1. In-Vitro Fertilization
IVF
In-Vitro Fertilization

2. What is IVF? In-Vitro means “in glass”
Fertilization (joining of sperm & egg) occurs outside of the female’s body
Often used to overcome infertility
Expensive!!

3. The process of IVF

4. The process of IVF Stop normal menstrual cycle
With drugs
Stimulate follicle growth
Hormone treatments
FSH to stimulate follicle growth
hCG for follicle maturation

5. The process of IVF Extract multiple eggs Sperm are injected into eggs
Sperm are selected
Seminal fluid is removed
Intra-cytoplasmic sperm injection (ICSI)
Fertilization (hopefully) occurs
In-Vitro

6. The process of IVF Zygote divides
6-8 cells or blastocyst
Multiple embryos are implanted into uterus
Increase chance of successful pregnancy
Use a fine glass tube
Test for pregnancy
Keep fingers crossed

7. Causes of infertility Female Male Blocked Fallopian tubes
Ova not maturing or being released
Abnormality in uterus prevents implantation
Male
Unable to achieve erection or normal ejaculation
Low sperm count or sperm are abnormal with slow motility
Heat!!
Laptop computers
Blocked Vas deferens
Antibodies in cervical mucus impair sperm

8. Impact of multiples birth
Children born with multiples are often of lower birth weight & associated health risks
Parents face more stress
This can impact relationship with spouse and other siblings
Multiples pregnancies with IVF are often discovered early
Pregnancies are usually monitored
Parents are informed of risks
Parents can prepare/make informed decisions

9. Any questions?