Your individualized treatment program with Dr. Miller may include one or more of the following procedures.
• Ovulation Induction
Medication is used to stimulate the ovaries to develop and release more than one egg in a single month.
• Intrauterine insemination (IUI)
Sperm which has undergone preparation inserted directly into the uterus to enhance the likelihood of fertilization.
Basic Steps of IVF
- Ovarian stimulation and egg development
Prior to beginning your IVF treatment cycle, you will be started on a medication to suppress the ovaries. Once the ovaries are suppressed, hormones are prescribed to be injected daily or twice daily in order to stimulate the ovaries to develop multiple eggs.
- Egg retrieval and evaluation
After tests indicate that eggs have reached maturity, you’ll be prescribed another hormone, HCG, to finalize the maturation process. Egg retrieval is scheduled for 35 to 36 hours later.Egg retrieval is a brief procedure that is typically performed in the early morning. Guided by the images from a transvaginal ultrasound, the doctor inserts the tip of a small needle through the vaginal wall, into the ovary, and into the egg sac (follicle). The contents of each follicle are evaluated under a microscope by our embryologist.
- Egg fertilization and transfer
Eggs that are determined to be mature thereby having the greatest chance of fertilization or producing a pregnancy are ready to be introduced to sperm four to six hours after egg retrieval. Fertilized eggs are incubated for three to five days, until ready for transfer to the patient.
- Pregnancy test
A pregnancy test is typically performed two weeks after transfer. We’ll provide you with specific instructions as to when to return to the office and what testing will occur.
Clomiphene stimulates the release of hormones needed to cause ovulation. Clomiphene therapy is typically used for 5 consecutive days early in the menstrual cycle, for 3 to 6 monthly cycles. It may take several cycles to find the right dose to stimulate ovulation. After that dose is determined, a woman will take the drug for at least 3 more cycles. If she does not become pregnant after 6 cycles, it is unlikely that further clomiphene treatment will be successful.
For Women, Clomiphene may be prescribed to:
• Stimulate ovulation in a woman who does not ovulate or who ovulates irregularly.
• Regulate ovulation in a woman who ovulates irregularly and/or is going to have intrauterine insemination or artificial insemination. Clomiphene is sometimes used together with other medicines and infertility treatments.
Gonadotropins are hormones (LH and FSH) that can be given in an injection to stimulate a woman’s ovaries to produce follicles, which contain an oocyte (egg). Women who have not been able to become pregnant with clomiphene (Clomid®) may be encouraged to try gonadotropins as a next step.
Gonadotropins are two hormones, luteinizing hormone (LH) and follicle stimulating hormone (FSH), which are normally produced by the pituitary gland. These hormones stimulate the ovaries to produce a follicle, which contain an egg (oocyte).
Most gonadotropin preparations used for infertility treatment are created in a laboratory (called recombinant preparations) and must be injected under the skin to be effective. For most women, a preparation containing only FSH injections is recommended. Women who do not have regular menstrual periods and who have very low levels of LH and FSH require a preparation containing both LH and FSH.