Montreal Gazette

Five-stage IVF treatment ends with implantati­on of embryo

- AARON DERFEL THE GAZETTE

In vitro fertilizat­ion is among a number of assisted reproducti­ve technologi­es, including artificial inseminati­on, and pre-implantati­on genetic diagnosis, which involves se- lecting embryos that are free of chromosoma­l defects for transfer to the uterus.

IVF follows five main steps: Step 1– The patient is given hormone injections to stimulate her ovaries — a process that can last two to five weeks. The purpose of the stimulatio­n is to “ripen” a woman’s eggs and increase the likelihood of collecting several eggs during one of the woman’s cycles. Step 2 – Eggs are retrieved through a minor surgical procedure called follicular aspiration by inserting a hollow nee- dle through the pelvic cavity. Step 3 – Sperm, either obtained from a spouse or a donor, is prepared prior to fertilizat­ion. Step 4 – The eggs and sperm are placed in incubators in the lab in a delicate process called inseminati­on. In some cases, the embryologi­st will inject a single sperm directly into the egg in a procedure called intracytop­lasmic sperm injection. Once an egg is fertilized and cell division starts taking place, an embryo is created. Step 5 – One to six days later, the embryo or embryos are suspended in fluid and transferre­d into a woman’s uterus. Medication is taken to help with the implantati­on. A pregnancy test is later carried out to verify whether the embryo has been implanted in the uterus.

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