If you are using frozen or donor sperm our scientists will have it ready in the lab. We grade the sperm using four different levels of quality. The laboratory will prepare the samples to collect the most viable sperm from the sample for combining with your eggs, all so our scientists can spot the best sperm under powerful microscopes.
We take great care in preparing the sperm prior to introduction to the eggs with multiple methods at our disposals tailored to each patients sample. Being able to identify morphologically normal sperm is a skill that our scientists develop over many years, with constant fine tuning, to select the ideal sperm for every egg.
Once the sample is prepared we have it ready and we have it ready and waiting in the lab for the next step We then introduce the prepared sperm to the eggs collected in your egg pick up. The eggs are contained in tubes of follicular fluid taken from your ovaries.
Our scientists use powerful microscopes to find the eggs in the fluid so that they can remove them. Once the eggs are removed, we culture the eggs in the ideal environment prior to combining with sperm inseminating with either standard insemination or Intracytoplasmic sperm injection ICSI or a combination of both.
Our scientists will either place the eggs and sperm together in a culture dish to fertilise naturally as they would within your own body. This is known as Standard IVF insemination. The method of fertilisation will be directed by your specialist in discussion with your situation to optimise your fertilisation and pregnancy chances in each cycle. After the insemination procedure, we place the inseminated egg s into our specialised culture incubators to assess for fertilisation approximately 17 hours later the next day.
These pronuclei are the genetic nucleus from the egg and sperm, so we need to see only two pronuclei. One from the egg and one from the sperm. If the egg does not present with 2 pronuclei, then the egg has not fertilised and will not produce an embryo. Ideally, after combining a sperm with the egg, approximately17 hours later it will fertilise and begin forming an embryo.
Our scientists will culture the developing embryo s in a special incubator, where the conditions for growth and development are optimised to grow the best possible embryos. We create these perfect growing conditions using a special mix of amino acids, and nutrients similar to the ones your own body would use to nurture the embryo. Our goal is to grow all embryos to the blastocyst stage. We know that transferring more robust and developed embryos into the uterus boosts your chances of a successful pregnancy.
Unfortunately, not all eggs will fertilise and reach each embryo stage. In the meantime, if you have any questions—our friendly team are just a phone call away. The embryo transfer is a very simple process—similar to a pap smear. The procedure itself only takes about five minutes. A scientist prepares your embryo by placing it in a small tube called a catheter. It is often performed after other methods of trying to get pregnant have failed.
Pre-cycle testing includes hormonal evaluation to assess thyroid function and ovarian reserve, screening both partners for sexually transmitted infection, and a semen analysis of the male partner. Most women will take fertility drugs for ovarian stimulation for days; the average is days. Ovarian stimulation is used to mature multiple eggs for egg retrieval. Even if ovulation is normal, fertility drugs are used to produce more than a single egg because pregnancy rates are higher with more eggs.
An average of 10 — 20 eggs are usually retrieved for IVF. However, not all of them are viable to use as on average only about two-thirds have the appropriate maturity. Your physician will carefully design a protocol to try to obtain the maximum number of eggs while protecting against development of ovarian hyper-stimulation syndrome OHSS. This replaces the natural luteinizing hormone surge a woman has that spurs the final stage of egg maturation, so eggs are capable of being fertilized.
For this egg retrieval procedure, an ultrasound is used to visually guide a small needle through the top of the vagina into one ovary and then the other. Follicles are entered with the needle and the follicular fluid contents are removed using gentle suction that brings the egg along in the fluid; the entire process usually takes less than 30 minutes.
You may feel some minor cramping the day of the procedure which is usually gone the next day. This may last for a few weeks. The fluid from the follicles — that contains the egg — is suctioned by the IVF physician through small tubing and into a test tube.
We understand that you want to know as much about your embryos during their time in the embryology lab. Typically, our embryologists will call you on day 2 with an update then again on day 4 with a second update. We will also let you know what time we will plan to transfer implant the embryos. Depending on how quickly your embryos mature, by day 3 some of your embryos should have multiplied into six or eight cells. You and your doctor will carefully discuss and determine the number of embryos to implant as well as how many embryos you would like frozen for later use.
Our clinic prides itself on providing the best possible care for you and your future children, and often, the best way to achieve optimal success and outcomes is by transferring one embryo at a time.
This decision is important and one that you should discuss with your doctor before your IVF cycle and also again at the time of your embryo transfer.
Your doctor will then transfer your embryo into your uterus under ultrasound guidance. This is also known as cryopreservation. If you choose to have a second round of IVF, cryopreservation will prevent you from needing to retrieve additional eggs.
You will need to sign an embryo storage agreement before your embryos are cryopreserved. Payment includes the first year of storage. After the first year of storage, payment for the current storage period must be paid in advance. Contact the Andrology Lab to obtain the correct form. Please note: A University of Utah Health employee or a notary public must witness your signature. The original written notice must be received and acknowledged by the University before terminating the agreement.
If you are pregnant, we will ask for you to return in two days for a repeat blood pregnancy test. If those levels look reassuring, we will schedule you for a viability ultrasound between six-and-a-half and seven-and-a-half weeks of pregnancy. In general, it is important to contact your OB to set up your first prenatal visit. You will need to continue hormone therapy until 10 weeks of your pregnancy. Call or Request an Appointment.
Injection Instructions Depending on the type of injection, you may have to mix and prepare your medicine before injection. IVF Egg Retrieval Process Once your doctor determines that your eggs are ready for retrieval, you will be given another medication HCG or Lupron 36 hours before the egg retrieval procedure. What to Wear to Your Egg Retrieval Procedure The most important factor when selecting what to wear is your comfort and well-being.
Recovery After Egg Retrieval While the procedure is relatively simple, you may feel some slight pain after IVF egg retrieval, including cramping and feelings of fullness or pressure. Egg Retrieval Side Effects Side effects after egg retrieval can include: Mild cramping Mild bloating Constipation Breast tenderness These are all common side effects after egg retrieval and not cause for worry.
More severe symptoms include: Pelvic pain Blood in the urine or heavy vaginal bleeding Painful urination A fever over After Your Egg Retrieval During your egg retrieval, your doctor will extract follicular fluid from your ovaries. Sperm Collection Usually, we will ask your partner to give us a semen sample the morning of your egg retrieval. Embryo Growth Days 1—7 of Embryo Growth The morning after your eggs have been fertilized, our embryologists will transfer your embryos to a special growth dish and see how well they are developing.
Embryo Transfer Fresh Blastocyst Embryo Transfer Depending on how quickly your embryos mature, by day 3 some of your embryos should have multiplied into six or eight cells. What Happens to the Remaining Embryos? We only offer this option for any excess embryos that have already developed to the blastocyst stage.
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