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In Vitro Fertilization
IVF is the best method to help couples achieve pregnancy even when they have difficulties in having a baby. To allow conception to occur naturally the sperm must pass through the uterus and into an end of one or more fallopian tubes, in which it fertilizes an egg. The embryo created must be of good quality to be implanted.
Although the procedure sounds easy, there is a myriad of reasons that could prevent this process from taking place due to an insufficient sperm count and a blocked or compromised fallopian tube or an injured or damaged uterus, or a low or insufficient egg production quality. If the egg and sperm cannot meet the requirements on their own or the egg and sperm performance is less than what is desired, IVF could be a viable alternative.
In IVF eggs are collected from the ovaries — or donor eggs can be used, and fertilized using sperm obtained via a person who is a donor or donor. The embryo that is created is then inserted into the uterus, and is implanted, and produces the birth of a baby.
Individuals who undergo IVF are required to attend an on-site orientation which is led by our nurses prior to beginning treatment. Patients are also encouraged to attend too. Alongside attending the in-person session it is also possible to view the training program. Although every woman’s cycle is different.
Why should you choose in vitro Fertilization (IVF)?
- low Sperm count
- Poor Egg Quality
- Issues with the fallopian or uterus tubes
- Ovulation issues
- Unproved Fertility Issue
An Outline of the IVF Procedure.
Step One: Induction of Ovulation
In a normal menstrual cycle, the ovaries produce one egg per month. To prepare for IVF fertility treatments, fertility drugs are administered daily to encourage the ovaries and allow them to mature several eggs throughout each month during the cycle. If the eggs mature then more eggs can be taken and utilized. Usually, this increases the likelihood of fertilization, and eventually, the likelihood of having a baby.
Step Two : Egg Retrieval (Oocyte Retrieval)
The eggs, also called oocytes, have been able to be taken out of the body; the procedure is carried out in the Fertility Center with mild sedation. The doctor–with the aid of ultrasound visualization–guides a needle through the vagina wall and into the ovaries. An anesthesiologist is on hand for each procedure.
Once the eggs have been retrieved after which they are fertilized by sperm from the embryology laboratory. The rate of success varies based on the person’s age as well as the response to medication, as well as the quality of the embryos and eggs that are produced.
Like any surgical procedure, there are risks with egg retrieval. This must be discussed with our Expert.
Third Step: Fertilization within the lab
Once the eggs are in the lab for embryology, Our staff examines them for signs of maturity and then places the eggs in an incubator with the same environment as one found inside our bodies. Most of the time the sperm are injected into eggs and fertilization takes place naturally. When the sperm count is low or motility of the sperm (movement) is a reason the single sperm can be injected directly inside each maturing egg through the process known as an intracytoplasmic injection (ICSI).
After the egg and sperm are incorporated and fertilized, it takes about 18 hours to know if fertilization is occurring and 2 to 4 days to determine the state of the embryo growing. The embryos typically stay in the lab for five days.
An embryologist pipes a specimen into an experiment tube in the Fertility World’s lab for fertility. In the majority of our cycle of patients, Preimplantation Genetic Screening (PGS) of the embryos that are created is conducted in this phase to determine the integrity of the chromosomal DNA of the embryos created.
Step Four: Transfer of Embryo
As part of the preparations for the process of embryo transfers, the surgeon will discuss how many embryos were created along with their quality. Grading is a method that doctors and embryologists utilize to determine the embryos that should be transferred and when to transfer them. One of the Fertility World Centre’s objectives is to reduce the number of embryos that are transferred in order to minimize the number of births that are multiple. More than 80 percent of embryo transfers we do. Just one embryo is inserted into the uterus.
It is a very simple procedure, and anesthesia or sedation is not required. A catheter that is long and thin with the agreed-upon number of embryos, in addition to some fluid, is inserted through the cervix to the uterus. There, the embryos, as well as embryos, can be released. An abdominal ultrasound is used to make sure that the embryos are placed in the correct position within the uterus.
After the transfer of embryos after the transfer, a reduction in physical exercise is suggested for a period of time.
After an Embryo Transfer – Implantation Process.
When a blastocyst embryo transfer is complete the process takes approximately nine days before the pregnancy can be identified. After the transfer, these things happen for the embryo
- Day 1:The blastocyst is beginning to grow out of its shell.
- Day 2: The blastocyst continues to develop from its shell, and then begins to connect to the uterus.
- Day 3: the blastocyst fuses to the lining of the uterine to begin the process of implantation.
- Day 4: Implantation continues.
- Day 5: Implantation is complete. Cells that will eventually form the placenta and fetus are beginning to grow.
- Day 6 Human Chorionic Gonadotropin (hCG) is the hormone that indicates the beginning of a pregnancy, and begins to flow into the bloodstream.
- The days 7 and 8: Fetal development continues, and hCG is still secreted.
- Day 9: The levels of hCG have increased enough in the maternal blood to determine if there is a pregnancy through an ultrasound.
Cryopreservation of Embryo Freezing
The embryos are frozen or cryopreserved due to a variety of reasons. The standard IVF procedure typically yields more embryos that can be transferred into the uterus within one cycle. If the embryos not transferred are of good quality, they may be stored and frozen for use in the future. They can also be frozen after an embryo-specific genetic screening is conducted. Additionally, freezing embryos is a means for individuals to hold off childrearing until a better moment in their life.
Cryopreservation reduces the requirement for repeated stimulation of the ovaries. As an alternative to IVF subsequent cycles can involve embryo transfers. These are less challenging financially as well as physically.
Implantation spotting could be a reason that spotting can occur during IVF. IVF cycle. This is the two-week period following the transfer of embryos. In this period, embryos are working on joining themselves to the wall of the uterus. A portion of the lining might be shed, which causes spots to appear. This could be an indication of pregnancy.
What is implantation bleeding?
At the beginning of pregnancy, the uterus becomes highly affected. As the embryo binds to the endometrium that has become thicker to accommodate the embryo, blood vessels can rupture, causing minor blood loss from the vagina.
There are not all women who have bleeding from implantation, and in the event that they’ve had it, it doesn’t need to be repeated throughout their pregnancy. This could be a source of stress and anxiety for women who are anxious about having an infant, as it is often confused with the beginning of the next cycle.
When does bleeding during implantation occur?
The egg is able to meet the sperm inside the fallopian tube. Fertilization takes place, and they travel towards the uterus. The procedure of cell division commences until they are an embryo blastocyst (day 5-6 of fertilization). When they are in the uterus and in order for pregnancy to take place the embryo has to be implanted in the endometrium and uterus of the future mother.
The process can last anywhere from 10 to 14 days after conception, meaning that the small amount of bleeding could be misinterpreted as the start of menstrual flow.
What are the differences between menstrual bleeding and implantation bleeding?
As we’ve already discussed in this post, since bleeding from implantation can occur during the early days of the pregnancy it’s not surprising that it could be confused with the start of the next period. While it’s difficult to distinguish by the date, there are additional aspects that could help us quickly determine if it’s bleeding as a result of the proper placement of the embryo inside the uterus’s wall.
One factor to be considered is the amount. The bleeding that happens when an embryo is attached to the wall of the uterus is less than menstrual bleeding. It could drop to moderate bleeding. It’s true that the quantity at the start of menstrual flow is usually mild. But, it will grow with the passing of time.
The color can aid in identifying bleeding that is different from the other. The blood that comes from an implant is a darker and not as bright red that is usually seen in the course of.
In comparison to menstrual flow and menstrual flow, the bleeding duration is much shorter. As menstruation boosts the quantity of bleeding as days pass by and implantation can last for up to a couple of hours or longer than three days. Another important aspect is the appearance that tends to become more fluid as well as less pronounced.
Every woman is unique, as are her symptoms as well as the bleeding she experiences every period. This is why it’s essential to examine other signs that could indicate the start of pregnancy. Signs of pregnancy like sensitive breasts, nausea at certain periods, tiredness, or the constant having to wash your hands could be a sign that we’ve had the desired pregnancy.
How do you get confirmation that you’re expecting?
The most straightforward method is to perform an ultrasound pregnancy test. The downside is that it could be a little too early to obtain an accurate result. The test is longer to determine concentrations of the hormone known as hCG (human gonadotropin chorionic) and, therefore, if it isn’t done at the appropriate moment, a false positive could be obtained, even though the embryo is implanted.
In order to be able to perform an accurate urine pregnancy test, you should wait until you’ve been having your period for a couple of days. The hormone hCG, which is also called Beta-hCG is produced by the embryo after it is implanted inside the uterus. Monitoring the levels of Beta-hCG is an accurate indication of whether a pregnancy has occurred.
To ensure it is proceeding well The concentrations of the hormone rise exponentially during the first trimester. This time period, which is between transmission of embryos, or the insemination process until the final results are obtained, is often the most challenging time for those who undergo fertility treatment. It’s a life-changing blood test.
What should you do when you notice a bleed?
If you’ve had fertility treatments, the first option we recommend is to continue taking the treatment and get in touch with our patient care team to ensure you can speak with any of our fertility specialists to determine if all is in order and give you the next steps to take.
However in the event that you haven’t received any treatment, and you are unsure the best thing to do is speak with your Gynaecologist to determine the type of bleeding that is occurring. We encourage you to discuss your particular situation to one of our experts.