How IVF works step by step
When a couple decides on in vitro fertilization (IVF), the first thing they should do is to find a good fertility clinic with professional staff, especially a fertility doctor and an embryologist. Before the first visit to the reproductive doctor it is advisable to collect all the related analyses, ultrasound records, medical screening results etc. With all the necessary information the specialist will be able to draw an individual plan of hormonal stimulation.
How does in vitro fertilization work?
After the first step, when the medical examination is taken and the medical history is filled in, the specialist orders to start the procedure of ovulation stimulation. It is conducted to get the biggest number of mature and suitable for insemination oocytes during one menstrual cycle. The doctor chooses the dosage of medication, its scheme and sequence that is called protocol of stimulation. During the stimulation process the dosage can be corrected individually according to the monitoring of ovarian response and endometrium condition. The process of ovarу stimulation is performed with the help of medication injection and takes from 10 to 12 days. A lot of pharmaceutical companies offer convenient pens to carry out the injections and after the nurse’s instructions the preparation for the egg donationcan be partially made at home.
During the stage of hormonal stimulation the fertilization specialist monitors patient’s state of ovaries and follicles production. As soon as a few oocytes gain their proper size from 18 to 20 mm, the woman gets the final shot of human choriogonadotropin to complete the follicles grows stimulation and stops the drugs intake. After this injection the ovulation occurs in 37-40 hours.
When ovulation is attained, the doctor performs the follicular puncture as a part of oocyte donation. The puncture takes place in a medical center and with the help of ultrasound scan. Follicular puncture is an aspiration (pumping out the follicular fluid) from ovaries by means of a long thin needle to retrieve mature eggs. The doctor punctures the volva wall with the needle .A syringe is adjusted to the needle and follicular fluid together with oocytes is pumped out.
At the time of eggs retrieval the man, that is supposed to produce sperm, collects it. In the laboratory the doctor checks the quality of semen and ovas chooses the most viable and fastest sperm and mixes them on a special dish to imitate the natural cycle of fertilization. The fertilized eggs are placed in a special incubator that imitates the environment of woman’s uterus. There they are kept for 2-5 days. If it is necessary, the embryos can be additionally checked on genetic disorders and other abnormalities. After this screening, the healthiest embryo is picked up and transferred into female uterus. The procedure of implantation is short and painless so the implantee can go home right after it. As a rule, the woman is prescribed with an additional cycle of hormonal medications to maintain the pregnancy. In 2-3 weeks the intended mother does a pregnancy test to check the result.
Why is in vitro fertilization good?
In vitro fertilization is a modern reproduction procedure that helps childless couples to conceive their own baby that will have a genetic relation to them. IVF gives an intended mother an opportunity to go through the pregnancy and delivery and to feel the entire uniqueness of every step in the motherhood. In vitro fertilization does have a high pregnancy rate right after the first cycle that makes this infertility treatment indispensable for the couples that have been waiting for their baby for too long and have tried all the existing infertility solution.