December 22, 2007
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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. The process involves sperm from a woman’s partner or a donor being placed in a dish with eggs that have been removed from her ovaries and fertilizing them before being placed in her womb. In Vitro Fertilization may be recommended for a number of reasons including; age, other techniques have failed, the woman’s tubes are blocked or the infertility cannot be explained.
The In Vitro Fertilization process should go something like the method set out below but may differ slightly between clinics. At the start of your treatment your doctor gives you drugs to block the hormones your pituitary gland usually produces during your monthly cycle. The reason for this is so the physician has improved control over when your eggs are produced. Further drugs are given to ensure your ovaries create more than a single egg.
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Blood Tests and vaginal ultrasound scans are used to monitor the estrogen level produced by the eggs. 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 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 not until this time that the man gets involved and needs to produce a sample of fresh sperm. This will be stored for a short time before the sperm are washed and spun at a high speed, so that the healthiest and most active can be selected. Sperm which has been donated is kept in a freezer but the same method for preparation is used. Your eggs are then mixed with your partner’s sperm and left in a laboratory dish for 16-20 hours before they are checked to see if any have fertilized. During the next stage, only successfully fertilized embryos are kept and left for a further 24 to 48 hours before a final check is done.
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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