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

What is IVF?

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

What Procedure is followed :

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.

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Popular Questions & Answers

Hello doctor meri shadi ko 7 sal ho gaye hai maine ivf karvaya par phel hua doctor ne fertilization failure bataya mujhe month mein do bar period aata hai jaise agar month ki 1 tareekh ko period aaya to usi month 26 ko ayega reports bhi normal aayi hystroscorphy karvaya but normal aaya to kya kare shadi ka 8 va sal chal raha hai please doctor advise 9.

1 ke baad 26 ko aata hai use normal kahte hai. Jinko bachha chahiye aur apne aap nah hota hai, unko gyncologist ya infertility specialist ke paas jana hota hai, jahan bahut sare reports nikalane padte hai aura lag alag treatment ka prayatna karna ...
2 people found this helpful

Why rainbow ivf hospital ivf n icsi facilities are most costlier in agra (u.p) why rainbow of is costlier than kamlesh tandon and amit jaggi hospital indira ivd and other do rainbow ivf provide latest technology for that or all of centre are same?

Same. In kolkata cradle fertility centre we treat with ivf icsi even within 1.7 lakhs including all medicine, all diagonostics, all post embryo transfer luteal phase support medicines: that means including everything we take only 1.7 lakhs. And th...

I am 31 years old female. I am going through of ivf procedure. Yesterday my doctor received eggs however they have given me ovucet medicine too but I could’t understand why they have injected me after my retrieval done. Please help.

Ask your treating doctor. After collecting eggs they have to be put in uterus later for which uterus also should be hormonally in tune.
1 person found this helpful

Table of Content

What is IVF?

Indication

What Procedure is followed :

Risk & Complication

More Info

Play video
Myths And Facts About IVF
In vitro fertilisation (IVF) is one of the popular Assisted Reproductive Technologies (ART) for treating infertility and helping couples to conceive. But lack of understanding about the IVF treatment has given rise to a number of myths and facts.
Play video
In Vitro Fertilization (IVF) - Things To Know About It
IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary ...
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Repeated Implant (IVF, ICSI) Failure
IVF is the most successful method of fertility treatment utilized today to help couples to conceive. The basic components of the IVF process include stimulation of the ovaries to produce multiple eggs at a time, removal of the eggs from the ovary ...
Play video
Things To Know About IVF Failure!
Namashkar, Mai Dr Ruchi Malhotra aaj aap ko IVF failure ke bare mein kuch batana chahti hu. Ab IVF jaisa ki aap jante hai ek aisi cheez hai jisme hum log bachcha bana kar bachchedani mein implant karte hai. Ek anda hota hai aur ek sperm hota hai j...
Play video
How To Prepare For IVF?
Hi, I am Dr Jayanti Kamat, IVF consultant . So today we will be talking about how to prepare for IVF procedure. As you all know that IVF or Test Tube Baby procedure is a very big step in the treatment towards parenthood. So it requires a lot of pr...
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