Ivf Turkey
There are five basic steps to IVF:
Step 1: Stimulation, also called super ovulation
Medicines, called fertility drugs, are given to the woman to boost egg production.
Normally, a woman produces one egg per month. Fertility drugs tell the ovaries to produce several eggs.
During this step, the woman will have regular transva**nal ultrasounds to examine the ovaries and blood tests to check hormone levels.
Step 2: Egg retrieval
A minor surgery, called follicular aspiration, is done to remove the eggs from the woman’s body.
The surgery is done as an outpatient procedure in the doctor’s office most of the time. The woman will be given medicines so she does not feel pain during the procedure. Using ultrasound images as a guide, the health care provider inserts a thin needle through the va**na and into the o***y and sacs (follicles) containing the eggs. The needle is connected to a suction device, which pulls the eggs and fluid out of each follicle, one at a time.
The procedure is repeated for the other o***y. There may be some cramping after the procedure, but it will go away within a day.
In rare cases, a pelvic laparoscopy may be needed to remove the eggs. If a woman does not or cannot produce any eggs, donated eggs may be used.
Step 3: Insemination and Fertilization
The man's s***m is placed together with the best quality eggs. The mixing of the s***m and egg is called insemination.
Eggs and s***m are then stored in an environmentally controlled chamber. The s***m most often enters (fertilizes) an egg a few hours after insemination.
If the doctor thinks the chance of fertilization is low, the s***m may be directly injected into the egg. This is called intracytoplasmic s***m injection (ICSI).
Many fertility programs routinely do ICSI on some of the eggs, even if things appear normal.
Step 4: Embryo culture
When the fertilized egg divides, it becomes an embryo. Laboratory staff will regularly check the embryo to make sure it is growing properly. Within about 5 days, a normal embryo has several cells that are actively dividing.
Couples who have a high risk of passing a genetic (hereditary) disorder to a child may consider pre-implantation genetic diagnosis (PGD). The procedure is done about 3 - 4 days after fertilization. Laboratory scientists remove a single cell from each embryo and screen the material for specific genetic disorders.
According to the American Society for Reproductive Medicine, PGD can help parents decide which embryos to implant. This decreases the chance of passing a disorder onto a child. The technique is controversial and not offered at all centers.
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