IVF - In Vitro Fertilization
What is IVF?
In vitro fertilisation (IVF) is a process of fertilisation where an egg is combined with sperm outside the body, in vitro ("in glass"). The process involves monitoring and stimulating a woman's ovulatory process, removing an ovum or ova (egg or eggs) from the woman's ovaries and letting sperm fertilise them in a culture medium in a laboratory.
Who needs it?
IVF is offered as a primary treatment for infertility more than 1 year of married life. IVF is indicated for certain conditions.
- Ovulation Defects
- Poor egg reserve
- tubal factors
- Male factor Oligozoospermia / azoospermia
- Uterine factor
Steps of IVF
Important Fact About IVF
What Our Patients Say
What is the difference between IVF & ICSI?
Both are forms of in vitro fertilization, differing in only the method of fertilization in the embryology lab.
In IVF, the sperms and the egg are allowed to fertilize in a small petri dish and this method is very similar to the natural form of fertilization. IVF is deployed when sperm parameters are normal.
ICSI, is the form of Fertilization, mainly for Male Factor fertility, where each sperm is injected with the help of a fine needle inside the egg. Indicated when the sperms parameters are deranged in count, motility, morphology.
How many times can one try IVF?
There are many parameters which decide this, like the age of the female partner, clinical profile of the patient, previous response to IVF cycle, Financial implications. In most of the cases, IVF can be attempted multiple attempts, if all the parameters are in range
Is IVF harmful?
Basically, any surgical procedure has its inherited risk, but overall the rate of surgical complication during egg collection is minimal, as it is guided by ultrasound. As far as the egg making injections/hormones are concerned, they are excreted daily in urine and stools, provided the renal and kidney parameters, are normal. As far as the OHSS is considered, the incidence of severe form is only 1-2%, which requires hospitalization. The mild and moderate cases can be handled on OPD basis.
Is the incidence, of multifetal pregnancy high?
On an average the twin pregnancy rate is 20%, of the triplet is 5%, and singleton is 75%, when day 3 embryos (3), are transferred.
Is the incidence of birth defects high?
Till date, millions of babies have been born across the globe, through this technology and the evidence is backing that there is no statistically significant increase in the incidence of the defects.
What is the gap period required between 2 unsuccessful cycles?
In the case of fresh cycles, at least 2 months and in the case of a frozen cycle, 1 month.
It is said that the success is difficult in the first attempt! Is it true?
The overall pregnancy rate is 30-50%, across the globe, which means around 30 -50 cases per 100 get pregnant in the first attempt.
Is complete bed rest advised after embryo transfer?
The recent evidence is not backing this; however, we advise rest for 2-3 days after which they can carry their routine non-strenuous activity.
How much of rest is required immediately post transfer, before one leaves the hospital?
Usually 2-3 hours.
When does the treatment start and how long does it take?
There are 2 commonly used protocols, long and the short (antagonist). The short protocols start within first 3 days of the menses and the conventional long protocol starts on day 21 of the previous cycle.
Which protocol is better?
Depending on the clinical case, the short protocol is preferred in donor cycle and PCOS.
Can embryo transfer be done under anesthesia?
Yes, we do have the provision to be done under anesthesia.
Does one need to take many injections even post transfer?
This depends on the clinic to clinic. In our clinic; we do not routinely encourage injections, except in selected cases.
How many times do I need to visit the hospital for ultrasounds?
On an average 4 times.