Most people know the term ‘test tube baby’ but the correct name for this process is ‘In Vitro fertilization’. Eggs are fertilized in a laboratory dish with sperm and then place inside the woman’s womb. When other fertilization techniques have failed, the mother may be older or there is no apparent reason for infertility, then In Vitro Fertilization is frequently recommended.

Methods of IVF will invariably differ a little from clinic to clinic but should proceed along these lines. The first thing your doctor will do is to stop the hormones released by the pituitary gland during your period by the use of other drugs. The reason for this is so the physician has improved control over when your eggs are produced. After this your ovaries are stimulated by drugs to create more than one egg.

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Estrogen levels produced by the eggs are monitored to ensure they rise, using vaginal ultrasound scans and blood tests. All these tests are designed to show when the time is right for an injection of another hormone to help the eggs mature. The reason for this is that the eggs will be collected between 34 and 38 hours later, even if it is the middle of the night. Collecting the eggs takes about 30 minutes and is carried out using ultrasound guidance so often either drugs or a general anesthetic is given to make you feel more relaxed.

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 can take between 16 and 20 hours during which time the sperm and eggs are allowed to mix in a laboratory dish before they are inspected to find out if the fertilization was successful. Only those embryos that have fertilized successfully are kept and left for a further day to two days before a final inspection.

To ensure the womb is ready for the fertilized egg, two days after they have been collected, the womb lining is prepared by giving you pessaries, gel or an injection.

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