January 29, 2008

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In Vitro Fertilization (IVF) which means ‘fertilization in a glass’ is often more commonly referred to as a test tube baby. Essentially, a woman’s eggs are removed from her ovaries and sperm from her partner or donor is used to fertilize them before being inserted into her womb. Many older women use In Vitro Fertilization as it is a recommended procedure for them, also if there is a blockage in the tubes, unexplained infertility or if other methods have failed.

Techniques of In Vitro Fertilization differ from clinic to clinic but a typical pattern of treatment might go like this: At first your physician will halt the release of hormones that are produced during your monthly cycle by giving you some drugs. Blocking the hormones helps the doctor have greater control over your egg production. After this your ovaries are stimulated by drugs to create more than one egg.



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It’s important that levels of estrogen produced by the eggs are monitored so a combination of blood tests and vaginal ultrasound scans are used. As soon as the tests show that the time is right, you will have another injection of a different hormone to help your eggs mature. The eggs are collected between 34 and 38 hours after the injection is given so the timing for it is crucial. Ultrasound guidance is used to help collect the egg but it means you have to be given drugs or a general anesthetic to help you relax because it takes about 30 minutes.

It is now the male’s job to ensure that a fresh sperm sample is ready. Once this has been done the sperm are stored for a short period before they are washed and then spun at high speed to ensure only the healthiest ad most active sperm are used. Donated sperm is kept in the freezer but the same method to prepare it is used. The process then continues with the eggs and sperm left for 16 to 20 hours in a laboratory dish to mix and after that period, checked to see if they have fertilized. Successfully fertilized embryos are then left for a further day to two days before the last inspection is carried out.

Once your eggs have been collected there is a waiting period of two days, then you are given pessaries, an injection or gel to ready the lining of your womb.

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