In Vitro Fertilization (IVF)

IVF is often the right route to take when a couple is dealing with:

• Tubal disease
• Ovulation disorders
• Endometriosis
• Male factor infertility
• Unexplained infertility

The Steps of IVF

While the concept of IVF is simple enough, the procedure itself requires high levels of expertise in all of its many stages. Led by Dr. Fisch, Green Valley Fertility serves Las Vegas and Henderson with the highest level of in vitro fertilization care.

1. Ovulation Stimulation

The woman is first stimulated with medication so that several eggs grow within the ovary. The medication comes via daily injection for about 10 days.

2. Oocyte Retrieval

The woman is then sedated and a sonogram-guided needle is used to collect the eggs through the vagina. Typically about 15 eggs are collected.

3. Fertilization

The eggs are then mixed or injected with the partner’s sperm. This fertilization must take place under very specific conditions. Technical instruments, incubators, airflow machines and air filters are all used to create this special environment. Most of the eggs retrieved will become fertilized. Incubation lasts for 3 to 5 days.

4. Embryo Evaluation

The embryos are evaluated based on their development and any flaws the embryologist may see. Both patients and doctor will decide how many embryos to transfer to the uterus. More embryos may mean a higher probability of success, but also the higher probability of twins. Usually one to three will be transferred.

5. Transfer of the Embryo

Using ultrasound guidance, the embryos are transferred through the cervix into the uterus. The procedure is not painful. Spare embryos can be saved with what is called cryopreservation, for the possibility of future treatments.

6. Monitor for Implantation

A transferred embryo, if the procedure is successful, will implant itself, and produce a hormone that can be monitored in the blood stream. This detection marks the beginning of gestation.

Frequently Asked Questions