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IVF is currently the most advanced fertility option available. Our practice has considerable experience with IVF and we would be happy to discuss IVF options.
To see general information about our IVF success rates, please click here. If you have questions about this information, please ask your provider and we will be happy to provide detailed information specific to your situation.
To discuss IVF options, please contact Community Fertility Specialty Care at 317-621-0600 or visit our Contact Us page. For more information, review our fertility recommendations for female and male partners below.
Fertility Recommendations for Couples
Usually, the ovaries release one egg per cycle. For IVF, we want the ovaries to grow many eggs, so we use a very controlled sequence of hormone injections to cause this to happen. We monitor the growth of the follicles in the ovaries (pockets of fluid where eggs mature) with ultrasounds and blood estrogen levels while you are taking the injections. Once the follicles and eggs are ready, you stop the hormone medication and use a different medication help the eggs go through their final steps of growth. Egg retrieval is done about 35 hours after this medication, before your ovaries have a chance to ovulate the eggs on their own.
The egg retrieval procedure is done in our office’s procedure suite. You will have some anesthesia and pain medication so that you are comfortable for the procedure. The procedure is done vaginally and with ultrasound so that we can see your ovaries. All eggs removed will be immediately evaluated by the IVF embryologists.
Normal appearing eggs are fertilized that day with sperm (frozen, de-identified donor, or a sample collected from the male partner that day). We use two methods of fertilization: traditional and ICSI. For traditional fertilization, the embryologist places a few thousand normal appearing sperm with the eggs and allows the usual fertilization process to happen, the same as it would if the eggs were being fertilized inside the Fallopian tubes. For ICSI (intracytoplasmic sperm injection), the embryologist selects single normal appearing sperm and uses a very small glass needle to inject one sperm per egg.
ICSI is often used if there are very few sperm or another sperm issue, or there is concern that a fertilization problem may be contributing to fertility problems.
The eggs are checked the next day to see if they fertilized completely, and then embryos are monitored for growth.
The day following insemination, eggs are checked to determine if fertilization has occurred. Any fertilized eggs are watched for 5-6 days; there is a very well established growth rate for embryos, and any embryos that have grown normally can be frozen on the fifth day or used for an embryo transfer immediately.
Please see our Genetic Testing page for details about embryo genetic testing. If you decide to have genetic testing done, it will be performed by the embryologists immediately before freezing the embryos. Any embryos that are going to be tested must be frozen. Embryo genetic testing results are usually available in 2-3 weeks.
We offer two types of embryo transfer: immediate and delayed.
Immediate embryo transfers are done on the fifth day after retrieval, and requires specific hormonal medications to be started immediately after retrieval. For a delayed embryo transfer, all the normal appearing embryos are frozen. Your hormone levels and ovaries return to normal levels. When you are ready to attempt pregnancy, we prepare your uterus with hormones (estrogen and progesterone, to mimic your body’s natural hormone cycle). Once the uterus is ready, embryo transfer is done.
The desired embryo is placed into a thin, flexible catheter, the catheter is passed through the cervix into the uterus, and the embryo is gently placed into the uterine cavity. Ultrasound is done at the same time to ensure optimal placement of the embryo.
We will ask you to have a blood hCG level done (pregnancy hormone) about 10 days after your transfer. If you conceive, we will follow your levels and do your first pregnancy ultrasound around 6 weeks of pregnancy.
We do not provide prenatal or pregnancy care after around 10 weeks of pregnancy, but we are happy to send records to your OB or help you find an OB if needed.
We store your embryos on site in our secure lab facility, unless you direct us otherwise. Storing your embryos in our facility is our default, so that they are easily accessible to you when you are ready. However, if you prefer that they be stored at a commercial storage facility, we are happy to help arrange shipping for you. Additionally, if you move or for any reason would like to use a different practice for your future care, we are happy to help arrange transfer of your embryos to a new location. If you are planning a long period of time between doing IVF and doing an embryo transfer, we may ask you to store your embryos at a commercial storage facility until you are ready to use them. Our office is happy to provide specific details about storage.
Your embryos are your embryos. If you decide you no longer want to have your embryos stored, you just need to notify us that you would like them permanently removed from storage. As an extra layer of security, we require your signature on a witnessed form specific for this purpose. Any embryos that you request to be removed from storage and not transferred elsewhere will be cremated in a special ceremony. You can also donate your embryos to be used for embryology research to investigate new methods of freezing, thawing, and testing, or you can donate your embryos to another patient. Embryo donation involves a formal process; our office is happy to provide you with details.
The first year of storage is included in the cost of IVF. After that, storage fees are billed every six months. Please contact our office at 317-621-0600 to obtain specific cost information.
