
IVF
IN VITRO FERTILIZATION
INTRO
Before a couple decide to undergo the route of IVF
its very important that they understand each stage of the treatment.
As with most drs they like to perform there own tests which you may have already had previuosly
this includes Bloodtests for the women and a SA for partner (sperm analysis) Also the dr should
Also check the size of the uterus, and instructions on how to administer the Fertility drugs.

OVULATION STIMULATION
The goal of IVF is to increase a couples chances of having a baby.
A women must respond well to ovulation drugs to stand a chance of progressing to
EGG RETRIEVAL,FERTILIZATION,EMBRYO TRANSFER,IMPLANTATION.
At any stage along the way IVF can fail.
IVF has improved dramitically when drs started using PERGONAL
(DRS Georgianni&Howard Jones) Norfolk Virginia.
This has maximised the number of eggs retrieved and timing made better for IVF team.
Also used is a drug called (GnRH) Gonatropin Releasing Hormone.
This stops a women from having her own LH surge. This is to help professionals with
timing of retrieval, and the cycle being controlled.
This is done for good reason to avoid lots of cancelations of cycles.
and unwanted stress and disapointment put onto the couples.

Start OF Cycle
As with most other treatments for Infertility A women will start her
Ovulation stimulation meds between cd1--cd5 to stimulate multiple follicles
other combinations of hormone enhancing meds will also be including such as
Clomid, pergonal, Metrodin, hCG.
It is much easier and convenient for the wife if her husband or partner can learn to
give her the Injections, When due and most IVF clinics will be happy to teach you this.

MONITORING
The womens response to fertility meds and stimulation to the ovaries must be carefully
monitred, Estradiol levels,Ultrasound of the Ovaries,Cervical mucas,and possible
bloodtests for LH levels and progesterone to see how the follicles are producing.
When the follicles reach maturity, On average betwenn 7---10 days,
A hCG injection is given to trigger egg maturation,For egg retrieval from the follicles.
NOTE
IVF professionals have learnt that high amounts of Gonatropins can shorten
a womens luteal phase, making implantation hard and pregnancy to continue.
Most professionals now will give Progesterone supps to help this, also a additional hCG
injection to keep the ovaries producing progesterone.

EGG RETRIEVAL
The procedure is done by assistance from ultrasound and a needle guided through the vagina.
There will be some kind of mild sedation given.The dr then punctures the follicle and immediately
takes the eggs to be placed in nutritive media and then into incubator.

Husbands have a role too.
Your husband partner will be asked to give a semen example for the next stage of fertilization
as with other sperm analysis and done in exactly the same as prior testing,The sperm will be
collected on day of retrieval then washed and stimulated for the best and healthiest
swimmers to be mixed with the womens egg.

Back to the clinic for nesting
Once the eggs have fertilised then comes the next stage and the transfer.
The dr will put a specially designed catheter into the uterus where the eggs
are then released back, This only takes a short while as a out patient.
You should then rest for the rest of the day.

Emotions running high during the 2 week wait
The most emotional and stressful part now for the couples is the 2 week wait.
To see if pregnancy has been achieved,During this time the women may have been placed on
Progesterone supps to help her womb lining and luteal phase to avoid her period coming early.

If you would like to add additional Information to this page regarding your
experiences with IVF please contact us we would love to hear from you.
Any additional Information would be a great help to others on there QUESTS.

Binky_joe (Manager)