what to expect during ivf treatment
TRANSCRIPT
Step by step, here's what you'll typically experience while trying to conceive a child with in vitro
fertilization Treatment.
If initial fertility treatments such asfertility drugs or surgery fail and youdecide to move forward with IVF, yourob/gync will refer you to a reproductiveendocrinologist. During your initialmeeting with the doctor, you'll discussyour medical and fertility history, and thatof your partner, to determine whichtreatment protocols will work best foryou, as well as what you can do toimprove the odds of a healthy birth.
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You'll undergo ultrasound andblood tests to determine thenumber and quality of your eggs.You'll also meet with a nurse tolearn how to self administerfertility drugs, a financialcounselor to work out payment,and a psychologist to discusscoping with any stress that mightarise.
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To stimulate your follicles to grow as manyeggs as possible during your cycle, for abouttwo weeks you'll give yourself one to threedaily injections of fertility medications (such asGonalF, a folliclestimulating hormone, andRepronex, a luteinizing hormone) in your thighor stomach. Either before your cycle or midwaythrough, you'll also inject agonadotropinreleasing hormone (GnRH) drugsuch as Lupron, which prevents you fromovulating too early. Around day 12, you'll injectthe drug human chorionic gonadotropin (hCG)to stimulate ovulation and precisely time thefinal burst of egg growth. During these twoweeks, you'll visit the clinic about five times forblood and ultrasound tests to monitor yourprogress.
In a carefully targeted window of time — shortly before doctors calculate that
your eggs will be released through the fallopian tubes during ovulation —
you'll be heavily sedated and, using ultrasound as a guide, your doctor will pull
eggs out of your ovaries with a hollow needle inserted through the wall of the
vagina. In the meantime, your partner, in a nearby room, will ejaculate into a
cup to obtain sperm, which the lab will then quickly process to extract the most
robust ones. The sperm and eggs are then mixed together in an incubator so
insemination can occur. If necessary — for instance, when sperm count is low
or the sperm are having difficulty penetrating the egg — the lab embryologist
might also perform intracytoplasmic sperm injection (ICSI), a procedure in
which sperm are injected directly into an egg. If you are over 40 or a previous
IVF attempt failed, he might also puncture the outer shell of a resulting embryo
shortly before transferring it into the uterus so it can implant itself more easily,
a process called assisted hatching.
Three days after harvesting your eggs,your doctor will use a thin catheter toinsert two or three embryos into youruterus via the vagina. If genetic diseasesare a concern, this step might occur onday five, after lab biopsies have beenperformed to select the healthiestembryos.
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Your partner (or a friend or a family member) willgive you daily injections of progesterone, a hormonethat aids implantation, in the buttocks. In two weeks,you'll take a pregnancy test at the clinic; someonethere will call to give you the results.
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