IVF/ ICSI

IVF (In Vitro Fertilisation) is a procedure, used to overcome a range of fertility issues, by which an egg and sperm are joined together outside the body (in vitro), in laboratory. The fertilised egg (embryo) is allowed to grow in a protected environment for some days before being transferred into the woman’s uterus increasing the chance that a pregnancy will occur. In Vitro Fertilisation (IVF) can be used to overcome a range of fertility issues and for many couples, gives them the best chance of having a baby.

Intracytoplasmic Sperm Injection (ICSI) is performed as an additional part of a conventional IVF treatment cycle where a single sperm is injected directly into each egg to assist fertilisation using very fine micro-manipulation equipment. As only a small number of sperm are required for ICSI, this treatment is appropriate for couples where the man has low numbers of

normal, motile sperm and would be unsuitable for treatment with IVF unless donor sperm is used. It is also used to treat couples will unexplained fertilization failure during conventional IVF.

At Neocare clinic and fertility center, we reserve ICSI for couples with proven severe male factor infertility.

Treatment Protocols

Long Down Regulation [Agonist] IVF Protocol
In this protocol a woman’s natural hormones are down regulated before the start of fertility medications. The IVF pre-treatment involves use of a GnRH analogue [Buserelin] given as a subcutaneous injection 9to prevent premature ovulation) about 3 weeks after your period to the day of receiving the ovulation trigger. Before you start the drugs to stimulate your ovaries, a blood test is taken to make sure your own hormones have down regulated. If so, you will be instructed when to begin daily hormone Follicle Stimulating Hormone injections [Gonal-F ]. 7 days after you begin FSH injections you will have an ultrasound of your ovaries. The next ultrasound is performed after 10 days of stimulation to determine if the follicles have reached the appropriate size. Once they are mature you will receive an hCG trigger injection and schedule your egg collection 36 hours later. After egg collection you will use supplemental progesterone as a vaginal pessary until your pregnancy test two weeks later.

Antagonist IVF Protocol
Antagonist treatment antagonists [cetrotide] given as subcutaneous injections to prevent premature ovulation. At this clinic, we reserve it for patients who are at risk of ovarian hyper-stimulation.

Starting on the 2nd to the 5th day of your period you will begin Follicle Stimulating Hormone (FSH) injections [Gonal-F ] that day.

After 6 days of injections, you start a second injection [Cetrotide] to switch off your own hormones and prevent premature release of the eggs. 7 days after you begin FSH injections you will have an ultrasound of your ovaries. he next ultrasound is performed after 10 days of stimulation to determine if the follicles have reached the appropriate size. Once they are mature you will receive an hCG trigger injection and schedule your egg collection 36 hours later.

After egg collection, you will use supplemental progesterone as a vaginal pessary until your pregnancy test two.

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