Mark Surrey MD, explains how the in vitro fertilization process has developed over the years and how they use the process to give patients the best results in this video. Sometimes the biggest hurdle is just getting yourself into the office.
After all the dreaming, discussions, worrying, thinking and planning, you are as ready as you will ever be. Seeking fertility treatment is a courageous step, and it usually comes with hundreds of questions. This first stage is your opportunity to start finding some real answers. Once you come off of the birth control pill, you will begin a process known as Controlled Ovarian Hyperstimulation COH.
At the clinic you will have an ultrasound to evaluate the uterus and ovaries, and once you get the all clear you can start. There are two main parts to the COH process. After about days of fertility medication, once monitoring shows that your follicles have grown to an appropriate size, it is time to trigger the final maturation of the eggs with hCG and schedule the ultrasound egg retrieval 36 hours later. After the transfer, you will take a progesterone supplement to help support the uterine lining and encourage implantation.
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Wendy Burch is an Emmy-winning journalist, acclaimed professional writer, and inspiring motivational speaker. Week 1: first visits and consultations Sometimes the biggest hurdle is just getting yourself into the office. Initial consultation : In this first meeting, the clinic will obtain an extensive medical history from you and your partner, and try to answer any questions or concerns you might have at this stage.
Do not be afraid to come with a long list; it is vital that you feel well-informed and comfortable before you commit to treatment. Clinical coordinator consultation: At this appointment, we will review your diagnosis and the details of your desired treatment plan. IVF success depends on the health of the mother or carrier and the cause of infertility. IVF is used to treat fertility issues or genetic conditions.
Fertility issues can include repeat miscarriages, tubal blockages, cervical disorders, or sperm dysfunction. During the IVF process, the fertilized eggs can be screened for genetic conditions before being inserted into the uterus.
Radiation and chemotherapy can harm fertility. Couples may choose to have eggs and sperm harvested and frozen for future use. Fertilized eggs can also be frozen. Same-sex couples may also turn to IVF to start a family. In some instances, a gestational carrier will be used.
The entire process takes approximately weeks. IVF is not a single treatment and often takes multiple visits. Couples will work with a fertility specialist to create an IVF plan. IVF starts with medical consultation and health screening of all parties involved.
Health screenings will include testing for infectious diseases. Knowing family medical history can allow doctors to determine chances of IVF success.
If you wait a month in between each some fertility clinics recommend letting one menstrual cycle pass before trying again , you're looking at about eight months undergoing IVF.
Studies estimate that the chance of having a baby after three cycles of IVF can range anywhere from 45 percent to 63 percent the majority of women typically have a 20 to 30 percent success rate with just one round of IVF. During the IVF process, you can choose an elective test called pre-implantation genetic diagnosis PGD that analyses the chromosomes of each embryo, including the sex chromosomes.
It requires them to sign off on it, as it's not covered by insurance,"says Meike L. Uhler, M. She adds that there's an increase in patients utilizing this service, but that most aren't using it specifically for gender selection.
Rather, it's mostly used for women of advanced maternal age , aka, 35 or older. Depending on your insurance coverage, IVF can be pricey, and we've already established it's stressful in more ways than one. But it's also the best bet for infertile couples to get pregnant. It also is the best way to make sure you don't have twins or triplets which can happen with other fertility treatments and increases the likelihood of premature birth and low birth weight and—if you opt for advanced genetic screening—minimize the risk of genetic disorders and increase your chances of having a healthy pregnancy and baby.
It's easy to feel down and think negatively about yourself and your body when you're suffering with infertility. But it's important to take care of yourself to help keep the stressful process manageable. Whether it's taking time every day to meditate, treating yourself to a massage, or just setting aside time each day for a hobby you love, always remember that taking good care of you is just as important as any other step of the IVF process.
SELF does not provide medical advice, diagnosis, or treatment. Any information published on this website or by this brand is not intended as a substitute for medical advice, and you should not take any action before consulting with a healthcare professional. In vitro fertilization IVF is a treatment for infertility or genetic problems.
If IVF is performed to treat infertility, you and your partner might be able to try less-invasive treatment options before attempting IVF , including fertility drugs to increase production of eggs or intrauterine insemination — a procedure in which sperm are placed directly in the uterus near the time of ovulation. Sometimes, IVF is offered as a primary treatment for infertility in women over age IVF can also be done if you have certain health conditions.
For example, IVF may be an option if you or your partner has:. Fertility preservation for cancer or other health conditions. If you're about to start cancer treatment — such as radiation or chemotherapy — that could harm your fertility, IVF for fertility preservation may be an option. Women can have eggs harvested from their ovaries and frozen in an unfertilized state for later use.
Or the eggs can be fertilized and frozen as embryos for future use. Women who don't have a functional uterus or for whom pregnancy poses a serious health risk might choose IVF using another person to carry the pregnancy gestational carrier. In this case, the woman's eggs are fertilized with sperm, but the resulting embryos are placed in the gestational carrier's uterus.
Ovarian hyperstimulation syndrome. Use of injectable fertility drugs, such as human chorionic gonadotropin HCG , to induce ovulation can cause ovarian hyperstimulation syndrome, in which your ovaries become swollen and painful. Symptoms typically last a week and include mild abdominal pain, bloating, nausea, vomiting and diarrhea. If you become pregnant, however, your symptoms might last several weeks. Rarely, it's possible to develop a more severe form of ovarian hyperstimulation syndrome that can also cause rapid weight gain and shortness of breath.
A clinic's success rate depends on many factors. These include patients' ages and medical issues, as well as the clinic's treatment population and treatment approaches. Ask for detailed information about the costs associated with each step of the procedure. Before beginning a cycle of IVF using your own eggs and sperm, you and your partner will likely need various screenings, including:.
Before beginning a cycle of IVF , consider important questions, including:. How many embryos will be transferred? The number of embryos transferred is typically based on age and number of eggs retrieved. Since the rate of implantation is lower for older women, more embryos are usually transferred — except for women using donor eggs or genetically tested embryos.
Most doctors follow specific guidelines to prevent a higher order multiple pregnancy, such as triplets or more. In some countries, legislation limits the number of embryos that can be transferred. Make sure you and your doctor agree on the number of embryos that will be transferred before the transfer procedure. What will you do with any extra embryos? Extra embryos can be frozen and stored for future use for several years. Not all embryos will survive the freezing and thawing process, although most will.
Having frozen embryos can make future cycles of IVF less expensive and less invasive. Or, you might be able to donate unused frozen embryos to another couple or a research facility. You might also choose to discard unused embryos.
IVF involves several steps — ovarian stimulation, egg retrieval, sperm retrieval, fertilization and embryo transfer.
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