{"id":60904,"date":"2022-01-01T15:00:53","date_gmt":"2022-01-01T15:00:53","guid":{"rendered":"https:\/\/fertilityroad.com\/?p=60904"},"modified":"2024-04-17T12:38:29","modified_gmt":"2024-04-17T11:38:29","slug":"ivf-step-by-step","status":"publish","type":"post","link":"https:\/\/fertilityroad.com\/da\/ivf\/ivf-step-by-step\/","title":{"rendered":"IVF trin for trin"},"content":{"rendered":"

To start thinking of IVF-behandling<\/a> you first need to rule out other options like different infertility treatments or change your lifestyle to a healthier one. You should start with seeing your general practitioner (family doctor) who will check your medical history and examine you physically. He will then probably recommend some tests to be done and suggest some lifestyle changes. The general practitioner can also refer you to a specialist in a hospital or a fertility clinic.<\/p>\n\n\n\n

Before they consider that you undergo in vitro fertilization they first have to do simple tests and treatments. Then if the specialist indicates that you can go through with the IVF treatment he will refer you to a suitable conception unit but remember to not be hasty, go home and think things through.<\/p>\n\n\n\n

A step by step guide for IVF process<\/h2>\n\n\n\n

In Vitro Fertilization is a procedure that helped thousands of couples all over the world to have a baby. It is a procedure involving combining the egg and sperm in an embryology laboratory creating an embryo that then can be placed in the woman\u2019s uterus.<\/p>\n\n\n\n

We live in a world where almost everyone has heard about IVF but most people do not really know how the procedure really looks like. We will take you through the whole process of IVF step by step.<\/p>\n\n\n\n

You might be interested in: The Good, The Bad And The Baby Maker \u2013 Embryo Quality \u2013 Grading Systems<\/a><\/p>\n\n\n\n

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IVF Consultation<\/h2>\n\n\n\n

On the scheduled consultation you will have an appointment with a personal fertility specialist. He will want to know all about your and your partner\u2019s medical history and you will need appropriate documents for that (you will be said what is needed before the consultation so do not worry). The specialist will talk you through the whole process and you should get a plan with dates and timelines. Remember to plan your time ahead in connection with your work and other responsibilities.
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You will be also starting to prepare for ovarian stimulation by taking birth control. Taking birth control can reduce the chances of cysts to form that could interfere at the beginning of the cycle. It also helps with synchronizing the egg follicles and allows better control of the timing of the cycle.<\/p>\n\n\n\n

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The testing of ovarian reserve performed on Day 2\/3, including FSH and E2 levels, should be used for determining an age-adjusted initial stimulation protocol and not to exclude treatment.<\/p>\nSource: Best practices of ASRM and ESHRE: a journey through reproductive medicine<\/a><\/cite><\/blockquote>\n\n\n\n

IVF Stimulation<\/h2>\n\n\n\n

This step is mostly all about ovarian stimulation and a bit about monitoring. One egg a month usually matures in a normal, natural ovulating cycle and the point of an IVF cycle is to have as many matured eggs as possible. More matured eggs increase your chances of a successful in vitro treatment. That is why ovarian stimulation is done. <\/p>\n\n\n\n

The patient is injected with medication for about 7 to 10 days. This medication stimulates the ovaries so that they start producing eggs. While undergoing this medication treatment you will need to visit the clinic about 7 or 8 times for the morning monitoring tests. Those tests are the transvaginal ultrasound for measurements of the egg follicles growth and the uterine lining thickness as well as bloodwork to measure your estrogen level.
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After each monitoring, you should receive a phone call from the clinic about your treatment\u2019s progress and all the information you need for taking further action.<\/p>\n\n\n\n

Egg retrieval<\/h2>\n\n\n\n

The female patient lays in a lithotomy position and is under sedation, general anaesthesia and a paracervical block. Using the ultrasound the doctor very carefully – not to injure any organs inserts a needle into the ovarian follicle. A suction device is placed at the other end of the needle which gently draws follicle fluids with the cellular material and the oocyte (if it all goes well of course).<\/p>\n\n\n\n

Then this material is given to the IVF laboratory\u2019s technician who identifies and quantifies the ova. This is followed by aspirating other follicles and then the needle is withdrawn from the first ovary and put into the second ovary and the same is done. Then the needle is withdrawn, there could be a little bleeding involved but that will heal very fast and it is not a problem.<\/p>\n\n\n\n

Fertilisation and embryo development<\/h2>\n\n\n\n

After retrieving the eggs the embryologists start the fertilization process which can be done in two ways:<\/p>\n\n\n\n

The conventional fertilization \u2013 healthy sperm is isolated and exposed to the eggs in the laboratory and the fertilization happens in a natural way;<\/p>\n\n\n\n

Intracytoplasmic Sperm Injection (ICSI) \u2013 This method is used when the quality and quantity of the sperm is too low and cannot effectively penetrate the egg.
The quality of the sperm is the basis of making the decision between conventional fertilization and Intracytoplasmic Sperm Injection. Standard tests are done to know about sperm quality.<\/p>\n\n\n\n

Embryo transfer<\/h2>\n\n\n\n

A simple and quick procedure that does not involve anaesthesia or recovery time. On the morning of the transfer, the embryologist will make a final evaluation of the embryos and you will be recommended the number of embryos to be transferred. This recommendation is dependent on the quality and age of the embryos. Additionally, other aspects of your case like the history of previous treatments and your age also have an impact on the final recommendation. Often a patient will be recommended a single embryo transfer if the chances or similar to a case with multiple embryos which reduces the risk of multi birth.<\/p>\n\n\n

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IVF embryo transfer<\/figcaption><\/figure><\/div>\n\n\n

When you and your physician decide on the number of embryos to be transferred then the transfer catheter is loaded with the chosen amount of embryos. Finally, the transfer starts during which the catheter is inserted and the embryo is pushed into the uterus. When the transfer is completed the catheter is removed. At the end of the transfer, the embryologist will check if the embryo was released and you will get instructions on what lays ahead next.<\/p>\n\n\n\n

One of the most significant decisions while doing the IVF treatment is to decide when to make the embryo transfer to the uterus. While undergoing IVF<\/a> there are two important stages of development in which the embryos can be transferred into the uterus. <\/p>\n\n\n\n