In Vitro Fertilization (IVF) which means ‘fertilization in a glass’ is often more commonly referred to as a test tube baby. Eggs are removed from the ovaries and fertilized with sperm in a laboratory dish before being placed in the woman’s 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: Your doctor will give some drugs to block the hormones normally released during the menstrual cycle. This allows them better 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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Vaginal ultrasound scans are carried out to monitor your developing eggs along with blood tests to chart the rising levels of estrogen produced by the eggs. Another hormone injection will be given when the tests show the time is right 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.

Around the time the woman’s eggs are collected, the male produces a fresh sample of sperm. After a short storage period the sperm are washed and spun at high speed to enable the most active and healthiest to be chosen. 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.

Two days after your eggs have been collected; you are given an injection, gel or pessaries to help prepare the lining of your womb.

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