stimulation – medication to increase the number of eggs. Hormonal
injections are given so that you will form more number of eggs, so that more
eggs can be fertilized and more embryos or babies are formed. This indirectly
increases the chance of a successful IVF
- Ovum pick
up – when the eggs are about 18-20 mm in size on ultrasound, the fluid in
these is sucked out with a needle under full anesthesia or deep sedation to
make the patient comfortable. This fluid is handed over to the embryologist in
the lab who looks for oocytes or eggs in this fluid and keeps them aside in the
– the eggs which have been collected are then fertilized by either IVF (keeping
eggs and sperms in a dish so that these fertilize on their own) or ICSI
(intracytoplasmic sperm injection e.i. one sperm is picked with a needle and
injected into one egg to fertilize it)
culture – these embryos are then examined by the embryologist one each day
and it is seen how many are growing.
transfer – usually performed on day 3/5. Two or three embryos are
transferred into the uterus (like an OPD procedure) under ultrasound guidance.
The extra number of embryos are frozen for future use if required
- Luteal phase support – after embryo transfer certain medicines and injections are given till the pregnancy test, which is after 14 days of the embryo transfer to support the pregnancy if it has implanted.