IVF(In Vitro Fertilisation)

IVF (In Vitro Fertilisation)

In Vitro Fertilization (IVF) is an advanced fertility treatment where an egg is fertilized by sperm outside the body in a laboratory. The resulting embryo is then transferred to the woman’s uterus to establish a pregnancy. IVF is commonly used for conditions such as blocked fallopian tubes, severe male infertility, or unexplained infertility.

Procedure:
  • Ovarian Stimulation: Hormonal medications are administered to stimulate the ovaries to produce multiple eggs.
  • Egg Retrieval: Mature eggs are collected from the ovaries using a minor surgical procedure.
  • Fertilization: Collected eggs are combined with sperm in a lab to create embryos.
  • Embryo Transfer: A healthy embryo is placed into the uterus for implantation.
  • Pregnancy Test: A blood test is done to confirm pregnancy about two weeks after the transfer.
Benefits of IVF:
  • High Success Rate: Effective for many types of infertility, especially when other treatments have failed..
  • Bypasses Many Barriers: Helps overcome issues like tubal damage, severe male infertility, or age-related fertility decline.
  • Genetic Screening: Allows for preimplantation genetic testing to identify healthy embryos.
  • Options for Preservation: Enables egg or embryo freezing for future use.
  • Customized Treatment: Tailored protocols based on individual needs to optimize success..
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FET (Frozen Embryo Transfer):

Embryos can be frozen if there are excess embryos. They are transferred (FET) later months according to cycle.

Success Rate:

Depends on quality of egg and sperm and physicians skill also plays a part. Generally we have 60% success in young healthy couple, 30% success in

in aged (more than 35 years) we discourage IVF after 40, and offer DE if willing.

Embryology:

All the follicles are tapped using suction force, and the eggs which are obtained in the fluid are identified in the fluid are identified by the embryologist under specialized microscope in the IVF lab. The eggs are then mixed with washed sperms from husband, to fertilise on its own.

The embryologist will check the embryos for growth , daily and will provide media for its growth and keep it in an incubator, which provides set temperature & PH for the growth.

They are transferred on D3 or D5 into the uterus by Embryo transfer(ET). The technique of ET is highly skilled procedure. As they are very delicate, the embryos need to be handled in a very gentle manner and they are loaded in very soft, non toxic cannula.

Difficulty, or presence of blood suggest high chances of failure. So the ET is performed with great concentration and high precision.

The skill and presence of mind of the doctor is crucial in this final step. Performing Yoga and listening to relaxing music helps in more accurate ET. Artistic skills may be helpful in this particular procedure. Doctors who are too busy or nervous should not do ET as valuable embryos will be lost.

Authored by Dr. Anitha Mani - Infertility Specialist & Laparoscopy Surgeon

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