01/09/2025
IVF - In Vitro Fertilisation
In clinic I am often asked numerous questions about IVF: how long does it take, what are the stages, are there different protocols, does it hurt, what is the success rate, so I thought I would write a small blog to try and help.
IVF stands for in vitro fertilization, which is a process used to help individuals or couples struggling with infertility. It involves the fertilization of an egg with s***m outside the body, in a laboratory dish. The resulting embryos are then transferred into the woman's uterus in the hope of achieving a pregnancy.
The general steps in an IVF cycle are:
Downregulation (often referred to as the long protocol): a woman is placed into a mini menopause state where the ovaries are in layman’s terms put to sleep before being re-started at the stimulation stage
Ovarian Stimulation: Hormones are given to the woman to stimulate her ovaries to produce multiple eggs (instead of the single egg that is normally released during a natural menstrual cycle).
Egg Retrieval: Once the eggs are mature, they are collected from the ovaries through a minor surgical procedure.
Fertilization: The collected eggs are fertilized with s***m in the laboratory. In some cases, ICSI (Intracytoplasmic S***m Injection) is used, where a single s***m is directly injected into an egg.
Embryo Culture: The fertilized eggs (embryos) are monitored for several days (usually 5 days) to determine which ones are developing properly.
Embryo Transfer: One or more healthy embryos are selected and transferred into the woman’s uterus. If successful, the embryo will implant and pregnancy will occur.
Pregnancy Test: About 10–14 days after the embryo transfer, a blood test is done to check for pregnancy.
The process can be emotionally and physically demanding, but it offers hope for many individuals and couples who face infertility due to various causes, including blocked fallopian tubes, endometriosis, low s***m count, or unexplained infertility.
IVF can significantly increase the chances of pregnancy for many couples who haven’t had success with other fertility treatments, for example, medication or intrauterine insemination (IUI).
IVF makes it possible to use donor eggs, donor s***m, or a gestational carrier (surrogate) when needed, opening options for those who may not be able to use their own eggs or s***m due to health issues or other factors.
IVF is one of the few options available for same-sex couples and single individuals who wish to have children using donor s***m, eggs, or surrogacy. It enables them to build families despite not having a traditional male-female reproductive pairing.
While IVF can offer life-changing benefits, it’s important to note that it may not work for everyone, and it can be physically, emotionally, and financially demanding. The IVF journey can be both exciting and challenging. It’s a path filled with highs and lows, requiring patience, perseverance, and emotional strength.
IVF and Acupuncture
Acupuncture is often considered as a complementary therapy. While IVF focuses on the medical and technological aspects of fertility, acupuncture is believed to help by enhancing the body’s overall energy and improving its balance. Here's how acupuncture is thought to support IVF:
Potential Benefits of Acupuncture for IVF:
Improving Blood Flow to the Uterus: Acupuncture is believed to improve circulation, particularly to the uterus and ovaries. This may help create a more favorable environment for embryo implantation.
Regulating Hormones: Acupuncture may help regulate hormones like estrogen and progesterone, which are crucial for reproductive health. Some studies suggest acupuncture might improve the quality of eggs and s***m, as well as support the luteal phase after embryo transfer.
Reducing Stress: IVF can be an emotional rollercoaster, and stress can negatively affect fertility. Acupuncture has been shown to help lower stress levels, which might improve overall chances of success during IVF treatment.
Improving Egg Quality: Some research indicates that acupuncture may enhance egg quality in women undergoing IVF, possibly by improving ovarian function.
Improving Implantation Rates: Some studies suggest that acupuncture, especially when used around the time of embryo transfer, may increase the chances of successful implantation.