Path to Fertility - In vitro Fertilization - IVF
All our treatment plans are personalized according to your needs. The following is a general treatment guide, so you can familiarize yourself with a possible course of treatment.
You can make your first appointment by calling us 830-6289 or sending us an email at email@example.com. We will be happy to answer any questions you may have. There is no need for a referral from your family or personal doctor.
During this visit, we will thoroughly review your medical history, any prior laboratory or imaging studies you may have had and do a complete physical exam. Depending on your prior studies, you may need a vaginal ultrasound and some blood work. This will help us create a personalized treatment plan for you based on your personal needs.
We understand the emotional impact that fertility treatments can have on you and your family. Therefore, we work with psychologists who can provide counseling throughout any step of your Path to Fertility.
On your second appointment, we will explain your lab and imaging results, your personalized treatment options and the process. At the end of the visit, you will meet our Cycle Coordinator. We will be happy to answer any doubts about the treatment, process or costs as well. If you are being treated with your partner, both should attend to sign paperwork such as consent forms.
The majority of IVF cycles are started after a course of either oral contraceptives or Lupron, depending on your particular situation. During the Treatment Plan visit, we will explain if you need either of these medications, for how long and what your Stimulation Day 1 will be.
Controlled Ovarian Stimulation and Follicular Monitoring
On your Stimulation Day 1, we will review your hormone levels and perform a baseline ultrasound. We will then start medication for the ovarian stimulation. After 3-5 days of medication, you will need to return to our clinic for another set of hormone levels and an ultrasound. You can expect to have approximately 4-5 monitoring visits during stimulation. The same day of your monitoring visits we will receive the hormone results and we will contact you regarding the plan and any medication adjustments if nencessary. Monitoring visits usually last 20 minutes or less.
Once your follicles are ready you will proceed with the “trigger” medication, which will help your oocytes undergo maturation. After 34-36 hours you will need to return to the center for the oocyte retrieval.
Oocyte retrieval is performed approximately 34-36h after the trigger medication is given. You will undergo sedation with IV medications administered by a certified anesthesiologist. The entire procedure lasts about 20 minutes and you can expect to go home within two hours. You can expect to feel mild cramping. Usually 80% of follicles contain an oocyte.
In case of using a sperm donor or a frozen sample, it will be thawed the day of the oocyte retrieval.
The day of the oocyte retrieval we will fertilize the oocyte either by IVF (Putting them next to each other and allowing insemination) or by ICSI (Injecting the sperm into the oocyte), thus creating an embryo.
After 3-5 days of having the embryos in culture, we will perform the embryo transfer into the uterus. The number of embryos to be transferred will depend on the conversation you have with your specialist and your individual needs, although we routinely attempt to perform an elective single embryo transfer, to decrease the chances of twin pregnancies. The transfer lasts about 5 minutes and that same day you can return to your daily routine.
If the test is positive, we will repeat the blood work in 48-72 hours and will schedule an ultrasound in 4-6 weeks from the day of your last menstrual cycle.
It sometimes takes more than one cycle or treatment plan to reach your dream. If the test is negative, we will sit down to talk about further treatment options.