In vitro fertilization is a procedure in which fertilization takes place when an egg cell meets a sperm under laboratory conditions. Doctors put one or more egg cells in the uterus after some cell division phases. They put an eight-cell embryo on day 5 in the uterus so that the embryonic development process continues naturally. In this method, first, ovulation induction is done in women, and after receiving an appropriate amount of ovum, they will develop them in the lab. After ova maturation, they will be fertilized by sperm. After evaluating egg cell quality, they put one or more embryos in the mother's uterus.
- Women with blocked fallopian tubes or women who suffer from pelvic organs adhesion or fallopian tubes adhesion or injuries
- Men and women suffering from genetic disorders
- Women suffering from disorders of the ovulation process
- Women suffering from premature ovarian failure
- Men who have low sperm count or low sperm motility
- Unexplained infertility
Sonography is required to examine the ovary and the uterus conditions in the second or third day of the mother's period.
After sonography, a specialist prescribes medicine in order to stimulate ovulation.
Five to six sessions of sonography are required while using the medicine to examine ova reactions.
When follicles reach the appropriate size, HCG will be injected to make the patient ready for the egg collection process.
36 hours after the HCG injection, sample sperm will be collected from the father and then fertilization occurs in the lab.
In vitro fertilization (IVF) process takes four to six weeks generally. Stages of this infertility treatment method are divided into the following five stages:
First stage: Ovulation induction medication is prescribed. This medication should be used between 8 to 14 days before the period begins. If the inducing medication is effective, the doctor allows the second stage.
Second stage: The doctor guides a needle through the vagina, and it suctions the eggs out of follicles. There is no need for general anesthesia in his stage. Only local anesthesia and numbness are performed. 8 to 15 eggs are drawn out in this stage. The patient should be fasting during this stage.
Third stage: A sample of man's sperm is collected for fertilization.
Fourth stage: The man's sperm combines with the woman's ovum. They are placed in a dish for fertilization. These eggs are directly under doctors' and specialists' supervision. After the fertilization and division's success; the fertilized egg is called an embryo.
Fifth stage: It is the last stage of the IVF process, which takes 3 to 5 days to transfer the embryo to the uterus after the fertilized egg cell retrieval. There is no need for anesthesia in this stage, and they put embryo into then woman's uterus. This method is pain-free in most cases, and the patient is discharged after 1 to 2 hours.
There is no need for general anesthesia in this method. Only numbness and local anesthesia are performed.
A hormonal test will be taken from the patient to measure BHCG in the blood 10 to 12 days after the embryo transfer. The rise in this hormone is the first sign of pregnancy.
The patient will be discharged from the hospital 1 to 2 hours after the embryo transfer surgery, and she/he can go back to daily activities. It is recommended to avoid heavy activities 3 to 4 days after the surgery.
- Abdomen pain
- Weakness and dizziness
Success in surgery
- 41-43 percent for women under 35
- 33-36 percent for women between 35 to 37
- 23-27 percent for women between 38 to 40
- 10-13 percent for women over 40
- Ovary syndrome
- Multiple births
- Premature labor
Is IVF surgery painful?
IVF includes several parts. The hormone injection stage is pain-free. The egg retrieval stage is performed as an outpatient surgery with anesthesia for the pain. A pain killer medicine is injected, so there won't be any discomfort. The embryo transfer stage is pain-free as well.
When can the process be repeated for the second time after an IVF failure?
This case depends on the person. The first reason for the postponement is a chance for the patient to return to her normal period cycle; which takes 2 to 3 monthly periods.
Is spotting after the egg retrieval process normal?
Yes. Because of the needle that has suctioned out the follicles through uterus walls; some blood spots will be seen after the eggs are drawn out. You can see light blood spots 42 to 48 hours after the egg retrieval.
Is there a possibility of multiple births in IVF?
Yes. About 52 percent of the pregnancies are twins, and 2 to 3 percent of them are triplets.