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Your life is stable. Your relationship with your partner is sound. But something’s missing. You have so much love to give, and there’s a void in your life that only a child can fill. After much serious consideration, you’ve decided that the time is right to grow your family, and that surrogacy is the best route for you.
During IVF , mature eggs are collected (retrieved) from ovaries and fertilized by sperm in a lab. Then the fertilized egg (embryo) or eggs (embryos) are transferred to a uterus. One full cycle of IVF takes about three weeks. Sometimes these steps are split into different parts and the process can take longer.
One cycle of IVF takes about two months. Women younger than age 35 will get pregnant and have a baby with their first IVF egg retrieval and subsequent embryo transfer(s) about half the time.
IVF involves 6 main stages :
The success rate of IVF depends on the age of the woman having treatment, as well as the cause of the infertility (if it’s known).Younger women are more likely to have a successful pregnancy. IVF isn’t usually recommended for women over the age of 42 because the chances of a successful pregnancy are thought to be too low.
In 2021, the percentage of IVF treatments that resulted in a live birth was:
The cycle before your IVF treatment is scheduled, you may be put on birth control pills. This may seem backward, but using birth control pills before a treatment cycle may improve your odds of success. Also, it may decrease the risk of ovarian hyperstimulation syndrome and ovarian cysts.
These first-day tests are referred to as your baseline bloodwork and your baseline ultrasound. In your bloodwork, your healthcare provider will be looking at your estrogen levels, specifically your E2 or estradiol. This is to make sure your ovaries are “sleeping.” That’s the intended effect of the Lupron shots or GnRH antagonist.
Monitoring the cycle is very important. This is how your provider will decide how to adjust your medications. You may need to increase or decrease dosages. Once your largest follicle is 16 to 18 mm in size, your clinic will probably want to see you daily.
The next step in your IVF treatment is triggering the oocytes to go through the last stage of maturation. The eggs must complete their growth and development before they can be retrieved.
About 34 to 36 hours after you receive the trigger shot, the egg retrieval will take place.
It’s normal to be nervous about the procedure, but most people go through it without much trouble or pain.
Once the oocytes are found, they’ll be evaluated by the embryologist. If the eggs are overly mature, fertilization may not be successful. If they are not mature enough, the embryology lab may be able to stimulate them to maturity in the lab.
The number of embryos transferred will depend on the quality of the embryos and discussion with your healthcare provider. Depending on your age, anywhere from one to five embryos may be transferred.
On or after the day of your retrieval, and before the embryo transfer, you’ll start giving yourself progesterone supplements. Usually, the progesterone during IVF treatment is given as a self-injection. Sometimes, though, a progesterone supplement is a pill, vaginal gel, or vaginal suppository.