IVF is the most effective way to get pregnant: the egg is fertilized in the lab to create a healthy embryo

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This procedure involves the fertilization of eggs with sperm outside of the uterus in order to create an embryo that will be placed back inside the uterus. It is by far the most successful way to get pregnant.

To start, the ovaries are stimulated with hormones identical to the ones made in the brain. This is done to produce many eggs as opposed to a single egg that is normally grown with each menstrual cycle. Once mature, the eggs are removed and fertilized with sperm. The resulting embryos are then placed inside the uterus or kept frozen and preserved for future IVF procedures. The entire process usually takes from 10 to 12 days.




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What is In Vitro Fertilization (IVF)?

In Vitro Fertilization (IVF) is a type of assisted reproductive technology used for infertility treatment and gestational surrogacy. ”In Vitro” is a latin term for “in glass”. For those women have blocked or absent fallopian tubes, or the men have low sperm count or motility, IVF offers a chance to have a “biologically related” child.
In IVF, eggs are surgically removed from the ovary and mixed with sperm outside the body in a Petri dish. These eggs will be examined 40 hours afterward, to see if they have become fertilized by the sperm and are dividing into cells. The eggs have been fertilized (embryos) will be then placed in the women’s uterus, thus bypassing the fallopian tubes.
IVF was first introduced in 1978 and has captured a lot of attention since then. However, according to the American Society for Reproductive Medicine, it accounts for less than five percent of all infertility treatment in the United States.

What is the difference between a day 3 and day 5 transfer?

Embryos are generally transferred on day 3 or 5. The day of transfer depends on embryo number, quality, patient characteristics, and laboratory practices. Please discuss the details with our doctor to make the decision.

What if my eggs don’t fertilize?
Several thousand sperm and eggs will be placed in one dish. Most eggs will fertilize then. This is the so-called “in vitro fertilization (IVF)” process. When the normal functioning sperm is not enough for IVF, fertilization will usually occur after a single live sperm is injected into each egg. This process is called “intracytoplasmic sperm injection” or “ICSI”. On rare occasions, fertilization does not occur even with ICSI, presumably because of a problem inherent to either eggs or sperm. In these cases, using donor sperm or donor eggs will usually result in fertilization. Your fertility specialist and IVF laboratory personnel will help you determine which method will most likely to result in egg fertilization.
Do I need intracytoplasmic sperm injection (ICSI)?

ICSI is to assist the fertilization process if the number of motile sperm is very low or the morphology is excessively poor. This technique involves the delivery of a single sperm into a single egg. ICSI gave its first birth in 1991, and has revolutionized the treatment of male infertility since then. Most clinics will recommend ICSI if there is a fear that poor fertilization may occur by traditional IVF where sperm are merely added to the egg culture dish. Accordingly, efforts are made to assess sperm depending on the function or morphology. This will help determine to choose the sperm that most likely to require ICSI. You may discuss this option with your clinic personnel prior to treatment.

How long is an IVF Cycle?
An IVF cycle normally lasts about a month, very similar to a regular reproductive cycle. Day 1 starts at the first day of menstrual bleeding. Most egg collections occur around the 12-14th day of an IVF cycle. But it may vary individually, from patient to patient, and from cycle to cycle.
On the day of the egg collection, the egg is exposed to sperm (IVF) or a single sperm is injected into the egg (ICSI). The embryo transfer will be performed 3-5 days later. And pregnancy test will be performed two weeks after the egg collection. Some clinics utilize oral contraceptives to control the period to ensure the patients going through treatment right on schedule.


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