This is how IVF works, step by step.
Preparation for IVF cycles – Testing and Ovarian stimulation
IVF will be done before IVF can be performed to ensure there are no complications. Pre-cycle testing includes a hormonal evaluation that determines thyroid function and ovarian reserve. This test also screens for sexually transmitted diseases in both partners.
Most women will need ovarian stimulation for between 8-14 days. Most women will only use fertility drugs. On average, it takes between 10 and 11 days. Ovarian stimulation is used to produce multiple eggs. Although ovulation is not always normal, fertility drugs can be used to produce multiple eggs. More eggs mean higher pregnancy rates. An average of 10-20 eggs is required for IVF. Only two-thirds are mature enough to be suitable for IVF.
Your doctor will plan a protocol to ensure you get the best eggs possible and prevent ovarian hyperstimulation syndrome. Injections of IVF drugs are common. To ensure the best results, you will be monitored regularly with hormonal testing and vaginal ultrasonics. An ultrasound will tell you if you have enough eggs and estrogen levels. A trigger shot will be administered with hCG or other medication. This is the replacement for the natural luteinizing hormonal boost that a woman gets to stimulate the final stage of egg maturation. The egg can then be fertilized.
After receiving the trigger shot, you will need surgery to remove eggs. An ultrasound is used for guiding a needle through your top vaginal wall to the ovary. You will not feel any pain or discomfort as IV sedation will be administered and closely monitored by an anesthesiologist.
To insert the follicles, a needle is used. The fluid containing the follicular fluid is removed with gentle suction. It usually takes less than 30 minutes. Minor cramping may occur one day before the procedure but is usually gone by the next day. The ovarian stimulation may cause you to feel fullness or pressure. This sensation can last for several weeks.
The IVF doctor then takes the fluid from the eggs and suctions it out. The egg is then found inside the tube by an embryologist. Each egg is meticulously documented. The patient’s age, ovarian reserve, and response to ovarian stimulation will determine the number of eggs that are produced or taken out. Sometimes it’s possible to access the eggs with a needle.
Eggs are inspected by experts once they arrive at the laboratory. This is done to determine their maturity and quality. After they have matured, eggs are placed in special media. Sperm is then transferred to the egg. An intra-cytoplasmic injection can be used to fertilize eggs. The process you choose will be determined by your IVF team (embryologists, doctors). It depends on the specific circumstances of each couple. Both methods have approximately the same success rate. ICSI can be used when fertility is less probable due to poor semen quality, IVF failures, or other reasons.
The traditional method involves placing sperm in a culture medium with an egg in small dishes. The sperm can be released from the egg after the eggs and the sperm have been incubated in a laboratory. ICSI uses one sperm. The sperm is injected into the egg’s cytoplasm with a needle and an operating microscope. It doesn’t matter what method was used, fertilization is always monitored the next day.
The IVF team and the couple determine when embryo transfers will take place. It can take anywhere from one to six days, but it is most common within 3-5 days after egg retrieval. The IVF team must take a biopsy of the embryo before genetic testing can be performed. It is usually done either on culture day 5 (or 6). An outside lab will test the 3-8 IVF cells that are sent to the IVF laboratory. The embryos are kept frozen. Once the genetic test results have been received, the embryos are thawed and then transferred to the uterus. This is usually done within one to two weeks.
The number of embryos produced will depend on the couple’s age as well as the number and quality of their embryos. To maximize the chances of success, multiple embryos could be transferred. This could result in rare triplets or twins. These complications can prove fatal for both the mother and the baby.
It is best to limit embryo transfer to one embryo. Based on the embryologist’s assessment of each embryo, the embryologist chooses the best embryo. This increases the chance of success.
A thin, flexible, and soft catheter is used to transfer the embryo into the uterus. An abdominal ultrasound is done to ensure the catheter’s tip places the embryo at the best place for the implant. It is very similar to a pap exam. It is rare to feel any discomfort or pain. Good embryos can be frozen if a couple has more children or the cycle is unsuccessful.
The embryo is formed in the uterus and then hatches and is implanted within the uterine membrane.
After embryo transfer, a blood pregnancy test will take place approximately 12 days later. To confirm your pregnancy, you will need to have blood tests and an ultrasound. If the pregnancy is healthy after 9-10 weeks, your obstetrician can refer you back.
Jaipur is a great place to get IVF treatment. Mishka IVF is a great clinic in Jaipur if you are looking to start your own family. You will find a wide range of services, as well as the latest technology and a loving and supportive environment.
Jaipur is among the most sought-after places within Rajasthan for IVF treatments. If you’re looking to have the family of your dreams, head for Mishka IVF one of the top clinics in Jaipur. They offer an array of services, and the most up-to-date technology, in addition to an inviting and comfortable environment.