Understanding Conception and IVF Treatments

What happens during IVF treatments and how does the in vitro fertilization process work? Human conception is a relatively simple and yet immensely complex process. Think about your IVF cycle as natural conception process aided by our fertility specialists. It may also be helpful to understand the process of natural conception.

The natural conception process begins on the first day of your menstrual cycle. In IVF, we also call this day Cycle Day 1. During the next 12 to 14 days occurs what fertility specialists refer to as follicular phase, the event that results in the ovulation of a mature egg. It’s called “follicular phase,” because the eggs develop in a fluid-filled sacs called the follicles. On Cycle Day 1, your body starts developing follicles. Women of reproductive age begin to develop many eggs during each monthly cycle. Naturally, however, usually just one of the eggs will reach maturity while the rest undergo a process of degeneration, and are absorbed by the body forever. When that one egg is mature, it is released from the ovary. The egg will be capable of being fertilized for only the next 12 to 24 hours. If not fertilized within that time, it is simply reabsorbed by the body. You may be wondering how IVF patients develop more than 20 eggs during a single IVF cycle. With IVF medications, our fertility doctors help your body to develop more than one egg during the first 10 days of the cycle.

Fertility Treatments AbroadOn day 14 of the typical 28-day cycle, woman’s egg is mature and ovulation occurs. As the egg begins it descend through the fallopian tubes, it meets with sperm and gets fertilized. Ovulation triggers many other changes in the body. For example, as a result of changes in the levels of hormones, the cervical mucus becomes penetrable. At the same time, the lining of the uterus is getting ready to accept an ebryo implantation. In contract to the natural process, our IVF doctors will retrieve the mature eggs on Cycle Day 12. It is important to note that it may take up to 17 days to retrieve your eggs, if your ovaries do not respond well to stimulation meds. Normally IVF medications are taken for 10 days. However, if patient’s ovaries don’t respond well, the patient may be instructed to take medication up to five days longer.

Understanding In Vitro TreatmentsTypically, our IVF clinics perform egg retrieval on Cycle Day 12. The very same day, the eggs are fertilized with sperm either by conventional insemination or by ICSI. The eggs will be checked the following day to document fertilization and again the next day to evaluate the early cell division. Until recently, embryos were cultured for three days and then transferred to the uterus or cryogenically frozen for later use. Our IVF clinics now have the ability to grow the embryos for five until they reach the blastocyst stage. Blastocysts have a greater chance of implantation. This, in turn, allows our IVF doctors to transfer fewer embryos and lower the risk of multiple births while increasing the chance of pregnancy.

The final step in the IVF cycle is the embryo transfer. As it is the case with the natural fertilization, not all embryos will grow in the laboratory dish. The embryo(s) that continue to divide and grow is transferred into patient’s uterus about the time it would arrive there in a natural conception. Unused embryos can be cryopreserved for later use.

Visit our website to learn what you will do each step of the way, as you go through your IVF treatments.


IVF Clinics in US Use the Same Process Used by Our IVF Clinics Abroad

Our website states that IVF treatments with MedVacation’s fertility clinics abroad take, on average, 18 days, if the patient commences her treatments with our clinic on Cycle Day 1. Some of our clients told us that their local IVF clinics in the U.S. average 37 days from start to implantation (3 day on birth control, 5-10 days on Lupron, ultra sound, stimulation med 9-13 days, 1.5 later egg retrieval, 3-5 day transfer = 37 days). We would like to explain the IVF process and demonstrate to you that your local IVF clinic uses the same process used by our overseas IVF clinics.

IVF clinics in US, conception process, low cost ivf abroad, fertility tourism, ivf vacation, ivf tourismThe answer to this question is actually remarkably simple – your local IVF clinics in the U.S. perform egg retrieval during certain time of the month and sync up their patients’ menstrual cycles with clinics’ retrieval schedules. Since these clinics perform egg retrieval on certain days, they time IVF cycles by putting patients on birth control and/or Lupron.

Moreover, in addition to being used by IVF doctors for timing the egg retrieval day, Lupron is also taken during the IVF cycle. It is used to decrease the level of LH hormone women make for a short time and to prevent ovulation. This LH surge happens when the ovaries release the eggs, or ovulate, before the desired time or before the time of the egg retrieval. Therefore, you can add days on Lupron to your IVF cycle days rather than count those consecutively.

Our IVF clinics perform egg retrieval every day, even on weekends, if necessary. Therefore, we typically don’t put patients on OCP, but have done so in the past if they wanted to have egg retrieval on certain day. Here is a link to our page that talks about typical IVF cycle.

It may also be helpful to understand the process of natural conception. Think about your IVF cycle as natural conception process aided by our fertility specialists. Human conception is a relatively simple and yet amazingly complex process. Follow this link to learn more about the conception process and our low cost fertility treatments abroad.

Affordable International Surrogacy Programs

affordable-international-surrogacy-india-abroadThe cost of hiring a surrogate mother in the U.S. can vary between $80K and 120K. The direct compensation to the surrogate mother ranges between 20 and 40 thousand dollars. International surrogacy programs are much more affordable. The cost ranges between $35K and $60K, depending on the country and the IVF clinic. The substantial potential savings are the driving force behind the growth of international surrogacy industry.

Recently, there has certainly been a great deal of media attention surrounding international surrogacy in a number of countries around the world. First, it was difficult to miss the high profile surrogacy case from down under. A few weeks ago, Nicole Kidman and her husband Keith Urban announced the birth of their second daughter. The couple’s use of a surrogate mother has sparked a fresh debate about surrogacy and its purpose. Interestingly, Kidman has a long history of fertility problems and is known to have previously undergone IVF treatment.

Next, Elton John and his partner David Furnish proclaimed the happy news of their involvement in the birth of the singer’s son Zachary. A headline of one of the articles read “Two mothers were required to produce his heir.” In case you are wondering how it is possible, we can assure you that there was nothing extraordinary. One of the mothers was the egg donor, while the other one was what’s called gestational carrier. The kid may not be an ueberchild, but may have still inherited his dad’s singing talent…. IF his father is indeed Sir Elton John. The details of the surrogacy are kept in secret.

Then there was news from India. The Ministry of Health & Family Welfare has recently introduced a bill, which proposes a number of policies ranging from significant regulations on IVF clinics to restrictions on ART access. We found a great review summarizing the proposed bill and the effects it will have on the surrogate clinics if the proposed bill gets enact into law.

We wanted to share some thoughts on the proposed legislature pertaining to surrogate mothers in India. We actually think that the effect will not be all bad. We also thought, ‘why not indulge in a little bit of shameless self-promotion?’………especially since MedVacation’s international surrogacy program probably offers the best value in the fertility tourism industry.

Follow the link to read the full article.

One Fertility Patient’s IVF Experience Abroad

Tune in tomorrow, February 27th, to hear about one fertility patient’s IVF experience abroad. She is going to share her IVF testimonials on a radio show and you will have a chance to dial in to ask questions.

ivf-abroad-story-testimonialHere is a brief udpate on what has transpired this week. Two doctors did the procedure on Monday morning. Rebecca told us that both fertility specialists were very nice. They explained the whole procedure (embryo transfer), as it went along. One of them even drove them back to the hotel so they didn’t have to take a cab.

Prior to the transfer, the IVF doctors told Rebecca that they and the embryologist had discussed the quantity they would recommend to transfer and would freeze the rest (MedVacation clinic uses Vitrification process for freezing eggs and embryos).

The day of her embryo transfer, Rebecca was prescribed bed rest. Her IVF doctor told her she could go see a movie in the afternoon the following day (Tuesday). She returned home on Wednesday. IVF patients may travel by plane 36 hours after embryo transfer was performed. Air travel does not pose any danger to pregnancy as long as constant air pressure is maintained. Modern airplanes, as a rule, don’t have sudden air pressure changes.

Ovarian Reserve & Using Your Own Eggs

If you are over 40 and considering IVF treatments, there may be a chance our reproductive endocrinologist (RE) will recommend you use an egg donor with your IVF cycle. To determine whether you need a donor egg, our RE will order a few tests, to measure your so called ovarian reserve. These tests are Antral Follicle Count (ultrasound test), Day 3 FSH test, and AMH level test. Although these tests are not perfect, they will tell a great deal whether you have eggs and shed some light on whether your eggs are in good condition and can be used with your IVF treatments.

The Length of Stay Abroad Using IVF Clinics Overseas

A typical IVF protocol requires a 17-day stay abroad. However, patients can spend as few as nine days outswide the U.S. by starting thier ovulation stimulation protocol with a local OBGYN.

To learn more click here.

Do fertility clinics offer IVF treatments to women over 50?

I am over 50, but otherwise in good health. Do fertility clinics offer IVF treatments to women over 50?

Yes, our clinics do offer treatments for older women. One of our clinics recently had a successful IVF performed on a woman over 55. Those are rare cases and the clinic will make a determination whether the patient is suited for an IVF cycle and child bearing. All cases are decided on case by cases basis.

Moreover, the patient must be in good health. For various reasons, typically, women older than 50 must have a donor egg.