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In Vitro Fertilization (IVF) which means ?fertilization in a glass? is often more commonly referred to as a test tube baby. Eggs are fertilized in a laboratory dish with sperm and then place inside the woman?s womb. In Vitro Fertilization is recommended if you are an older woman, have been diagnosed with unexplained infertility, those whose tubes are blocked, or if other techniques have been unsuccessful.

Techniques of In Vitro Fertilization differ from clinic to clinic but a typical pattern of treatment might go like this: The first thing your doctor will do is to stop the hormones released by the pituitary gland during your period by the use of other drugs. Blocking the hormones helps the doctor have greater control over your egg production. To ensure you ovaries produce more than a single egg, further drugs are given.

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Vaginal ultrasound scans are carried out to monitor your developing eggs along with blood tests to chart the rising levels of estrogen produced by the eggs. As soon as the tests show that the time is right, you will have another injection of a different hormone to help your eggs mature. The reason for this is that the eggs will be collected between 34 and 38 hours later, even if it is the middle of the night. Collecting the eggs takes about 30 minutes and is carried out using ultrasound guidance so often either drugs or a general anesthetic is given to make you feel more relaxed.

It is not until this time that the man gets involved and needs to produce a sample of fresh sperm. The health of the sperm is important so after a short storage period they are spun at high speed after being washed so only the healthiest and most active are used. If you are using donated sperm, the sample is taken from the freezer and prepared in the same way. Once that has been completed the sperm is mixed with the eggs in a dish and left for between 16 to 20 hours and then checked to see if they have been fertilized. During the next stage, only successfully fertilized embryos are kept and left for a further 24 to 48 hours before a final check is done.

To ensure the womb is ready for the fertilized egg, two days after they have been collected, the womb lining is prepared by giving you pessaries, gel or an injection.

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