If you are planning to undergo IVF, you may have some questions about the process and the steps involved. Here is a brief overview of what to expect from an IVF cycle with us.
Initial Visit
You will visit our clinic on day 1 or 2 of your period. A medical consultant will guide you on your next visit and the IVF cost in Hyderabad for the first injections. Your IVF cycle will start with either Antagonist or down-regulated injections, depending on your case. The doctor will explain the best option for you. We customize our IVF treatment to meet your specific needs and wishes.
IVF Medications
To increase the chance of obtaining a pregnancy, we aim to stimulate your ovaries to produce optimal number of oocytes/ eggs. We use the best quality fertility drugs to achieve this goal. Your medication plan will be customized to suit your needs, but most IVF regimens include one or more of the following:
Patient Monitoring
We monitor the growth and development of your eggs by repeated ultrasound scans and blood tests for hormone levels (Estradiol and Progesterone). You will be advised to come to our clinic for blood tests and scans to determine the maturity of your developing eggs starting from cycle day 3, 5, 7 or 9. Then further monitoring will be done as needed until the eggs are ready. Sometimes, you may need daily monitoring near the end of the ovarian stimulation phase of the cycle.
Blood Tests
You will have to undergo two or three blood tests during the monitoring process. We measure your Estradiol (Estrogen) and Progesterone levels to assess the maturity and quality of your eggs. Usually, the test shows between 100 and 200 units of estrogen for every mature egg. Progesterone tells us if the eggs are becoming overripe. Your progesterone level, which depends on the number of egg follicles created, should generally be below two units.
Sonograms
We use vaginal ultrasound to check the maturity of the follicles developing in your ovaries. This is a painless procedure, where a small probe is inserted in your vagina. This allows us to see your ovaries and your uterus, to evaluate the thickness of your endometrium (the inner lining of the uterus), and to count and measure the follicles developing in each ovary. A mature follicle measures from 16 to 22 millimeters. We also use an advanced technology of Color Doppler to monitor the blood flow in the follicle and the endometrium.
The Final Step to Egg Maturation
When the blood tests and sonograms indicate that your eggs are mature (size of 18mm or more), you will be given a final injection called HCG (Human Chorionic Gonadotropin) to complete the maturation process of the egg. The HCG shot must be taken preferably at our clinic on the specified date, and the egg retrieval is scheduled later after around 36 hours after the HCG injection. (Example: if your Monday monitoring showed your follicles to be of the appropriate size and your estrogen levels were found to correlate with maturity, you would be instructed to take your HCG between 9:00 PM and 11:00 PM Monday evening. Your egg retrieval will then be performed on Wednesday morning at our clinic.
Embryo Development and Transfer
After the retrieval of eggs and the collection of sperm, our embryologists will expertly combine them in a controlled laboratory setting. This process is aimed at creating viable embryos. We monitor these embryos closely to select the most promising ones for transfer. When the embryos reach the optimal stage, usually between 5 to 6 days after fertilization we shall freeze them at Blastocyst stage and grade them according to their quality.
We shall usually schedule the transfer procedure in the next cycle to maximize the chance of pregnancy. Our goal is to transfer the embryos safely into the uterus, where they have the potential to implant and develop into a healthy pregnancy.
Monitoring and Support Post-Transfer
Post embryo transfer, we will schedule follow-up appointments to monitor the early stages of pregnancy for our intended parents. These appointments will include blood tests and ultrasounds to confirm implantation and assess progress. For our intended parents who have come from overseas, we will provide a detailed protocol and a prescription for the first 12 weeks of pregnancy. The medication can be purchased at our pharmacy or any local pharmacy. Throughout this period, we offer continuous support and guidance to help manage any symptoms and ensure the best possible outcome.
Pregnancy Test
Approximately ten days after the embryo transfer, you will take a pregnancy test. This test measures the levels of hCG (human chorionic gonadotropin) in your blood, which indicate whether the IVF cycle has resulted in a pregnancy. We understand the emotional significance of this moment and will be there to support you regardless of the result.
Next Steps After a Positive Test
If the pregnancy test is positive, congratulations are in order! We will continue to monitor your health and the development of the pregnancy. Regular check-ups and ultrasounds will be part of this monitoring process.
If the Cycle is Unsuccessful
Should the IVF cycle not result in a pregnancy which can happen in a few cases, we will be here to discuss the next steps. We offer counseling and support to help you cope with the outcome and plan for the future. Our team will review the cycle to understand any factors that may have influenced the result and discuss the possibility of another cycle or alternative options, depending on your individual circumstances.
Conclusion: Your IVF Journey
We hope this information gives you a clear picture of what an IVF cycle involves. If you have any questions or concerns, please don’t hesitate to contact us. We are here to support you on your journey to parenthood. Whether you want to have your first baby or expand your family, we are ready to help you achieve your dreams.