Turning dreams into families with the power of IVF

At the heart of every family is a dream waiting to become reality. Through the power of in vitro fertilization (IVF), we transform those dreams into families, offering hope and a pathway to parenthood. We understand that the journey to parenthood through IVF is deeply personal and sensitive; it goes beyond the combination of the egg and the sperm; hence, we are committed to walking this path alongside you, providing compassionate support, and ensuring you fully understand each step of the procedure.

What is IVF?

IVF, which is an acronym for In Vitro Fertilization (IVF), is a medical procedure that assists individuals and couples in achieving pregnancy by combining an egg and sperm outside the body in a laboratory setting. Once fertilized, the embryo is carefully monitored and then transferred to the uterus, where it can implant and develop into a pregnancy.

Who can benefit from IVF?

IVF can benefit a variety of individuals and couples facing different fertility challenges. We'll mention a few.

1.Couples unable to conceive: For many couples struggling with infertility, IVF not only enhances the chances of conception but also provides a pathway to parenthood by addressing specific reproductive challenges and offering personalized treatment options. Infertility issues include blocked fallopian tubes, a low sperm count, and poor sperm motility or morphology. Our IVF services offered at Gynescope can help you navigate through whatever infertility challenges you may be going through
2.In the past, it was thought that women with irregular ovulation or anovulation (this simply means no ovulation) had no chance of having children. It is heartwarming to hear that it is, in fact, the opposite. At Gynescope, we help you understand your body's happenings and help you find the right treatment to bring your dreams to life.
3.There are cases where no specific cause for infertility is identified after standard testing. IVF comes into play by bypassing several potential issues with natural conception. This can be done by implying the use of exact timing for ovulation and sperm release. The process involves controlled ovarian stimulation to produce multiple eggs, which are then retrieved and fertilized in the lab. This allows for precise monitoring of fertilization and embryonic development, increasing the likelihood of successful implantation.
4.Women with endometriosis: IVF offers a structured approach to managing infertility caused by endometriosis, increasing the likelihood of conception and a successful pregnancy. It does this by enhancing control over fertilization, improving egg quality and quantity, and providing many more options.
5.IVF also pays attention to individuals undergoing medical treatments. It helps manage the impact of medical treatments on fertility by preserving reproductive options, which can be adjusted based on the individual's health condition and medical needs.
6.Single individuals who wish to become parents can use IVF with donor sperm or eggs and/or a gestational carrier.
7.There is absolutely nothing like women who are 'too old to have children'. With regards to older women who may have decreased fertility due to advanced age, we offer options for your dreams to become reality.
8.IVF considers couples with genetic concerns. It is understandable that there may be known genetic conditions you wish to avoid. We offer the option of pre-genetic diagnosis (PGD) to screen for genetic disorders in embryos.

What differentiates us at Gynescope from many other fertility centers is our love commitment to you, as an individual or as a couple. As earlier stated, we understand that this is a journey, and we promise to walk with you through it. You will be getting the best standard of care from well-skilled and trained professionals. Nothing is 'impossible or unachievable' with us.

The IVF Process at Gynescope

Scheduling an appointment:

To begin, it is required that you schedule a consultation with one of our top gynecologists. As a new patient, you will be required to register and create a profile with our hospital; this can be done either online or in person. After registration, a confirmation of your appointment date and time will be communicated via email. As a registered patient, you are provided with the options to walk in or call to schedule an appointment.

During your initial appointment with the gynecologist, we encourage you to be relaxed and open, as this consultation will be conducted with the utmost confidentiality. This meeting will serve as a foundation for future consultations and may include a discussion of necessary tests, such as blood tests or procedural investigations.

After all necessary evaluations are completed, you will be cleared to begin the IVF process, which will proceed in stages according to your selected treatment plan. You will have the option to use your own eggs or donor eggs. From consultation to conception, we are committed to guiding you with compassion and expertise.

IVF EMBRYO TRANSFERS

OUTLINE

The Basics of Embryo Transfer

Understanding Embryo Transfers: A Guide for Intended Parents

Types of Embryo Transfers

Frozen Embryo Transfers (FETs)

Fresh Embryo Transfers (ETs)

Day 3 Embryo Transfer

Day 5 Embryo Transfer

Multiple vs. Single Embryo Transfer

When does embryo transfer occur?

Preparing for Your Embryo Transfer Journey

The Basics of Embryo Transfer.

This is part of the process of in vitro fertilization (IVF), where a fertilized egg (embryo) is transferred into a woman's uterus.

Understanding Embryo Transfers: A Guide for Intended Parents

Embryo transfers offer a promising solution for intended parents facing various challenges, including:

Fallopian tube damage or blockage, hindering egg fertilization and its journey to the uterus.

Ovulation disorders, resulting in irregular or absent menstrual cycles and reduced chances of natural fertilization.

Endometriosis, where uterine tissue grows outside the uterus, impacting the function of ovaries, fallopian tubes, and uterus.

Uterine fibroids, benign tumors that can interfere with embryo implantation and successful conception.

Tubal ligation, a permanent form of birth control, where embryo transfer provides an alternative path to conception.

Male factor infertility, such as poor sperm motility or morphology, which can be addressed through ICSI to achieve successful fertilization.

Embryo transfers offer hope and increased chances of a successful pregnancy for intended parents navigating infertility.

Types of embryo transfer.

Fresh Embryo Transfer.

Frozen Embryo Transfer

Cleavage/Day 3 Embryo Transfer

Blastocyst/Day 5 Embryo Transfer

Single Embryo Transfer

Multiple Embryo Transfer

Fresh Embryo Transfer:

This is a type of embryo transfer in which a fertilized egg is transferred into the uterus shortly after fertilization, typically within 3-5 days, with the goal of achieving successful implantation and pregnancy.

Frozen Embryo Transfer:

This involves the thawing or liquefaction of a previously frozen embryo, followed by its transfer into the uterus, where it can implant and develop into a healthy pregnancy. Embryos from past IVF cycles can be frozen for long-term storage, giving you the option to transfer them in the future.

Cleavage/Day 3 Embryo Transfer:

Around day three, embryos reach a stage where their cells divide rapidly, but the embryo itself doesn't increase in size. This stage is often referred to as "day three embryos." Transferring embryos on Day 3 can improve their chances of growing and developing properly. This is because some embryos may not survive in the lab for the full 5 days, so transferring them earlier can give them a better start.

Blastocyst/Day 5 Embryo Transfer:

A blastocyst is a developed embryo that has formed into a ball of cells with a fluid-filled center, typically occurring on day 5. It is considered a more promising stage for transfer because it has a higher chance of being genetically normal, implanting, and leading to a successful pregnancy. It can also be genetically tested prior to transfer to reduce the risk of miscarriage and certain genetic disorders.

Single Embryo Transfer:

It involves transferring only one embryo at a time into the uterus, allowing for a more controlled and targeted approach to achieving pregnancy while also reducing the risks associated with multiple births.

Multiple Embryo Transfer:

This means multiple embryos are placed into the uterus simultaneously, increasing the chances of a successful pregnancy but also carrying a higher risk of multiple gestations.

When does embryo transfer occur?

The timing of an embryo transfer is a highly individualized and dynamic process, influenced by factors that are closely monitored throughout the IVF cycle. As these factors evolve, they inform the optimal timing of key events, ultimately determining the day of the embryo transfer. Given the variability of this process, it is essential to approach the embryo transfer timeline with flexibility and adaptability, recognizing that the day of the transfer may differ significantly from one individual to another.

Preparing for Your Embryo Transfer Journey

As you embark on the exciting path towards embryo transfer, there are several steps you can take to ensure your mind and body are ready for this transformative process. From dietary adjustments to lifestyle changes, these simple yet effective measures will enhance your overall well-being and create an optimal environment for a successful embryo transfer.

Let's begin!

Take prescribed medications:
Ensure you follow any recommended medications or supplements to support the embryo transfer process.

Regular check-ups and monitoring appointments are crucial leading up to the embryo transfer.

Maintain a healthy weight, exercise regularly, and practice relaxation techniques to ensure your body is in optimal condition.

Prepare your home for rest and recovery post-transfer. Stock up on essentials and create a calm, stress-free space.

Nutrient-rich foods:
Focus on a balanced diet with lean proteins, whole grains, healthy fats, and plenty of fruits and vegetables.

Folic acid and vitamin B:
Include foods fortified with folic acid or take supplements to support embryo development and reduce the risk of birth defects.

Antioxidant-rich foods:
Incorporate berries, leafy greens, and colorful vegetables to reduce inflammation and support embryo health.

Healthy fats:
Avocados, nuts, seeds, and olive oil provide essential fatty acids for embryo development and overall health.

Limit processed foods:
Avoid excessive sugar, salt, and artificial additives, opting for whole, natural foods instead.

Stay hydrated:
Drink plenty of water to support your body and embryo during this critical time.

By incorporating these measures into your pre-transfer preparations, you can optimize your chances of a successful embryo transfer and improve your overall reproductive health.

The Stages of IVF: Using Your Own Eggs and Donor Eggs.

In vitro fertilization (IVF) is a multifaceted process designed to assist individuals and couples in achieving pregnancy. Whether you use your own eggs or donor eggs, IVF involves a series of carefully orchestrated steps to ensure the best possible outcome. Here’s an in-depth look at the stages of IVF for both approaches:

Using Your Own Eggs

1.
Initial Consultation and Assessment
The IVF journey begins with a thorough medical evaluation, including a review of your medical history, physical examinations, and fertility assessments. This may include blood tests, ultrasounds, and an assessment of ovarian reserve. Based on the evaluation, a personalized treatment plan will be created, outlining the medications and protocols to be followed.

2.
Downregulation.
This stage involves using medications to suppress the natural hormonal cycle. The goal of this is to prevent premature ovulation and allow for better control of the ovarian stimulation process. This process typically lasts about 2 weeks.

3.
Ovarian stimulation
After downregulation, you will receive hormonal medications to stimulate the ovaries to produce multiple eggs. This stage is closely monitored through blood tests and ultrasounds to track follicle growth and hormone levels. This stage typically lasts about 11 days.

4.
Egg maturation and trigger injection.
Once the follicles reach the appropriate size, a trigger injection of human chorionic gonadotropin (hCG) is administered to stimulate final egg maturation. The timing of the trigger shot is crucial, as it determines when the eggs will be ready for retrieval.

5.
Egg Retrieval
Approximately 34–36 hours after the trigger shot, egg retrieval is performed under mild sedation. A transvaginal ultrasound-guided needle is used to aspirate the eggs from the follicles. The procedure is minimally invasive, with most patients recovering quickly and resuming normal activities within a day or two. On this day, a sperm sample is collected from the male partner.

6.
Fertilization
The retrieved eggs are carefully selected with carefully screened sperm. After this, they'll be placed together in the laboratory, or the sperm will be inseminated during the ICSI process.

7.
Embryo Development:
Fertilized eggs, now embryos, are cultured in the lab for 3-5 days to monitor their growth and development.

8.
Embryo Transfer
The most viable embryo(s) are selected for transfer based on their development and quality. The embryo transfer is a simple procedure where the selected embryo(s) are placed into the uterus using a thin catheter. It is typically painless and does not require anesthesia.

After the transfer, the embryo(s) may implant into the uterine lining within a few days. Progesterone supplements are provided to support the uterine lining and promote implantation.

Approximately 14 days after the embryo transfer, a blood or urine test is conducted to determine if pregnancy has been achieved, and an ultrasound scan is performed 2 weeks after the confirmed positive test.

Using Donor Eggs

1.
Initial Consultation and Assessment.
The process begins with an evaluation of the recipient, including a review of medical history, uterine evaluation, and fertility assessments.
Donor Selection:
Donors are screened for medical history, genetic conditions, and fertility potential.

2.
Synchronization and preparation.
The menstrual cycles of the donor and recipient are synchronized using hormonal medications to ensure optimal timing for egg retrieval and embryo transfer.
The recipient’s uterus is prepared with estrogen and progesterone to create a receptive environment for the embryo.

3.
Donor Ovarian Stimulation.
The donor undergoes ovarian stimulation with gonadotropins to produce multiple eggs, monitored closely through ultrasounds and blood tests. After this, the donor receives a trigger injection to stimulate egg maturation.

4.
Egg retrieval and Fertilization
The donor undergoes egg retrieval, similar to the process for using one’s own eggs. The retrieved eggs are fertilized with the recipient's partner’s sperm or donor sperm, following the same procedures as above.

5.
Embryo Culture and Transfer
The embryos are cultured in the lab, and the best-quality embryos are selected for transfer. The recipient will then undergo the embryo transfer procedure, where the selected embryo(s) are placed into her uterus.