In Vitro Fertilization
|Fallopian Tube, Ovary, and Uterus|
|Copyright © Nucleus Medical Media, Inc.|
Reasons for Procedure
- Damaged fallopian tubes
- Ovulation disorders
- Cervical factors
- Male factors, such as low sperm count or poor-quality sperm
- Still not being able to become pregnant
- Having multiple babies
- Ectopic pregnancy , when the embryo develops outside the uterus
- Anesthesia-related problems
- Short- and long-term adverse effects from fertility drugs
- Ovarian rupture (rare)
- Women being over age 40 years
- Drinking alcohol
What to Expect
Prior to Procedure
- Physical and pelvic exam
- Infertility testing for both you and your partner
- Hormone treatments to stimulate production of multiple eggs
- Repeated blood tests and ultrasound exams to monitor the development of multiple egg follicles
- Schedule an appropriate time for harvesting mature eggs—closely timed to coincide with ovulation
- General anesthesia, spinal anesthesia, or IV sedation may be used during harvesting of the eggs.
- No anesthesia is used during the transfer of the fertilized embryo.
Description of the Procedure
How Long Will It Take?
- Harvesting—30 minutes or less
- Transfer procedure—lasts about 10 minutes
How Much Will It Hurt?
- You will probably be able to resume normal activities within a few days.
- Follow the instructions for any medicine given.
- Return in 10-12 days for a pregnancy test.
- If the pregnancy test indicates conception, an ultrasound will be scheduled for a few weeks later. It will be able to see if more than one egg is growing.
- If all is going well, you will start your prenatal care. It is important to go to all of your scheduled appointments.
Call Your Doctor
- Signs of infection, including fever and chills
- Foul-smelling vaginal discharge
- Vaginal bleeding
- Abdominal pain or cramping
- Cough, shortness of breath, chest pain, or severe nausea or vomiting
- Any unusual symptoms
American Congress of Obstetricians and Gynecologists http://www.acog.org
American Society for Reproductive Medicine http://www.asrm.org
The Infertility Awareness Association of Canada http://www.iaac.ca
Women's Health Matters http://www.womenshealthmatters.ca
In vitro fertilization. American Society for Reproductive Medicine website. Available at: http://www.asrm.org/topics/detail.aspx?id=1278. Accessed May 22, 2013.
American Society for Reproductive Medicine, Committee Opinion. FetilSteril. 2008; 90(S3):187.
IVF, PDG, Embryology, and IUI. International Council on Infertility Information Dissemination website. Available at: http://www.inciid.org/index.php?page=ivf. Accessed May 22, 2013.
What is in vitro fertilization: Why to select it. The National Infertility Association website. Available at: http://www.resolve.org/family-building-options/what-is-in-vitro-fertilization-why-to-select-it.html. Accessed May 22, 2013.
What is assisted reproductive technology? The Centers for Disease Control and Prevention website. Available at: http://www.cdc.gov/art/index.htm. Updated April 4, 2013. Accessed May 22, 2013.
2/4/2011 DynaMed's Systematic Literature Surveillance http://www.ebscohost.com/dynamed: Rossi BV, Berry KF, Hornstein MD, Cramer DW, Ehrlich S, Missmer SA. Effect of alcohol consumption on in vitro fertilization. Obstet Gynecol. 2011;117(1):136-142.
- Reviewer: Andrea Chisholm, MD
- Review Date: 03/2014 -
- Update Date: 04/29/2014 -