In Vitro Fertilization (IVF)

Filed in: Health.

In vitro fertilization or in vitro fertilization is a process of fertility in which a matured ovum is extracted from the ovary and connected to a sperm in a liquid in the laboratory instead of inside the cell body. After that, the fertilized egg or embryo undergoes a process of four to six days. It is then stored in the woman's uterus to inaugurate a successful pregnancy. The method of in vitro fertilization is considered ART or assisted reproductive technology to treat the problem of infertility and gestational surrogacy as well. In these methods, experts can use donated embryos, donor eggs and donor sperm, their donor eggs and sperm, their eggs and their partner's sperm, or donor eggs and their partner's sperm.

Many suffer from problems such as uterine fibroids, inexperienced infertility, male infertility, weak ovarian function, reduced fertility in women over 40, damaged endometriosis and fallopian tubes. In such cases, couples can not have a baby. IVF is the method invented only to satisfy the desires of such peoples, and therefore, it is mainly preferred by those who have the disability of fertility. However, most people opt for other techniques first instead of IVF, since it is an invasive method as invasive. But, when the practice of using intrauterine and fertility drugs fails, people opt for IVF treatment.

Preparation for in vitro fertilization

Before going through the in vitro fertilization procedure, a woman has to go to the test to examine the size and quality of the eggs. In this test, doctors take your blood sample and analyze it to determine the status of the follicle-stimulating hormone.

In addition, a woman is given a test to determine the health of her uterus that helps analyze the ideal way to implant the embryo. Doctors use high frequency sound waves, known as ultrasound, to get a clear picture of your uterus. Therefore, they obtain adequate information before taking any action towards the treatment.

If the problems of infertility are typical of a man, he undergoes a sperm test process. He has to give a semen sample for this test. Doctors perform this test in the laboratory to evaluate the shape, size and number of sperm. In case they find some kind of damage or weakness, they involve the practice of ICSI or intracytoplasmic sperm injection to overcome this problem of male infertility. The technician collects a single sperm and injects it into an egg to penetrate it. ICSI is the most expensive but vital preparation of the IVF procedure.

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The procedure of in vitro fertilization.

There are few simple steps of in vitro fertilization.

Ovarian stimulation: a female usually produces only one egg in a month or during each period of menstruation. But, it is not enough for in vitro fertilization, since it requires multiple ovules to induce the possibilities of establishing a viable embryo. Therefore, women have to take fertility drugs that are loaded with follicle stimulating hormone. The presence of FSH helps to develop the amount of eggs that your body produces more than usual. Your doctor performs periodic ultrasounds and blood tests that help control the process in the ovaries.

Recovery of the ovules: the technician uses a minor surgical process called follicular aspiration to collect the ovules. Anesthesia helps in the performance of this surgical procedure. They take a very thin needle and guide it to pass through the vagina and into the ovary. Then it works there to suck the egg and the liquid from each follicle that contains egg.

Insemination: In this procedure, the collected eggs are placed with the male sperm after giving the semen sample. This collection is placed in a Petri dish that is the camera completely controlled by the environment. The sperm takes a few hours to enter the ovule. But if you do not behave to produce embryos, your doctors use the ICSI method in which they inject the sperm directly into the ovules.

Fertilization: Doctors first ensure that the egg is fertilizing properly. When the egg is fertilized, they put it in a particular incubator so that it divides and develops properly. They monitor the embryonic culture or the progress of the egg that takes 5 to 6 days. They often analyze genetic conditions during the same time.

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Embryo transfer: When embryos are fully developed in the laboratory, doctors implant them in the uterus. Before transferring the embryo, the women ask to drink a lot of water to fill the bladder. The implementation process involves very simple steps. Developed embryos are placed in a small, thin tube called a catheter. Doctors insert it into your vagina, through your cervix and into your uterus. They use the ultrasound guidance to fix the position of the embryo and then release it in the exact place in the uterus.

The blood test: the final blood test after two weeks of embryo transfer will determine whether you are pregnant or not. This blood test calculates the hormone HCG's or the level of human chorionic gonadotropin. The chances of the pregnancy test being positive are greater if there is a good level of HCG in the bloodstream.

Complications of in vitro fertilization

It is a fact that there are possibilities of complications with any medical procedure. Women may experience the temporary difficulties associated with the IVF treatment procedure. They are given certain medications that make them feel irritable, insomnia, abdominal pain, hot flushes, nausea and vomiting as well. In addition, multiple pregnancies are more likely to occur in in vitro fertilization. Therefore, they are more likely to have a premature birth and a significant risk of low birth weight. Alternatively, they may have ectopic pregnancy or implantation of the ovum outside the uterus. In addition, women may be trapped by the ovarian hyperstimulation syndrome (OHSS) in case their ovaries respond excessively to gonadotropins. Women often face the problem of infection, bleeding or loss of pregnancy (spontaneous abortion).

Caregivers may suggest that you undergo the IVF treatment procedure again if you experience OHSS or pregnancy loss. It may be the critical situation for you to decide what to do next. But it is the only method to achieve pregnancy when other treatments do not work.

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