It is important that you and your partner (if applicable) understand and follow the basic procedures of the IVF/ICSI cycle – hormone injections, screening tests including blood tests, egg collection procedures and embryo transfers. These treatment procedures are necessary and straightforward, and there is no need for any concern. We are here to help you throughout your treatment cycle.
- You need to maintain consistency when it comes to hormone injections. They need to be used at the same time daily (+/- one hour during evenings).
- You need to ensure an administered correct dosage (refer to the treatment chart) during the treatment cycle.
- In case you are not able to use the injections on your own or find a suitable location for your daily injections, please do attend the unit for proper administration.
- The hormonal injections need to be stored in a cool, dry place – the fridge/an icebox. To ensure hormonal effectiveness, please make sure that the temperature is maintained at
- We monitor the response to hormone injections through scans and blood tests. We trust you to follow dosage procedures and you can trust us with the treatment.
- The treatment varies from person to person. In women who have poor egg reserves or the ones with PCOS, the response to the injections may not be as positive as expected. We, however, want to ensure that this treatment works for everyone and thus alter the dosage depending on each individual. In a few cases, the cycle needs to be cancelled due to high probability of poor results and in such situations unfortunately we will not be able to refund the charges.
Blood Tests and Scans
- You need to come to the creation counter for blood tests when advised by 8 am sharp.
- You need to attend for follicular monitoring scan as advised in the morning.
Your Egg Collection Procedure
- You need to take the HCG injection (the final trigger injection – Ovitrelle) at the right time on the scheduled date as advised by the doctor.
- In case you miss taking the HCG injection at the scheduled time, please call the doctor the next morning and we will advise you about the correct timing for the following night.
- For best results, it is important that you do not eat or drink anything after 11 pm the night before attending for egg collection.
- You need to visit the IVF unit at 7:45 am sharp on the day of egg collection.
- You must remove any nail polish or jewelry during the egg collection procedure.
- Your partner/husband needs to accompany you on the day of egg collection to submit the semen sample.
- A short general anesthetic will be given to you during egg collection.
- Once all the procedures are finished, you should be able to leave for home by 3 pm the same day.
After Egg Collection
- Once we have collected your eggs, they will then be either inseminated or injected with the sperm in the laboratory.
- In a few cases, we may be required to do an intracytoplasmic sperm injection (ICSI) on the day of egg collection. This is done to ensure fertilization if the collected normal sample proves to be insufficient/abnormal. We will inform you about the same and advise you accordingly.
- Our embryologist needs your correct phone numbers to reach you the day after your egg collection and inform you about the number of eggs fertilized.
- During egg collection, obtaining between 5 and 20 eggs is considered to fall under the category of optimal response to hormone stimulation. Those with more than 20 eggs are termed as hyperstimulated (OHSS) and the ones with fewer than 5 eggs are termed as poor responders. Either way, our doctor will advise you accordingly.
- In a few cases, the egg and sperm may fail to respond to each other resulting in failed fertilization. There is nothing to worry about that since there is room for other effective treatment options and our doctor will suggest the same.
Your Embryo Transfer
- Your embryo transfer can occur anytime between the second and the fifth day after egg collection, depending on the assessment of embryo growth and development in the laboratory.
- We will only transfer a maximum of 2-3 embryos given the risks associated with multiple pregnancies and ovarian hyperstimulation syndrome (OHSS).
- We need you to be flexible in order to attend the embryo transfer as and when advised by the doctor.
- You may eat or drink during embryo transfer (unless advised otherwise under anesthesia).
- You need to have a partially filled bladder for embryo transfer.
- You are required to take the vaginal progesterone pessaries twice daily after embryo transfer, as advised by the doctor.
- We will need you to visit us for a pregnancy test 12-14 days after embryo transfer.
- In rare cases, we may delay the embryo transfer procedure. Such action is taken to protect the patient in case she shows symptoms of ovarian hyperstimulation syndrome (OHSS). In this syndrome, the eggs yield is higher and there is a high level of estrogen hormone in the circulation during the IVF cycle. This condition may result in excessive bloating of abdomen with fluid filling in the abdomen and enlarged ovaries. We need you to inform the doctor in case you notice such symptoms and we will take care of you accordingly.
Surplus Good Quality Embryos and Embryo Freezing
- About 15% couples end up having good quality embryos, which can be frozen and used at a later date if the couple desires to do so.
- We charge additionally to freeze these surplus embryos. You can check with the reception to know the exact charges.
Information to be Submitted After the Treatment (Post Cycle Completion)
- We make it mandatory for all couples to inform us of the outcome of your treatment cycle to maintain accurate records which would help us in further research and management, and benefit other couples wanting to opt for this treatment.
- In case you decide to begin the next cycle of treatment, our doctors will share their suggestions accordingly.
- We strictly advise you against smoking and consuming alcohol consumption during treatment.
- We encourage you to consume high protein food in your diet including eggs, milk, chicken, curd etc. Please ensure that you take your folic acid/multivitamin tablets daily as advised by the doctor.
- We recommend that you use protection (condoms) during intercourse while undergoing the treatment cycle.
- We are happy to assist you for any questions/doubts. Please contact us at The Creation, Monday – Saturday (9 AM – 3 PM) on 080- 66214281.
May all the luck and best wishes be with you during your treatment!