Patients with damaged or blocked fallopian tubes, severe hormonal imbalance (anovulation), unexplained infertility should undergo I.V.F treatment. In this technique, the female partner receives medication to form 10 to 12 eggs. On maturation, eggs are removed with endovaginal sonography and inseminated with husband's sperms and resulting embryos are nourished in an incubator machine which maintains precise pH and temperature.
Generally these embryos are transferred to the womb on third day, but at Pushpa Fertility Centre, we specialise in blastocyst culture and blastocyst stage embryo transfer. This 5 day old embryo (blastocyst) is bigger and stronger (multicellular) which results in high implantation rate and the pregnancy rate is as high as 60%.
For pregnancy to occur, an egg must be fertilized with a sperm. When fertilization happens outside of the body, it is called In Vitro Fertilization or I.V.F. In an IVF cycle, medications are used to stimulate the concurrent development of multiple eggs. The medications used in an IVF cycle re administered by subcutaneous injection. The patient or her partner will learn how to mix and administer these injectable medications themselves. A typical IVF cycle involves taking injections for about two weeks before egg retrieval.
To monitor the development of eggs, reproductive endocrinologists employ ultrasound examinations and blood testing. The ultrasounds are a painless method of imaging the enlarging follicles. Follicles are the fluid-filled sacs in the ovary which contain the eggs. Blood tests are done frequently during a treatment cycle to measure hormone levels in order to obtain the optimum response from the IVF medication. When the follicles are large enough to indicate that the eggs inside are mature, the egg retrieval is scheduled. The egg retrieval is performed safely and efficiently by a board-certified reproductive endocrinologist during an in-office procedure. The eggs are collected under ultrasound guidance using transvaginal needle aspiration.
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