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IVF or In Vitro Fertilization is a process in which an egg is fertilized by a sperm outside the body. This treatment option is for those in whom all other methods of assistive reproductive techniques have failed. A Womans natural cycle is monitored to collect eggs for fertilization. The eggs are fertilized with human sperms in a controlled environment and the fertilized egg is planted in the patients uterus to obtain a successful pregnancy.
If the first cycle of IVF does not succeed there could be a few more IVF cycles performed to achieve sustainable pregnancy. At times, the patients body does not retain pregnancy then a surrogate mother could be sought, who bears the egg of the patient fertilized by her partners sperm.
IVF is recommended if:
Your fallopian tubes are blocked.
Other techniques such as fertility drugs or intrauterine insemination (IUI) have not been successful.
the male partner has fertility problems but not severe enough to require intra-cytoplasmic sperm injection (ICSI)
You are using your partners frozen sperms in your own treatment and IUI is not suitable for you.
You have been diagnosed with unexplained infertility.
You are using donated eggs or your own frozen eggs in your treatment.
You are using embryo testing to avoid passing on a genetic condition to your child.
Surrogacy is an arrangement between a woman and a couple or just an individual to carry and deliver a baby. Women or couples who choose surrogacy often do so because they are unable to conceive, due to, either a missing or an abnormal uterus or having experienced multiple pregnancy losses, or even after undergoing multiple in vitro fertilization attempts that have failed. The advantage of gestational surrogacy to the parents is that the embryo is created from the womans egg and the mans sperm, so it is biologically theirs. The patients family along with them can bring a surrogate mother OR more popularly a surrogate is taken from the place of treatment.
Surrogacy may be appropriate if you have a medical condition that makes it impossible or dangerous to get pregnant and to give birth.
The type of medical conditions that might make surrogacy necessary, include:
absence/malformation of the womb.
recurrent pregnancy loss.
Repeated In Vitro Fertilization (IVF) implantation failures.
Full surrogacy (a.k.a Host/Gestational) - Full surrogacy involves the implantation of an embryo created using either:
The eggs and sperm of the intended parents.
A donated egg fertilized with sperm from the intended father.
An embryo created using donor eggs and sperm.
Partial surrogacy (a.k.a Straight /Traditional) - Partial surrogacy involves sperm from the intended father and an egg from the surrogate. In this case, fertilization is usually done by artificial insemination or intrauterine insemination (IUI).
The success rate of IVF treatment usually varies between 40-60%. However, these are just estimates. The doctor can only give a closer estimate after physical examination.
The IVF for Gay Couples/ single mothers is also gaining popularity and such options can also be looked into.