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FQAs


  • What exactly is IVF?
  • How long should I wait before consulting a fertility doctor?
  • Am I a candidate for IVF?
  • How successful is IVF?
  • How long does IVF take?
  • Are there any restrictions while undergoing IVF?
  • Are IVF injections painful?
  • Is the egg retrieval procedure painful?
  • HOW LONG DOES EGG RETRIEVAL TAKE?
  • IS BLEEDING EXPECTED AFTER THE EGG RETRIEVAL?
  • Is IVF using up all a woman’s eggs?
  • IS THE EMBRYO TRANSFER PAINFUL?
  • IS BED REST RECOMMENDED AFTER THE EMBRYO TRANSFER?
  • How soon can out of town patients travel home after IVF treatment?
  • When is the blood pregnancy test performed?
  • What happens if I become pregnant?
  • Will my baby suffer birth defects?
  • Will IVF significantly increase my chances of having twins or triplets?
  • If I’m not pregnant, when can we try again?
  • What are the chances of pregnancy with frozen embryos?
  • IS ASSISTED HATCHING PERFORMED ON ALL EMBRYOS?
  • WHAT IS DONE WITH ANY “LEFTOVER“ EMBRYOS?
  • Does stress cause infertility?
  • What is the age cut-off for doing IVF with own eggs?
  • Is IVF with donor eggs more successful than normal IVF?
  • Are there any side effects associated with IVF?
  • Do fertility hormones pose long term health risks?
  • How much does IVF cost?
  • Do your hospital offer EMI for fees?
What exactly is IVF?

In vitro fertilization (IVF) is the most common type of assisted reproductive technology (ART), used to create an embryo by bypassing certain causes of infertility, such as mild sperm abnormalities in men, and fallopian tube or ovulation irregularity in women.
During IVF, a woman’s eggs are surgically retrieved and then fertilized in a laboratory by mixing with a partner (or donor’s) sperm. The fertilized egg, or embryo, is left to grow for two to five days and is then surgically transferred back into the woman’s womb.

How long should I wait before consulting a fertility doctor?

In general, patients will seek advice from a fertility doctor after one year of trying unsuccessfully to get pregnant. The chances of a fertile couple conceiving a child in any given month (called the natural pregnancy rate) is around 20%; resulting in roughly ninety percent of couples becoming pregnant after one year of trying to conceive.
It’s recommended that the remaining 10 percent of couples consult a fertility specialist. In particular, women over thirty are encouraged to undergo a fertility treatment evaluation, after six months of attempting to conceive. And it may be beneficial for women over forty to meet with a fertility doctor shortly after deciding to try and have a child.

Am I a candidate for IVF?

There are a number of factors involved in determining if a patient is suitable for IVF treatment. Appropriate candidates often include couples who may experience:

  • Low sperm counts
  • Endometriosis
  • Problems with the uterus or fallopian tubes
  • Ovulation disorders
  • Sperm unable to penetrate or survive in the cervical mucus
  • Other health or unexplained reproductive issues

The only way to know for sure if in vitro fertilization is right for you is to undergo a complete exam and consultation with BLISS IVF centre.

How successful is IVF?

The average IVF success rates using one’s own eggs begins to drop around age thirty and dips rapidly in the mid 30s and early 40s, due to lower egg quantity and quality. At BLISS IVF, our success rates consistently between 70% to 80%.
In addition to age, success rates with IVF vary with respect to one’s height, weight, infertility diagnosis, sperm count, and reproductive history, such as the previous number of pregnancies, miscarriages and births.

How long does IVF take?

The in vitro fertilization process can last anywhere from four to six weeks prior to egg retrieval. The embryo(s) will then be implanted between two to five days afterwards. Not all patients are successful on their first IVF attempt; in fact, it’s not uncommon for patients to go through multiple IVF cycles before finally becoming pregnant.

Are there any restrictions while undergoing IVF?

Yes. Your doctor will recommend that you adhere to the basic guidelines below during the IVF process and into your pregnancy.

  • Smoking:  It’s recommended that both partners stop smoking at least three months before beginning an IVF cycle, and before ovulation induction begins. The effects of tobacco have been shown to be toxic and harmful to a woman’s eggs.
  • Drinking:  Alcohol should be avoided at the outset of IVF treatment, until one’s pregnancy test, and if pregnant, until the birth of the child.
  • Medications:  It’s important to inform your doctor if you’re taking any prescription or over-the-counter medications. Some medicines can interfere with the prescribed fertility medication or embryo transference, and others may not be safe to take before surgery.
  • Vigorous exercise: Intense physical activities like aerobics, weightlifting and running are prohibited during ovarian stimulation and until the results of one’s pregnancy are known.
  • Supplements: Herbal supplements are completely prohibited during the IVF process.
Are IVF injections painful?

The prospect of daily injections can be overwhelming. While injections are a necessary part of IVF treatment, we have designed our medication schedules and injection type to minimize discomfort and stress; and our nurses carefully instruct and support every patient throughout this process. Medications that once had to be injected into the muscle have been replaced by medications given as a small injection under the skin (subcutaneous). Such injections are most commonly taken over a 10-12 day period, followed by one intramuscular injection of hCG, a hormone that triggers ovulation at the conclusion of the stimulation cycle. The hCG injection, previously only available in an intramuscular form, is now available in a subcutaneous form (Ovidrel) for patients that wish to avoid intramuscular injection. Although the recombinant subcutaneous form of hCG in Ovidrel has not been around as long as intramuscular hCG, all indications are that it is just as effective.
After egg retrieval, patients are given a progesterone hormone supplement in order to prepare the lining of the uterus for the embryo transfer. For most patients, progesterone may be taken in a vaginal tablet or vaginal suppository form rather than an injection. In this way, injections may be avoided entirely during the second half of the IVF cycle. Progesterone vaginal tablets and suppositories have been proven to be as effective as progesterone injections.

Is the egg retrieval procedure painful?

Because anesthesia is used for egg retrieval, patients feel nothing during the procedure. Egg retrieval is a minor surgery, in which a vaginal ultrasound probe fitted with a long, thin needle is passed through the wall of the vagina and into each ovary. The needle punctures each egg follicle and gently removes the egg through a gentle suction. Anesthesia wears off quickly once egg retrieval is concluded. Patients may feel some minor cramping in the ovaries that can be treated with appropriate medications.

HOW LONG DOES EGG RETRIEVAL TAKE?

Egg retrieval typically takes under 10-15 minutes, depending on how many follicles are present.

IS BLEEDING EXPECTED AFTER THE EGG RETRIEVAL?

Not necessarily. Although we will usually get an egg from most large follicles (over 15 mm after stimulation), smaller follicles only occasionally yield mature eggs. Most women will have follicles of different sizes after ovulation induction, some of which contain immature eggs or post mature eggs, or no eggs at all.

Is IVF using up all a woman’s eggs?

A woman’s ovaries house hundreds of potential eggs. Each month, during the natural ovulation cycle, the ovary selects just one egg from a pool of 100-1,000. Those eggs which are not selected undergo a natural cell death process called atresia. When a woman uses fertility medication, the body’s natural selection process is overridden, and a number of these otherwise unused eggs are allowed to grow. As many as 20 eggs may be stimulated in a given cycle. Thus when using fertility medication in the IVF process, not only is the woman not using up all of her eggs, but she is ‘rescuing’ eggs that otherwise would have undergone atresia.

IS THE EMBRYO TRANSFER PAINFUL?

No, it is similarto intrauterine insemination (IUI). Usually the woman feels only the speculum and nothing else.

IS BED REST RECOMMENDED AFTER THE EMBRYO TRANSFER?

We recommend that you take it easy following transfer for the rest of the day, but routine activities can be resumed the next day.

How soon can out of town patients travel home after IVF treatment?

Most of our out of town patients return home on the same day of the embryo transfer. All types of travel are safe. Sitting for an extended period of time will not affect chances of pregnancy. We recommend that patients traveling by air drink plenty of fluids, as circulated air can be quite dry, and dehydration should be avoided.

When is the blood pregnancy test performed?

The blood pregnancy test is performed 14 days after the egg retrieval.

What happens if I become pregnant?

Once a pregnancy is confirmed, you’ll see your fertility doctor for continued blood testing, and eventually an ultrasound to confirm that the pregnancy is progressing smoothly.

Will my baby suffer birth defects?

Fortunately, 20-plus years following Louise Brown’s birth (the first IVF baby), we now have ample data that children conceived through IVF have no increase in the number of birth defects in humans.

Will IVF significantly increase my chances of having twins or triplets?

This is a very common question asked by couples considering IVF treatment, and the answer depends on several factors. You and your doctor will decide the number of embryos to be implanted into your uterus. If a single embryo is transferred, then it would be impossible to have a multiple pregnancy. However, given the uncertainty of the embryo successfully implanting into the lining of the uterus, many women choose to transfer multiple embryos into the womb; especially those women who may be unable to afford additional IVF cycles.
Interestingly, one’s chances of giving birth from multiple embryo transfers are only slightly higher than with transferring a single embryo, although the odds of having twins or triplets will increase significantly.

If I’m not pregnant, when can we try again?

Normally, patients are asked to wait for one or two full menstrual cycles before resuming another IVF cycle. Certain additional tests may be needed that could delay subsequent IVF cycles

What are the chances of pregnancy with frozen embryos?

In general, the success of frozen-thawed embryo transfer procedures depends on three factors:

  • The quality and survival of the frozen-thawed embryos. In general, we only freeze good quality embryos so the current rate of survival is greater than 90%.
  • The age of the woman who produced the eggs. In patients under the age of 37, the chances of pregnancy with frozen-thawed embryos are similar to a pregnancy with fresh embryos. In patients 37 years or older, pregnancy chances with frozen-thawed embryos decline in conjunction with declining fertility in general, but still can be quite good. As always it is best to discuss a woman’s individual situation with their physician.
  • The status of the uterus in the woman receiving the embryos. A healthy endometrial lining free of any interfering fibroids or polyps provides a sound environment for embryo implantation.
IS ASSISTED HATCHING PERFORMED ON ALL EMBRYOS?

Typically yes. This is to overcome any “hardness” of the shell (the zona pellucida) surrounding the embryo. Research shows that in some groups (e.g. women over 38 years of age, previous failed IVF cycles, unusually thick zonae pellucidae, embryos grown in culture, eg IVF embryos) assisted hatching will increase the implantation and pregnancy rates.

WHAT IS DONE WITH ANY “LEFTOVER“ EMBRYOS?

Embryos that have developed to the blastocyst stage but are not transferred during the transfer cycle will be cryopreserved (frozen) if that is your wish.

Does stress cause infertility?

However well-intentioned, the statement “just relax and you’ll get pregnant” has been very hurtful to couples with infertility. Two decades ago, researchers thought that almost half of infertility in women could be attributed to stress and psychological factors. Nowadays infertility is better understood, and stress is recognized primarily as a result, rather than a cause, of fertility problems. However, there is evidence that stress can have a negative impact on sperm and egg production. Research is ongoing to help understand how stress may influence fertility and the success of treatment.

What is the age cut-off for doing IVF with own eggs?

Your physician will recommend an appropriate fertility treatment for you depending on your medical history and FSH levels.

Is IVF with donor eggs more successful than normal IVF?

It can be. Good-quality donor eggs are likely to come from someone younger than you. If your uterine environment is good but your own eggs aren’t, donated eggs may the answer. Success rates (live births) are up to ten times higher than IVF with your own eggs.

Are there any side effects associated with IVF?

Fertility medications can cause mood swings, headaches, hot flashes, abdominal pain, and bloating. In very rare cases, fertility medication may induce ovarian hyper-stimulation syndrome (OHSS), which can produce more severe symptoms such as:

  • Nausea or vomiting
  • Shortness of breath
  • Decreased urinary frequency
  • Feeling faint
  • Significant weight gain within three to five days
  • Severe stomach pain and bloating

Potential side effects after IVF treatment may include:

  • Passing a tiny small amount of clear or blood colored fluid after the procedure
  • Mild bloating
  • Mild cramping
  • Breast tenderness
  • Constipation
Do fertility hormones pose long term health risks?

Compared with the general population, women who have never conceived appear to have a slightly increased risk of ovarian cancer (about 1.6 times the rate). Because it is thought that many of these women have also used fertility medications, it has been hypothesized that a link might exist between fertility medications and this particular cancer. A number of studies have been conducted since 1992 when this concern was first raised. None have found an association between fertility medications and the higher risk of ovarian or between IVF treatment itself and the higher risk of ovarian cancer is possible that this association is due not to the use of fertility medication, but to the fact that this population of women has never undergone childbirth. Findings suggest that pregnancy or some component of the childbearing process may, in fact, protect directly against ovarian cancer.

How much does IVF cost?

The cost of IVF depends on the treatment and options selected. For IVF pricing information, please visit our nearest centre.

Do your hospital offer EMI for fees?

Yes ,we do offer option of EMI to our patients.

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Surat:
3rd Floor, Le-Grand Building, N/r Udhana Darwaja, Ring Road.
+91 0261 2633144 | 2633244

Rajkot:
4th Floor, Jasal, Nanawati Chowk ,150 Feet Ring Road.
+91 0281 2580666 | 2585666

Vadodara:
401/402 4th floor, Trivia complex,
Natubhai Circle.

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