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The IVF Transfer

By Tracey Minella

February 7th, 2015 at 9:24 am

 

photo credit: marin/freedigital photos.net


In vitro fertilization (IVF) is a long process. The transfer is at the end of the line.

When people do IVF, they endure weeks of daily hormone injections and blood work and ultrasounds designed to make the woman produce more than the one egg she would otherwise likely produce. When the time is right, an injection is given that leads to the final maturation of the eggs and the egg retrieval is scheduled for about 34 hours thereafter, so that the eggs will not be ovulated and the cycle lost.

Once the eggs are retrieved, they are placed in a petri dish with the partner’s sperm, and in some cases, Intra-Cytoplasmic Sperm Injection (ICSI) is performed. With ICSI, a single sperm is isolated and injected into a single egg to increase the odds of fertilization, usually in cases where sperm count or quality is an issue. Then, you wait a day for a fertilization report.

If there is fertilization, the resulting embryos are continually monitored and graded based on how they grow and develop. An agreed upon number of Day 3 embryos (or Day 5 blastocysts) get transferred back to the woman’s uterus via catheter. Each embryo or blastocyst has the potential to develop into a baby, or in rare cases, may even split into twins. Excess embryos are usually cryopreserved (frozen) for future use.

In order to make it to Transfer Day, a couple must survive all the prior phases: cycle suppression, ovarian/follicle stimulation with blood work that corresponds to the number and size of the follicles, a uterine lining that is thick enough for embryo implantation, retrieval of quality eggs, fertilization of eggs, development and growth of quality-grade embryos. Then, the transfer.

Optimists may relax more as each hurdle is cleared. Worry-warts hold their breath ‘til the end. And even then, they beg to lay there for the next two weeks with their hips elevated by pillows or they slam their partners’ driving with every bump on the ride home.

The transfer is a magical moment. It’s not only the end of the treatment cycle, but for many it’s the closest they may ever have been to getting pregnant.

The beauty of IVF comes in the knowledge that you did create embryos…they are real and you can literally see them. If you get pregnant you have breathtakingly beautiful photos of your child from the earliest moments of conception. You know the exact date of conception. You even see the glow of the embryos in the uterus after transfer.

There is nothing quite like the feeling of hope on transfer day. You can bask in the literal moment you may be becoming a mom. Visualize implantation happening. Will it to happen. Allow yourself to believe it because you never know what the effect of positive thinking could be.

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What was your transfer day like? What do you most remember about it?

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