IVF Invitro fertilization

How does IVF work? Steps as follows

For women:

Step 1. Pre IVF planning :

Tests will be done to assess your suitability and fitness for IVF. We may need to suppress your natural monthly hormone cycle as a first step of the IVF process. Treatment is given either as a daily injection. This continues for about two weeks.

Step 2. Ovarian stimulation. 

This is usually done by  daily injections for around 9- 12 days. These hormones will increase the number of eggs you produce .With more fertilised eggs, the clinic has a greater choice of embryos to use in your treatment.The type and dose  of injections to be used are decided based on your age, AMH level, BMI (weight ) and antral follicle count

Step 3.

Progress with scans throughout the drug treatment, the clinic will monitor your progress. This is done by vaginal ultrasound scans and, possibly, blood tests. 34–38 hours before your eggs are due to be collected you have a hormone injection to help your eggs mature.

Step 4. Egg collection:

Eggs are usually collected by ultrasound guidance under sedation. This involves a needle being inserted into the scanning probe and into each ovary. The eggs are, in turn, collected through the needle.

Step 5. Creating Embryos :

Your eggs are mixed with your husband’s or the donor’s sperm and cultured in the laboratory. They are then checked to see if any have fertilized. Those that have been fertilized (now called embryos) are grown in the laboratory incubator for 2 – 5 days before being retransferred. The best one, two or exceptionally three embryos will then be chosen for transfer.

Step 6. Embryo transfer :

For women under the age of 40, one or two embryos can be transferred. If you are 40, or over, a maximum of three can be used.The number of embryos is restricted because of the risks associated with multiple births. Remaining embryos may be frozen for future IVF attempts, if they are suitable.

For Men:

Step 1.

Collecting sperm around the time your wife’s eggs are collected, you are asked to produce a fresh sample of sperm. This is stored for a short time before the sperm are washed and spun at a high speed. This is so the healthiest and most active sperm can be selected. If you are using donated sperm, it is removed from frozen storage, thawed and prepared in the same way.