The Actual IVF: What is at In Vitro Fertilization?
In Vitro Fertilization is a high-tech treatment for infertility. Couples who have trouble conceiving, the conception for more than two years, often have to resort to a reproductive specialist who can evaluate and prepare for this delicate process. With this procedure, most of the steps necessary to become pregnant are essentially outside the bodies in a specialized laboratory. The basic steps are:
1) The ovary is stimulated to mature many eggs. In a normal natural cycle, only one mature egg is ovulation. With In Vitro Fertilization, the goal is to have many, but not too many eggs, because the quality of the eggs vary and we make sure we have at least one or two eggs of good quality. The aim is not to repeat the IVF cycle again.
2) The ovary is evaluated by sequential ultrasound examinations to assess the response and measure the follicles. The follicles are what hold the eggs. They look like a black circle on the ultrasound. The eggs are too small to be seen as indirectly evaluated by observing the egg follicle size.
3) Once the follicles that contain eggs, are of adequate size, indicating that the ripe egg inside the follicle aspiration is performed. This is a minor procedure in which a needle is inserted through the vagina into the ovary under ultrasound guidance and follicle-day eventing, which includes the egg, it sucks. Most clinics use some form of sedation for this because it can be painful. The eggs are drawn into test tubes and isolated embryologist assesses the eggs. These are placed individually in Petri dishes.
4) Sperm can be added to each egg (natural fertilization) or injected into each egg (ICSI), so that fertilization can occur. This will take 24 hours.
5) The fertilized eggs are now placed in individual petri dishes to allow incubation. Incubation is carried out over a period of 3-5. During this time, the fertilized egg divides many times to become an embryo of 6-8 cells of a blastocyst 3 days or 5 days. It's progress is monitored daily.
6) At 3 days after recovery or 5 days of recovery, the transfer takes place. The patient, doctor's advice, decides that the embryos transferred and the transfer number. These specific embryos are isolated and a catheter placed in very small and very flexible in the embryology laboratory. The patient is placed in a transfer room, placed in the standard position to do Pap smears, and the cervix is ready. The embryologist brings the embryo (s) in the transfer room and the doctor very gently slide the catheter into the uterus to a specific location. This situation is verified by an abdominal ultrasound. The embryo (s) will deposit and withdraw the catheter gently and carefully. The embryologist will take the catheter laboratory to verify that the embryo has not been re-aspiration.
7) The patient takes medication to help support embryo implantation.
8) 8-12 days after the transfer, the pregnancy test is performed. If positive, do pregnancy tests every day another four consecutive pregnancy tests. Because these tests measure the hormone of pregnancy, BHCG, levels, we can see if the pregnancy is progressing well with these four values.
9) If all goes well with the pregnancy tests, then the first scan is scheduled in two weeks to confirm an intrauterine pregnancy and number. This will be about 6 weeks of gestational age on the basis of the date of transfer.
10) Then do a second ultrasound at 8 weeks of gestation to verify a viable pregnancy. At this point, the patient is transferred to your GYN to begin prenatal care. For all infertility specialists is a joy tempered by a certain sadness at not being able to follow the patient all the way until delivery.
When I started doing IVF, I was still practicing obstetrics and has the rare opportunity to offer babies were conceived with our help. At this point in my career, practice, gynecology and still do I have more time to focus on the side of the infertility of my practice. My patients benefit from still being able to receive advice gynecological and infertility counseling.
I have been practicing as a gynecologist and infertility specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI, In Vitro Fertilization, reproductive surgery, and ovulation induction are all areas of my expertise. Practice in the beautiful county of Monterey, California, and patients come to me from across the country. I am fluent in Spanish and Japanese. I am deeply committed to friendly service, personal and sensitive. You can read all about me and my office on my website http://www.pacificreproductivecenter.com.
1) The ovary is stimulated to mature many eggs. In a normal natural cycle, only one mature egg is ovulation. With In Vitro Fertilization, the goal is to have many, but not too many eggs, because the quality of the eggs vary and we make sure we have at least one or two eggs of good quality. The aim is not to repeat the IVF cycle again.
2) The ovary is evaluated by sequential ultrasound examinations to assess the response and measure the follicles. The follicles are what hold the eggs. They look like a black circle on the ultrasound. The eggs are too small to be seen as indirectly evaluated by observing the egg follicle size.
3) Once the follicles that contain eggs, are of adequate size, indicating that the ripe egg inside the follicle aspiration is performed. This is a minor procedure in which a needle is inserted through the vagina into the ovary under ultrasound guidance and follicle-day eventing, which includes the egg, it sucks. Most clinics use some form of sedation for this because it can be painful. The eggs are drawn into test tubes and isolated embryologist assesses the eggs. These are placed individually in Petri dishes.
4) Sperm can be added to each egg (natural fertilization) or injected into each egg (ICSI), so that fertilization can occur. This will take 24 hours.
5) The fertilized eggs are now placed in individual petri dishes to allow incubation. Incubation is carried out over a period of 3-5. During this time, the fertilized egg divides many times to become an embryo of 6-8 cells of a blastocyst 3 days or 5 days. It's progress is monitored daily.
6) At 3 days after recovery or 5 days of recovery, the transfer takes place. The patient, doctor's advice, decides that the embryos transferred and the transfer number. These specific embryos are isolated and a catheter placed in very small and very flexible in the embryology laboratory. The patient is placed in a transfer room, placed in the standard position to do Pap smears, and the cervix is ready. The embryologist brings the embryo (s) in the transfer room and the doctor very gently slide the catheter into the uterus to a specific location. This situation is verified by an abdominal ultrasound. The embryo (s) will deposit and withdraw the catheter gently and carefully. The embryologist will take the catheter laboratory to verify that the embryo has not been re-aspiration.
7) The patient takes medication to help support embryo implantation.
8) 8-12 days after the transfer, the pregnancy test is performed. If positive, do pregnancy tests every day another four consecutive pregnancy tests. Because these tests measure the hormone of pregnancy, BHCG, levels, we can see if the pregnancy is progressing well with these four values.
9) If all goes well with the pregnancy tests, then the first scan is scheduled in two weeks to confirm an intrauterine pregnancy and number. This will be about 6 weeks of gestational age on the basis of the date of transfer.
10) Then do a second ultrasound at 8 weeks of gestation to verify a viable pregnancy. At this point, the patient is transferred to your GYN to begin prenatal care. For all infertility specialists is a joy tempered by a certain sadness at not being able to follow the patient all the way until delivery.
When I started doing IVF, I was still practicing obstetrics and has the rare opportunity to offer babies were conceived with our help. At this point in my career, practice, gynecology and still do I have more time to focus on the side of the infertility of my practice. My patients benefit from still being able to receive advice gynecological and infertility counseling.
I have been practicing as a gynecologist and infertility specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI, In Vitro Fertilization, reproductive surgery, and ovulation induction are all areas of my expertise. Practice in the beautiful county of Monterey, California, and patients come to me from across the country. I am fluent in Spanish and Japanese. I am deeply committed to friendly service, personal and sensitive. You can read all about me and my office on my website http://www.pacificreproductivecenter.com.
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