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Sreelatha Fertility (IVF) Centre

IVF (In-Vitro fertilization)

IVF is the process of fertilization by retrieving eggs (from ovaries), extracting a sperm sample, and then manually combining an egg and sperm in a laboratory dish. The embryo(s) is then transferred to the uterus

IVF indications:

  1. Patients with blocked or damaged fallopian tubes
  2. Male factor infertility involving low sperm count or sperm motility
  3. Females with ovulation disorders, premature ovarian failure, or with uterine fibroids
  4. Females with fallopian tubes removed
  5. For Individuals with a known genetic disorders
  6. Unexplained infertility

A patient planning to undergo IVF should visit fertility clinic on day 1 or 2 of her menses. A medical consultant will advise the patient on instructions as to when to schedule her next visit to the clinic for the first shots of IVF for an Antagonist cycle or visit on day 21 of menstrual cycle in case of a down regulated cycle.

IVF Medications

Spontaneously a cycling woman will ovulate only one egg each month. To increase the chance of obtaining pregnancy, an effort is made to obtain as many eggs as possible. This goal is achieved by fertility drugs like GnRH Agonist and Recombinant FSH

Patient Monitoring

The growth and development of the eggs is closely monitored by repeated ultrasound studies and blood tests for hormone levels (Estradiol and Progesterone) Patients are usually advised to come to SFC for blood tests and sonograms to determine the maturity of their developing eggs beginning on cycle Day 3, 5, 7 or 9. Further monitoring will be carried out as needed until the eggs are determined to be mature. Occasionally, some patients will need daily monitoring near the end of the ovarian stimulation phase of the cycle.

Blood Tests

Patients usually have to undergo 2 or 3 blood tests during the course of the monitoring process. Estradiol (Estrogen) and Progesterone levels are monitored. Estradiol levels allow us to approximate the relative maturity of the eggs. Generally, the test display between 100 and 200 units of estrogen for every matured egg. Progesterone tells us if the eggs are becoming overripe, the patient’s progesterone level, which depends on the number of egg follicles created, should generally be below 2 units.

USG (TVS)

The maturity of the follicles developing in ovaries is monitored via vaginal ultrasound. This enables visualizing the ovaries and the uterus, to evaluate the maturity of the Endometrium (the inner lining of the uterus), and to count and measure the follicles developing in each ovary. A mature follicle measures from 16 to 22 milli metres.

An Advance technology of Color Doppler study is used at SFC to monitor the blood in the follicle and Endometrium.

The Final Step to Egg Maturation

When blood tests and sonograms indicate that the eggs are mature (size of 18mm or more), the patient will be administered a final injection called HCG (Human Chorionic Gonadotropin) to complete the maturation process of the egg. The HCG shot must be taken at SFC on the specified date, and the retrieval is scheduled later after around 36 hours after the HCG injection.