Ziva, the best IVF treatment center in Hyderabad. In-vitro fertilization treatment is an assisted reproductive technology in which your egg is combined with sperm outside your womb.
Infertility is experienced amongst 1 in 6 couples worldwide and there is a tremendous increase in the number of people opting for IVF treatments. Approximately 1.5 million IVF cycles are performed each year worldwide. In India, around 65,000 couples undergo infertility treatment and 18% is the success rate.
Due to the shortage of skilled fertility specialists, low success rates have been seen. ZIVA has the best fertility team and IVF experts who will assist you completely in your fertility journey.
In-vitro fertilization treatment is an assisted reproductive technology in which your egg is combined with sperm outside your womb. Mature eggs are collected from your body and fertilized with the retrieved sperm sample from your partner in a laboratory dish.
Before your IVF cycle starts:
• You are asked to sign a consent form before commencing the treatment.
• A baseline ultrasound scan is done according to your treatment plan. Your cycle may persist a little longer if you have cysts.
• Follicle Stimulating Hormone (FSH) injections are then started:
When the down-regulation is confirmed by your blood tests and ultrasound the FSH injections are started. The dose of the drug depends on your previous baseline hormone results and your response to previous stimulated cycles.
• After your baseline scan, the dosage of your FSH will be confirmed.
Hormone blood tests:
Your blood sample will be taken for hormone assessment to check if there is not enough response or an over-response. Few scans will be done to monitor the FSH injections response.
These results will be used to adjust your FSH injections if required and then your final hCG injection time and date will be decided. The hCG injection will mature and release your eggs within the follicles. Approximately after 36 hours, your eggs will be retrieved.
IVF procedure step by step:
During your IVF procedure, multiple eggs are required. Your body produces only one egg per month. Therefore, your ovaries are stimulated with hormones so that follicles are produced.
Your doctor will examine you by transvaginal ultrasounds and blood tests to keep a check on your hormone levels. Through the ultrasounds, your fertility specialist will control the size and quantity of each follicle as required.
2. EGG RETRIEVAL
Just before your eggs are released during ovulation, your egg retrieval process takes place. To retrieve the eggs from your body, a surgical procedure is performed called follicular aspiration. During this step, you will be given anaesthesia to relieve your pain. This procedure might take 20-30 minutes.
Your egg is retrieved aseptically through the vaginal route under the guidance of ultrasound. A thin needle is connected to a suction device which goes into your vagina, into your ovary and egg-containing follicle. The needle will suction your eggs and fluid out of each follicle.
3. INSEMINATION AND FERTILIZATION
In IVF, the semen sample is collected from your partner. Mixing of sperm and your egg is referred to as insemination. They are then incubated in the incubator in which the sperm will often enter your egg.
If your doctor feels that fertilization chances are low, he will decide to go for Intracytoplasmic sperm injection (ICSI).In ICSI, your doctor will directly inject a healthy sperm into your mature egg. For a successful IVF, sperm density and sperm motility are two important criteria required.
4. EMBRYO CULTURE
Your doctor will be monitoring the fertilized eggs kept in the incubator to ensure they’re dividing and developing well. To keep up the nutritional requirements for the growing embryos, the culture media is changed at regular intervals.
These embryos undergo cleavage into a complex structure and on the 3rd or 4th day enter into a stage called morula. Morula develops into a blastocyst on the 5th day, which is the last stage of the embryo. A blastocysts transfer increases your chances of conception.
While the embryo is growing in the incubator, a small sample is removed and tested for genetic diseases. This test is known as a preimplantation genetic diagnosis (PGD). Preimplantation genetic diagnosis (PGD) identifies abnormal embryos so that the unaffected embryos can be selected for the transfer. This test can give you a healthy baby and reduce the risk of genetic disorders in the future.
5. EMBRYO TRANSFER
Embryo transfer will take place when the embryo has developed enough to get implanted.I t will take approximately 3-5 days after egg retrieval and fertilization for its development.
A thin tube (catheter) that contains your embryo is inserted inside your vagina, through your cervix and up into your womb. When the embryo gets implanted into your uterine wall and starts growing, a simple blood test will determine your pregnancy after 10-12 days.