both of them donated.
It is a treatment carried out on individuals with unexplained infertility, blocked Fallopian tubes, or after unsuccessful IUI.
Other circumstances include the utilization of personal frozen eggs or donated ones in the treatment, a male partner having problems of fertility, however, not so serious to call for ICS, or whereby embryo testing is being used so as not to pass some genetic condition to the child.
Though the technique may differ from one clinic to another as well as individual circumstances, the following steps are involved in the IVF process:
Suppression of the monthly Menstrual Cycle:
This is done through drugs that may be administered in the form of a nasal spray or daily injections. This may continue for about two weeks.
Increasing the Egg Supply:
After the suppression of the natural cycle, a form of fertility hormone called gonadotropin is given.
This is supposed to be taken as a daily injection for approximately ten to twelve days.
This is meant to enhance the number of eggs you usually produce. As a result, more eggs may be collected for fertilization. This facilitates a better choice for embryos utilized in the treatment.
The patient is monitored closely in the course of the treatment. Vaginal ultrasound scans are carried out to monitor the ovaries and blood tests will be carried out at some point.
One last hormone injection to assist the eggs to mature is administered approximately 34 to 38 hours prior to collection of eggs.
Egg collection is not a major procedure and takes about 15 to 20 minutes only. It involves the collection of the eggs using a needle on the sedated patient.
The needle is passed via the vagina under the guidance of ultrasound into each ovary. After the procedure, some women have some minor vaginal bleeding.
Eggs collected are mixed with donated sperm or sperm from the partner in the laboratory. Signs of fertilization will be checked after 16 to 20 hours.
Embryos (fertilized eggs) keep growing within the laboratory for at most six days. Such development is monitored and finally, the best embryos will be selected to be transferred.
Embryos of good quality that remain may be frozen for utilization in the future.
The embryos chosen are transferred to the womb. To accomplish this, a catheter (some thin tube) is passed into the vagina.
It is just a simple procedure and the patient doesn’t need to be sedated. The number of embryos transferred differ according to age and should be agreed upon earlier during consultations.
Women below 37 years of age need a single embryo transfer in their 1st IVF cycle. On the second one, a single embryo transfer is ideal considering the availability of top quality embryos.
Two embryos must only be used due to lack of top quality embryos. A maximum of two embryos should be transferred in the third IVF cycle.
Women between 37 to 39 years of age need a single embryo transfer in the 1st and 2nd IVF cycles given that top quality embryos are there.
Transfer of two embryos should only be considered in the absence of top quality embryos.
For the third cycle, more than two embryos should not be transferred. Women between the ages of 40 to 42 years can have two embryos transferred.
A man will be required to produce a sperm sample sometimes during the woman’s eggs collection.
The sperms are washed as well as prepared such the normal ones are differentiated with the poor quality ones. Any stored sperm is removed from its frozen storage, defrosted then prepared in a similar manner.
This will be carried out two weeks after the transfer. One may be advised to take it at home (urine pregnancy test) and inform the clinic or a blood test can be carried out in the hospital.