IVF stands for In Vitro Fertilization, which is a part of Assisted Reproductive Technology (ART). The IVF Process is about the procedure of fertilization through retrieved eggs, sperm, and then physically mixes an egg and sperm in an IVF laboratory. The embryos, aka fertilized eggs, then infiltrated to the uterus.
Another segment of ART is intrafallopian zygote transfer (ZIFT) and gamete intrafallopian transfer (GIFT).
Define the IVF process and how this process is performed
To define this process, you need to know what steps are generally taken in the IVF Procedure and embryo transfer process. There are five steps, and they are the following:
Step 1: The fertility drugs are recommended by the doctor to enhance the egg production. There is a requirement of multiple eggs, only few are fruitful to fertilize after retrieval. To inspect the ovaries, a transvaginal ultrasound is performed. To check the level of hormone, blood taste samples need to be taken.
Step 2: Eggs are extracted via a small surgical treatment process, which utilizes ultrasound pictures to instruct void needle via pelvic hollow for egg retrieval. Medications are prescribed to the patient to decrease and eliminate possible uneasiness.
Step 3: The sample of sperm is required from the male counterpart, which is yet to blend with the woman’s egg.
Step 4: The extracted sperm and retrieved eggs are combined jointly and restored in the laboratory to process the fertilization; this process is known as insemination. In many cases, if there is less chance of fertilization, then intracytoplasmic sperm injection (ICSI) might perform.
During this process, a single sperm is inserted straight into the egg to encourage fertilization through injection.
The eggs are observed to make sure that fertilization and cell separation are occurring; once this process takes place, the fertilized eggs will become embryos.
Step 5: The formed embryos through fertilization and cell separation infiltrate inside the woman’s uterus 3 to 5 days next to fertilization and egg retrieval. A tiny tube or Catheter is inserted inside the uterus for transferring embryos. This IVF process in India might be painless for a large number of women, while some may face minor pain. If the process is fruitful, implantation normally happens nearly 6 to 10days after egg retrieval.
Step By Step Process through an IVF Cycle
IVF cycle is considered as one round IVF procedure with the first day of your period. You can begin required injections and medications before the first day of the IVF cycle.
Step 1: Day 1 of your IVF treatment period
Generally, the first day of your IVF treatment cycle is day one of your period, however, every patient’s body is different from one another. Your IVF doctor is helpful in knowing how to recognize day 1.
Step 2: Ovaries stimulation
The stimulation stage begins from day 1. In a common monthly cycle, your ovaries commonly generate one egg. You need to intake medication for 8 to 14 days to give a better atmosphere to the follicles in your ovaries (where eggs reside) to generate more eggs.
The IVF doctor will prescribe medicines based on your treatment and body. It is generally in the shape of injection that can be different from 1-2 for the cycle or 1-2 for per day. However, it might not be easy for you to go through the process, but your fertility specialist will give you accurate and at what time to give injections. You can convince your partner to indulge in this process and gain knowledge of how to do it correctly. You will be habitual for it, and there will be no stress after that.
The most general hormones in the medication utilized to encourage follicles are
luteinizing hormone (LH).
follicle-stimulating hormone (FSH)
We monitor ovaries and see how follicles are mounting along with ultrasound and blood tests. The medications can be altered or changed if it will be required. You need to go through for a few transvaginal ultrasounds (scrutiny put in inside). India IVF team will look after you every time and never let you feel uncomfortable during the process.
We will investigate the patients repeatedly when the stimulation process is coming to an end, and then start injection properly.
The process of trigger injection makes your eggs activated for ovulation ( it is a normal procedure where eggs are discharged, and the patient has their own period). Your fertility surgeon will give you information about the accurate time of trigger injection. Moreover, the fertility doctor will plan the egg retrieval prior to your ovulation.
Step 3: Egg retrieval
The egg retrieval is a process where eggs are extracted from ovaries. For this, the doctor will give you local anesthesia so that they can do this egg retrieval process easily, without making you aware as you will be asleep due to anesthesia.
The fertility doctor uses advanced ultrasound methodology to insert a needle inside every ovary. It is a very sensitive procedure, where every millimeter matters, and here we only need the experienced and experts for that. The eggs in the ovaries cannot be seen through the naked eye as eggs are in the form of fluid inside the follicles inside your ovaries. The expert takes out fluid from the follicles, which seem like they have developed enough to form an egg internally.
It is the responsibility of your IVF doctor how he/she has been collect IVF information, such as how many eggs are present before egg retrieval through ultrasounds. The standard quantity of eggs retrieved differs from patient to patient.
After this process, the patient only needs half an hour for recovery. You can walk on your own, however, if you are taking support from your partner or relative, that’s good. But make sure you don’t drive immediately after the process; you won’t be able to do that.
Step 4: The sperm
There are two situations: If you are thinking of fresh sperm, the male counterpart need to provide a fresh sperm sample in the morning at the time of egg retrieval
If you want to use frozen eggs, then our expert restored it in the lab
The quality of sperm is calculated utilizing four diverse levels. It is cleaned in a special combination to make a slowdown, and a fertility expert can identify the best one via microscope. The high quality and accurate sperm will be not too thin as well too fat. It will be with a tail, which is not too short or long. The best quality sperm are chosen, and they are prepared to mix with eggs in the lab
Step 5: Fertilization
The fertility doctor will provide retrieved eggs to the scientists that are still in the form of a fluid (inside the follicles of the ovaries). Our scientists will inspect the eggs in the fluid to eliminate them.
The fertilization process of eggs needs to be in a rapid manner. The eggs and sperm are mixed in the lab. Then eggs and sperm identify each other and fertilized successfully similarly in the female body.
Step 6: Development of Embryo
If the sperm fertilizes the egg, it becomes an embryo. Our scientists put the embryo into where the conditions for growth and development are perfect.
When egg is fertilized by sperm, it is known as an embryo. The scientist keeps embryo inside a particular incubator, where the chances of development and growth are favorable.
We at India IVF produce favorable development and growing situation by utilizing a combination of amino acids, the same as your body would perform to nourish the embryo.
The scientists take care of embryos for nearly 5-6 days. For that we require
A 2-4 cell embryo on 2nd day and 6 to 8 cell embryo on 3rd day(cleavage stage)
The embryos implantation at the blastocyst transfer stage inside the uterus increases the possibility of fruitful pregnancy.
Sadly, not all eggs need to fertile and become an embryo. The reason for this is because of low-quality sperm or immature egg. The IVF doctor will make you aware of the development of your egg, sperm, and embryo development so that they can give you good news.
Stage 7: Embryo transfer
The developed embryos are now prepared to insert into your uterus.
The fertility attendant will tell you to describe what you will require to do:
The process of embryo transfer is an effortless procedure, as it will hardly take 5 minutes. There is no requirement of anesthesia as it can be done when you are awake. You can easily stand straight away. You can do normal work. There is a myth about an embryo that it will fall out if you stand or go to the washroom, but actually, it doesn’t happen. You can do daily routine work after embryo transfer.
IVF surgeon uses a small tube known as a Catheter to transfer your embryo. This needs an experienced and expert doctor because the process is very sensitive and complicated. The doctor needs to make sure that the embryos are not disrupted during the whole process.
The fertility doctor will insert the Catheter via the cervix and inside your uterus.
Step 8: The concluding blood test
You will require to conduct and blood test nearly 2 weeks after your embryo transfer in order to inspect the hormone hCG (human chorionic gonadotropin) in your body. HCG is considered as a positive pregnancy inspection. The IVF surgeon or fertility expert will tell you the exact time of the blood test, and it can be different from patient to patient.