How to get started with ICSI/IVF
Infertility is defined as not being able to get pregnant after one year of trying, or six months if a woman is 35 years of age or older.
Step One: Choose a Fertility Specialist
Our centre can refer you to the top Fertility specialists in the country. We also provide a Free consultation with our embryologist to assist you in choosing your specialists
As soon as you have chosen your Fertility Specialist, phone their clinics to make an appointment.
Step Two: Meeting your Fertility Specialist
During your first meeting, the Fertility Specialist may ask you about your fertility history and carry out a physical examination. You may need to bring the previous examinations and test results as this will be significant in the treatment process.
For Women, an ultrasound, to check the reproductive structure, and blood tests, to check if you are ovulating
For Men, sperm analysis to assess the quality and viability of the sperm sample.
Fertility Screening Infections may be optional.
Step Three: Deciding
Once the fertility specialists has recommended a treatment plan and options, the couple will have to decide if they are emotionally and financially ready to undergo the procedure.
A visit to the laboratory can help you feel the environment and meet the staff that will assist you during the actual procedure.
IVF/ICSI procedure (step-by-step):
1. OVARIAN STIMULATION
For Women, you will be given fertility drugs to stimulate your ovaries to produce more eggs. Every patient have a different treatment plan. Stimulation drug dosage will vary according the fertility profile of the patient.
2. EGG RETRIEVAL
Once the eggs are ready for harvesting, a medication to trigger ovulation is given 36 hours prior to egg retrieval.
The mature eggs collected are injected with a single sperm from your partner (ICSI). While the immature ones (if any) are cultured longer and will be injected ones maturity takes place.
The injected eggs are observed after about 18hours of injection for a sign of fertilization. The embryologist will check progress of the fertilized eggs to embryos, day-by-day until the preferred transfer date.
4. EMBRYO TRANSFER
VALPI is equipped to culture embryos depending on the day of transfer (day 2, 3, 4, Blastocyst stage)
Any remaining embryos can be frozen for future use.
5. After transfer
We encourage our patients to limit physical activities for 24 to 72hours post embryo transfer. Non- strenuous and non-aerobic activities. Sexual intercourse must be avoided for a week. Any sign of bleeding, bloating and abdominal cramps must be consulted to your specialists.
The male partner is requested to collect a Fresh sample on the oocyte retrieval day.
In an event that the husband is not capable to produce a fresh sample, the semen sample that was frozen as back-up will be used for the ICSI/IVF process
For Male partners with zero sperm count, a surgically retrieved sperm is used. TESE, TESA, MESA, PESA. This procedure should take place prior to stimulation day.