IVF or In Vitro Fertilization is a technique that enables a woman to conceive using medical procedure that involves treating the sperms and eggs in a laboratory. The result of this fusion is development into embryos that are placed in the uterus of the woman who wishes to conceive. This process is a proven technique that is helpful in successful conception and gives the joy of motherhood to the woman who is not able to conceive through natural means or other procedures.
Who should opt for it?
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IVF is a complete solution that helps a woman to become pregnant who is suffering from low egg quality or troubles with ovulation, endometriosis or blocked fallopian tubes. Similarly, if her partner is suffering from motility or problem with sperm count then it involves using donor eggs to achieve pregnancy.
What all tests are included?
The doctor will first begin by asking questions that will help them gain clues about the causes of infertility. These questions will be regarding gynecological condition, surgical operations if any performed medical history of the patient, obstetric history and questions related to the lifestyle of the person.
If the patient has referred to other doctors prior to this then the reports and the diagnosis too becomes essential.
This is a physical test done by the doctor that might include ultrasound of the pelvic region. Done to find out whether there are any abnormalities with the ovaries, uterus or the fallopian tubes. During this test the doctor might determine if there is any pelvic scarring or if there is any trouble to the ovary that might be stuck on to uterus.
The information obtained by this physical exam determines the potential of a woman regarding the ovarian stimulation utilizing the medications that will aid in conception.
The assessment is done relating the egg supply of the woman that is done via ultrasound and blood testing.
This is the procedure that is done to determine the cause of infertility. 25% of women suffer from ovulation disorder that stops them from conceiving. Another ovulation problem responsible for infertility is PCOS or the Polycystic Ovarian Syndrome that is treatable with medications.
This test is essential to determine whether the male is suffering from low sperm quality. It also helps understand if the male is having severe sperm defect; with this the physician would then take necessary steps to modulate the tests for the female partner. The therapy would then be designed that would involve focus on the sperm problem.
It is seen that at least 45-50% infertility cases involve sperm defect as the primary cause that contribute to infertility and trouble in conception.
This is done according to the medical situation of the couple. The male and the female go through these tests. The tests include follicle stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), AMH, prolactin, testosterone (T), progesterone (P4), 17-hydroxyprogesterone (17-OHP), thyroxin (T4), thyroid stimulating hormone (TSH).
Other tests would be testing for uterine cavity with the help of hysterosalpingogram and tubal potency.
HSG or the hysterosalpingogram helps in assessment of the endometrial cavity and its anatomy including the fallopian tubes and the uterus. This test is carried on during the 6-13 days of the cycle following the bleeding and before the commencement of ovulation.
This is an invasive procedure that would only be performed after the preliminary tests are already done on the male and female partners. However, with advance procedures like IVF this process is less popular amongst couples wishing to conceive. The success rate of IVF has made it more popular and couples often opt for this non-invasive procedure. Intrauterine inseminations are more utilized more often and then IVF is the procedure does not fetch results.
Now that you are aware about all the tests and the diagnosis, you should be able to make the right choice.