In Vitro Fertilization (IVF)
IVF is a therapy that is used for treating infertility, as well as some genetic disorders. The IVF procedure involves taking oocytes, or eggs, from the woman’s body. Eggs and sperm are brought together in the laboratory (in vitro). Developing embryos are placed in the uterus, where pregnancy can occur.
In Vitro Fertilization (IVF) Journey
Meet with MRM to review medical history and testing results to determine optimal treatment plan for you.
Baselines & Teaching
We will review your IVF calendar and medications as well as instruct you on medication dosing and administration.
Stimulation & Monitoring
This involves taking injections for 8-12 days to stimulate the ovaries to grow multiple eggs. During this time, 4-5 monitoring visits will be done with bloodwork and ultrasound to monitor your progress.
Once the follicles reach the appropriate size, a trigger medication will be given, and the egg retrieval will be planned for 36 hours after the trigger.
The egg retrieval is a minor surgical procedure to remove the eggs. It is performed under conscious sedation with anesthesia with ultrasound guidance.
Fertilization can occur in one of two ways: conventional IVF or Intracytoplasmic sperm injection (ICSI).
The embryo grows in the lab usually for a period of 5-6 days until it reaches the blastocyst stage. The embryologist will evaluate the embryos during this time and update you.
PGT is performed, which is a process of screening the embryos for chromosomal abnormalities. The embryo(s) are cryopreserved afterwards.
Frozen Embryo Transfer (FET)
The ultimate step in IVF is the transfer of the embryo into the uterine (endometrial) cavity. The transfer is a minor procedure and usually requires no anesthesia.
Scheduled Pregnancy Test
A pregnancy test will be scheduled approximately 10 days after the transfer.
For patients who have poor egg quality or quantity (diminished ovarian reserve), we offer oocyte donation. The patient can provide known donors, or our anonymous donor list can be used. Anonymous egg donors are screened for genetic and infectious diseases. The pregnancy rate using oocyte donation is related to the age of the donor and is higher than the pregnancy rate for standard IVF.
1 in 8 couples
Both known and unknown causes of infertility can create a challenge
Often a direct relationship is identified for the cause of infertility (advanced age, diminished ovarian reserve, endometriosis, tubal factor, ovulation disorders, hormonal imbalances, pelvic disease, male factor, and others) but many times the source of infertility is unknown.
12%-15% of couples use ART (Assisted Reproductive Technology) to assist in their family planning
It is our goal at MRM to provide all levels of services for all couples who need our assistance, whether it be conservative interventions to the most advanced, we are here to guide you through your options and set the best plan in motion for you.
Preimplantation Genetic Screening (PGS) and selective single embryo transfers
With our selection process and the use of PGS, the majority of our patients receive a single embryo transfer and subsequently deliver a single, healthy baby.
Risks of IVF
There are uncommon but special complications associated with IVF. These include:
Ovarian Hyperstimulation Syndrome (OHSS)
This rare condition results in painful enlargement of the ovaries due to hormonal stimulation. Patients typically recover with bed rest at home, but hospitalization is sometimes needed. Procedures to remove excess fluid from the body are required in rare situations.
Egg Retrieval Procedure
There is a small risk of reaction to anesthesia, bleeding, infection, or injury to internal organs during the egg retrieval procedure.