Causes and Stages of In Vitro Fertilization

When it does not bear fruit, the effort to have a child becomes a source of great stress for the couple. Even more, when the need for in vitro fertilization arises. How simple is an IVF procedure and what is the preparation that must be done in order to have significant success rates? We have written in detail about the success rates in assisted reproduction.

Causes and stages of in vitro fertilization. An infertile couple does not necessarily mean that they have to undergo IVF. Proper investigation is what will determine the appropriate treatment plan. You can learn more from our article “Myths and truths of in vitro fertilization” here.

When hearing from the doctor that the couple needs to undergo IVF, panic, frustration and anxiety initially prevail. Frustration because they failed to ‘conceive’ a child in a natural way. Anxiety, for the outcome of the IVF attempt and any possible failure.

The doctor’s concern is to help the couple stay calm. They need to cope with this effort. The doctor achieves this first of all by explaining to them the steps they need to take towards the solution of their problem.

Thus, the couple feels and understands why every operation, every examination and what each one offers to the goal they have set. This goal is nothing more than a strong baby.

We consider a couple infertile when they try to have children for more than a year, without protection but without success. This should automatically relieve many couples from panic moves that usually come from personal experience. But also from the influence of the close family environment.

Without delay, but also without panic, the investigation of the cause of infertility should begin. Fertility problems do not necessarily lead to in vitro fertilization. The doctor determines the appropriate treatment plan after investigating the causes.

Investigation of an infertile couple

  • Clinical examination of the woman.
  • Detailed vaginal ultrasound of the uterus – ovaries.
  • Hysterosalpingography
  • Culture of vaginal secretions.
  • Semen diagram – Culture of semen.

Possible findings

  • Uterus: Intrauterine polyps, fibroids, intrauterine septum, bicornuate uterus
  • Ovaries: Cysts, intrauterine.
  • Fallopian tubes: hydrosalpinx, blocked fallopian tubes , adhesions.
  • Sperm: Oligasthenospermia, teratospermia, azoospermia.

It is easy to understand that, from the findings that will emerge, a number of potential infertility factors. These factors can be treated directly by solving the problem of infertility in the first degree. The specialist can do it with either laparoscopic, or hysteroscopic surgery

So the correct treatment of the couple, whether it leads to an IVF procedure or not, creates the right conditions for a significant success rate.

The success rates in our country usually are from 25% to 45%.

What should a couple know when starting an in vitro fertilization attempt?

  • The drugs administered to the woman are mostly injections for subcutaneous use. Thus, the woman can do everything she did before. You can find detailed information about the drugs and the EOPYY committee here.

  • The treatment does not ‘disable’ the couple. The goal is not to stop their daily life. The couple can have intercourse. The woman undergoing treatment can exercise, have fun, relax, at least until the last stage of the effort. The stage of embryo transfer.

The stages of an in vitro fertilization procedure:

  • Induction of ovulation
  • Ovulation
  • Embryo culture
  • Embryo transfer

A complete IVF attempt depending on the treatment protocol lasts from 14 to 27 days.

Ovulation is monitored by 2 – 3 vaginal ultrasounds.

Ovulation is performed transvaginally with the help of mild anesthesia and not heavy anesthesia, as many people think. This is a simple procedure in the hands of specialized doctors.

Embryo transfer is the operation that completes an IVF attempt. The fertility specialist perform it by placing the embryos in the uterine cavity with a thin flexible catheter. This process does not bother the woman, so it is done without anesthesia and without special preparation.

To sum up, the purpose of this article is to give a message of optimism to couples who are considering undergoing assisted reproduction programs. Explaining how simple an IVF effort is, but at the same time emphasizing the preparation that must be done in order to have significant success rates.

Be sure that in the end, with persistence and patience, the goal will be achieved: a baby!

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Everything you want to know about IVF is mentioned in detail in our relevant section.

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