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What is In-Vitro Fertilization (IVF)

In-Vitro Fertilization (IVF)

What IVF is, and what the procedure entails

In Vitro Fertilization (IVF) is a method to assist achieving pregnancy, and is the most advanced there presently is. The process involves fertilizing the egg cells with the father’s sperm cells in the lab, which will then be grown on a culture medium for a few days until it grows into an embryo ready to be implanted back into the mother’s womb.

In-Vitro Fertilization (IVF)

IVF Bali

Situational recommendations for taking IVF

Under what circumstances are IVF recommended? The following factors may indicate that it’s the best course of action for couples or parents to take the IVF program.

From the father’s side:

  • Normal sperm output numbers low (which can be discovered through sperm analysis)
  • Sperm cells not typically found in semen

From the mother’s side:

  • Clogging in the fallopian tubes
  • Egg cell deposits are decreasing
  • Polycystic ovary syndrome (PCOS) that did not heal after therapy
  • Other infertility issues of unclear causes

The success rate of IVF is heavily influenced by the mother’s age. The prime ages with highest success rate lie at age 35 or under, so it’s very important for the parents to not delay their call. Before choosing the best program for you, it’s recommended to consult with a doctor to determine your best way forward.

Here is how the IVF procedure unfolds:

Setting up a consultation

Contact us through WhatsApp to make an appointment schedule.

General check-up

For the mother

  1. Abdominal and transvaginal USG
  2. Full blood tests, checking for blood clotting issues
  3. Infection check for Hepatitis B, Hepatitis C, and HIV
  4. Hysterosalpingography (HSG)*
  5. Laparoscopy and endometrial biopsy*

For the father

  1. Sperm analysis
  2. Infection check for Hepatitis B, Hepatitis C, and HIV
  3. Hormonal analysis
  4. USG of the testicles*

*) If certain indications are found.

Second Day of Period
Beginning the IVF procedure

  1. Submitting the identity documents of the father and the mother
  2. Submitting the official marriage certificate
  3. Signing the informed consent form
  4. For the mother: Morning basal blood hormones check
  5. USG

Third Day of Period
Egg cell stimulation

For the mother: Injection of egg cell stimulants.

Sixth and Eighth Day of Period
Progress check

For the mother

  1. USG
  2. Blood & hormone tests

For the father & mother

  1. Consulting the doctor

Tenth Day of Period
Progress check & maturing the egg

For the mother

  1. USG
  2. Blood & hormone tests
  3. Consulting the doctor
  4. Injection of egg cell maturation agents

Twelfth Day of Period
In-vitro fertilization

  1. For the mother: Egg cell pick-up
  2. For the father: Sperm pick-up
  3. Fertilization through intracytoplasmic sperm injection (ICSI)
  4. Embryo maturing

Fifteenth or Seventeenth Day of Period
Embryo transfer

For the mother: Embryo will be transferred into the womb.

Twenty Seventh Day of Period
Pregnancy check

For the mother: Pregnancy check to see whether the embryo grows to be a fetus.

FAQ

Around the world, generally, the embryos implanted during IVF numbers at two. When two or more of the embryos transferred manage to stick to the uterus walls, a twin pregnancy occurs. Taking this into account, the chance of having twins through IVF is relatively high.

With certain terms and conditions, it's possible to select your baby's birth sex with IVF. During IVF, selecting a baby's birth sex can be done through preimplantation genetic screening (PGS). Don't hesitate to consult with our doctors regarding the considerations for birth sex selection.

There are a few risks associated with IVF, including:

Ovarian Hyperstimulation Syndrome (OHSS): The stimulation of egg cells during procedure will cause heightened egg follicles production. This may cause the accumulation of fluids in the abdomen of 1% of the mothers going through IVF. However, with the ever-increasing progress of USG technology, this condition can be more quickly anticipated by the doctors.

Risk of bleeding during ovum pick-up: This risk is exceedingly rare (with less than 1% occurrence), because presently, the pickup of egg follicles uses a specially-designed needle inserted into the womb. The bleeding that this process causes is also often minuscule at most.

Twin pregnancy: Though some couples may find twins to be a blessing, twin pregnancy is not a normal condition. Twin pregnancies have greater risks during pregnancy, and the accompanying chance of premature birth is also higher.

Miscarriage: Even after confirmation of pregnancy through IVF program, miscarriage can still occur, a risk which is also present with normal pregnancy.

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