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In Vitro Fertilization (Test Tube Baby) Tips

In Vitro Fertilization: Understanding the Process

MBBS, MS - General Surgery
General Surgeon, Kota
In Vitro Fertilization: Understanding the Process

What is IVF?

IVF stands for In Vitro Fertilization and is a method of artificial insemination that dramatically increases the chances of pregnancy. It is one of the assisted reproductive technologies methods used as fertility treatment across the world where other methods have had drastic results.

In simpler terms, a man's sperm is inserted in woman's egg using controlled laboratory environment to proceed with fertilization. These embryos are then carefully put back into the mother's uterus after 4 to 5 days of fertilization in incubator in hopes that the embryo would grow in a full baby. The embryo transfer process needs to be carefully done in order for successful fertilization in the mother's womb.

There are many reasons why IVF is conducted:

  1. Poor sperm quality - Males having poor sperm quality are unable to achieve fertilization and increase the chances of conception with their female partners. This is male factor infertility due to which people move towards IVF.
  2. Fallopian tube problems - This is a female factor infertility, in which fallopian tubes either get blocked, or damaged making it complicated and stressful for the embryo to travel to the uterus.

One must approach IVF treatment with patience and a willingness to comply with all the tenets that the treatment is built upon. IVF clinics may vary the treatment a little according to what the patient's condition demands and different clinics may have different methods. The basic methods of IVF treatment however, remain the same. The first step to the treatment is to find the right clinic which complies with factors like availability of resources, cost and quality of treatment. After deciding the clinic, the next step is to understand that IVF treatment happens in cycles and the success rate of conception varies. Patients must also be ready to face any disappointment.

Here’s the short version of the steps involved in an IVF treatment cycle:

  1. Ovarian stimulation. Your doctor prescribes a course of drugs for you to take to stimulate your ovaries into hopefully producing 12 to 15 mature eggs.
  2. Monitoring of your drug response. To monitor the progress of your ovarian stimulation you undergo an ultrasound examination and blood tests.
  3. Egg maturation. Two days before your eggs are due to be collected you have a hormone injection, which triggers maturation of the eggs.
  4. Egg collection. You receive a light general anaesthetic for this simple, short procedure, and your doctor retrieves your eggs using an ultrasound-guided technique.
  5. Sperm production. On the day of egg collection, your partner provides a sperm sample.
  6. Fertilisation. The embryologist puts sperm and eggs together in the lab and, if all goes well, the eggs fertilise and early embryo development begins.
  7. Embryo transfer. Two to five days after egg collection, your doctor places one or two embryos in your uterus. Frozen transfer can be planned after a gap of 1 month.
  8. Embryo freezing. If you have additional embryos suitable for use, they can be frozen and kept for future transfers. Also, frozen embryos are available.
  9. Pregnancy test. About two weeks after embryo transfer you have a blood test to find out whether the treatment worked.
    • If the test is positive, you have your first pregnancy scan two weeks later.
    • If the test is negative, you and your partner need to talk to your doctor and decide whether to try the treatment again.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3286 people found this helpful

Know The Facts About In Vitro Fertilization (IVF)!

Indira Ivf 86% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
Know The Facts About In Vitro Fertilization (IVF)!

A woman bearing a child is a matter of great wonder. Many underlying dynamics must come together at the appropriate juncture so that a new life can see the light of this world. As per an estimate, every 12th couple in their mid-ages does not possess the ability to become parents. A considerable number of these affected couples go through stress and dilemma on whether they can bear a kid. However, with the help of in-vitro fertilization (IVF), they can fulfill their desire to have kids.

IVF came into existence for the first time in the US in 1981. Since then, it has become a favourite treatment procedure to treat infertile couples. More than six million babies have been born worldwide with the help of an IVF procedure. IVF is also known as a method of assisted reproduction. It is a process in which the sperm of the man and the egg of a woman are combined in a laboratory dish. Here is the list of good-to-know facts on IVF-

Women with problems in their fallopian tubes can get pregnant through IVF
If the fallopian tubes of a woman are not functioning in the right manner, the egg cannot get near the uterus. This can cause a problem in pregnancy. However, in an IVF process, the mature cells are extracted and are combined with sperm cells in an incubator. After the completion of this process, the fertilized egg cells are transferred into the uterus.

Healthy sleep habits are needed for facilitating better IVF cycles

If you are one of those rarer human species who dozes off to sleep after the completion of your daily routine, then you are in for luck in IVF treatment. Getting a good night's sleep is the prerequisite for a successful IVF procedure. However, sleeping too much or too little can have severe repercussions on an IVF treatment.

Consumption of tobacco and alcohol should be avoided during an IVF treatment
Drugs are primarily known as poisonous pleasures and can harm and cause serious damage to the embryo. If you are a smoker, then it is always advisable to avoid smoking during an IVF treatment. However, you can opt for sexual intercourse as it improves the quality of embryos.

IVF treatment comprises one complete female cycle
During an IVF procedure, the maturity of the eggs is increased by giving an injection. It is known as hormonal stimulation. Ultrasound and blood test is needed on a ninth day to assess the growth of follicles. On the basis of their growth, the time of ovulation is determined. Most IVF procedures usually need one complete female cycle.

With the help of an IVF treatment, there is always hope in store for those who want to have children. It has become a holistic model of treatment for couples who are haunted by infertility.

In case you have a concern or query you can always consult an expert & get answers to your questions!

4337 people found this helpful

In Vitro Fertilization - An Overview!

Garbhagudi Ivf Centre 92% (83 ratings)
Fellowship in Reproductive Medicine & ART
IVF Specialist, Bangalore
In Vitro Fertilization - An Overview!

IVF or In Vitro Fertilization is a very common treatment for infertility. This process of fertilization involves, extracting eggs, retrieve a sperm sample and then get the egg and sperm combined manually in a laboratory dish. The embryo then gets transferred to the uterus. It is an artificial way to conceive and applicable for couples who cannot have children conventionally.

Problems Which Lead To In Vitro Fertilization

Now we will have a look at the problems which ultimately force couples to go for IVF and conceive children through artificial procedures:

  • Infertility Issues in Female:

Generally for women, they produce the egg and then it’s about moving it to the uterus where the sperm can fertilize it. When everything goes well, the fertilized egg goes on to become an embryo and then it gets implanted on the wall of the uterus and grows accordingly. Any deviation from this normal process can lead to infertility.

One of the most common causes of infertility among females is Endometriosis. Endometriosis causes scar tissue which results in the blockage of fallopian tubes. In some other cases, there may not be any blockage in the fallopian tubes but there might be difficulty in moving the egg along to the uterus where the fertilization can take place. In such a situation, IVF helps to the get the eggs extracted directly from the ovaries, fertilize them in the lab, hence avoid the problems of the fallopian tubes.

  • Problems With Ovulation Can Be Another Cause Of Infertility:

Ovulation problems generally occur for women who are aged 35 years or over and can have issues in producing good quality eggs. This is where IVF can come into play. It can get the woman’s ovaries stimulated by fertility drugs, help produce a number of eggs and then allow them to be fertilized in the laboratory. In Vitro Fertilization helps in giving greater control, when there is a possibility of multiple births, rather than using only the fertility drugs. IVF makes sure to use donor eggs from a donor younger woman, which in turn largely improves the possibility of a woman, who is 40 years old or more than that, to get pregnant.

  • Infertility Issues Among Males:

For males, it is about producing healthy sperm and get them inside a woman’s uterus, so that there is a chance of an egg fertilization. Now, infertility problems arise, if anything goes wrong with this particular process. One of the main problems could be, low sperm count, which fails to penetrate the egg, while other issues could be, sperm is unable to survive in the uterus’s mucus, problem with intercourse, tube blockage. Males can get rid of these problems through IVF treatment, where the sperm could get extracted from the testicles, avoiding the blockages and hence used for fertilization of eggs in the lab.

So, this segment has talked of what IVF is all about and what kind of problems among males and females could lead to IVF treatment. In case you have a concern or query you can always consult an expert & get answers to your questions!

3413 people found this helpful

In Vitro Fertilization - An Overview!

Dr. Shalini Yadav 90% (60 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DGO, MD - Physician, Certificate Course In Reproductive Medicine & Ivf, Basic Life Support (B.L.S), Advanced Infertility Management Training, ivf training in NUH singappre, masters in Reproductive Medicine
IVF Specialist, Gurgaon
In Vitro Fertilization - An Overview!

IVF or In Vitro Fertilization is a very common treatment for infertility. This process of fertilization involves, extracting eggs, retrieve a sperm sample and then get the egg and sperm combined manually in a laboratory dish. The embryo then gets transferred to the uterus. It is an artificial way to conceive and applicable for couples who cannot have children conventionally.

Problems Which Lead To In Vitro Fertilization

Now we will have a look at the problems which ultimately force couples to go for IVF and conceive children through artificial procedures:

Infertility Issues in Female: Generally for women, they produce the egg and then it’s about moving it to the uterus where the sperm can fertilize it. When everything goes well, the fertilized egg goes on to become an embryo and then it gets implanted on the wall of the uterus and grows accordingly. Any deviation from this normal process can lead to infertility.

One of the most common causes of infertility among females is Endometriosis. Endometriosis causes scar tissue which results in the blockage of fallopian tubes. In some other cases, there may not be any blockage in the fallopian tubes but there might be difficulty in moving the egg along to the uterus where the fertilization can take place. In such a situation, IVF helps to the get the eggs extracted directly from the ovaries, fertilize them in the lab, hence avoid the problems of the fallopian tubes.

Problems With Ovulation Can Be Another Cause Of Infertility: Ovulation problems generally occur for women who are aged 35 years or over and can have issues in producing good quality eggs. This is where IVF can come into play. It can get the woman’s ovaries stimulated by fertility drugs, help produce a number of eggs and then allow them to be fertilized in the laboratory. In Vitro Fertilization helps in giving greater control, when there is a possibility of multiple births, rather than using only the fertility drugs. IVF makes sure to use donor eggs from a donor younger woman, which in turn largely improves the possibility of a woman, who is 40 years old or more than that, to get pregnant.

Infertility Issues Among Males: For males, it is about producing healthy sperm and get them inside a woman’s uterus, so that there is a chance of an egg fertilization. Now, infertility problems arise, if anything goes wrong with this particular process. One of the main problems could be, low sperm count, which fails to penetrate the egg, while other issues could be, sperm is unable to survive in the uterus’s mucus, problem with intercourse, tube blockage. Males can get rid of these problems through IVF treatment, where the sperm could get extracted from the testicles, avoiding the blockages and hence used for fertilization of eggs in the lab.

So, this segment has talked of what IVF is all about and what kind of problems among males and females could lead to IVF treatment.

2990 people found this helpful

In Vitro Fertilization - Quick Facts!

Indira Ivf 86% (46 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery
IVF Specialist, Udaipur
In Vitro Fertilization - Quick Facts!

In vitro fertilization (IVF) is a process of fertilization in which eggs (ova) from a woman's ovary are removed. They are combined with sperm outside the body in a laboratory procedure, and then the fertilized egg (zygote) is transferred to the same or another woman’s uterus for a successful pregnancy.

IVF is one of the several assisted reproductive techniques (ART) used to help infertile couples to conceive a child.

Causes of Infertility

  1. Blocked fallopian tubes
  2. Hormonal imbalance
  3. Endometriosis
  4. Women with ovulation disorder
  5. Uterine fibroids
  6. In the man, low sperm count or poor quality sperm
  7. Genetic disorder

Procedures
Two procedures are done to gain access to ovaries

  1. It involves inserting the needle through the vagina (transvaginally). With the help of an ultrasound machine, the physician guides the needle to the location of the ovaries
  2. In the other procedure, called laparoscopy, a small thin tube with a viewing lens is inserted through an incision in the navel. This lets physician to see inside the patient, and locate the ovaries.

Method
Without additional techniques, the chances of pregnancy would be extremely small. The additional techniques used in IVF include-

 

  1. Ovarian hyperstimulation- Stimulation to induce development of multiple follicles of the ovaries.
  2. Final maturation induction- Induction of final oocyte maturation is performed, generally by an injection of human chorionic gonadotropin (HCG), when the ovarian follicles have reached a certain degree of development. This is known as the "trigger shot”
  3. Egg and sperm preparation- Semen is prepared for fertilization by removing inactive cells and seminal fluid in a process called sperm washing. An oocyte selection may be performed prior to fertilization to select eggs with optimal chances of successful pregnancy.
  4. Co-incubation- Eggs are removed from the woman and placed in one of the fallopian tubes, along with the man's sperm. This allows fertilization to take place inside the woman's body. Therefore, this variation is actually an in vivo fertilization, not in vitro.
  5. Embryo culture- The main durations of embryo culture are until cleavage stage (day two to four after co-incubation) or the blastocyst stage (day five or six after co-incubation)
  6. Embryo transfer- The number to be transferred depends on the number available, the age of the woman and other health and diagnostic factors. Embryos are transferred to the patient's uterus through a thin, plastic catheter, which goes through her vagina and cervix.

Aftercare
After the IVF procedure is performed the woman can resume normal activities. A pregnancy test can be done approximately 12-14 days later to determine if the procedure was successful.

Risks

  1. Multiple pregnancies
  2. Ectopic pregnancy
  3. Ovarian rupture, bleeding
  4. Infections
  5. Complications of anesthesia
4984 people found this helpful

In Vitro Fertilization (IVF) - What Indicates That You Need It?

Dr. Nalini Gupta 92% (263 ratings)
M.Sc, MD, MBBS
IVF Specialist, Delhi
In Vitro Fertilization (IVF) - What Indicates That You Need It?

With infertility on the rise due to various reasons, in-vitro fertilization is one of the most effective solutions. This is gaining wide acceptance across the society and medical fraternity. Read on to know more about why IVF and how it is done.

Causes of infertility:
Advanced maternal age: More and more women choosing education and career over marriage and family. There are many women who are not even thinking of having children up until their 30s. Biologically though, the quality of egg deteriorates with age, and women beyond 35 have difficulty conceiving naturally.

  • Altered lifestyle including exposure to chemicals and pollutants, which has led to overall decline in the health of individuals.
  • Societal changes like urbanization and formation of nuclear families
  • Increased stressors in all spheres of life, which is affecting the quality of sperm and egg
  • Lifestyle diseases including obesity, diabetes, and hypertension. These are becoming more prevalent in the younger age groups, and therefore infertility is on the rise in these groups.
  • Lifestyle habits like smoking, alcohol abuse, drug abuse, etc., which are also poorly affecting fertility rates.

However, with all these, medical technology is also improving. For those who are faced with infertility due to the above issues, there is a lot of hope in terms of options like IVF which have provided a definitive solution to infertility.

Steps of IVF: By definition, in vitro fertilization is when the egg and sperm are fertilized or fused in a glass (vitro is for glass) and then implanted into the womb where it grows further.

  • The first step is to induce ovulation. Fertility medicines are given and hormone levels are monitored to ensure egg release happens. Normally, the ovaries produce only one egg. However, with IVF, the ovary is made to produce multiple eggs, so that the chances of fertility is increased.
  • The egg is then retrieved and moved into an incubator.
  • Sperm sample is obtained either from the partner or a donor, and the healthiest sperm is chosen for fertilization. The sperm and the egg are then allowed to fertilize in the incubator
  • A healthy fertilized embryo is then transferred into the womb. The woman is advised bedrest for about 1 to 2 days.

Indications:

  • Blocked fallopian tubes, which do not allow for the sperms to travel up to the uterus
  • Advanced maternal age, women of more than 30 years of age, this is an effective option.
  • Uterine scarring or endometriosis caused infertility can also be managed through IVF
1 person found this helpful

In Vitro Fertilization - 4 Myths About It!

Dr. Ruchi Malhotra 90% (481 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Obstetrics & Gynecology, DGO
IVF Specialist, Delhi
In Vitro Fertilization - 4 Myths About It!

In vitro fertilization or IVF is deemed as one of the wonder treatments for couples who are facing infertility issues. Whether it is due to poor sperm quality of blocked fallopian tubes, IVF has proven to be a safe and effective solution. However, like with all new techniques, IVF also has some myths which need to be understood before signing up for the procedure. With so much at stake in terms of finances and time, understanding the process will help set realistic expectations and improve the success rate of IVF.

Myth 1: High success rate. While IVF has very high success rates, some women just fail to get pregnant. This could be about 5% of the women and may not be attributable to any particular cause. Each woman responds differently, and failure to conceive through IVF could be due to no explainable cause. What is interesting is that though the first attempt failed, subsequent attempts may be successful. Failing the first cycle does not mean failure in subsequent cycles. Also, success rate differs from clinic to clinic, and so choose one which has a proven track record and good success rates. It should not just have good doctors but also the essential technology and infrastructure to support the IVF technique.

Myth #2: IVF leads to multiple births. While achieving multiple births is easier through IVF, it always does not lead to multiple births. Multiple embryos are implanted, only to improve the chances of success. It does not necessarily translate into multiple births. In women over 38 years of age, it is mandatory to only transfer a single embryo as multiple births are very likely to be complicated.

Myth #3: Rest and time off work. It is believed that IVF has a higher success rate with proper rest and time off work. Rest is definitely required the first few days after embryo transplant but it definitely later assumes a normal course of things. It is not that too much time off work is required, just because you had an IVF. Your body might be different and require more rest, but that could have been the case even with a normal pregnancy.

Myth #4: The medications with IVF are going to have lots of side effects. While the hormones given to promote egg release do have their side effects of making you feel moody and emotional, it is only transient. Once the egg release happens, fertilization is done, and embryo transplant is done, then things should settle down. The effects should wear down once the embryo is implanted and then things should settle down. Of course, pregnancy brings its own hormonal changes, which will run their course through pregnancy.

3561 people found this helpful

IVF (In-Vitro Fertilization)

Dr. Richika Sahay Shukla 92% (827 ratings)
DNB (Obstetrics and Gynecology), MBBS
IVF Specialist, Delhi
IVF (In-Vitro Fertilization)

IVF (In vitro fertilization)

In Vitro Fertilisation means Fertilisation “ in- glass that is fertilization outside the human body . It was initially developed for fertility in females who had blocked or unfunctional fallopian tubes. At present IVF is recommended to patients who are unable to conceive due to several other causes also.

We try to provide you with the utmost services :

  1. Your initial consultation : It is an initial visit in which you open up with your doctor and know your doctor and the doctor knows you. A detailed history is taken of the couple.

  2. Pretreatment preparation and planning management : This will include a detailed blood workup which will include your hormonal assays , a uterine assessment, semen analysis and other tests if required. We review the whole history and all the tests and then only a definitive management is planned for you.

  3. Start of oral contraceptive pills : You will be put on oral contraceptive pills for a short span of two to four weeks if your cycle needs to be synchronized with that of an egg donor or surrogate . These help the ovaries to be cyst free and help in planning of your cycle.

  4. Ovarian induction : The IVF cycle begins with ovarian stimulation with injectable hormones on a daily basis and serial ultrasound monitoring. A baseline ultrasound is done before starting the stimulation to assess egg production. The hormone levels will also be monitored . Once the follicles reach the optimal size , you are prepared for egg retrieval.

  5. Visits : Prior to egg retrieval three to five visits are done in that IVF cycle.

  6. Egg Maturation : An injection is given 34-36 hrs prior to egg retrieval.

  7. Egg retrieval : It is a procedure done transvaginally under ultrasound guidance under short general anesthesia . You need to be six hrs. fasting prior to the procedure.A long thin needle is passed through the vagina in the ovary and the follicular fluid is aspirated .The follicular fluid is collected in test tubes under strict temperature control and immediately given to the embryologist in the embryology lab. The embryologist searches for the eggs .The eggs are rinsed counted and placed in an incubator . After few hrs , they are fertilized with the sperm either through IVF or through ICSI.

    An anesthesiologist is there to give you pain relief and comfort during the procedure. Chances of injury during egg retrieval is extremely rare .Structures near the ovary such as bladder,bowel or blood vessels could possibly be damaged and may require further surgery. Minimal bleeding from ovaries might occur but the risk of transfusion is extremely rare. Infection during this procedure is also extremely rare. You will be discharged four hrs. after the procedure.

  8. Embryo Assessment : During IVF embryos are assessed for 2-5 days in a temperature controlled incubator. The embryos are assessed and the day of transfer is determined between day 2-day 5 . We call you to update you about the embryos.

  9. Embryo Transfer : Embryo is transferred back in the uterine cavity between day 2-day5 when it becomes multi celled /blastocyst . This requires no anesthesia and the female is happy to see her embryos being implanted in the cavity . We discuss the number of embryos and made and the number to be transferred so that you have the highest probability of success keeping in mind the risk of multiple birth associated with it. For embryo transfer you need to come on a full bladder and the procedure is done via an embryo catheter transferred vaginally under ultrasound guidance.

  10. Pregnancy test : We schedule a pregnancy test 10-15 days after the transfer . If the first test is positive we repeat beta hcg repetitively every 48-72 hrs. and an obstetrical ultrasound is planned two weeks following the pregnancy test when we look for the no. of embryos and fetal cardiac activity.

4 people found this helpful

Test Tube Baby Cost

Dr. Sanjeev Kumar Singh 87% (192 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Test Tube Baby Cost

Test tube babies is the term given to the babies who are born with the help of IVF treatments. The cost of test tube baby in India, is less than the western countries. Advanced technology and expert doctors are present all over India especially in Delhi , who have a very high success rate of 65%. The cost of the entire treatment can vary from Rs. 1,10,000 to Rs. 2,00,000. Cost is dependent on many factors like use of fertility drugs and the kind of treatments opted for. It also depends upon the number of cycles. 

Some of the best test tube baby centers in Delhi are:

1. Benison IVF & Health Care Clinic- Dwarka, Delhi

Consultation fees: ₹500

Benison IVF Clinic provides all kind of fertility treatments under one roof like IUI, IVF, ICSI, Egg Donation, Sperm Donation and Surrogacy. They have a team of case managers, nurses, technicians, and experienced gynecologists who treat their patients with utmost warmth and care. Years of experience of these gynecologist helps them with designing customized treatment and delivering a high success rate. 

2. Baby Joy IVF & Surrogacy Centre- Rajouri Garden, New Delhi

Consultation fees: ₹500

Baby Joy is a state of the art IVF & Surrogacy Centre which is known to provide advanced treatment at an affordable cost. They are know to provide an end to end to solution with their team. The center is also known for high success rates.  Doctors here follow international protocols and use of latest technologies. The centre is known for fertility treatment, IUI-Intrauterine-insemination, ICSI and Surrogacy. 

3. New Life India Fertility Clinic- Lajpat Nagar, New Delhi

Consultation fees: ₹800

The New Life India Clinic is an initiative of international chain from Europe- Global Lotus Clinics in India. The clinic are known to meet the standards of Europe and Asia as well as the laws framed by Govt. of India. Some of the services offered by the clinic are In Vitro Fertilization (IVF), Micromanipulation (ICSI), Surrogacy, Blastocyst, Egg Donation and Cryopreservation. 
The team is highly professional in their ethics and with years of experience have been delivering the best results. 

4. Dr. World Ivf Centre- Ring road, New Delhi

Consultation fees: ₹500

World IVF Centre is considered as a pioneer Super Specialty Centre of Delhi. The center has treated hundreds of patients from India and abroad successfully. The gynecologist here are known to focus on methodologies which are known to increase the chances of natural pregnancy before proceeding for IVF. The centre meets International Standards and is also among few centers in India that provide IVF training to Doctors. Some of the facilities provided in the hospital for better treatment are infertility evaluation and treatment, use of ART techniques like Intra-Uterine Insemination (IUI). They have an in-house IUI Lab. 

5. Indira Ivf Centre - Patel Nagar, Delhi

Consultation fees: ₹500

Indira IVF clinic is a trusted and successful chain of fertility centers in Delhi. Some of the various treatments provided here are assisted reproductive technologies like IUI, IVF/ICSI, IMSI. The team here consists of best gynecologist, sonographers, embryologists, nurses and counselors that provide a holistic approach. Latest and advanced methods to treat the cases of infertility in both men and women. They have a very high IVF success rate and has become a preferred center for treatment. 

6. Fortis Bloom IVF Centre- Greater Kailash-II, New Delhi

Consultation fees: ₹1000

Bloom IVF Group is amongst India’s 1st centre which was established  in 1991. Under the leadership of Dr Hrishikesh Pai and Dr Nandita Palshetkar,who are a reputed name in the field of obstetrician and gynecologist. There are various techniques of assisted reproduction that help in treating infertility in males and females. Bloom IVF Group is amongst the most premiere chain of hospitals to treat fertility. They have treated over 25000 patients from India and abroad. The  success rate is exceptionally high, especially, in women above 35 years of age. The rate is over 35-40% per started cycle. 

7. Apollo Fertility- Moti Nagar, New Delhi

Consultation fees: ₹800

The apollo group of hospitals has a team of doctors who specialize in reproductive medicine, nurse-counselors, ultrasonographers, embryologists and andrologists. They provide world class infertility treatment using advanced procedures and equipment. They have a high success rate using assisted reproduction therapy and surrogacy.

8.  Max Multi Speciality Centre- Saket, Delhi

Consultation fees: ₹1200

Max hospital is a well known name in healthcare world. It has some of  the best IVF specialist at their Panchsheel center like Dr. Richa Seth. She has 10 years of experience and her areas of special interest are Intrauterine Insemination, Ovulation Induction Treatment (OI), sperm donor programs and blastocyst transfers.

2 people found this helpful

Steps Involved In In-Vitro Fertilization (IVF)

Dr. Aradhana Gupta 86% (125 ratings)
MS - Obstetrics and Gynaecology, MBBS Bachelor of Medicine and Bachelor of Surgery, FELLOWSHIP IN REPRODUCTIVE MEDICINE
IVF Specialist, Bhopal
Steps Involved In In-Vitro Fertilization (IVF)

Gone are the days when women in their late 30's and above mostly faced difficulties in getting pregnant. In today's world with so much of stress, anxiety and health complications, incidences of are on the rise. IVF treatment has been a pathbreaking invention that has enabled many couples to embrace parenthood filling their lives with happiness and positivity. In this article, we will discuss the steps of IVF for people to have a better understanding of the revolutionary procedure.

Once the quality, mortality, morphology, quantity of the egg and the sperm along with the female reproductive organs (uterus, ovary, fallopian tubes, endometrial thickness, to name a few) and hormones (PRL, FSH, TSH, LH) have been examined, the specialist starts with the IVF procedure.

Ovulation induction: This step involves stimulation of the ovaries to enhance the production of the eggs. Most females are given a shot of the hormones LH or FSH or both to stimulate the ovaries. Following the ovulation induction, the doctor monitors the progress through blood tests to determine the estrogen (should be high) and progesterone level (should be relatively lower). An ultrasound of the vagina also plays a pivotal role in determining the functioning of the ovaries and the development of the follicles.

Egg and Sperm retrieval: A Transvaginal ultrasound aspiration or a Laparoscopy are often performed to retrieve the egg. The procedure involves the use of a fine needle which is inserted into the upper wall of the vagina. With the aid of a vaginal ultrasound, and using a gentle suction, the fluid is removed from the follicles, following which the egg are isolated. The doctor then places the retrieved egg(s) in a culture medium. Soon the retrieved eggs are incubated. For the sperm retrieval, the semen sample of the male are used. From the fluid (semen), the sperms (normal and actively moving) are collected. In some individuals, the sperm may be collected from the testicles directly by a procedure known as Testicular Aspiration.


Fertilization: The in-vitro fertilization of the eggs can be brought about by

 

  1. Mixing the eggs with the sperms in-vitro in a laboratory followed by an overnight incubation, a procedure known as Insemination.
  2. In case of a low sperm count, the doctor may opt for ICSI or Intracytoplasmic sperm injection. In ICSI, instead of the penetration of the sperm into the egg, a healthy and active sperm is selected and injected directly into the egg.

Embryo transfer: The embryos resulting from the fertilization are examined with utmost care to select the healthy embryo(s) for the transfer. This is transferred into the uterine cavity via a catheter placed into the vagina.

A bed rest is advised for 24 hours following the embryo transfer. Soon after (two weeks following the retrieval of the eggs), tests are conducted to check if the treated female is pregnant or not.

2936 people found this helpful
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