IVF- in-vitro fertilization. IVF is a process by which embryos are created after sperms and eggs are fused outside the body and the embryos are placed into the uterus. Chances of pregnancy are increased by IVF.

Why do you need IVF?

IVF is likely to be recommended for the following fertility problems:

• If you have blocked or damaged fallopian tubes

• If your partner has male infertility issues like Oligozoospermia, Teratozoospermia or Athenozoospermia.

• If you have premature ovarian failure

• If you have been trying to conceive for at least two years and a cause hasn’t been found to explain why you have not become pregnant.
  
  

Who Will Benefit From IVF Treatment?

• Women with a tubal problem

• Women with unexplained fertility

• Women with severe endometriosis

• Couples with male factor infertility

Consultation with a lswarya IVF Doctor. Before treatment start, you will discussmedical history and the treatment processincluding risk and side effects kith your doctor.

Stimulation. After your baseline scans, injections will stimulate your ovaries to develop multiple eggs

Monitoring. Regular scans and blood test allow us to monitor your ovanan response to the drug

Trigger injections. When hormones are at the right levels another injection will trigger the eggs to mature

Egg collection and sperm collection. Eggs are collected via a needle passed through the vagina whilst you are under sedation. A semen sample is required on the day of egg collection

Fertilization and embryo development. Eggs and sperm are placed P an incubator to fertilize. Embryo development is monitored by CRGH embryologist

Embryo transfer. The best ennbryo(s) 6 /are transferred back into the uterus. Any suitable embryo not transferred can be frozen for Later use

Pregnancy test. Patient takes a pregnancy test 16 days after embryo transfer. Ai this s6ge we will arrange appropriate support.

The most common question i hear from a patient is about the sucess rate of IVF. Now here comes the real question, how will you define IVF success Rate ?

Is it a mere positive pregnnacy test after the embryos transfer ? or is it by the way of seeing a heart beat in the ultrasound ? Or is it the continuation of pregnancy till the 3rd month ? or is it the delivery of a live baby ?

So the point is that the IVF success rate could vary based on the denominator used to calculate the IVF cycle outcome. Its always preferable to always define the success rate using all the available denominators and discuss every one of them with the couple. The couple should be able to understand the sucess chances for their particular condition. There are even more denominators like age, number of embryos transfered, frozen or fresh emebto transfer, ICSI, PGD / PGS tested embryos etc. This further gets complicated when each ivf clinic or ivf doctor in the center wants to boos their success rates to showcase themselves in this highly competitive era.

What i belive is that every couple should know the answer for these questions or put forward to their doctors.

• What is the chance of getting good quality embryos for transfer ?

• What is the chance that my embryos will implant ?

• What is the chance that i get extra embryos to be cryopreserved for future use ?

• Not the last, but most important question to ask to an IVF doctor.. Is it possible that i dont get any embryos for transfer ???

• Type of catheter ? soft embryo transfer catheters

• Not touching the fundus ? using an ultrasound visualization

• Cervical mucus removal

• Absence of blood or mucus

• Leaving the catheter in place for 1 minute

• Bed rest ? not needed

• Trial transfer ? in previous cycle or hysteroscopy

• Ultrasound ? guided Embryo transfer

• Adequate luteal phase support

• Good embryo

• Endometrial Receptivity