In Vitro Fertilization

FAQ For IVF (In Vitro Fertilization)

• What is IVF?

  In vitro fertilization (IVF) is a fertility treatment where an egg is fertilized by sperm outside the body in a laboratory. The fertilized egg (embryo) is then transferred into the uterus to hopefully result in pregnancy. IVF is often used when other fertility treatments haven’t been successful or aren’t suitable.

• What is IVF treatment?

  IVF treatment involves several stages, including ovarian stimulation, egg retrieval, fertilization in a lab, embryo culture, and embryo transfer. The goal is to help individuals or couples who are struggling with infertility to conceive.

• Is IVF harmful?

  IVF is generally considered safe, though it does carry some risks, such as ovarian hyperstimulation syndrome (OHSS) due to fertility medications or complications from the egg retrieval process. Most patients experience minor side effects, and severe complications are rare.

• How long does IVF take?

  The IVF process usually takes about four to six weeks from the beginning of ovarian stimulation to the embryo transfer. This includes preparation time and a waiting period for embryo development before transfer.

• How many embryos do you transfer?

  The number of embryos transferred varies based on age, medical history, and embryo quality. Generally, one to two embryos are transferred to reduce the risk of multiple pregnancies. Your doctor will discuss the best approach for you.

• When is IVF needed?

  IVF is often recommended for individuals or couples with specific fertility issues, such as blocked fallopian tubes, low sperm count or motility, endometriosis, unexplained infertility, or when other fertility treatments have been unsuccessful.

• How standard is IVF?

  IVF is one of the most common assisted reproductive technologies (ART). Each year, thousands of individuals and couples around the world undergo IVF treatments, with approximately 1-2% of all births in the U.S. being the result of IVF.

• Is egg retrieval painful?

  Egg retrieval is typically done under mild sedation or anesthesia, so most patients do not feel pain during the procedure. Some may experience mild cramping or discomfort afterward, which usually resolves within a day or two.

• Does in vitro fertilization work?

  IVF can be highly effective, but success rates depend on factors like age, overall health, and specific fertility issues. Generally, younger patients have higher success rates. Your fertility specialist can give you a better idea of your chances based on your unique situation.

• Am I a candidate for IVF?

  IVF may be a good option if you have tried other fertility treatments without success or if you have specific medical issues such as blocked fallopian tubes or male infertility factors. A fertility specialist can assess whether IVF is right for you.

• Do I need donor eggs?

  Donor eggs may be recommended if your eggs are unlikely to result in a successful pregnancy, often due to age or certain medical conditions. Your doctor will help you decide if donor eggs are necessary based on your circumstances.

• Is the embryo transfer painful?

  Embryo transfer is generally a painless procedure that doesn’t require anesthesia. Some patients report mild cramping or discomfort, but it’s usually very tolerable.

• Can I afford IVF?

  NCCRM offers one of the most competitive and transparent rates for IVF. Some insurance plans cover parts of IVF treatment, and NCCRM provides financing options. Contact us to discuss financing options.

• How are frozen embryos transferred?

  Frozen embryo transfer (FET) involves thawing a previously frozen embryo and transferring it to the uterus. FET cycles are often shorter and may involve minimal medication compared to fresh IVF cycles.

• Is IVF painful?

  IVF involves multiple procedures, some of which may cause mild discomfort, such as injections, egg retrieval, and embryo transfer. However, medications and anesthesia are used to minimize discomfort during the process.

• What if my eggs don’t fertilize?

  If fertilization doesn’t occur, your fertility specialist may recommend a different approach for future cycles, such as intracytoplasmic sperm injection (ICSI), where a single sperm is injected directly into each egg to assist with fertilization.

• What is ICSI?

  Intracytoplasmic Sperm Injection (ICSI) is a specialized procedure used in conjunction with IVF to assist with fertilization, particularly in cases of male factor infertility. During ICSI, a single sperm is injected directly into an egg in the lab rather than allowing sperm to fertilize the egg naturally in a dish.

• When do I need ICSI?

  ICSI is typically recommended when there are male-factor infertility issues, such as low sperm count or poor sperm motility. It may also be suggested if previous IVF cycles had low fertilization rates or if there are specific issues with the eggs, like a hard outer layer, making it challenging for sperm to penetrate. It may also be necessary if there is a need for sperm to be retrieved surgically (e.g., in cases of blocked vas deferens).

• Are there any additional considerations before starting IVF?

  Before beginning IVF, your doctor may recommend lifestyle changes, medications, or other preparations to improve your chances of success. For example, managing stress, maintaining a healthy weight, and addressing underlying health issues can positively impact IVF outcomes.

• How successful is IVF?

  Success rates for IVF vary based on age, overall health, and specific fertility issues. Generally, younger women tend to have higher success rates. Success also depends on embryo quality and whether a fresh or frozen embryo is used. Your doctor can provide a personalized success estimate.

• How are embryos selected for transfer?

  Embryos are typically selected based on their appearance, rate of cell division, and other developmental markers. In some cases, genetic testing (PGT) is done to assess for chromosomal abnormalities, allowing the healthiest embryos to be selected for transfer.

• Can I work during IVF treatment?

  Many people can continue working during IVF treatment, though some may need to take time off for specific appointments, such as egg retrieval and embryo transfer. Some patients also experience side effects from medications that may require flexibility with their work schedule.

• What lifestyle changes should I consider before IVF?

  Lifestyle changes, such as quitting smoking, reducing alcohol consumption, and maintaining a healthy diet and weight, can improve IVF outcomes. Your doctor may provide specific recommendations tailored to your needs.

• How do I start the IVF process?

  The first step in the IVF process is typically a consultation with a fertility specialist. The specialist will evaluate your medical history, perform necessary tests, and develop a treatment plan suited to your fertility goals. NCCRM offers a free phone consultation to help answer any questions. Schedule your consultation today.