In Vitro Fertilization literally means ‘fertilization in glass’, hence the familiar name of ‘test tube baby’. The woman’s eggs are taken from her ovaries and then in a laboratory dish, fertilized with sperm before being inserted into her womb. In Vitro Fertilization is recommended if you are an older woman, have been diagnosed with unexplained infertility, those whose tubes are blocked, or if other techniques have been unsuccessful.

Whilst every clinic works slightly differently, the main procedure is a fairly routine one. At first your physician will halt the release of hormones that are produced during your monthly cycle by giving you some drugs. The reason for this is to assist control over when the eggs are ready. Further drugs are given to ensure your ovaries create more than a single 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. 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.

Next the man must produce some fresh sperm at about the same time as the eggs are collected. To make sure that the best sperm are used for the process, the sample is washed and then spun at high speed, this will give the healthiest and the most active sperm. If you are using donated sperm, the sample is taken from the freezer and prepared in the same way. After the eggs and sperm have been collected they are left to mix in a laboratory dish for between 16 and 20 hours and then inspected to see whether fertilization has taken place. Only those embryos that have fertilized successfully are kept and left for a further day to two days before a final inspection.

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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