In Vitro Fertilization (IVF)
What Is In Vitro Fertilization (IVF)?
In vitro fertilization (IVF) is a type of assisted reproductive technology (ART). It involves retrieving eggs from a woman’s ovaries and fertilizing them with sperm. This fertilized egg - embryo can then be frozen for storage or transferred to a woman’s uterus
Why Is In Vitro Fertilization Performed?
IVF helps people with infertility who want to have a baby. IVF is expensive and invasive, so couples often try other fertility treatments first. These may include taking fertility drugs or having intrauterine insemination.
Depending on your situation, IVF can use
1.Your eggs and your partner’s sperm
2.Your eggs and donor sperm
3.Donor eggs and your partner’s sperm
4.Donor eggs and donor sperm
5.Donated embryos
6.we can also implant embryos in a surrogate or gestational carrier. This is a woman who carries your baby for you.
Infertility issues for which IVF may be necessary include
Endometriosis
Reduced fertility in women over the age of 40
Low sperm counts
Problems with the uterus or fallopian tubes
Problems with ovulation
Antibody problems that harm sperm or eggs
The inability of sperm to penetrate or survive in the cervical mucus
Poor egg quality
The genetic disease of mother or father
An unexplained fertility problem
How Do I Prepare for In Vitro Fertilization?
Male semen analysis and parameters to decide IVF
Female - ● AMH ● DAY 2 FSH/LH ● Ultrasound for antral follicular count
Intracytoplasmic sperm injection (ICSI) - If the sperm are weak or damaged a procedure called ICSI a technician injects sperm directly into the egg. ICSI can be part of the IVF process.
Steps involved in IVF
1.stimulation
2.egg retrieval
3.insemination
4.embryo culture
5.transfer
What Are the Complications Associated with In VitroFertilization?
Multiple pregnancies which increases the risk of low birth weight and premature birth
Miscarriage (pregnancy loss)
Ectopic pregnancy (when the eggs implant outside the uterus)
Ovarian hyper stimulation syndrome (OHSS) a rare condition involving an excess of fluid in the abdomen and chest
Bleeding infection or damage to the bowels or bladder (rare)
Choosing to have IVF is a very personal decision.
There are a number of factors to consider.
●What will you do with any unused embryos?
●How many embryos do you wish to transfer? The more embryos transferred, the higher the risk of multiple pregnancies. Most doctors won’t transfer more than two embryos.
●How do you feel about the possibility of having twins, triplets, or higher-order multiple pregnancies?
●What about the legal and emotional issues associated with using donated eggs, sperm, and embryos or a surrogate?
●What are the financial, physical, and emotional stresses associated with IVF?
Factors to be considered before IVF
● Any embryos that you do not use in your first IVF attempt can be frozen for later use. This will save youmoney if you undergo IVF a second or third time. If you do not want your leftover embryos, you may donate them to another infertile couple, or you andyour partner can ask the clinic to destroy the embryos. Both you and your partner must agree before the clinic will destroy or donate your embryos.
● A woman’s age is a major factor in the success of IVF for any couple. For instance, a woman who is underage 35 and undergoes IVF has a 39.6% chance of having a baby, while a woman over age 40 has an11.5% chance.
● Deciding whether to undergo in vitro fertilization, and howto try if the first attempt is unsuccessful, is an incrediblycomplicated decision. The financial, physical, and emotional toll of this process can be difficult. Speak with your doctor extensively to determine what your best options are and if in vitro fertilization is the right path for you and your family.
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