Saturday, November 20, 2010

IVF in a Nut Shell

Here is a rundown of IVF and a simple common protocol for the procedure.

IVF is the most common form of ART (Assisted Reproductive Technology). If the fallopian tubes are damaged or the sperm is poor, It is a most effective treatment. The eggs are fertilized in a laboratory, and the resulting embryos then are placed into the uterus 2 to 5 days later. This procedure achieves remarkable pregnancies even in women with hopelessly damaged fallopian tubes, seemingly sterile husbands, and even “unexplained” infertility. Extra embryos are frozen and saved for a later, much less expensive future pregnancy.

Step 1...Take lots of tests!
*The below labs are required by the FDA for both males and females before going through IVF and it expires after 6 months:
ABO group and RH type
Hep A AB IGMHep B core IGM ABHep B Surface AB QualityHep B core Antibody totalHTLV/I-II
RFX/WBHep C virus ABRPR (Dx) W/ reflex confirmationHIV 1/2 AB Screen W/ReflexCMV IGMCMV IGGCystic Fibrosis Screening on one partner only at any point in your lifetimeCT/NG

Step 2...Semen Analysis and Ultrasound (Easy stuff)

Step 3...Lots of shots!! Injectable drugs are to stimulate your ovaries and produce eggs. It is different for every person as to how much and when. Typically its daily injections for an average of 10 days and careful monitoring of the ovaries by ultrasound and hormone levels by blood tests every day or every other day.

Step 4...Egg Retrieval
Eggs are retrieved by ultrasound guided needle aspiration under light sedation (in the operating room). This involves no surgical incision and virtually no pain afterward.

Step 5...We are parents!
Egg meets sperm through a procedure called ICSI (used in most IVF treatments), one healthy sperm is chosen and directly injected into each egg. Over 100,000 babies have been born with this new technique, from men who were otherwise considered hopelessly sterile.

Step 6...Transfer!!
3 to 5 days after egg retrieval placed very simply into the uterus through the cervix with a tiny catheter. No incision and no anesthetic are needed. An hour later you are able to go home. There is no pain from the procedure.

Step 7...Dreaded 2 Week Wait!
The most horrible wait of any women is the wait for a baby. This 2 week time span will bring the news of life or loss for the parents going through IVF.  This is a hard time for parents and need to be aware of symptoms of depression and anxiety.

Step 8...Rejoice
Our Doctors office announces their success rate month by month.
August 88%
September 60%
and....drumroll please.................
In October it was a 100%

The first baby born from IVF turned 30 this year, since then, some three million people have been conceived by IVF, enabling otherwise infertile couples to have the child they longed for.