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 transvaginal ultrasounds to examine the ovaries and blood tests to check hormone levels.

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 at our clinic 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 vagina and into the ovary 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 ovary. 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.

The man’s sperm is placed together with the best quality eggs. The mixing of the sperm and egg is called insemination.

Eggs and sperm are then stored in an environmentally controlled chamber. The sperm most often enters (fertilizes) an egg a few hours after insemination.

If the doctor thinks the chance of fertilization is low, the sperm may be directly injected into the egg.

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 to 4 days after fertilization. Laboratory scientists remove a single cell from each embryo and screen the material for specific genetic disorders.

Embryos are placed into the woman’s womb 3 to 5 days after egg retrieval and fertilization.

The procedure is done at DZIRE IVF while the woman is awake. The doctor inserts a thin tube (catheter) containing the embryos into the woman’s vagina, through the cervix, and up into the womb. If an embryo sticks to (implants) in the lining of the womb and grows, pregnancy results.

More than one embryo may be placed into the womb at the same time, which can lead to twins, triplets, or more. The exact number of embryos transferred is a complex issue that depends on many factors, especially the woman’s age.

Unused embryos may be frozen and implanted or donated at a later date.

IVF – In-vitro fertilization is a type of fertility treatment. In Mumbai, infertility is increasing at a fast pace due to unhealthy lifestyle and other factors and IVF is becoming a common option for all. IVF has been a boon to those infertile couples who dream to start a family. DZIRE IVF is known to provide best IVF treatment in Mumbai with high success rates.

The success rate of an IVF treatment varies from couple to couple and clinic to clinic.

The success rate of an IVF treatment depends upon various factors:

Age of the woman
Type of infertility – primary or secondary
Reason of infertility
Motility of the sperm
Sperm count
Quality of the egg and embryo
Endometrial development
Luteal phase post transfer

An IVF treatment is usually considered if:

The female partner has absent or blocked fallopian tubes.
The male partner has very low sperm count or sperm motility is poor.
If the male partner has zero sperm count (azoospermia), then Surgical sperm extraction(TESA/ PESA) along with ICSI ( a form of IVF) is needed.
Fertility reduces significantly with age. A woman’s egg count and quality are diminished to a great extent. If a woman is over 35 and hasn’t fallen pregnant naturally or using other fertility methods after trying for more than a year, IVF is a great option.
Fertility issues like endometriosis, ovulation disorders (PCOS), unexplained infertility, where other fertility methods haven’t worked.
Severe Endometriosis with frozen pelvis.
Chromosomal abnormality or hereditary genetic disease that a couple may want to avoid passing on to their child. In such situation, they can consider pre-implantation genetic diagnosis which is combined with IVF.
Lack of Ovarian Reserve. Donor egg IVF is required in this case.