Have a lot of patience, spirit while opting for IVF treatment: Dr Rajalaxmi

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There are many times couples face frustration, confusion and heartache as they embark upon the process of parenthood, yet there are miracles stories around the world when a family get blessed with a child after years of trying to conceive, thanks to In-Vitro Fertilization treatment. With numerous advancements in science, specialists believe not being able to conceive is now a thing of the past and with IVF treatment at a place, pregnancy is a matter of personal choice.

Here, Senior Gynaecologist and IVF specialist at Cocoon Fertility Dr Rajalaxmi answers the frequently asked questions around IVF method. Edited excerpts:

IVF is a process that involves fertilisation of an egg with the sperm outside the body. The process involves stimulating the ovary to grow follicles (fluid-filled sacs in the ovary that contain eggs), monitoring this growth, when mature collecting these eggs via a small procedure, allowing sperm to fertilise the eggs in a laboratory, growing the fertilised egg in the lab and transferring it back to the womb after 3 to 5 days. It is called in vitro as the fertilisation occurs outside the body.

IVF Doctor
Dr Rajalaxmi, Senior Gynaecologist and IVF specialist
Many procedures and modifications exist that are incorporated depending on the case.
When the sperm is of poor quality or the cover of the egg is thick and hard, ICSI comes to the rescue and helps fertilisation. ICSI is where sperm is directly injected inside an egg to achieve fertilisation. Women whose eggs have thicker covering shell (zona) also have trouble with implantation (sticking of the embryo to the lining of the womb) even after the embryo is formed. Thinning of this thick shell with a laser is called laser hatching. In cases of severe male factor infertility, PICSI or physiological ICSI allows us to select a physiologically normal sperm thus allowing a chance at a better-quality embryo.

Blastocyst culture is growing the egg in the lab until the 5th day after fertilisation. Such an embryo has a better chance of implantation. Similarly, a sequential transfer where double transfers are attempted in a single cycle e.g day 3 and day 5 one embryo each is another procedure used to increase the chance of success.

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