In vitro fertilization (IVF)
In vitro fertilization (IVF) The desire to have a child is one of the most wanted desires in human life. That’s why we in the IVF department are helping many couples realize this dream to become a reality, at the hands of a selection of infertility treatment and reproductive assistance experts, while providing the latest high-potential technologies that have made pregnancy success rates similar to those in global centers.
When is IVF used?
IVF techniques have been used since the 1970s and are considered a major revolution in the world of infertility treatment.
Patient can IVF is used in the following cases:
- Blockage of the fallopian tube.
- Male infertility, including low sperm count or severe impaired mobility.
- Women with ovulation disorders such as premature ovarian failure.
- Infertility when the reason behind it is unknown and other procedures failed.
- IVF may be a solution to some genetic problems where embryos can be examined before implantation, thus avoiding the birth of a child with a genetically inherited disease, and this analysis will enable parents also to choose and determine the sex of the fetus.
Services provided in the IVF department of Al Kindi Hospital
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IVF Program
Key steps in the unit for IVF procedure
Ovarian stimulation
It is one of the most important steps prior to any procedure in the laboratory, and the aim of this step is to obtain a good number and good quality of eggs to return 2-3 embryos to the uterus with the possibility of freezing the remaining embryos for later use if the couple wishes to do so.
This step is to give the wife hormonal injections to induce ovulation for 2-3 weeks. When the eggs are ready and mature, the eggs are withdrawn in the next stage.
Egg retrieval
Egg retrieval is performed without surgical procedure by an ultrasound device under general anesthesia and takes 10-20 minutes. The pulled eggs are then sent to the laboratory. For the side effects of egg retrieval, they usually do not exceed minor abdominal pain and minor bleeding.
Fertilization
During the egg withdrawal process, a sample of semen is requested from the husband at the same time. After semen treatment, good quality is extracted and fertilization technique is performed.
Returning embryos to the mother’s womb
This step takes place 2 to 5 days after the egg is withdrawn, fertilization is performed and the embryos form.
This step is painless and does not require anesthesia, as it is done by inserting a special tube (catheter) into the uterus to inject it into the uterine cavity. After the procedure, the wife can return to normal life.
Embryo stabilization in the uterus
The wife is given the day after the egg is withdrawn the hormone progesterone to stabilize the implantation of embryos in the lining of the uterus. If pregnant, it is recommended that these hormones continue until the tenth week of pregnancy.
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Genetic study of embryos to detect genetic diseases and determine sex
Studies indicate that 30-60% of eggs and embryos are genetically unhealthy (this is very much related to the mother’s age).
Genetic study technique helps to select healthy embryos before returning them to the uterus to avoid the possibility of miscarriage and genetic defects as much as possible.
The sex of the fetus is also examined in the infertility and IVF unit to achieve family balance at the parents’ request, as embryos carrying the desired sex are returned to the mother’s womb.
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Freezing and preserving embryos
Often couples have a surplus number of embryos after using embryos in IVF, as it is recommended to freeze and refer to them if the first attempt fails or the desire to repeat the pregnancy later without having to undergo previous steps, in addition to saving the cost of repeating the same steps.
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Freezing semen and testicular biopsies
Sperms are frozen in liquid nitrogen at a very low temperature for up to several years as long as the marriage is alive. Semen freezing is performed in the following cases:
- The husband’s inability to be present at the egg withdrawal stage.
- It is difficult for the husband to give a sample when it is needed on the day of the egg withdrawal.
- Pre-chemotherapy and radiotherapy for cancerous tumors of any type of tumor, keep sperm suitable for microscopic injection for a period of five years.
- A significant decrease in sperm count in semen or from the testicle.
- Freezing biopsies of the testicle with the aim of using testicular tissue to obtain sperm when ivf is performed later.
IVF and Infertility unit message
- Providing outstanding medical care in the treatment of infertility and delayed reproduction conforming to the latest methods and techniques found in international centers, and helping the patient to perform treatment in an appropriate atmosphere.
- Psychological care of the patient after the long journey she went through before deciding to take the IVF procedure.
- Respect the privacy and confidentiality of all couples attending the clinic, where you can rely on our dedicated team in the unit to discuss your case freely and confidently.
Prepare before entering
Husband: sperm retrieval, collect full health information about the patient, and book the operating room if an operation is necessary.
Wife:eggs retrieval, then recovering from the procedure within two hours. After 3-5 days, the embryos that have been saved and nurtured are returned to the IVF laboratory.
Important considerations in the infertility and ivf treatment unit
- Definition of infertility: Infertility is that pregnancy does not occur for a year or more after a normal marital relationship without the use of any contraceptive methods. There are many reasons not to conceive, and both spouses are responsible for approximately 40% of them and in about 20% of infertility cases the factors are common to the spouses or there is no particular cause.
- The infertility and IVF treatment programs aim to increase the chances of successful pregnancy. The normal odds of pregnancy are up to 20% and for infertile couples these are much lower, so the treatment aims to increase the normal percentage or at least achieve it.
Before starting any treatment phase in the infertility and IVF treatment unit, the couple is comprehensively evaluated, preferably together during the first doctor’s consultation where:
- The fertility history of the husband and wife is studied.
- The clinical evaluation of the wife and sometimes the husband.
- The necessary examinations to determine the causes of infertility.
- Determine the nature of the treatment after diagnosis and explain the details of the IVF program (steps, success rates, time to complete treatment, and material costs).
- Before starting any step in the infertility and IVF unit, the spouses are required to sign consent after being informed of all the details of the treatment.
AL kindi Hospital | Amman
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