As a patient at the Utah Center for Reproductive Medicine, you can expect to receive the highest quality of care for your IVF treatment. IVF treatment includes the following steps:
- Your Initial Visit
- Pretreatment Preparation
- Ovulation Induction / Cycle Start
- Oocyte Retrieval And Sperm Collection
- Fertilization and Development In The Laboratory
- Embryo Transfer
- Pregnancy Test And Pregnancy Follow-Up
Your Initial Visit
Every couple has a unique situation; no initial visit is the same. At your first visit, you will meet with one of our physicians and one of our nurses, and after carefully review of your medical records, we will establish an IVF treatment plan to meet your individual needs.
At the time of your consultation, you will be given a list of items to complete prior to starting your cycle. Our nurses will assist you in scheduling these. Our nurses also will calendar out your entire cycle. The calendar is created to outline your individual stimulation protocol developed by your physician and includes a schedule of medications and appointments for your IVF cycle. You will receive a formal calendar at the time of your injection class. During your cycle, your primary physician (may be different from the physician you saw for your IVF consultation) will be performing your ultrasounds and egg retrieval. A second physician will be performing your embryo transfer. Our physicians are assisted by fellows who may perform your ultrasounds and participate in your treatment. A nurse will be available at any point during the cycle to answer questions related to your calendar.
Ovulation Induction/Cycle Start
Before you start medications to stimulate the production of eggs, you will have an appointment to measure your uterine lining and check your ovaries for any possible follicles or cysts. If the ultrasound is normal, a nurse will review your individual calendar, confirm the day to start medications to stimulate egg development with additional instructions. As your IVF cycle proceeds, you will have morning appointments starting day 8 of FSH injections, which may include blood work. Further ultrasounds and blood tests are ordered as needed each day and may require changes in your medication dosage. You will need to be available by phone during your IVF cycle as a nurse may need to contact you with important information related to your medications and necessary appointments. It is best we be able to reach you directly or at least be sure that you have an identifiable voice mail.
Oocyte Retrieval and Sperm Collection
Once you are ready for egg retrieval as determined by your UCRM physician, you will be given another medication (HCG) exactly 36 hours prior to the egg retrieval. This medication will bring the eggs to final maturity. The sonographic egg retrieval involves the use of an ultrasound guided needle to gently remove the eggs from the ovaries. You will receive IV sedation during the procedure and should experience little or no discomfort. Your partner’s sperm is collected on the day of egg retrieval for fertilization of the eggs.
Fertilization and Development in the Laboratory
After the egg retrieval, the embryologist prepares the eggs in the laboratory with sperm. You will receive a preliminary report regarding the number of eggs retrieved by the physician prior to leaving the center that day. Two days after your egg retrieval, an embryologist will call you with the number and quality of the embryos that have started to develop.
The embryo transfer will take place three to five days after your egg retrieval. On the day of your embryo transfer, your UCRM physician will discuss the final embryology report and will recommend transferring one or two embryos. The embryos are then transferred through the cervix into the uterus via a small catheter. It is recommended you have two to three days of bed rest after your transfer. If there are good quality embryos remaining for cryopreservation, the option will be reviewed with you at the time of the embryo transfer.
Pregnancy Test and Pregnancy Follow-Up
Seventeen days after the egg retrieval, you will return to UCRM for a blood pregnancy test (quantitative HCG). If pregnant, you will be scheduled for a viability ultrasound between six-and-a-half and seven-and-a-half weeks of pregnancy. In general, it is important to contact your OB to set up your first prenatal visit. It will be necessary for you to continue hormone therapy until 10 weeks of pregnancy.