Planning for an IVF and wondering where to start? Also often it is a question that comes to people’s mind on how many times would they need to visit the Best IVF Specialist clinic during the procedure.
Well, in this blog post we will talk about the process of IVF, defining the number of times one would need to visit the centre, basis to their problems and the treatment plan that their doctor would advise.
Mentioned below are the key steps and the timelines to understand the sample treatment plan.
- Administration of oral contraceptive capsules
- Baseline ultrasound
- Ovarian stimulation
- Monitoring
- Final ocytimutationHCG ( trigger shot) and oocyte rebieval IVF/ICSI
- Fertilization
- Embryo transfer (3, 5, or 6 days after confirming of embryo grading)
- Test for confirmation of pregnancy – Serum BHG (10-12 days after transfer)
- Early OB ultrasound (6 1/2 weeks gravidity)
1. Administration of oral contraceptive capsules
Some cases will be administered oral contraceptives before starting their IVF cycle (Pre IVF treatment). The possible benefits include:
- Docked use of ovarian suppressive medicines similar as GnRH-agonists (e.g. Lupron).
- Dropped chance of developing ovarian excrescencies previous to starting gonadotropins.
- Better ovarian response during ovarian stimulation leading to better egg recovery.
It’s important to suppress your ovaries before starting stimulation specifics. This helps optimize the chances of invariant follicle growth.
2. Baseline ultrasound
Around the time of your period i.e. Day 2 of the menstrual cycle, the gynac performs a transvaginal ultrasound checkup to examine your ovaries and uterus. This procedure is used to ensure your ovaries aren’t producing at the moment (are suppressed). In some cases, women may develop cysts. However, the remedy can be continued until your cysts resolve on their own ( generally in about a week). If your baseline ultrasound is normal, we shall begin with the stimulatory drug and also measure your serum estradiol position.
3. Ovarian stimulation
You may witness fullness in your ovaries and have some skin responses, if you take ovarian stimulants. Your specific stimulatory drug depends on your individual protocol (procedure). It may include certain medication which helps to stimulate follicle development and egg maturation that your doctor shall advice during treatment.
4. Monitoring
Along with your stimulatory injections, there are ultrasounds and hormone measures. You may need to visit the clinic constantly for monitoring. Cases are generally seen every one to three days depending on follicle growth and estradiol level. This frequency of monitoring allows to decide the dosage of drug (in case of trouble to ameliorate follicular development).
5. Final oocyte maturation HCG & Oocyte retrieval
Thirty-six hours after taking your HCG injection, you’ll come into the clinic. The specialist will perform an oocyte retrieval procedure, which involves removing eggs from your ovary.
Throughout this procedure, a bansvaginal ultrasound is done to watch everything that’s passing inside.
6. Fertilization
A semen sample is generally collected on the day of ocyto retrieval and used by the laboratory for the IVF procedure. In some cases, a frozen sample can be used, particularly when a sample from a sperm patron is necessary. Eggs are also inculcated with the sperm sample. On the day after the retrieval, your doctor will update on the number of eggs that got fertilized.
7. Embryo transfer
This procedure will be three to six days after the oocyte retrieval. The timeline is grounded on what the specialist and embryologist determine will be most successful.
A catheter ( tube) will be fitted into your uterine cavity to place the embryos chosen for transfer. A number of factors will be looked at in making this decision such as:
- Quality and number of embryos.
- Your age.
- Former gravidity.
- Whether you have had a former transfer.
- Embryos that aren’t chosen for transfer and those match snap criteria will be formed and stored for after use if you choose.
8. Gestation test
A gestation test is performed roughly two weeks after your egg retrieval. Gestation symptoms aren’t a dependable sign of gestation success or failure, because symptoms may come and go. Bleeding is also more common following IVF. However, it doesn’t mean that the procedure was unprofitable. If you discover vaginal bleeding after the transfer, you may be asked to get a blood gestation test (hCG level), roughly 12 days after embryo transfer. You’ll take this test if you’re bleeding. When the test is positive, you’ll return for a follow-up test two to three days latterly. The test is to confirm that the level of hCG is rising as per requirement.
9. Early obstetric ultrasound
After two positive gestation tests, an early obstetric (OB) ultrasound will be listed. This will be about two to three weeks following the embryo transfer. This ultrasound is done transvaginally (as opposed to abdominally). If this comes out normal, the doctor may confirm your status and also provide other precautionary steps and further steps to be taken care of during pregnancy.
This is a sample outline of the timelines and the procedures required for the IVF procedure. However, each case is different and every person can have a different treatment approach as advised by their doctor. One should consult their Gynecologist doctor before taking any action for successful treatment methodology.