14 September 2017

Our IVF Process in 7 Simple Steps

IVF Process

Medical Director
Cesar Diaz-Garcia
MD PhD Assoc Prof
IVI London


Making the call for an IVF consultation is never easy and we understand that taking the first step can seem like a daunting prospect. However, at IVI we’re here to help and to let you know that you’re not alone.

Our dedicated team of specialists are here to answer any questions you have regarding the IVF process and to ensure that your experience at IVI lives up to your expectations.

So, here are the seven steps you’ll take when you decide to undergo the IVF process.


Step One: Meeting an IVF Specialist

Meeting an IVF Specialist


Your first step towards a happier life begins with meeting your IVF specialist. During this appointment, your specialist will review the information you have provided and discuss any previous tests or treatments you have undergone. Once they’ve discussed and addressed any concerns or questions, they will recommend how best to proceed.
It is also important to note that during your meeting, your IVF specialist may suggest carrying out certain tests to assess your uterus and ovarian function. Please understand that these are routine procedures and may be suggested to determine the best approach for your treatment. If you would like more information on this topic, please click here.

Step Two: The Natural Menstrual Cycle

Once you’ve had the initial meeting with your IVF specialist, you will be given medication that will suppress your natural menstrual cycle. This is to ensure that the medication used in the next stage will be more effective.

The medication comes in two variations:

  • A daily injection (which your specialist will teach you how to use)
  • A nasal spray

Your specialist will advise on which mediation will be best for you, and you will then continue to use this for around two weeks.

Step Three: Strengthening the Egg Supply

Now that your natural cycle has been suppressed, the next stage will be to take a fertility hormone called follicle stimulating hormone (FSH). Again, similar to step two, this is a process that you continue for 10-12 days.

This is important because FSH increases the number of eggs your ovaries produce. This means due to the increase of eggs it is likely more eggs will be fertilised. More eggs mean a greater choice of embryos to use in your treatment, which is extremely important for your success rate.

Step Four: Progress Evaluation

The clinic will carry out routine check-ups on your progress, and a formal evaluation will take place at the end of the process. Vaginal ultrasound scans will be used to monitor your ovaries, which are sometimes (if required) followed by blood tests.
Around 34-38 hours before your eggs are collected, you’ll be given one final hormone injection that will help your eggs to mature.

Step Five: Collecting Your Eggs

During this process, sedation is required. Your eggs will then be collected using a needle that will pass through the vagina and into each of the ovaries under the guidance of our ultrasound. While this may sound invasive and slightly uncomfortable, our trusted and dedicated IVF specialists stress that this is a minor procedure, only lasting around 15-20 minutes.

Step Six: Fertilising the Eggs

Once the eggs have been collected, they will be mixed with your partner’s (or donor’s) sperm in our laboratory. The eggs are held in a special media and cultured in an incubator until insemination.

Two days after fertilisation, normal embryos will be between two and six cells. Three days after fertilisation, normal embryos will be between seven and nine cells.
On the fourth day of fertilisation, most normal embryos will have reached the morula stage (too many cells to count with a microscope). Then, after 16-20 hours have passed, they are checked to see if any eggs have been successfully fertilised.
Finally, hormone medicines will be supplied to aid in preparation for lining the womb to receive the embryo. The usual process for this is via pessary, injection, or gel.

Step Seven: Transferring the Embryo

A few days after the eggs are collected, the embryos are transferred into the womb via a catheter that is inserted into the vagina. This procedure is far simpler than standard egg collection and is similar to having a cervical screening observation, meaning in most cases, sedation is not required.

How many embryos transferred during this step depends on your age, though, this will be discussed before the treatment starts, to spare any confusion. Depending on your age, the process will differ slightly. Below is a simple outline of each age-appropriate procedure:

Women Under 37

Women under thirty-seven only require a single embryo transfer. Doctors usually consider using two embryos only if the quality of one embryo is not high enough. In the third cycle, no more than two embryos should be transferred.

Women aged 37-39

Again, women within this age range should have a single embryo transfer. A double embryo transfer will only be required if no high-quality embryos are found. Similarly, no more than two embryos should be transferred during the third cycle.

Women aged 40-42

Women within this age bracket may have a double embryo transfer, if necessary. If any suitable embryos are left over, it is likely they will be frozen for future IVF attempts.

Once the procedure is completed, you will be required to remain at the clinic for at least an hour. However, you can go home the same day. It is strongly advised that you do not drive, as the anaesthetic will still be in your system.

For further information, please don’t hesitate to get in touch, our friendly team are always here to help – 0800 52 00 161.

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  • Abdulhakim Ellibidy says:

    Thank for explanation. My daughter aged 27 yrs old married for 9 years, she tried hormonal therapy and she had an IVF but failedm so what is your advice please although all her investigations as her husband were all withen normal range.

  • Shaars says:

    A well detailed explanation of treatment.

  • Claire says:

    At step 2 can oral tablets such as norethisterone be used and is this the same, worse, better than injections or nasal spray?

    Is the timing of egg collection crucial? What if a fertility clinic suggests staying on meds a few days longer just because they cant for you into their diary such as they don’t work Sundays or they are booked up with other appointments?

    How many scans would be needed ans how far apart should they be to monitor when egg collection should be done?

    Thank you

    • IVI says:

      Dear Claire,

      It will be our doctors who will decide what type of medication is best for you at step 2, but you will be able to ask them during the consultation in case you have any doubts. As for the time of egg collection, it must be around 36 hours after the last injection and, if posssible, it should be your body’s responde to medication the one deciding when the follicular punction should take place. As for the scans, it will be the doctor who decides every how many days they need to check your egg’s development. Thanks for your interest and comment.

  • Best IVF Treatment in Hyderabad says:

    This is the best site and also best information that I got here only. You made a good site it very help us. Thank you for giving us such a great and useful suggestions and tips they very nice and amazing. Thank you all.

  • Patrick Quinn says:

    Fabulous information with very well explained steps of IVF process.I’m glad to see such kind of information and knowledge sharing with such great details by people like you.Great work and keep writing.

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