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In-vitro fertilisation or IVF is one of the most common types of assisted reproductive technologies. The technique helps with fertilisation of the gametes, development of the embryo and proper implantation, enabling the prospective mother to get pregnant. The process works with the help of a combination of medicines. Surgical procedures are also involved that help sperm to fertilize an egg. The fertilized egg is then implanted in the uterus.

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What is the process of IVF?

In the first step, fertility medications are taken, that help the ovaries to produce several eggs, helping them to mature and get ready for fertilization. The process is known as ovulation induction. Regular blood tests and ultrasounds might be required to keep track of the egg production and measure the hormone levels.
The doctor removes the eggs from the ovaries when enough mature eggs have been produced by the ovaries, a process that is known as egg retrieval or ovum pick up. It is a minor surgical procedure and is performed at a fertility clinic or the office of your doctor. Medicines help you to stay relaxed and comfortable. The doctor would use a thin and hollow tube through the vagina to see inside your body with the help of ultrasound. The tube moves through the ovary into the follicles that hold the eggs. The eggs are gently pulled out of the follicles through the needle connected to the suction device.

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In the next step, the eggs are mixed with sperm cells from the partner or a donor. The process is known as insemination. Fertilization happens as the eggs and sperms are stored in a special container. Sperms with lower motility might be injected directly into the eggs to help promote fertilization (ICSI). The progress of the development of the embryo is monitored as the cells in the fertilised eggs divide. One or more embryos are put in the uterus of the mother about 3 to 5 days after the retrieval of the egg. A thin tube is slid through the cervix into the uterus, which helps the embryo to be directly inserted into the uterus.

Pregnancy would result if one or more of the embryos attach to the lining of the uterus. The transfer of embryo is done at the fertility clinic or the doctor's office. The process is generally not painful. It is necessary to rest the day after embryo transfer. Normal activities can be resumed soon. Pills can be taken or daily shots of progesterone might be taken for about 8-10 weeks. It becomes easier for the embryo to survive in the uterus under the effect of the hormones.

What are the side effects of IVF?

There are some risks involved with IVF, much like the other medical procedures. These include cramping, bloating, mood swings, tenderness, headaches and bruising from shots. There could even be bleeding, allergic reaction to some of the medicines and infection. The doctor would be the right person to clear more of your queries. IVF could be an emotionally difficult procedure.

You should consult with the doctor or fertility specialist for more information about your case.

Authored By Dr.Mugdha Raut, MD & Dr.Mohan Raut, MD

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The lyers went form clinic to clinic . They tried everything,including IVF. Nothing worked.But they were not the ones to give up hope! Finally,after 5 years of waiting,Nisha was born to them at our clinic.

An open letter from Dr Mugdha

Nisha is 21 now! she is hale and hearty; beautiful to look at and very very spirited. To me, she could have been no one other than that - knowing first hand how she was brought into the world.

It is beautiful story I love to tell,especially to those couples who have resigned to a life without a child.

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