In Vitro Fertilization (IVF) Treatment
In Vitro Fertilization or IVF is recommended if the expert doctor rules out the possibility of conception through natural or IUI procedures. The very popular, colloquial name for the babies born through IVF is ‘test tube babies’.
IVF is a slightly lengthy procedure and it involves monitoring of egg maturation and egg pickup followed by fertilization with sperms outside the body in petri dishes under microscope. To improve the number and maturation of eggs daily Gonadotropin injections should be administered. Soon after follicles reach desired size injection HCG should be given for final maturation of eggs 35 to 36 hours after HCG injection Egg pickup has to be done from ovaries under mild sedation. The healthy eggs are then chosen and are then allowed to fertilize with sperm in laboratory in the petri dishes. The good fertilized eggs, i.e., embryos are transferred into the patient uterus. The patient would be advised complete rest and to lead to stress-free fortnight to get the desired results.
Who needs IVF?
IVF is strongly referred for those women who have not conceived after 2 years of regular, unprotected sexual intercourse with unexplained infertility. IVF is also advised in the following scenarios.
- sperm count < 10 million and total motile sperms >1 %
- Issues with ejaculation (Non correctable)
- Unable to conceive after 2 years of regular, unprotected sex with unexplained infertility
- Tubal Pathology (Severe, Non repairable )
- Fertility preservation in cancer patients
- Poor ovarian reserve and planning for donor oocyte
- Patients suffering from genetically transmitted diseases (Who needs PGD)
- Moderate to severe endometriosis
- Patients without functional uterus
- Failure to conceive after 6 cycles of IUI
What Is the success rate of IVF?
Since IVF is a slightly expensive procedure, it is done only after other simple options of infertility treatments are ruled out. The success rate depends on various factors like age of the woman, quality of the eggs, quality of the sperm. It should be noted that success rates decline as the women ages above 35 years and there is a higher risk of miscarriage. However, chances of successful pregnancies are high for the women without any uterine abnormalities.