When turning to infertility treatments, it is common to have numerous questions about in vitro fertilization (IVF) and its whole process. IVF has proven itself to provide high success rate. Thus, it have sparked interests for millions of people around the world looking for a new path to parenthood. Our goal at RSMC Fertility Clinic – San Diego, California is to give you a sense of confidence as you start this great journey. In this guide, we will keep you informed on what to expect before, during, and after this endeavor. We have gone steps ahead and ensured to fully cover that the FAQs about the IVF treatment in the most transparent and comprehensive way.
Understanding Your Infertility & The Treatment
Our medical team has been around for over thirty years, gaining unequivocal expertise in the field. At Reproductive Sciences Medical Center, your well being is our priority and top concern. To fully understand your fertility and concerns, our physician’s will conduct a comprehensive assessment test to evaluate your fertility needs. RSMC have gathered combined experience of more than 150 years. We assure you to find the IVF treatment that suits you best.
We have found some common causes of infertility based on previous research and past experience. These include endometriosis, genetic disorders, and unhealthy sperm. However, we treat each case with a different approach since some require specialized attention and everyone is unique. Choosing to begin IVF treatment can be quite nerve wrecking and confusing. Keeping that in mind, we have prepared a simplified guide on the process.
Communication between the healthcare provider and the intended parent is important for the success of the infertility treatment. Therefore, you and/or your partner will begin with an initial consultation with our skilled providers to discuss your family goals. Moreover, the consultation will go over your medical history, past IVF efforts, and finances.
At RSMC fertility clinic – San Diego, we help you familiarize yourself with our personalized care services. This will help you build up the much-required confidence in the IVF treatment near you through our consultation program. We carry out one-on-one consultations at our IVF fertility clinic based in San Diego.
The IVF Treatment is not an event but rather a process. To understand your body and possible infertility, we guide your through hormone testing and analyses. We carry out blood assessment tests in the safest and most reliable way possible onsite. It is noteworthy that we employ one of it’s kind, state-of-the-art laboratory in San Diego fertility clinic. Here, we will draw blood samples to determine hormone levels. Also, pelvic ultrasounds will take place to determine the quantity of viable eggs in each ovary. With the test results, we will be able to administer you with the best infertility treatment options contrary to a one-fits-all approach. These tests include but are not limited to:
- The Anti-Mullerian Hormone (AMH) testing: AMH is the best indicator of a woman’s egg supply (eggs responsible for fertility). A high level of the AMH hormone in the blood means that your ovarian reserve is strong and has increased the supply of eggs. Low levels of AMH, on the other hand, indicate a decreased ovarian reserve.
- Hysterosalpingogram (HSG) testing: As noted earlier, one of the most common conditions affecting fertility are complications in the woman’s uterus. Given the sensitive role played by the uterine cavity and fallopian tubes in conception, having regular scans on them is necessary. We carry the latest technology and house an advanced lab to ensure these tests are conducted with the best technology available.
- Semen Analysis: It is important to carry out semen analysis to determine the quality and quantity of sperm in males. Different tests will analyze the volume, movement, concentration and shape of the sperm.
Who Requires IVF Infertility Treatment?
After these diagnostic tests are complete, our physicians will review the infertility treatment options that best suits your fertility and personal needs. There are a variety of treatment options such as hormone medications, reproductive surgery and IVF. Women with tubal ligation or men with severe male factor infertility will turn to IVF as their first line of infertility treatment.
Patients suffering from tubal ligation will have IVF as their primary infertility treatment option. It has more chances to result in pregnancy by bypassing the Fallopian tubes. Men suffering from severe infertility, on the other hand, can rely on IVF treatments that aid in conception. For example, intra-cytoplasmic sperm injection (ICSI) is a procedure that requires only one sperm to fertilize an egg. During the procedure, the sperm cell is injected directly into the cytoplasm of a woman’s egg. This eliminates the need for the sperm to travel and break through the barrier itself.
patients free from these conditions, can turn to less complex treatments. For example, the Intrauterine Insemination(IUI) or hormone therapies before transitioning to IVF treatments. However, the basic treatment has success limitations since statistics have proven that after four treatment cycles, the success rates decrease rapidly. For this reason, our medics prefer the IVF treatment since it drastically increases pregnancy success rates. It also covers patients who have endometriosis, ovulatory disorders, old age, and severe infertility.
Procedures Involved in IVF Infertility Treatment
Through our IVF Program, patients have a new hope to achieve pregnancy and their dream of a larger family. Starting the IVF treatment process is an exciting experience. Especially, when most patients have previously tried other treatments leading to years of failed conceptions. However, our physicians at RSMC fertility Clinic – San Diego, CA provide you with specialized care and demonstrate compassion to your needs to ensure the treatment is a success.
For your convenience, we prepared a step-by-step breakdown of what to expect in IVF treatment. We hope to help you feel at ease and in control.
Step One: Stimulation
During a complete ovulation cycle, the ovulatory reserve normally produces one mature egg per month. With such a constrained supply of mature eggs, fertilization becomes harder to control. But when you go under the IVF treatment, our aim is to produce as many mature eggs as possible. This ensures that the probability of fertilization is as high as possible.
Inside our IVF laboratory, you will receive with medications composed of the Luteinizing Hormone (LH) and Follicle Stimulating Hormone (FSH) through injection. These are hormones body naturally produces throughout the cycles. We will administer the medications continuously for 8 to 14 days. During this cycle of medication, you will require to regularly check in with your physician. Your physician will closely monitors you through blood work and transvaginal ultrasound. The transvaginal ultrasound, also known as the endovaginal ultrasound, measures the growth of the egg follicles and the thickness of the uterus wall. To consider this phase as a success, the sizes of the two should be increasing rapidly. Bloodwork, on the other hand, is useful to determine the levels of estrogen or estradiol. High levels of these hormones indicate the maturity of your eggs.
The final stage in the stimulation process before eggs retrieval involves the trigger shot. Based on the protocol you will be assigned to, you will either have a Lupron or Human Chorionic Gonadotropin (hCG) trigger shot. They facilitate the full maturation of follicles while setting ovulation in motion.
Step 2: Egg Retrieval and Sperm Collection
The egg retrieval process will take place in the at our San Diego fertility clinic laboratory. Here our fully accredited physicians utilize the latest infertility treatment technology and advanced equipment. Before we proceed, our anesthetist will review your medical history before he/she places you on IV. This ensures that your body will have no adverse reactions to the anesthesia.
The egg retrieval process normally takes up to 30 minutes. During this, a guided needle goes into each ovary. It removes the IV fluids along with eggs from each follicle. To guarantee easy and safety during this procedure, an ultrasound will monitor and visualize all the steps taken. After completion of the procedure, you will be back on your feet within 30 minutes. Although, we encourage to not immediately engage in tasks such as driving yourself home.
While the woman is undergoes egg retrieval, the male partner is to collect a fresh semen sample. After collecting the sample, the sperm undergoes analyzing, washing and preparation for insemination. In certain cases, the male partner’s frozen sperm sample or a donor sample is used.
Step 3: Fertilization
At Reproductive Sciences Medical Center, we have fully embraced infertility treatment technology in all our undertakings. Immediately following the retrieval, we will sort out the eggs and the journey towards fertilization begins. Based on the quality of sperm produced and collected, there are two ways through which fertilization can take place. These are Conventional Insemination and Intracytoplasmic Sperm Injection (ICSI).
If placed under Conventional Insemination, we will assign you with an embryologist. He/She will carry out assessment tests on the retrieved sperm samples to isolate the high-quality sperm. From there, the sperm is then incubated together with the mature eggs in a Petri dish.
With ICSI, the embryologist injects one healthy sperm into the cytoplasm of each egg, which bypasses the need for the sperm to cross the cytoplasm by itself. This infertility treatment is ideal for many with severe male factor infertility. In most cases, ICSI is planned in advance though it is unanticipated at times. The decision on whether to switch to ICSI is typically based on your physician’s advice.
Typically, the development of embryo begins immediately after incubating fertilized eggs. Our embryologists are always in place to monitor and take notes on the embryo development process. In some cases, our San Diego fertility clinic places embryos into an EmbryoScope. This gives room for the close monitoring of the embryos without necessarily removing them from the incubators. On the second day, you can see a developed 2-4 cell embryo. After at least five days, the embryo enters the Blastocyst stage.
It is also during this stage that you get to know whether your embryo will have future chromosomal disorders through Preimplantation Genetic Screening (PGS). PGS determins the overall chromosomal normalcy in embryos to ensure that the embryo has normal chromosome numbers. Screening for such helps prevent diseases, miscarriages, and implantation failure.
Step 4: Embryo Transfer
The embryo transfer is one of the most important phases in in vitro fertilization. Here, your doctor will have to ensure that they evaluate and implant the sperm with the highest quality. A physician will then transfer the blastocyst to your uterus on the fifth day or later of its development.
Unlike other infertility treatment procedures mentioned above, this one takes less time and requires no anesthesia. That said, you will, however, have to adhere to strict instructions given t