IVF (In vitro Fertilization)
Females who cannot conceive face many problems like stress and tension, and it also affects their overall well-being. The inability to become pregnant affects their life in various ways. This may cause more confusion between the partners and hinder their relationships with peers. People who have such problems are not able to fully focus on their work. A woman experiencing infertility faces stress. This may be similar to the anxiety and depression of cancer or heart diseases. In Vitro Fertilization (IVF) is one of the most effective treatments of infertility. This technique is based on assisted reproductive technology (ART) and uses special medical tools that help a woman to get pregnant when other methods have failed.
Benefits of IVF treatment:
- This procedure helps females to get pregnant when other techniques have failed.
- It is helpful for the advanced aged woman and helps them get pregnant.
- It is helpful for a woman who has damaged or blocked fallopian tubes.
- Females suffering from endometriosis
- It is also used to treat male factor infertility.
- It is helpful to treat unexplained infertility.
- IVF is also helpful for patients with PCOS who are unable for conceiving with ovulation induction.
- It is helpful for a woman with premature ovarian failure or menopause.
- IVF technique contains a high rate of success and is better than other ART techniques.
- Inherited diseases are screened through the embryos.
IVF Process
Couples recommended for IVF are required to go through a number of investigations and procedures:
Treatment and Counseling
IVF treatment may be cumbersome physically and emotionally for the couple. Counselling with SJM Counselors help couples understand their treatment regime and voice their concerns which is important prior to the start of the procedure.
Stimulation and Monitoring
Ovarian stimulation leads to maturing of follicles. The growth of these follicles is monitored over 10-12 days. The ovarian response is measured through blood investigations and ultrasound at regular intervals. This process helps to control the size, quality and quantity of the maturing follicles.
Ovum Retrieval
Medication and final stimulation leads to the release of the mature ovum. The ovum is collected in the clinic and is done by ultrasound guidance under sedition. The collected ovum is then sent to the embryologist for processing in the ART laboratory.
Sperm Collection
The male partner is asked to provide a fresh semen sample on the same day. If required, sperm may be extracted from the testes or epididymis by a surgical procedure.
Embryo Transfer
The prepared sperm and ovum are fertilized under laboratory conditions to form the embryo. Several such embryos are prepared by the embryologist and based upon the quality is transferred to the uterus of the female partner on the day 3 or day 5 stage of the embryo.
Post Transfer Care
Post transfer of the embryo, the ART specialist may prescribe medication and other routine care to enhance the chances of implantation. After a particular period of time, pregnancy tests may be recommended to confirm pregnancy.
Who should go for IVF ?
IVF is the most commonly known ART technique which is used to help couples who are primarily affected with male infertility, or structural blockages in the reproductive tracts. It is further recommended for:
Female partners with ‘hostile’ cervical mucous
Certain women have thickened cervical mucus which may present as an inhospitable environment for sperms to pass through. In such cases IVF is recommended as it bypasses the cervical region.
Fallopian Tube Blockage
IVF should be considered in the cases where the fallopian tubes are badly damaged and tubal surgery may have decreased chances of success than IVF or in most cases where tubal surgery has already been unsuccessful.
Ovulation Disorders
Certain women face problems with ovulation, but produce eggs when stimulated with fertility drugs without conceiving. In such cases, specialists opt to stimulate the ovary to produce many ova and then select the best for fertilization and transfer.
Impaired Sperm Production or Function
When the sperm of the male partner has low motility, count or certain structural abnormality but may still have the potential to fertilize an ovum, in such cases carefull preparation by embryologists and an IVF procedure may help such couples to conceive.
Endometriosis
Endometriosis is a disorder wherein tissue similar to the tissue lining the uterus grows outside the uterine cavity.Such women with endometriosis may also benefit from the IVF procedure.
For couples facing several fertility issues together or Unexplained Infertility
In cases such as poor male fertility and tubal disease in the couple, IVF may help to overcome the fertility issues and proceed for conception.
Fertility Preservation in case of Cancer or any other health conditions
In case either of the partners is suffering from cancer and would like to opt for gamete preservation prior to chemotherapy or radiotherapy, IVF is recommended at a later date with such cryopreserved gametes.
Genetic Disorder
IVF along with other genomic procedures may be recommended to couples who have or had previous children with genetic disorders.