Sun, 19 Aug 2018 Health

Everything you need to know about IVF

By DrRita Modi
Everything you need to know about IVF

Science has played an important role in making human life simple and comfortable. Everyday new medical technology is coming in human life to reduce human problems. Today many couples are facing infertility problems. The advanced technology also has found the solution to help such couples to make their life with full of joy and happiness.

Most of the couples who are facing infertility problems chose IVF process in india.

In Vitro Fertilization, better known as IVF, was developed in the mid-1970s, though research on IVF had been conducted since the late 1800s. The first proven birth as a result of IVF occurred in England in 1978. Since then, IVF has assisted in the conception and birth of tens of thousands of babies each year in the world.

Here are some important things you need to know if you are considering IVF to help you conceive.

How does IVF work?
IVF is a procedure that begins by removing a woman's eggs from her ovaries and then fertilizing them outside of the body. The eggs are fertilized either by placing sperm on the eggs or by injecting a single sperm into each egg using a technique referred to as 'intracytoplasmic sperm injection' (ICSI). It is a labor-intensive process.

If IVF is successful, the embryos that result from the treatment are monitored and grown in a lab, where they are graded for quality and then transferred back to the recipient's uterus.

Who needs IVF?
There are a number of reasons an individual or couple might require in vitro assistance. This could be due to anything from hormone imbalance, low sperm count, low egg count, blocked or absent fallopian tubes, male infertility and variety of other reproductive issues may cause a couple difficult in conceiving. As well, cancer survivors or people with lupus and need egg donors (or froze their eggs before treatment) could benefit from IVF treatments.

What you have to do ?
Of course, before deciding whether or not you want or need IVF treatments, IVF expert or fertility specialist will treat, supervise and support you through the entire process, which can be a tricky one. A full course of IVF treatment can take about two months. This timeline will depend on how quickly or how well your body responds to various medications necessary for the treatment.

There are many steps in the IVF process. The first step requires the suppression of the woman's natural menstrual cycle. This is where daily hormone injections or hormonal birth control come in and this process can last for a few weeks. The next step is called ovarian stimulation and is when you will be required to give yourself shots (ouch), anywhere from one to three times a day. This process is heavily monitored to make sure your eggs are growing the way they should be. Once your eggs have fully matured, they'll be retrieved in 34-36 hours after a human chorionic gonadotropin (HCG) injection.

After the eggs are collected, they are then immediately fertilized and monitored for their quality. Finally, once a viable embryo is chosen, it's transferred to the woman.Embryo transfer is a simple procedure that does not require any anesthesia. Embryos are loaded in a soft catheter and are placed in the uterine cavity through the cervix.

IVF efficacy
You may be thinking that with all of those steps, IVF treatments have to be fool-proof, right?

Unfortunately, the delicate nature of the treatment and how perfectly timed things need to be is why it doesn't always work. The national rate of success is 30 percent, but that at most of the reputable clinics the rate increases and is around 60 percent.

The success of IVF has increased dramatically over the last several years with the help of modern and simple technology. This is still impacted by a number of factors. The woman's age plays a very important role, along with other reasons why the couple may be proceeding with IVF treatment.

How many treatments will you need?
Because IVF treatement success depends on so many factors, there are no concrete statistics as to how many treatments any one person will need before IVF works. This is a daunting thought, which is just another reason why IVF really takes a lot of commitment.

For some people, it may take a few tries, but sometimes, it does work the first time around. As per survey data, the average number of cycles resulting in a pregnancy varied, based on maternal age, from 42.6 percent in women under 35 years of age to 2.7 percent in women who were 44 years of age or older.

First time is trial and error because the doctors will not know how one will respond to the medicine until they start taking it.

IVF for women over 40:
As women age, the genetic material is sticky and does not always separate normally like it does in younger women. However, this doesn't mean that IVF won't work for older women. Genetically testing embryos helps to select the genetically balanced embryo and can increase chance of success.

While there are women of advanced age who experience success with IVF. After the age of 36, women usually have fewer eggs and respond poorly to ovarian stimulation. In these cases, Fertility specialist will recommend the use of donor eggs, especially for mothers over the age of 40.

IVF costs:
There are a number of factors specific to each individual that can affect the cost of IVF, Regardless of those factors, however, one should note that there is usually a significant financial investment associated with IVF treatments.

In general, the cost can be anywhere from Rs. 1,20,000 to Rs. 3,00,000 per treatment. Many IVF centers have financing options available, so don't be discouraged if finances are an issue, as there may be solutions and assistance available to you.

Like any medical procedure, there are a number of side effects and risks possible for women undergoing IVF. These risks and side effects include, complications during the egg-retrieval procedure, ectopic pregnancy, ovarian hyperstimulation syndrome, and premature delivery.

Miscarriage is also a concern for women trying to conceive using IVF. However, that rates for women conceiving using IVF with fresh embryos are similar to those of women who conceive naturally, which is around 20 percent, though again, maternal age is a factor. Miscarriage rates are also slightly higher for women using frozen embryos.

Another concern may be side effects from the medications. For many women the medications were not that bad. Clomid is a pill and causes the most adverse reactions. Progesterone also seemed to cause adverse reactions, but it is also given at the end of the IVF cycle so it might have been the stress causing the reactions combined with the progesterone. If you have any concerns about any part of the treatment, including side effects of certain medications, make sure that you discuss all of that with your fertility specialist or IVF expert so he or she can further explain exactly what may happen in your case.

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