High intervention care, or in vitro fertilization (IVF), is the most effective fertility treatment available today and most often the fastest route to a healthy pregnancy.
IVF involves stimulating the ovaries with hormonal medications to develop multiple eggs, retrieving mature eggs from the ovaries, and fertilizing them with sperm in a controlled laboratory setting. The fertilized eggs, now embryos, can then be transferred back into the uterus, aiming for a successful implantation and pregnancy. Alternatively, these embryos can be genetically tested and frozen, or simply frozen for future use.
There are several reasons to choose IVF. Your fertility doctor will help you determine if IVF is the best treatment option for you.
IVF can be complicated and overwhelming. At Pollin, we have reimagined the experience with our patients in mind to make it simpler, easier and more effective.
The goal of an IVF cycle is to stimulate the ovaries to retrieve the optimal number of eggs required to obtain enough healthy embryos to result in at least one pregnancy.
Every IVF cycle starts with a personalized plan developed based on your unique fertility profile and family building goals.
A typical IVF cycle begins with letting us know the first day of your menstrual period.
Prior to Day 1, you may be prescribed fertility medications (birth control pill or estrogen +/- progesterone) to optimize your ovaries prior to your IVF cycle. This step, called priming, can help optimize your ovaries for the timing of your IVF stimulation.
You will take injectable fertility medications for 10-14 days to help the follicles in your ovaries grow.
In non-medicated cycles, ovaries grow a group of follicles, but only one ovulates while the others regress.
“Stimulation” drugs (FSH, LH, hMG) override this process and “stimulate” the other follicles to grow and mature as well.
It is natural for your ovaries to want to ovulate, or release the eggs from the growing follicles.
“LH inhibitor” drugs are used to suppress the LH (luteinizing hormone) surge that naturally triggers ovulation, keeping the eggs in the follicles so they can be retrieved.
The “trigger” shot (HCG, Lupron) is a carefully timed, final injection taken when your follicle size and estradiol levels are optimal, maturing and preparing the eggs for retrieval.
A minor surgical procedure where eggs are retrieved from the ovaries using an ultrasound-guided needle and combined with sperm collected from you, your partner, or a donor.
The retrieved eggs are fertilized with sperm in the laboratory and any resulting embryos are monitored for 5 days by the embryologist. The embryos are then frozen and if elected, sent for genetic testing.
The embryo of the highest quality is selected and thawed, and then transferred back into the uterus.
A waiting period of 9-11 days post transfer to allow for the implantation of the embryo.
A blood test will be conducted to confirm pregnancy.
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