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Ivf specialist and gynaecologist

ivf

  • Fertility drugs are injected to stimulate the Ovaries
  • Eggs are collected from the woman. This is a day surgery procedure performed under General Anesthesia
  • The eggs are then fertilised and matured. This may or may not involve other processes such as ICSI (Intracytoplasmic sperm injection, a process in which a single sperm is injected into each egg to assist fertilisation using very fine micro-manipulation equipment) or Digital High Magnification sperm selection (which can assist men with DNA damage in their sperm);
  • One or more embryos may be transferred to the woman's uterus (a "fresh embryo transfer"); and other embryos may be frozen and transferred later (a "frozen embryo transfer" or FET). An IVF treatment cycle is considered complete once all fresh and frozen embryos from the initial stimulated cycle have been used.

IVF treatment is tailored to your specific needs. Most patients who undergo IVF will be prescribed one of two main treatment protocols Long Down Regulation and Antagonist treatment cycles.

Long Down Regulation [Agonist] treatment cycle

Long down regulation treatment is the process of suppressing a woman's natural hormones before fertility medications. On day 21 you of your periods will have a blood test and begin pre-IVF treatment [GnRH analogue] in the form of a l nasal spray or injection to control your natural hormones before the fertility medication starts.

About 12 days later another blood test will be taken to make sure your own hormones are low [or down regulated] and you will be instructed when to begin daily hormone Follicle Stimulating Hormone injection. You will continue taking the initial nasal spray or injections throughout this time.

5 days after you begin FSH injections you will have a blood test and ultrasound of your ovaries. You will be monitored closely with blood tests and ultrasounds until you have an optimum number and size of developed follicles. Once you are ready will I will advise when to have your HCG trigger injection and schedule your egg collection 36 hours later.

After egg collection you will use supplemental progesterone either as a vaginal gel, pessary or subcutaneous injections until your pregnancy test two weeks later.

Antagonist treatment cycle

Antagonist treatment uses injectable drugs called antagonists to prevent premature ovulation. It is the most commonly used treatment protocol because the shorter cycle makes it more convenient for patients and reduces the risk of hyper-stimulation.

Starting on the second day of your period you will have a blood test and providing all your hormone levels are low, you will be advised to begin Follicle Stimulating Hormone (FSH) injection that day.

After four days of injections you start a second injection to switch off your own hormones and prevent premature release of the eggs. 6-8 days after you begin FSH injections you will have a blood test and ultrasound of your ovaries. You will be monitored closely with blood tests and ultrasounds until you have an optimum number and size of developed follicles.

Once you are ready will I will advise when to have your HCG trigger injection and schedule your egg collection 36 hours later After egg collection you will use supplemental progesterone either as a vaginal gel, pessary or subcutaneous injections until your pregnancy test two weeks later.

(These Protocols are same as practiced in IVF Australia and has been approved by eminent Infertility specialists of the world)

© 2016. Dr. Kaushiki Dwivedee. All Rights Reserved

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IVF Specialist and gynaecologist