Fertilizing an egg cell with sperm outside of the body and then implanted into a woman's uterus.
Synonyms: Gamete intrafallopian transfer, Artificial Insemination. Test tube baby.
In Vitro Fertilization (IVF) is a multiple step process. Over the years this procedure has become more and more popular and widely used by many couples who are unable to become pregnant on their own. The procedure includes taking an egg from a woman and fertilizing it with sperm outside of the body. Once the egg has been fertilized it is placed back in the woman?s uterus. The woman will undergo ovarian stimulation so that they will begin to produce numerous eggs. Some typical cases where IVF is a good solution can range from women who have blocked or absent fallopian tubes, a hormonal imbalance or other sometimes even unknown reasons. For men this can also include low sperm count, slow and/or defective sperm. In some cases doctors will perform genetic testing on the zygotes. This procedure will help to reduce the risks of passing along certain inheritable diseases. After the procedure has taken place within just a few weeks the couple will be able to tell by a pregnancy test if the treatment has been successful. Sometimes the first IVF procedure will not produce a pregnancy and the process needs to be repeated. The statistics show that approximately one-third of couples will become pregnant after the first time. Those numbers increase to one-half after three treatments and after six treatments jumps up to sixty percent.
Conditions where IVF is used:
For many infertile couples IVF is not the first treatment option they have tried. Many doctors may have already tried other options for you including fertility medications or IUI which have produced no results. IVF is typically the treatment that is suggested when you have any of the following problems:
? Infertility- unexplained cause
? Problems with ovulation
? Damaged or blocked fallopian tubes
? Problems with uterus
? Low sperm count
? Sperm motility problems
Standard testing before IVF:
It is common that before a doctor will proceed with IVF treatment that they will need to do other testing to try and determine what is causing your fertility problems. Typical tests that are performed are:
-HIV & Hepatitis test
-Female fertility testing: This testing is done to check your hormone levels, determine egg quality, and verify if you are ovulating. Many doctors will check the structure of your uterine cavity and check to see if there is any blockage in your fallopian tubes. Another test that some doctors do is called an HSG, or hysterosalpingogram, which basically will take an x-ray of the uterus and fallopian tubes. This will allow your doctor to see if there are any abnormalities in your uterus or if there is any blockage in your tubes.
? Male fertility tests: Sometimes it will be required for your partner to have a semen analysis done before they will proceed with IVF. Their semen may be sent off for analysis to check sperm count, motility, and quality.
? Mock Transfer: Some doctors will do a mock transfer before they will do an actual IVF. During this procedure the doctor will insert a catheter into your uterus, much like he would during a real transfer. This mock transfer will allow your doctor to measure the depth of your uterus. That way he can determine the best way to insert the catheter during the real transfer.
What to expect when doing IVF:
IVF is a very involved process. It begins with fertilizing your eggs in a laboratory and then having them transferred back into your body. For IVF to be successful, you must ovulate and produce multiple eggs for fertilization. For this to be able to happen, your doctor will give you fertility medication at the beginning of your cycle. This medication will stimulate your ovaries and cause them to produce several mature eggs for fertilization. Your doctor will have you come in and do blood work and have an ultrasound performed to check how your eggs are developing. Once your eggs are mature, the doctor will retrieve your eggs for fertilization.
During egg retrieval you may be sedated or given local anesthesia. The eggs will be removed from your ovaries by inserting a thin needle through the back of the vagina. The doctor will use an ultrasound to guide them. Your doctor will gentle suction the eggs and follicular fluid into test tubes. It is common to feel some cramping on the day of the procedure. Your doctor may decide to prescribe pain medication to relieve discomfort.
On the day of the procedure your partner will provide a semen specimen. This semen will be used to fertilize the eggs that the doctor has retrieved from you. If your partner has a low sperm count there is an additional procedure called intracytoplasmic sperm injection which may need to be performed in combination with IVF. This procedure will take a single sperm and inject it directly into your egg for fertilization.
The next step is for your partner?s sperm and your eggs to be placed inside a laboratory dish and monitored for up to five days. The doctor will watch your eggs until they develop into a group of cells which is called an embryo. When your embryos are ready, this means they are ready to be transferred into your uterus. Up to four embryos will be placed inside your uterus during the transfer. To transfer the embryos, your doctor will insert a thin catheter through your cervix and into your uterus. This process will release the embryos at the top of your uterus. After the embryos are transferred there will be a required period of rest. Typically patients will stay in bed for several hours following the transfer before they are discharged. If the transfer is a success you should know within just a few weeks.
IVF Success Rates:
IVF success rates often vary. There are certain fertility problems that are more challenging to treat than others. There are also many factors such as your age that will determine the success rate of IVF. Likewise, some doctors and clinics have higher success rates than others. According to the most recent report from the CDC from 2005, the percentage of cycles resulting in live births is approximately:
? 37% for women under age 35
? 30% for women age 35-37
? 20% for women age 38-40
? 11% for women age 41-42
Chances of having twins with IVF:
It is true that with IVF you have a higher chance of having twins or multiples. Having twins or multiples however will also put you at a higher risk of having a miscarriage or other pregnancy complications. During each of your IVF cycles you can transfer up to four embryos. By transferring four embryos you will be improving your chances of getting pregnant, but you will also be increasing your chances of having multiples.
The CDC says that the percentage of IVF pregnancies with twins is approximately:
? 33% for women under age 35
? 27% for women age 35-37
? 22% for women age 38-40
? 13% for women age 41-42
IVF can be done in INDIA, MEXICO and BELGIUM. The price range for this procedure in the above mentioned countries varies from $6500 to $15,500.
PLANETHOSPITAL can take care of all arrangements for you -- from helping you select the right surgeon for your unique needs and wishes, making sure your medical records are securely reviewed by the surgeons in advance, setting up an interview with the surgeons if needed, and arranging your travel and accommodations. We do all this without marking up the cost of the surgery. If you have Medicare or other insurance, let us know because we might be able to get you a reimbursement. When you arrive at the destination, a PlanetHospital concierge will be there to assist you every step of the way (for a small additional fee). So with PlanetHospital, all you have to do is show up. Your NEXT STEP is to call us or fill out the form at the right and a PlanetHospital doctor will contact you and help you begin your medical tourism experience. Be sure to read testimonials of clients who have done it before you. In Vitro Fertilization (IVF) is a multiple step process. Over the years this procedure has become more and more popular and widely used by many couples who are unable to become pregnant on their own. The procedure includes taking an egg from a woman and fertilizing it with sperm outside of the body. Once the egg has been fertilized it is placed back in the woman?s uterus. The woman will undergo ovarian stimulation so that they will begin to produce numerous eggs. Some typical cases where IVF is a good solution can range from women who have blocked or absent fallopian tubes, a hormonal imbalanc...
Used as a form of fertility treatment in cases where either the man or woman is infertile.
/ United States
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Performed procedure: 5000+
Narendra and Jaideep Malhotra
Days in Hospital: na
Recovery Time: na
Performed procedure: 10000+
Days in Hospital: na
Recovery Time: na
Performed procedure: 5000