We provide affordable & high quality infertility treatments with advanced reproductive technologies and world class infrastructure. Our IVF clinics in India specialise in fertility treatments like IVF, ICSI, Egg Donation, donor egg, Embryo Donation, Egg banking, natural infertility, fibroids, male infertility, surrogacy & surrogate mother in India.
Our fertility clinics having fulfilled parenting dreams for many couples who are seeking fertility treatment for recurrent ivf failures, secondary infertility, male infertility, surrogacy for gay couples
Many international patients visit our clinics every month to seek quality and affordable ivf treatments.
The Fertility Journey
1. The suppression check
Before we start the fertility drugs to stimulate the ovaries and recruit eggs, the ovaries need to be suppressed. Further a blood test is done to measure the estradiol level and an ultrasound to measure the ovaries may then be used to assess suppression. This delays starting the cycle for either a couple of weeks or even up to a month.
2. Ovarian Stimulation
The next step is to stimulate the ovaries with fertility drugs. After a few days of injections a blood test is done to measure the estradiol levels. This test indicates that the ovaries are either over-responding, the drug dosage will be reduced. If the ovaries are under-responding, we sometimes need to increase the dosage of medications or reassess whether or not the ovaries are capable of responding at all.
3. Ultrasound monitoring
An ultrasound is usually done on around Day 6-8 of fertility drug administration to check the growth of follicles. If too few follicles are responding, the option would be either to cancel the cycle and try again another month using a more aggressive procedure, or to continue hoping that even though we get few eggs they may be of satisfactory quality.
4. Monitoring during the Stimulation phase.
Your blood estrogen levels are monitored. Ultra sounds is done to check the growth of the follicles on the ovaries. We are looking for follicles to be between around 16 and 21 millimeters to contain a mature egg. The larger and smaller follicles may contain either post-mature or immature eggs, which would not be of much use. We have to decide therefore on the most suitable cohort of follicles to ensure the “trigger” for the eggs to mature.
5. Trigger shot and egg retrieval
The injection to trigger maturation is given in the evening. Thirty-five hours following the injection you will be booked for your egg retrieval. You will receive some instructions about preparing for this event. The process begins to aspirate the follicles and collect the eggs. The fluid collected from the ovarian follicles is collected into incubated test tubes which are immediately given to the embryologist who searches for eggs. The procedure normally takes between 10 and 20 minutes.
Once the procedure is done, you will be given an intravenous antibiotic and then transferred back to the recovery room. Usually, within an hour or so you will be ready to go home. Either just before or just after the egg retrieval we will ask your partner to produce a semen sample. Before you leave the unit, we will tell you how many eggs we have retrieved. On average, the number of eggs retrieved during an IVF cycle is between 5 and 15. Please note that we don’t get an egg from every follicle, that not every egg is mature, and that not every mature egg will necessarily fertilize.
The quality of eggs is more important than quantity.
The day after the egg retrieval you will be instructed about medications. The day following the egg retrieval we will call you to let you know how many of the eggs fertilized. The percentage of eggs that usually fertilize may vary between 60 and 90% depending on the circumstances. However, not every fertilized egg is perfect.
7. Embryo development
The embryos are then cultured for the next few days. You will be given a time to come into the clinic for your embryo transfer. The final embryo assessment is done on this day. Our embryologist will then discuss with you how many good quality embryos are available. A final decision on how many embryos to transfer would be taken. We want to maximize the chance of pregnancy, keeping the risks of a multiple pregnancy down to a minimum. If there are extra embryos available, as to whether or not they are good enough quality to be frozen, or cultured for further assessment and freezing at that time.
8. The pregnancy test
Your pregnancy test is normally performed 12 days after the embryo transfer. A blood test is performed which measures the level of HCG (pregnancy hormone). A level above 50 is preferred. Sometimes a chemical pregnancy is experienced. This means that the pregnancy test is positive. But the levels are low. This indicates that one of the embryos has got implanted. The pregnancy hormone levels check is repeated between 2 and 7 days later, to make sure that the levels are rising appropriately. If the levels do not rise or are decreasing, it indicates a chemical pregnancy only (one that did not grow enough to be seen on ultrasound examination)
9. The first ultrasound
If the pregnancy test results are good then you will be asked to come for an ultrasound between 6 and 7-1/2 weeks. Ultrasound may identify a live foetus or something called an empty sac, which indicates a non-viable pregnancy. The common reason for this maybe an abnormal embryo.
10. The first trimester
If the first ultrasound does confirm a viable pregnancy, you will be advised your medication. If the first ultrasound is reassuring, the chances for a miscarriage decrease significantly, although that first trimester does remain a high risk.
11. The prenatal period
At the end of the first trimester we will then discuss the plan for your prenatal period. Continued prenatal care is required through your family physician. If the pregnancy is high risk, you will be suggested a need for an obstetrician.
Though IVF/ICSI is a precise science, we can but apply it to the best of our ability. Our objective is obviously to give you a baby – but we may or may not succeed in that endeavor. In the complete cycle our most important objective is that we take your informed care. We sincerely hope that your cycle with us is successful.
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