In vitro fertilisation (IVF)
The in vitro fertilisation (IVF) is an assisted reproduction process which involves monitoring and stimulating a woman’s ovulatory process, removing anovum or ova from the woman’sovaries and letting sperm fertilise them in a liquid in a laboratory. The fertilised egg is cultured in a growth medium and is then transfered to uterus, with the intention of establishing a successfulpregnancy. This can be done by two methods: the in vitro fertilisation (IVF) or the Intracytoplasmic sperm injection (ICSI)
- Missing, constipation or injury of the fallopian tube
- Reduced number of sperms and their amount or morphologic disorders of those
- Problems with ovulation
- Failure of other treatments
- Too high age for realising PGD
The in vitro fertilisation starts usually with the stimulation of the eggs through the use of medicaments which work similar to hormones which are produced in the woman’s body.
The aim of this treatment is to develop several follicles which have eggs inside of them. The patient herself has to take the medicine which the doctor has given her.
The process of the ovarian stimulation is usually controlled by a transvaginal ultrasound, which informs about the number and size of the evoluted eggs. This process last 10-12 days, depending on the woman’s conditions.
The eggs will be extracted by an insertion in the ovaries and the aspiration of the follicles. This process will be lead by a transvaginal ultrasound. Furthermore you will anesthetized.
As soon as the eggs have been extracted, the laboratory has already the partner’s sperms on its disposal or the ones from an anonymous donor. The sperm will be prepared in the laboratory by choosing the most operative ones.
If you opt for a in vitro fertilisation (IVF), the eggs and the sperms will be cultivated together in the laboratory under favourable conditions in order to unite them the same way they would do it in the woman’s body.
If you undergo a Intracytoplasmic Sperm Injection (ICSI) we will inject a single sperm into an egg which has already recuperated.
The day after the IVF or ICSI the number of fertilised eggs will be determined and we control the following days how many of them are valuable and will develop.
The embryo transfer consists out of the deposit of embryos in the uterine cavity through the vagina. The embryos will be moving after a period of 2 or 3 days after the puncture. The process is painless and will be done by ultrasound.
The maximum number of transplanted eggs is three. Therefore exists the possibility to cryopreserve the not used eggs for further occasions.
The patient has to wait afterwards and rest three days. Fourteen days after the fertilized eggs have been put in, a pregnancy test can be made.