When conception proves difficult, some couples consider in-vitro fertilization (IVF). This complex series of procedures can assure conception outside of the body before the fertilized egg is implanted in a woman’s uterus. For residents of New York, New York Reproductive Wellness offers a wide variety of fertility evaluations and treatments, including IVF. Here’s what you need to know about IVF.
Fertility problems can be caused by a variety of conditions and may occur in either the male or female. IVF is used in women who have blocked or damaged fallopian tubes or who have had their fallopian tubes removed. If a woman has had her fallopian tubes tied and then decides she wants to have another baby, IVF can help her to do so. Women who have ovulation disorders, uterine fibroids or ovarian failure may also be candidates for IVF. IVF can also be helpful when the problem is that the male partner has a low sperm count or decreased sperm motility. For people who have a genetic disorder, IVF allows the selection of a fertilized egg that doesn’t have the disorder.
How Does In-vitro Fertilization Work?
IVF includes a number of different steps. First, the doctor prescribes fertility medications to stimulate egg production. The woman may also need to undergo various examination or tests, such as a trans-vaginal ultrasound to examine the ovaries or blood tests of hormone levels. Once ovulation occurs, the eggs are collected using a very fine needle inserted through the vaginal wall. The male partner provides a sperm sample, which is combined with the eggs in a laboratory. When fertilization is considered less likely, a single sperm can be inserted into an egg. The eggs are allowed to develop and are monitored to ensure the process is occurring normally. The fertilized egg (now called an embryo) is transferred into the woman’s uterus about three to five days after the egg was collected.
After the Procedure
For most women, the embryo transfer is painless, though some women report mild cramping or may pass a little clear or blood-tinged fluid after the procedure. Mild bloating and constipation may also occur, and some women report breast tenderness. The embryo usually implants into the uterus about six to 10 days after the procedure. The woman’s age affects the success of IVF. The live birth rate for women under 35 is about 41 to 43 percent. It drops to 33 to 36 percent for women aged 35 to 37 and to 23 to 27 percent for women aged 38 to 40. For women over age 40, the live birth rate is 13 to 18 percent.
We make every effort to use the most natural approaches possible, but we can also provide highly technological care. As one of the leading fertility clinics in New York City, we can answer your questions and any concerns. If you think IVF might be right for you, please contact us at New York Reproductive Wellness.