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Overview

In Vitro Fertilization: Cost, Procedure, Recovery, Risk & Complication

In-Vitro Fertilization (IVF) consists of a series of procedures that are used for the treatment of genetic or fertility problems, while assisting the conception of a child. One of the most effective forms of assisted reproductive technology, IVF procedures can be conducted using a woman’s own eggs and her partner’s sperm. It can also be done by taking the eggs, sperm or embryos from a known or unknown donor. There are some cases where a gestational carrier (a woman with an embryo implanted in the uterus) can be used.

During IVF, mature eggs are retrieved from a woman’s ovaries and fertilized with the sperms in the lab. Once it has been fertilised, the egg or eggs are implanted back in the uterus. A cycle of IVF can take about 2 weeks.

Indication

One may have to undergo an IVF treatment in the following conditions:

  • If a woman’s fallopian tubes are blocked or damaged
  • If ovulation is infrequent/absent, or there are few eggs available for fertilization
  • Loss of normal functions of the ovary before reaching the age of 40
  • A previous treatment of tubal ligation, where the fallopian pipes have been cut/blocked permanently. In this case, one can opt for IVF instead of tubal ligation reversal.
  • Poor mobility, abnormality in sperm size/shape, or below average concentration of sperm of the male partner
  • If you have the conditions of endometriosis (uterine tissue will implant and grow outside the uterus) or uterine fibroids
  • Unexplained fertility or a genetic disorder

Pre Procedure

Before beginning the process of IVF, both the partners may have to go through certain pre-procedure screenings such as:

  • Ovarian reserve testing, for determining the quality and the quantity of the eggs. The concentration of estrogen, follicle stimulating hormone as well as the antimullerian hormone in your blood is checked by your doctor in the initial days of the menstrual cycle. These test results may help in predicting the response of your ovaries to fertility medications.
  • Analysis of the semen of the male partner
  • Screening for any infectious disease like HIV
  • A mock transfer of the embryo for determining the depth of the uterine cavity and the technique that may work best for you
  • An examination of the uterine cavity that may involve sonohysterography (fluid is injected in the uterus through the cervix and an ultrasound creates images of the uterine cavity) or hysteroscopy
  • Some serious question like the numbers of embryos that will be transferred, what needs to be done with the extra embryos, how to handle a multiple pregnancy, and the complications that may occur with donor eggs and sperms or a gestational carrier have to be discussed.

During Procedure

IVF treatment involves the following steps:

  • Ovulation induction, where synthetic hormones stimulate the ovaries for producing multiple eggs. You have to be under several medications for a week or two before the eggs are ready for retrieval. Vaginal ultrasound or blood tests are examined by the doctor to determine it.
  • Egg retrieval, through a transvaginal ultrasound. In this process, an ultrasound probe is inserted in the vagina for the identification of follicles. A thin needle is guided through the ultrasound guide to reach the vagina for collecting the eggs. The laparoscopy method can also be used for the same.
  • Sperm retrieval through masturbation or testicular aspiration in case the partner’s sperm is being used
  • The next step is fertilization either by insemination (sperm and eggs are incubated overnight) or Intracytoplasmic sperm injection (ICSI), where a single sperm is injected directly in a mature egg.
  • Embryo transfer is next step performed at the doctor’s clinic. It takes place two to six days after the retrieval of the eggs.

Post Procedure

Once the embryo has been transferred, you can go back to your regular schedule. However, your ovaries may be enlarged for a few days, so it is advisable to avoid any vigorous activity that may cause discomfort.

The side effects of post treatment may involve:

  • Passing of a small amount of clear/bloody fluid after the procedure, which is caused because the cervix is swabbed before the transfer of the embryo
  • Mild bloating and cramping
  • Constipation
  • Breast tenderness because of the high levels of estrogen

In case you have a moderate or severe pain after the transferring of the embryo, consult your doctor who will evaluate your condition. Any indication of a complication like an infection pr ovarian torsion can be examined and treated.

Risk & Complication

An IVF procedure may bring along with it certain risks and complications like:

  • Multiple births if more than one embryo has been implanted in the uterus. Multiple foetuses can often lead to premature delivery or a low birth weight of the newborn.
  • The frequent injection of fertility drugs to induce ovulation may lead to ovarian hyperstimulation syndrome, a condition where the ovaries become painful and swollen.
  • Using an aspirating needle for collecting eggs may lead to bleeding, damage or infection in the bowel, bladder or a blood vessel.
  • In some cases, there may be chances of an ectopic pregnancy. This is a condition where the fertilised egg will implant outside your uterus, generally in the fallopian tube. The egg would not be able to survive outside the uterus and the pregnancy will not be possible to be continued.
  • Miscarriage or birth defects
  • There may be a possible connection between some medications used in IVF and a specific type of ovarian tumor, though there have not been enough cases to support it.
  • The procedure of IVF can be physically, emotionally as well as financially draining, leading to stress.

More Info

Make sure that you continue having the medications after the embryo transfer has been successfully completed. It is better to avoid travelling during this period. It is generally after 2 weeks after the embryo transfer that you have to go for a pregnancy test. It is important not to be stressed during this phase, but be optimistic and occupied. Also, the pregnancy test must be conducted by a doctor at the clinic and not by yourself at home.

The cost of an IVF treatment may vary from Rs. 10,000 – Rs. 70,000, depending on your condition.

Popular Health Tips

Key Factors To Opt For IVF Sooner Than Later!

Dr. K.D Nayar 93% (649 ratings)
MD - Obstetrtics & Gynaecology, DGO, Dip.Obst.(Ireland), FICOG
IVF Specialist, Delhi
Key Factors To Opt For IVF Sooner Than Later!
In Vitro Fertilization (IVF) is a known and popular form of Assisted Reproductive Technology. It is generally beneficial for couples who are facing complications in conceiving. IVF is an intricate procedure where the eggs extracted from a woman are manually combined with the sperm and the embryo is then placed inside the woman s uterus. The success of IVF depends on various factors. Here are some important reasons why it is recommended to opt for IVF as quickly as possible. Age- As the age of a woman or man increases, the chances of conceiving rapidly decrease. Couples who plan on having a baby later in life can certainly take the help of IVF assistance to achieve fertility. Damaged Fallopian Tubes- If a woman s fallopian tube is damaged or blocked, it could only get worse over time. There is very less possibility of it recovering into a normal fallopian tube. In case of tubal ligation, where the fallopian tubes are cut or blocked to avoid pregnancy, the sooner IVF is done, the more likely is the woman to conceive a child. Egg and Sperm Count- Abnormal sperm size, below average sperm concentration, low motility or strength can make it difficult for a sperm to fertilize an egg. If the egg or sperm count is very low, it greatly reduces the possibility of getting pregnant. However, if an external force is provided, the fertilization becomes quite possible. Hence, IVF should be done quickly before sperm levels further decrease. Genetic Disorders- The IVF procedure has an option of a genetic diagnosis before implantation. This way, the embryo can be safeguarded from genetic disorders that could be passed on from the parents. Only embryos that do not contain any known problems are eventually transferred to the uterus. Time- With the passage of time, not only does your body go against fertilization, even the cost of the procedure could increase. As technology keeps advancing on a daily basis, the cost of IVF is also likely to grow. This could make it more difficult to go for this option in the future. There are many cases where infertility still remains unexplained. Even advanced studies are unable to point out the exact problems in certain couples. In such cases, IVF is a dependable procedure. It definitely increases the possibility of conceiving and has helped several couples experience the joy of parenthood. So, if you are planning to opt for the IVF procedure, it is recommended that you start the process without further delay

5 Ways IVF Can Be Helpful To Couples Facing Fertility Issues

Indira Ivf 84% (22 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
5 Ways IVF Can Be Helpful To Couples Facing Fertility Issues
Are you one of those couples who has been diagnosed with infertility? Then you would know that it is impossible for people on the outside to understand the level of suffering and struggle you go through. You make desperate efforts to overcome the problem, but with technology advancements, there are procedures that can help deal with the condition effectually. IVF or In Vitro Fertilization is a medical fertilization process where an egg is combined or fertilized by a sperm outside of the living organism or the body or in vitro environment. In IVF, which is a kind of ART or Assisted Reproductive Technology, once the embryo or embryos are formed, they are transferred into the uterus. Since its invention, IVF has helped over millions of couples conceive and enjoy complete happiness. To know more about how IVF can help people, continue reading. Couples can have a baby despite having Infertility issues: Whether a couple suffers from low sperm counts, any damage or issues with the fallopian tubes or the uterus, endometriosis, irregular ovulation or any other infertility problems, IVF still makes healthy and successful pregnancy possible. With having a reliable success record, the advanced technology of IVF is also safer. IVF boosts the chance of healthy pregnancy as well as a healthy baby: PGD or Pre-implantation Genetic Diagnosis being possible in IVF, it not only makes pregnancy possible but also ensures the health of the child. This diagnosis helps in identifying whether the embryo has any chromosomal deficiencies or not before it is implanted inside the uterus. IVF lets couples have more control over WHEN they want a baby: While to get pregnant naturally, couples have to try for years, IVF lets couples have more control over the time when they want a baby. Be it the gap between the two or more children or planning the birth of a child at a certain time or getting pregnant at the right time, IVF offers everything and makes it rather easy. IVF lets couples enjoy more options of having babies: When it comes down to having babies, IVF simply gives aspiring parents more options. From allowing women the chance to have children even after menopause, to storing of the sperm and eggs for future use, IVF helps people in materializing their dream of having children in every possible way. IVF also lets same-sex couples and single women to have babies: IVF has made it possible for single women and same-sex couples to have children of their own. Yes, it is IVF, which gives such people the opportunity to become parents with the help of donor sperms or donor eggs. Especially, for those who fail to acquire satisfactory results through IUI, IVF turns out to be the next best option for potential patients to fulfill their dream of becoming parents. One must also remember that opting for IVF doesn t always mean success as the ultimate accomplishment of this assisted reproductive technology depends on various factors, such as health and quality of the eggs, the fertility of the sperm and a healthy uterus that can carry the embryo successfully. Consult with an IVF specialist in case you lack any of the necessary variants, as IVF still may have a solution for you.

IVF Vs Tubal Ligation Reversal - Know The Differences!

Indira Ivf 84% (22 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
IVF Vs Tubal Ligation Reversal - Know The Differences!
In vitro fertilization (IVF) includes empowering the woman with medicines, taking various eggs from her ovaries, fertilizing them with her partner s sperm, and inserting a portion of the subsequent embryos into her uterus with the trust that one will form into a fetus. Tubal ligation reversal, on the other hand, requires a laparotomy, which needs a much bigger entry point on the abdomen, usually around four to six fingers long. Since the skin, each of the muscles, and different tissues of the stomach must be sliced through, there is extensively more uneasiness and a longer recovery time required after the surgery, when compared with a laparoscopic surgery, for example, with a tubal ligation. Here are a few common differences: Sperm quality: The male partner needs a sperm test before basic procedures of either of the two. In case that the sperm quality is great, then the couple could consider proceeding. In case that the sperm quality is poor, in vitro treatment is the better alternative. With IVF, poor sperm quality is effectively overcome. Tubal status: The length of the remaining tubal stumps after tubal ligation is an important aspect. The more extended the two remaining stumps are on each side, the better and more effective is the pregnancy. The shorter the stumps, the lower are the odds for pregnancy. Status of other pelvic conditions: Pelvic endometriosis or any scar tissue in the range of the tubes or ovaries would diminish the chance for accomplishment after tubal ligation reversal. Although, IVF pregnancy achievement rates are usually not influenced by these conditions. Along these lines, in vitro fertilization is most likely a superior alternative in women with noteworthy endometriosis or pelvic scar tissue. Female age: Chances for pregnancy with either tubal ligation or IVF decrease in the mid to late thirties and significantly reduce at the age of thirty-eight. By age forty-three or forty-four, not many women will have the capacity to have a baby using either approach. Egg amount and quality: A few women have a decrease in either egg amount or quality prior in life than anticipated. In this manner, the woman s ovarian capacity needs to be tested before a choice is made in regards to whether to continue with either tubal ligation or in-vitro fertilization. AMH levels, ovarian antral follicle number, and day 3 FSH levels are generally done to evaluate ovarian capacity or hold. Doctor intervention: The greatest favorable position of tubal ligation reversal over IVF is that once the woman has experienced the surgery she ideally will not require any medication through the doctor, for example, medications or systems, keeping in mind the end goal to get pregnant.
1381 people found this helpful

IVF Success Rate: Traditional Acupuncture And Acupressure Treatment

Dr. Healer Nazir Sheriff 87% (70 ratings)
BSAM
Acupressurist, Chennai
We are providing three stages of IVF support through Acupuncture and Acupressure and this supports for the maximum chances of pregnancy and healthy baby formation (reducing failures) without side effects. The stages are follicle maturity support, uterus inner layer (endometrium) support and Healthy Baby development. Stage I - Follicle Maturity Support: When the follicles are matured (determined by ultrasound measurements of follicle size and hormone measurements), the egg aspiration procedure has to be done to take the eggs out. About 15 to 20 mm diameter is generally considering a "mature" follicle. We are providing very innovative supportive treatment, which is entirely positive and helpful to overcome complication in egg maturation and increase the number of follicles formation. By obtaining this treatment, usage of donor egg can be avoided and also maximize the chances of own follicle development without side effects. Stage II - Endometrium Preparation: (uterus inner layer preparation) Normal complication and failure occur during endometrium bed formation, which must be between 7 and 14 mm and to be triple-lined in the ultrasound scan. Nonetheless, in certain cases it can be very difficult to achieve. By another innovative method, the formation of endometrium (ranges from 7 mm to 14 mm) can be achieved within the time limit and assurance for safety and no side effect. Stage III - Healthy Baby Development: Apart from IVF normal procedure, healer formulated some important points to avoid pregnancy complication, it is a most innovative and useful procedure for new born, by avoiding genetically carrying health problems like Diabetes, primary complex, over weight etc., And stage Embryo development to reach full maturity and avoid genetically transmitted health problems.

Can Endometrial Scratching Boost IVF Success Rates?

Indira Ivf 84% (22 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Can Endometrial Scratching Boost IVF Success Rates?
In vitro fertilisation (IVF) is a medical procedure followed for those women or couples suffering from infertility or for certain specific genetic problem. In the normal course, women or couples experience positive results within a few IVF cycles. However, in spite of reasonable pregnancy rates, some women may require few more cycles to achieve pregnancy. In such cases, in order to ensure a healthy pregnancy, the gynecologist may suggest the women undergo Endometrial Scratching before IVF. Endometrium explained in brief: The uterus is located in the pelvic region and it is in the size and shape of a pear. The inner cavity of the womb or uterus is protected by the tissue lining called endometrium, also called endometrial. The endometrium plays a significant role in supporting the pregnancy. The enhanced success of achieving pregnancy: The endometrial scratching procedure is a very simple one, which is resorted, so as to improve the results of IVF procedure. In this procedure, the gynecologist uses a very fine catheter and makes a small scratch on the endometrial lining. In fact, the scratch causes a kind of inflammatory reaction in the uterus. This inflammatory reaction induces the endometrium to be highly receptive to embryos during the successive menstrual cycle. This added receptivity enhances the success of pregnancy during the next menstrual cycle. Considering the higher level of success in achieving pregnancy, the endometrial scratching procedure has gained popularity in the IVF procedure. However, some of the other issues related to endometrial scratching may be as follows: Endometrial scratching optimises the uterine lining and thereby, makes it easier to continue the embryo implanting procedure. Normally, before the endometrial scratching procedure, the gynecologist may suggest endometrial biopsy. The endometrial procedure is usually suggested for those women who had two or more unsuccessful IVF procedures, despite having good quality embryos. However, in some cases, depending on the health of the patient and various other factors, the gynecologist may suggest this endometrial scratching at the very first IVF procedure. This procedure can be availed either for fresh embryos of the couple or frozen embryos or for the donor egg. Although this is a part of a surgical procedure; endometrial scratching is very simple and painless and it is done without administering anesthesia. The procedure does not require any hospitalisation. In fact, the patient can go home soon after the procedure. Except for a few pain killers, this procedure does not require any extensive medication. This is a safe and easy procedure. Neither does it lead to any side effects, nor is the procedure burdensome for your wallet. Many couples have been benefited by this endometrial scratching procedure.
1 person found this helpful

Popular Questions & Answers

Hi, mam We are residing in vizag currently. Doctors has advised us to go for IVF and also gone through laparoscopy to remove blockage of Fallopian tubes but was not successful. I need to know full procedure and how much time it is taking as we have to take leave from work. Total expenses how much are approximately? And are you fertilizing two eggs at a time or only one.

Dr. Pragnesh Shah 88% (44 ratings)
MD, MBBS
Gynaecologist, Ahmedabad
Can you share the video of Laparoscopy and Hysteroscopy to me to understand the reason behind Tubal block and to know the possibility of opening tube Hysteroscopy ally and laparoscopically and weather Hysteroscopy Tubal cannulation had been tried hysteroscopically to open the blocked tubes or not? If your ovarian reserve- S.AMH level and antral follicles count on 3rd day of tvusg follicular study - If we can open the tube Hysteroscopyally or Laparoscopically, you had chances of natural conception by doing sexual relations around the timing of ovulation ART OR IVF should be tried as a last resort because it costs around 1.5 lack rupees per cycle and success rate is 30 to 40 %. So Tring possibility of natural conception is better choice and should be tried by expert in this field before resorting to IVF. For Tubal pathology we investigate for genital T.B. So any report's related to TB you can send to me.

Hi Sir, My fallopian tubes are block, then I get the ivf treatment but I have get negative. What can I do. Please advise me.

Dr. Ethelina Mary Robert 90% (411 ratings)
MBBS, MS - Obstetrics and Gynaecology
Gynaecologist, Jhansi
Tubal blockage can sometimes be opened via medication and hydrotubation. If not ivf is the only option

Good morning sir, I am manage I got married before 3 yrs, recently doctors diagnosed bilateral hydrosalpinx with cervical erosion. So doctors advice to do ivf in April 2nd but now result is negative sir, doctors says plan to do tube clipping .I have doubt sir if I do that procedure any possible to conceive or not.

Dr. Gitanjali 97% (1667 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
You should go for clipping of hydrosalpinx ,followed by ivf .success rate of ivf are better after clipping of hydrosalpinx.
1 person found this helpful

My wife taking valparin chrono 500 we have planning to do ivf Can she take regularly valparin chrono 500?

Dr. Gitanjali 97% (1667 ratings)
MS - Obstetrics and Gynaecology
Gynaecologist, Delhi
Valparin chrono contains sodium valproate which is not safe in pregnancy, with its intake during pregnancy there is a high incidence of baby having congenital anamolies. You should consult your doctor so that he can prescribe you safer antiepileptic drugs before the process of ivf statyd.
1 person found this helpful

Hi doctors my husband has normospermia, what does it mean? Can please explain it sir ,we have married 5 years ago and we planned many times for children but still we don't have children, and we are planning to go ivf treatment ,Is it possible for us?

Dr. Girish Dani 90% (3277 ratings)
MD - Obstetrtics & Gynaecology, FCPS, DGO, Diploma of the Faculty of Family Planning (DFFP)
Gynaecologist, Mumbai
Normospermia means normal sperms. Any couple desirous of pregnancy and not getting same naturally must meet Gynecologist or infertility specialist accepting facts that it needs many reports and different trials of treatment. Means couple must have patience and go to one in whom they have trust to stick for long time.

Health Quizzes

How Can You Avert The Risks Involved In IVF Procedure?

Dr. Hardik Shah 94% (92 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
There are various risks involved with the IVF process. True or false? Take the quiz to know now
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118 people took this quiz

Important Facts About In-vitro Fertilisation!

Dr. Hardik Shah 94% (92 ratings)
MBBS, MS - Obstetrics & Gynaecology
Gynaecologist, Ahmedabad
The IVF process can treat a number of causes of infertility. True or false? Take this quiz to know more.
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225 people took this quiz

IVF - Factor That Can Affect The Results!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
The absence of a healthy endometrial lining can reduce the chances of success of IVF. True or false? Take this quiz to know more.
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74 people took this quiz

IVF - The Sooner The Better!

MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Delhi
Having the IVF done early increases the effectiveness of the process. True or false? Take this quiz to know more.
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228 people took this quiz

IVF - Can It Help A PCOS Patient To Conceive?

Dr. Kaberi Banerjee 88% (245 ratings)
MRCOG, MD - Obstetrics & Gynaecology, DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
Skinny women are not at a risk of developing polycystic ovary syndrome. True or false? Take this quiz to find out.
Start Quiz
107 people took this quiz

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