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Fertility Treatments

IVF

IVF or In Vitro Fertilization is the gold standard of fertility medicine and the most effective fertility treatment available offering the highest success rates per cycle of any Assisted Reproductive Technology (ART).

How IVF Overcomes Fertility Issues Tubal Abnormalities Uterine Lining Egg Quality Ovulation Sperm Quality Immune System & Inflammation
ICSI ICSI
MINI IVF MINI IVF
NATURAL IVF NATURAL IVF
FET FET
ESET ESET
INVOCELL INVOCELL
CONVENTIONAL IVF CONVENTIONAL IVF

ICSI

A special fertilization technique whereby sperm are loaded into a micro needle and injected directly into the egg.

MINI IVF

IVF with a reduced medication protocol designed to recruit fewer, but higher quality eggs than standard stimulation.

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NATURAL IVF

An IVF cycle with no medications to retrieve one egg. Not often recommended.

FET

The transfer of a previously frozen embryo from an IVF cycle. Often with similar or better success than fresh transfers.

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ESET

The practice of transferring only one embryo. Same success rates, reduced risk to mother and fetuses associated with multiples pregnancies.

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INVOCELL

A IVF fertilization alternative where sperm and egg are placed in a thumb sized medical device and inserted into the vagina for fertilization and early development.

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CONVENTIONAL IVF

Sperm and egg are left in a petri dish after retrieval and collection to fertilize “naturally.” An ICSI alternative.

  • ICSI

    A special fertilization technique whereby sperm are loaded into a micro needle and injected directly into the egg.

  • MINI IVF

    IVF with a reduced medication protocol designed to recruit fewer, but higher quality eggs than standard stimulation.

    +Learn More

  • NATURAL IVF

    An IVF cycle with no medications to retrieve one egg. Not often recommended.

  • FET

    The transfer of a previously frozen embryo from an IVF cycle. Often with similar or better success than fresh transfers.

    + Learn More

  • ESET

    The practice of transferring only one embryo. Same success rates, reduced risk to mother and fetuses associated with multiples pregnancies.

    + Learn More

     

  • INVOCELL

    A IVF fertilization alternative where sperm and egg are placed in a thumb sized medical device and inserted into the vagina for fertilization and early development.

    + Learn More

  • CONVENTIONAL IVF

    Sperm and egg are left in a petri dish after retrieval and collection to fertilize “naturally.” An ICSI alternative.

IVF Process

In Vitro Fertilization has hundreds of steps, but can be drastically simplified down to just a few.

Treatment Preparation
  • Stimulation

    Stimulation

    Medications are taken to improve number and quality of eggs.

  • Retrieval & Collection

    Retrieval & Collection

    Eggs and Sperm are retrieved and collected.

  • Laboratory

    Laboratory

    Eggs are Fertilized and developed inside our embryology laboratory.

  • Transfer

    Transfer

    Embryo(s) are transfered into a woman’s uterus.

Implantation & Pregnancy support

Continue Below For Detailed Explanation of Main Steps

IVF Step 1

Ovarian Stimulation

During ovarian stimulation, most women take hormone-based medications that encourage the ovaries to develop multiple follicles, each of which contains an egg. The simple idea here is more follicles = more eggs = more embryos = higher chance of implantation and a live birth.  In fact, many IVF cycles will result in a handful of embryos that can be frozen and stored for future use (in case the first transfer is unsuccessful or for use after a successful pregnancy).

Ovarian stimulation typically begins on days 2-4 of a woman’s cycle after a baseline appointment to designate your uterine lining, follicular, and hormonal baseline. Stimulation usually involves taking daily injectable medications for around ten days and will be followed closely with monitoring appointments every few days to track uterine lining, follicular, and hormonal development.

Once the egg-containing follicles reach the appropriate size, a final “trigger” medication will be used to promote the final maturation of the eggs.

More on Monitoring

Egg development takes 90 days. IVF only targets the final developmental phase of egg production taking place in the final 10-14 days. Make sure you’re doing the most to improve the quality of your eggs (and sperm . . . they’re half the battle) for that full 90 days. Egg and sperm quality is one of the major factors impacting IVF success and one of the major things you CAN CHANGE.

IVF Step 2

The Egg Retrieval and Sperm Collection

IVF Step 3

The Laboratory - Fertilization

It takes about 4-6 hours after the retrieval for the eggs to reach final maturity.  At this point, the eggs and sperm will be ready for fertilization. There are generally two methods of fertilization.

  • Conventional IVF Fertilization

    Self-employed penetration of the egg by sperm inside a petri dish.

  • ICSI - Intracytoplasmic Sperm Injection

    Individually injected eggs with a micro manipulator and hollow needle.

The Invocell alternative

The Laboratory - Embryo Development

After fertilization, the embryos are grown in nourishing media that mimics the internal environment of a fallopian tube (where early embryonic development naturally occurs) for 3-5 day or until the embryo reaches a cleavage or blastocyst stage.

If an embryo is grown to a blastocyst stage, it can then be genetically tested.  While this may be beneficial for some, it is not recommended for everyone.

Cleavage vs. Blastocyst Genetic Testing
Establishing and Maintaining Pregnancy

Post Transfer Considerations

Following an embryo transfer, most women will likely take progesterone along with other medications to thicken the uterine lining to help the embryo implant and receive the nourishment it needs to flourish. 

About two weeks after transfer, a blood test will be performed to determine if the pregnancy has taken.

If the pregnancy test is positive, an ultrasound will be scheduled two weeks later to determine the implantation site and often detects a heartbeat. The heartbeat should be seen by four weeks after a positive pregnancy test.  Once a heartbeat is detected, there is a 90-95% probability that the pregnancy will continue to a live birth.