1. OVULATION INDUCTION

Taking medications to produce several eggs in one cycle

These medications will also control when you ovulate so that the rest of the steps for in vitro fertilization can be planned. Some of your medications are given by injection. Our nurse will teach you and your partner how to prepare the injections and how to give them, so that you will be able to do this on your own at home.

Going for medical tests

Throughout your cycle, you will have several ultrasounds and blood tests to determine how well the medications are working. Individuals react differently to these medications - some people may need an adjustment in their medications or dosage.

Following your medication schedule
It is important to follow your medication schedule and doses exactly in order for ovulation induction to be successful. You may want to use a medication schedule chart to help you keep track of the days of your cycle, when to take each medication, and the dose for each medication.
 

Frequent ultrasounds
Vaginal ultrasounds provide pictures of the follicles in which the eggs develop. We will monitor the ultrasounds to see how your follicles are growing, and to determine when the follicles are mature enough for egg retrieval.

Follicles in ovary, before ovulation induction
Early phases of ovlation induction
Mature follicles in ovary

Frequent blood tests
As the follicle mature, they produce estradiol, a form of estrogen. We will check the amount of estradiol in your blood several time, to make sure your estradiol level is rising adequately in response to the medications.

2. EGG RETRIEVAL

Doctor surgically removes the eggs

When the follicles have matured, you will be instructed to give yourself an injection of HCG (human chorionic gonadotropin). About 34 to 36 hours later, your doctor will remove the eggs from your ovaries. Your doctor will explain the various medication options available to keep you comfortable during the egg retrieval.

 

 

3. FERTILIZATION AND EMBRYO CULTURE

Embryologist mixes eggs and sperm

In the IVF lab, the embryologist prepares the eggs and sperm and mixes them together. If fertilization occurs, the embryologist will incubate the fertilized eggs and monitor them for about 2 to 5 days to make sure they develop properly.

Human egg before fertilization.
Fertilized egg, approximately one day after retrieval, showing 2 pronuclei.
Embryo consisting of 8 cells, approximately 3 days after retrieval.
Blastocysts, approximately 5 days after retrieval.

4. EMBRYO TRANSFER

The embryos are transferred to the uterus

Your doctor will discuss the number of embryos to be transferred into your uterine cavity and may suggest freezing any unused embryos to preserve them for future pregnancy attempts.

Your doctor will use a speculum inside your vagina (like a Pap smear), insert a small catheter through your cervix into your uterine cavity, and transfer the embryos through the catheter.

5. EMBRYO IMPLANTATION

The embryo implants into the lining of the uterus.

Approximately 2 weeks after the transfer, you will take a pregnancy test. A positive results on the pregnancy test means that the embryo has implanted in the endometrial lining of your uterus, and that you are pregnant.

 


310 South Limestone Street, Lexington, KY 40503 USA
P.O. Box 23777 " Lexington, KY 40523 USA
Phone: (859) 254-8108, (859) 226-7263, (859) 226-7264
Fax: (859) 226-0026
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