Our fertility specialists will provide you with the highest quality fertility care for your IVF cycle. Medicana IVF Center IVF treatments encompass the following steps:
Your Initial Consultation
You will meet with one of our physicians, at which time we will review your medical history and establish your unique IVF treatment plan.
Pretreatment testing will include blood work to determine hormone levels, blood tests , a semen analysis (if applicable), and a uterine assessment. In order to have the optimal outcome with your IVF treatment, we review your medical history and the results of your pretreatment testing before we finalize a protocol that is tailored for you.
IVF Coordinator Consultation
you will meet with one of our IVF coordinators to review your protocol and plan your calendar.
Controlled Ovarian Hyperstimulation
An IVF cycle begins with ovarian stimulation and ultrasound monitoring. A baseline pelvic ultrasound will ensure a healthy starting point before initiating medication for the stimulation and assessment of egg production. You will take hormone injections to recruit multiple eggs from your ovaries. During this time, follicular development and hormone levels will be monitored for appropriate growth for several days. Once your follicles have reached the ideal size, you will be ready for egg retrieval.
Ultrasound-guided, transvaginal egg retrieval is a procedure in which a long, thin needle is passed through the vaginal wall into the ovary. The physician aspirates the follicles from each ovary and the follicular fluid is collected in test tubes, where the embryologist carefully searches for the eggs. The eggs are cleaned, counted, and placed in an incubator. Later that day, the eggs are fertilized with sperm either by standard insemination or Intracytoplasmic sperm injection(ICSI). Injuries during this procedure are extremely rare. Structures near the ovaries, such as the bladder, bowel, or blood vessels, could possibly be injured and require further surgery. Limited bleeding from the ovaries may occur, but the need for transfusion is extremely rare. Infections following transvaginal egg retrieval are also possible, but are rare.
Embryo Culture and Assessment
During IVF, your embryos are cultured for up to six days in a temperature-controlled incubator. Each day the embryos are evaluated for quality and development. This information is shared with the doctors to help determine the appropriate day for embryo transfer, which is typically performed on day three or day five of embryo culture or day six in the case of PGS/PGD. Our embryologists will call you each day to update you on the embryo quality and to answer any questions you may have.
Embryo Transfer or Blastocyst Transfer
Embryos are typically transferred back to the uterus on day three, when the embryo is at a multicell stage, or day five or six, when the embryo is at a blastocyst stage. This simple procedure usually requires no anesthesia. Your doctor and embryologist will discuss the number of embryos to transfer that will provide you the highest probability of success and the lowest probability of high-order multiple births. You will be given ample time to discuss your embryos and decide on the number of embryos to transfer. You also will receive pictures of your embryos being transferred. You will relax in the room for a short period of time once the embryo transfer is complete. The transfer itself may cause mild irritation to the cervix or uterus.
We will schedule your pregnancy test 10-12 days after your transfer. When your first pregnancy test is positive, a repeat value will be obtained approximately 48 to 96 hours later. To confirm the positive pregnancy test, we will schedule an obstetrical ultrasound two weeks following the second pregnancy test. At this visit we will be confirming the implantation of embryo(s) and fetal heart motion.
Day 5 ( blastocyst ) transfer
In our centre embryos are usually transferred back into the womb five days after eggs have been collected. This has been our routine practice for the last five years. With the development of new embryo culture media, it has been demonstrated that it may be possible to increase the success of IVF and ICSI treatment by transferring the embryo at day five or six after egg collection. These late stage, pre-implantation embryos are called blastocyst.
Which patients will benefit from a blastocyst transfer?
We often make the decision to transfer blastocyst depending on the number and quality of embryos available three days after egg collection. If we may not select the best two embryos for embryo transfer because there are a large number of rapidly developing, good quality embryos on day 3, we prefer delaying the embryo transfer to day 5 or day 6.
The embryo transfer procedure itself is the same.
How many blastocyst transfer is ideal for me ?
Patients having blastocyst transfers in our centre will only be able to have a maximum of two blastocysts transferred. This is because published data indicates that the chances of pregnancy following the transfer of blastocysts are high and therefore there is an increased risk of a multiple pregnancy.