What is involved in IVF and when should you seek IVF treatment?
The main strategy in IVF treatment is to stimulate the ovaries with hormones to produce multiple follicles containing eggs. These eggs are retrieved and mixed with sperm and embryos are generated. Couples who may have been trying to fall pregnant for one year and have not fallen pregnant are advised to seek medical advice. Women over the age of 35 should consider infertility treatment earlier and seek professional advice from an IVF specialist. Gynaecological examination is very important in the research of infertility. The cervix as well as the structure of the uterus and ovaries is observed with the aid of an ultrasound during an examination
The goal in infertility treatments is to determine the causes of as to why pregnancy is not achieved naturally and to administer the treatment at the appropriate time via the appropriate technique for the patient. The first meeting with a specialist, is where the patient is given the information about the tests that need to be performed so a diagnosis can be made and why pregnancy has not been achieved naturally can be understood.
Extremely important developments are taking place in assisted reproductive technologies in terms of scientific knowledge as well as technological infrastructure.
Stages of IVF treatment
The first consultation with your doctor and initial analysis that will take place before IVF treatment is started, this is very important. Couples will be asked to undergo tests including hormone tests, thyroid test, prolactin etc., FSH/Estradiol or AMH to assess egg capacity and Hysterosalpingography – (HSG) for the female, and a sperm analysis (spermiogram) for the male. A complete gynaecological examination and vaginal ultrasound will be carried out in order to decide on the most appropriate and individualised treatment protocol and timing. This process will identify whether or not there is any condition that would prevent treatment or if there is any problem that should be treated. In some cases hormone medication will be given in order to ensure cycle synchronisation. It is at this stage that a professional relationship can be formed with both the Doctor and the specialist nurse in charge of your care.
Blood tests (for Oestradiol and progesterone) maybe required especially on the final days of the treatment injections. The ultrasound and blood test results will help determine the best date for administering the ovulation injection (trigger) and egg collection.
We prefer ICSI at our laboratories because success rates are higher
IVF Treatment Methods
IUI method is an assisted reproductive method performed on patients who have not been able to fall pregnant despite regular unprotected sexual activity for a year and received the diagnosis that they are infertile. Insemination method is quite simple and is almost painless application compared to other methods. Once the necessary controls and checks are in place i.e. the fallopian tubes are checked and are clear and open (with the aid of an HSG), sperm is active with a high count and motility and the ovaries seem to be developing follicles and there is no problem with ovulation. The next process would be to track follicular development after 7 days of a bleed and when ovulation occurs to inject the prepared sperm (prepared in the laboratory) via the uterus. If the sperm fertilises the egg itself then IVF is not necessary.
The IMSI method allows a much more accurate sperm selection by examining the sperm under considerably greater magnification (x6000-x8000). By doing this IMSI increased chances of success for couples suffering especially from sperm defects. Remaining IVF stages and microinjection procedures are exactly the same.