Ivf patient guide, most common questions for IVF patients.pptx

IVF patient guide

1. Ivf patient guide

2. Welcome to Corniche Fertility Center! Thank you for entrusting your care to CFC. We are an amazing team of professionals totally committed to help you in your journey to grow your family. Our philosophy of care emphasizes patient education as well as interaction between patients and medical practitioners. Please feel free to bring us any questions, concerns or feedback you have at any time during your treatment. We are here to help you. Sincerely , Embryology team and staff at CFC

3. An overview of your IVF journey at CFC Sperm retrival Genetic Testing

4. SOME BASIC POINTS! WHAT IS IVF? IVF is a method of assisted reproductive technology (ART) in which eggs and sperm are combined outside the womb (uterus) in a specialized laboratory. If the egg fertilizes and begins cell division, the resulting embryo can be genetic tested and then transferred into the woman’s uterus where it will hopefully implant and further develop into a healthy infant. Embryos can also be frozen and saved for the future.

5. Let’s put some extra effort! In addition to the diagnostic tests, there are several steps we recommend to better achieve a healthy pregnancy and delivery: Quit smoking. Eat a balanced diet. Take a prescription prenatal vitamin with at least 1mg Folic Acid. Engage in regular exercise. Investigate methods that will help decrease stress in daily life (ex. meditation, counseling, massage, acupuncture, support groups, hobbies, etc.)

6. 1. CONSULTATION ANT TESTING Our specialist team will check your medical history, then he/she will order a number of diagnostic tests to evaluate both partners. With these results and in a complete team discussion (doctors and embryologists) we will formulate the type of procedure that will provide you with the most optimal chances of achieving a successful pregnancy. Some routine testing will be done during this time to evaluate the most important aspects of fertility: ovarian reserve, sperm, structures such as fallopian tubes and the uterus, as well as hormone levels on one or both partners.

7. 2. OVARIAN STIMULATION In this step you will undergo injections of hormone medications designed to stimulate your ovaries to mature multiple eggs instead of the single egg. The eggs are contained within the follicles. These follicles are visible by pelvic ultrasound. During your follow-up visits your follicles will be monitored to determine their number, size, and rate of growth. Some blood tests are also used to measure your response to the medications. When the follicles are ready for egg retrieval, an important injection is administered to finalize the egg maturity process within a specified time. This is a very time sensitive injection and determines the timing of the procedure to remove the eggs.

8. 3. EGG RETRIEVAL The egg retrieval is necessarily done at a specific time. During the retrieval process, a pelvic ultrasound probe is inserted into the vagina to identify the follicles. Using the ultrasound as a guide, a thin needle is then traced through the back of the vagina and into each ovary and follicle to puncture and drain each follicle and retrieve the egg contained within it. At the time of surgery and under a microscope the embryologist identifies the eggs from within the follicular fluid. Not every follicle will necessarily contain an egg or a healthy egg. Not every egg that is retrieved is viable. Those eggs that are mature can be frozen, or combined with sperm to create embryos

9. SPERM RETRIEVAL The day of your egg retrieval your husband will be required to provide a semen sample by ejaculation, or an earlier frozen sample may be used if needed. In cases where there may not be enough or any sperm in the ejaculate, then a testicular sperm aspiration procedure (such as TESE or PESA) may be required by a Urologist.

10. 4. FERTILIZATION In the IVL lab to achieve fertilization the embryologists team can use two main techniques. Conventional IVF : Selected sperms and eggs are combined in a culture dish ICSI: One sperm is injected into one egg using fine needles.

11. At Corniche CFC we have the best and latest technology to follow up the development of the fertilized embryos, we will put them in a incubator that will monitor them using a video system, this will allow your embryos grow with no need to take them out of the incubator for assessment. Hey embryo culture will be carried out for 5 to 7 days a until they reach an stage called blastocyst. EMBYO DEVELOPMENT

12. In certain situations, your doctor may recommend preimplantation genetic screening (PGS) for the embryos. This analysis requires the biopsy of the embryos that completed their development to blastocyst stage. This mean that we, the embryologists, will need to take some cells to analyze the DNA contained within the cells. After the result, the normal embryos (euploids) will be ready for embryo transfer. Embryos Genetic Testing

13. 5. EMBRYO TRANSFER Your doctor will place the embryo(s) inside the uterus with the help of the embryologists and ultrasound guidance to provide the clearest view of the embryo. If the embryo successfully implant then it will star to grow and in more or less two weeks you will be requested to do a pregnancy test.

14. 6. PREGNACY TEST After the embryo transfer, we advise women to limit their activity for a few days and leading up to their pregnancy test. We will provide you detailed instructions on the “do’s and don’ts” during this time.

15. Thank you and welcome to CFC!