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Most Common Questions
IVF stands for In Vitro Fertilization, which is a process where eggs are fertilized by sperm in a laboratory dish outside the body. The embryos are then transferred to the woman’s uterus with the goal of establishing a successful pregnancy.
An IVF cycle involves the patient self-administering multiple injections. There are usually 10-14 days of daily gonadotropin injections to stimulate the ovaries, 1 trigger shot, and multiple progesterone injections after embryo transfer. The total number of injections varies per protocol but includes over 2 weeks of stimulations shots plus additional trigger and progesterone shots.
The success rate of IVF can vary significantly based on individual factors. However, generally speaking, for women under 35 using their own eggs, the chance of a live birth from the first IVF cycle ranges from 41-43% on average. For women in their late 30s, the success rate is approximately 35% on the first IVF attempt. Success declines as a woman’s age increases. Overall, IVF takes patience and often multiple cycles to achieve a successful pregnancy and live birth.
Yes, IVF does carry some risks that patients should be aware of. The IVF process involves medication and procedures that can sometimes lead to side effects like bloating, cramping, mood swings, and ovarian hyperstimulation syndrome. There are also risks from the embryo implantation process, including potential ectopic pregnancy. Failed treatment cycles and stress from the intensity of IVF can take an emotional toll as well. However, clinics carefully monitor patients to minimize risks and optimize outcomes. Being informed helps patients navigate IVF more safely.
- Allows pregnancy for those with infertility issues such as damaged or blocked fallopian tubes, male factor infertility, endometriosis, etc.
- Bypasses fallopian tube issues and brings egg and sperm together directly.
- Allows control over timing of pregnancy and ability to use frozen embryos in future.
- Genetic testing can be done on embryos to select healthier ones before transfer.
- Can result in higher success rates per cycle compared to other fertility treatments.
- Allows use of donor eggs or sperm.
- Surrogacy is made possible.
- Chance of multiples is increased which some see as a benefit.
The optimal timing to start IVF treatment depends on your specific situation, which your doctor will assess during your initial consultations and examinations. After reviewing your medical history, performing physical exams, and running some baseline blood tests, your doctor will explain the ideal time for you to begin treatment. Typically, they may recommend starting medications and monitoring at the beginning of your menstrual cycle, often between day 2-3 of your period. However, the timing may be adjusted based on factors like your ovarian reserve, egg quality, and previous response to medications. Your doctor will tailor the treatment schedule and timeline specifically for you based on the initial test results and their assessment of your fertility status. Be sure to discuss your questions and concerns about when to start with your doctor during the initial appointments so they can fully explain the recommended timeline.
When it comes to attempting IVF, there is no specific limit on the number of cycles a couple can undergo. A couple can elect to pursue as many IVF cycles as they desire, as long as they take into account the financial costs associated with repeated treatments. The decision of how many IVF attempts to make is a deeply personal one that must balance medical recommendations, emotional readiness, and financial resources. Some couples may only need 1 or 2 IVF cycles to achieve success, while others may require several rounds before conception. Factors like the woman’s age and the cause of infertility can influence success rates and how many cycles are recommended. It is advisable for couples to thoroughly discuss with their fertility specialist the chances of success after successive IVF attempts to guide their decisions moving forward. The number of IVF cycles pursued is ultimately up to the couple’s individual circumstances and preferences while keeping the financial investment in mind.
Getting your necessary tests and monitoring done at a clinic close to home is certainly an option to explore, especially if you live in a rural area far from your fertility specialist. As long as the local clinic can coordinate closely with your IVF doctor and provide them with your test results in a timely manner, having your labs and ultrasounds done at a more convenient location nearby can be feasible. Many leading IVF specialists work with satellite clinics and partner facilities in various cities and regions specifically to help make quality fertility care more accessible for patients in rural areas. Your doctor may already have established relationships with trusted clinics near you that could conduct your testing and send over your records. Be sure to discuss this possibility with your doctor to see if there are good options for having certain parts of the process coordinated locally while still receiving your IVF doctor’s expert oversight every step of the way. This approach can help ease the burden of travel and make treatment more manageable for patients in remote areas.
When performed by an experienced, skilled fertility specialist, IVF is generally considered a very safe and well-tolerated treatment. The medications used for ovarian stimulation and egg development are pharmaceutical-grade purified hormones that are administered through subcutaneous injections, which are much less painful than intramuscular shots. The egg retrieval procedure is conducted under light sedation or anesthesia, making it comfortable and pain-free. The embryo transfer is a quick, simple procedure that only takes 2-5 minutes and rarely causes any substantial discomfort. Throughout the IVF process, your doctor will closely monitor your progress to avoid risks of side effects or complications. While no medical treatment is completely without risk, today’s IVF protocols and expert specialist care allow the process to be completed safely in the majority of cases. As long as you choose an established fertility clinic with high success rates and strict safety standards, you can feel confident about undergoing IVF. Discuss any concerns with your doctor, but rest assured IVF is designed to be a safe journey to parenthood when done correctly.
Because every patient is unique, the process will also be unique to each patient. IVF injections, on the other hand, are simple, thin, and intervention-free. If necessary, they can also be given while under anesthesia. Light sedation is used for the egg collection procedure, which is similarly painless. Anaesthesia is not used during the embryo transfer procedure because it takes only a few minutes and rarely causes any pain.
Post Treatment Questions
Being lightly sedated throughout the surgery means that it is not painful. However, it could occasionally cause some minor discomfort. In order to alleviate discomfort, our clinic uses a moderate kind of anesthesia that is given via an IV.
Success rates are highly influenced by the patient’s age, health, past medical history, and chosen course of therapy. At Srishti Fertility, we continuously strive to raise the success rates of IVF by utilizing cutting-edge technology and standardizing the processes.
The IVF process can be recommended if all other reproductive treatments have failed or if this method has a higher possibility of success than any other treatment.
If there are no contraindications, the treatment can be performed simply at the couple’s wish, using that specific moment as the optimum time for IVF.
The tubal-peritoneal factor occurs when the fallopian tubes are obstructed, preventing eggs from entering the uterus. In this instance, you can either attempt to restore patency with a surgical laparoscopic procedure or undergo IVF and implant an already developed embryo into the uterine cavity.
Male factor diagnosis refers to low sperm quality. If the amount of healthy active sperm is insufficient to create a healthy kid, it is preferable to use ART therapies such as IVF, IUI, and ICSI.
Mild endometriosis can be treated with surgery and hormones. If the couple does not become pregnant after the therapy, the doctor recommends an IVF surgery.
Age-related infertility is a key factor in determining the optimal time for IVF. With this type of infertility, it is preferable to enhance the usual IVF procedure with ICSI and aided hatching techniques.
Anovulation is typically treated with simple treatments like hormonal stimulation and IUI. However, if it fails, you can always try IVF.
In cases of unexplained infertility, doctors may recommend IVF if other treatments are ineffective.
In this procedure, the female egg is extracted under anesthesia and fertilized in the laboratory with the husband’s sperm. After 3-5 days, the embryo is placed back into the uterus.
Resting for 15-20 minutes following the transfer is generally sufficient. We recommend avoiding strenuous activities and long walks during this time. Women who work in an office can return to work the next day and continue with their usual routines.
IVF is scheduled for the second time only after a comprehensive evaluation and examination of potential causes of failure. As an IVF cycle gap, a lady is provided an average of three months of recovery. During this time, the reproductive system is rebuilt and ready to receive a newly fertilized egg. If the initial IVF resulted in a frozen pregnancy, the rest period will last approximately 6 months. In such cases, persistent endometritis is almost always present, necessitating meticulous treatment before attempting a new pregnancy.
IVF is scheduled for the second time only after a comprehensive evaluation and examination of potential causes of failure. As an IVF cycle gap, a lady is provided an average of three months of recovery. During this time, the reproductive system is rebuilt and ready to receive a newly fertilized egg. If the initial IVF resulted in a frozen pregnancy, the rest period will last approximately 6 months. In such cases, persistent endometritis is almost always present, necessitating meticulous treatment before attempting a new pregnancy.
To make the second attempt successful, modest tweaks to the prior IVF protocol, such as adding a correct IVF cycle gap, may be sufficient. In some circumstances, a prolonged stimulation cycle
If no specific difficulties were discovered and the initial IVF attempt was carried out in a normal cycle, without hormonal stimulation, the artificial insemination operation can be performed after two weeks. This implies that during the next menstrual cycle, doctors begin to monitor the dominant follicle and, when favorable conditions are met, perform a puncture and egg collection.
Walking and modest aerobic workouts are fine, but avoid heavy lifting and severe exertion.
- After embryo transfer, there is no need for bed rest; nonetheless, avoid hard lifting and severe workouts.
- Maintain a nutritious diet rich in antioxidants and avoid eating out.
- Avoid using public restrooms and stay hydrated to prevent urinary tract infection.
- Avoid stressful and negative thoughts.
- Comply with prescribed drugs following embryo transfer.
Even though an embryo is created artificially during an IVF pregnancy, the process is identical to what occurs naturally. The uterus accepts embryos in the same way that it receives spontaneously fertilized eggs.
It is critical to recognize that nature has a failsafe strategy in everything, including the reproductive system, in which the embryo firmly attaches to the uterine lining whether naturally or artificially. Walking and gravity do not cause the embryo to detach and fall off.
Also, it is a complete misconception that bed rest following embryo transfer improves IVF success rates. According to research, individuals who take total bed rest following embryo transfer have lower IVF success rates than patients who continue to undertake their usual activities. The fundamental reason for this is that patients who engage in these activities have reduced stress levels, which improves their chances of IVF success. As a result, the recommendation of bed rest following embryo transfer is overstated or unrealistic.
Questions on Treatment Cost
The cost of IVF in India, or anywhere in the world, is primarily determined by the infertility workup and the patient’s medical condition. As a result, it varies from person to person, typically ranging between INR 1,00,000 and 1,50,000 per cycle.
This procedure demands highly qualified workers, a world-class laboratory, and cutting-edge equipment. All of the equipment and supplies used in IVF labs are imported and pricey. Furthermore, the majority of the materials utilized are disposable and intended to be used once.