IVF:Stages to egg implantation

  1. Meeting with Team: this is the initial consultation with the clinic to go throughout process.
  2. The process: The woman will be given medication to suppress her normal menstrual cycle. This is usually given for 2 weeks. My first cycle was a nasal spray but the final cycle was an injection which I learned to inject myself. After which step 3 begins
  3. Boosting the egg supply: This will include stimulation of the ovaries to produce more eggs than usual, to increase the number of eggs for fertility. You will be given a fertility hormone called follicle stimulating hormone (FSH). This is also a daily injection you give yourself or your partner can assist if they want to be involved and feel connected to the process. It’s usually for 10-12 days.
  4. Monitoring. you will be monitored while on the FSH, some clinics will scan every 2 days while others maybe twice weekly during the process. The monitoring may be ultrasound scans to monitor the size of the ovaries, blood test or both. The ovaries are usually measured to see how big the eggs are and a final hormone boost may be given 34-38 hours prior to collection.
  5. Collecting the eggs: Eggs are usually collected on days 10 or 12 depending on the sizes/ how well the ovaries have been stimulated. collecting is usually done under local anesthetic where you will be sedated. A needle is passed through the vagina into each ovary under ultrasound guidance. This procedure may take 15-20 minutes. You may experience cramp or light bleeding afterwards.
  6. Fertilizing the eggs: Once the eggs are collected they are mixed with your partners or the donor sperm in the lab. They are checked after 16-20 hours to see if Fertilization has occurred.
  7. In some cases the eggs may be injected individually with a sperm called ICSI.
  8. Egg Monitoring: The embryos are left to continue to grow for 6 days before being transferred into the womb. The best 2 are usually selected to be transferred.
  9. Embryo Transfer: The embargo’s are transferred into the womb using a thin tube called a catheter passed into the vagina. The procedure is quite simple and doesn’t involve any sedation.
  10. Then began the 2 weeks wait. see next post for how to cope.

Your Partner in Hope

D’Ebi

Related post

https://faithfulwait.com/2016/05/11/a-woman-in-waiting/

https://faithfulwait.com/2016/07/11/surviving-treatment/

https://faithfulwait.com/2016/09/22/exploring-other-options/

https://faithfulwait.com/2016/10/26/choosing-an-ivf-clinic/

https://faithfulwait.com/2018/03/31/it-only-takes-one-egg/

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Signs Of Infertility

We have been writing about surrogacy and the reason to embark on a surrogate journey, on this page for a while:

This led me to think about signs of infertility. The more I speak with friends and those who have tried for a while the more  obvious it  becomes  that some couples delay in seeking help. 

So this post focuses on signs of infertility and when to seek help. 

See similar post herehttps://faithfulwait.com/2016/06/08/infertility-when-to-seek-help/

Infertility affects both male and female. In previous post we discussed that a third of infertility issues comes from women, the other third from men or combination of both, other factors related to unknown causes.

Below is a list of signs of infertility for women

  1. Painful sex
  2. Heavy; long or paid periods: could be a sign of endometriosis, this is a condition where tissues found in the womb are present elsewhere in the body.
  3. Irregular menstrual cycle.
  4. Hormone changes: a test by your doctor can detect changes in hormones: hormone change can lead to weight gain, facial hair in female, loss of sex drive, acne.
  5. Underlying medical conditions: such as damage to Fallopian tubes, PCOS, cancer. Rheumatoid Arthritis ( which is a condition I was diagnosed of).
  6. Obesity:

infertility in men:

 Signs of infertility in men can include 

  1. Hormone imbalance: The key hormone for male is Testosterone where problem with the testes can cause infertility. The males testes have two hormones  which make sperm, the luteinizing hormones and the stimulating hormones.  These hormones are produced by pituitary glands so any problems with this gland Amy also led to infertility in men.
  2. Erectile dysfunction: failure to have erection during sex can be as a result of stress or other psychological factors. Please seek medical intervention If this becomes a regular occurrence.
  3. Ejaculation problem: Any change or difficulty in ejeculation, can result in infertility, medical advice should be sought where this becomes a frequent occurrence 
  4. Problems with the testicle:  This may include swollen, painful, or tender testicles. If you noticed any of these or other changes in your testlces please seek help.
  5. Obesity: Obesity can affect both male and female fertility. It is important to keep your weight under check if you are trying for a baby. 

Other causes of infertility include 

  • Age
  • Excessive drinking/consumption of alcohol
  • Sexually transmitted disease
  • Smoking
  • Poor diet

When to seek help.

If you experience any of the above signs,  please consult your doctor if you are under 35 and have been trying for more than a year (6 months if you are over 35 of age).

Changes to make to boost your fertility 

Change of lifestyle may include having healthier meals

Exercise 

Decreases of total reduction of alcohol 

Keeping your weight in check.

Conclusion

It is important to observe your body for any signs of changes and consult your doctor as soo. As possible to avoid delays in getting pregnant

Your partner in Hope

References

D,Ebi

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The Egg Freezing process

There are so many things couples faced with infertility have to consider, also single women and those undergoing chemotherapy also have to consider how to deal with their verity. 

Freezing one’s eggs is the best option to secure ones future as parents or to at least keep one’s hope of being a parent alive.

 

UK law allows you to store your eggs for up to 10 years.

In the UK, egg freezing costs on average between £3,500 and £4,500 for one cycle of treatment. In addition to this price, you’ll have to pay an annual fee to keep your eggs stored (from £200 to £360).

What is Egg Freezing?

Egg freezing is a method of preserving a woman’s fertility so she can try and have children at a later date.it involved collecting a woman’s egg, freezing them to allow her to have a baby later on when she’s ready. 

With marriage at an all time low and women finding the right partner much later it makes sense to freeze one’s eggs to ensure that when the time comes one can still have a baby. 

There are other medical reasons for freezing one’s eggs.

To embark on chemotherapy or If a woman  is due to undergo other medical treatment involving some potent drugs.

Also a woman’s chances of conceiving naturally falls as she gets older, becomes the egg quality decreases egg freezing ensures that the best quality eggs are frozen and preserved which can be thawed at a later date.

Key facts:

In 2017, 19% of IVF treatments using a patient’s own frozen eggs were successful.

It’s becoming more successful but by no means a guarantee of having a baby.

Funding may be available if you’re having treatment that affects your fertility. (Source hfea.co.uk)

Is egg freezing for you?

You might be wondering if egg freezing is for you. 

It may be, if you fall into any of the following.

  1. You currently have a medical condition or intend to undergo a treatment for a medical condition which can affect your fertility. 

  2. You are getting on in age and have not met the right partner to start a family with and worried about your quality of egg decking as you get older 

  3. Members of the armed forces who bring deployed to a war zone.

Process

Before egg freezing, you will be tested for HIV and Hepatitis, to ensure that affected samples are stored separately from unaffected samples. 

Once collected the eggs will  a crypto protectant which is a freezing solutions will be added to the eggs. The eggs will be frozen either by cooking them down slowly or by fast freezing called vitrification. 

The fast freezing is regarded as the best methods to adopt for preservation given its success rate. 

When you are ready to use your eggs, they will be thawed and fertilised with the sperm. 

THE COST 

The process of freezing eggs is expensive. On average the cost of having the eggs collected is about £3,350.

Egg storage cost between £125 and £350 per year. 

There maybe unexpected cost added in by the clinic, so It is important to get a full cost of the treatment plan.

Thawing eggs and transferring them to the womb costs an average of £2,500. So, the whole process for egg freezing and thawing costs an average of £7,000-£8,000.

Egg freezing is becoming more popular as more people are freezing their eggs.

In 2017, there were 1,463 egg freezing cycles (in comparison to almost 70,000 IVF treatment cycles overall). Between 2010 and 2017, around 700 babies were born through frozen eggs in the UK.

If you do decided to freeze your eggs be sure to carry out some background checks on the clinic before embarking on the process. Be sure to check out the success rate for women in your age bracket.

Summary.

Eggs can only be kept for 10 years unless exceptional medical circumstances, where you can be allowed to store the eggs up to 55 years. 

To use frozen eggs for fertility process it has to be thawed, the eggs are fertilised via a fertility treatment proves known as ICSI. 

This is because the freezing process makes the outer coating around the egg tougher making fertilisation via turn normal IVF process harder. 

You must update your records at the clinic they do change. This is so that you can be contacted before the 10 years limit for destroying the eggs. 

Your Partner In Hope 

D’Ebi

Related links

https://faithfulwait.com/2019/09/27/ivf-process-step-by-step/

https://faithfulwait.com/2018/08/13/single-women-and-ivf/

https://faithfulwait.com/2018/04/15/exploring-other-options-icsi/

Sources

NHS

HFEA

What If

What if someone told you after being diagnosed of infertility it will take you 15 rounds of IVF, £80,000 later before you fall pregnant.

Will you continue? Will you relax knowing that success is guaranteed at the 15th attempt?

Enter Hannah Vaughan, a CCN. news anchor who after 15 IVFs is finally pregnant.

This post is to encourage anyone who feel like giving up now after several attempts. That is, If you are still trying naturally or thinking of alternatives.

I had 2 failed IVF and know how draining, traumatic and emotionally debilitating the process was.

Our 3rd and successful attempt was by far the most rigorous, stressful, and thankfully successful.

So to have gone through the grueling process 15 times not knowing what the outcome will be is nothing short of outstanding bravery, hope and tenacity in the face of adversity..

I am so happy she is finally pregnant.

One thing is certain if her treatment is anything like mine, being pregnant doesn’t mean she can finally relax and ease into pregnancy.. Nope far from that.

For me, I certainly became more anxious and paranoid. I had no moment where I eased into pregnancy.

From the moment I heard the words “pregnant”.

Then began another phase of monitoring which involved progesterone injections for 3 months, weekly blood test to monitor the levels of Pregnancy hormones and weekly scans. I lived for those weekly scans and in between paralyzed with fear at the thought that my baby migth not make it.

I am grateful my clinic had 24 hours help line which meant I could reach out to them whenever I suspected any slight change in the way I felt.

I remembered one fateful Saturday night I become paranoid because I had not felt the baby move.

I felt really well and strong and I panicked. It was exactly the way I felt when I lost my 2nd pregnancy. So you can imagine my fear..

I thought I had lost my baby..

Having lost 2 pregnancies at 12 and 14 weeks I was convinced i was having a miscarriage ..

I was so worked up I called the clinic and was asked to come in first thing on Sunday morning.

My hubby had to drive me through the center of London to my clinic. Mine the first appointment of the day.. straight away I had my bloods test and scans.

It turns out, all was well, my HCG levels had more than doubled which was a good sign. A scan further revealed a strong heart beat..

it was the day we bought a doper scanner. I was a nervous reck. You can say i bought peace of mind.

Whenever I felt no movement out came the scanner.

I used that scanner every day till I my baby came.. it gave me the peace I so needed.

I am not saying everyone’s experiences is like mine.. this was mine.. this is just to say..

An IVF pregnancy is certainly different from natural pregnancy for some people.

My wish and prayer for Hannah is that she has her happy ending cos nothing else matters when you finally hold your baby in your arms. When you hear that first cry, when you look into her/his eyes and know that you beat infertility..

The feeling is indescribable..

You may be reading this and saying it’s all right for you you have your happy ending..

Look up Friend. Don’t be threatened by the storm..

I am one for not giving up. Imagine if Hannah stopped at the 5th, 8th, 10th, or 14th try.. the story will be different.

Of course finances plays a big part in how many times one can go back.. but do not fear..

Your path towards become a parent can take many routes explore your options and see what you are happy to do.

If you also feel you have come to the end and are happy with the decision to stop trying.. be at peace with that..

My sincere wish is that those still expecting and hoping will have their own happy ending.

Your partner in Hope

D’Ebi

Other related post

https://faithfulwait.com/2018/04/15/exploring-other-options-icsi/

https://faithfulwait.com/2017/10/11/surrogacy/

https://faithfulwait.com/2019/05/29/the-pain-of-miscarriage/

https://faithfulwait.com/2018/07/17/the-uk-commissioning-groups-decides-who-gets-funding-for-ivf-there-are-some-factories-they-take-into-consideration-i-deciding-who-gets-funded-this-post-looks-the-criterial-for-funding/

Pregnancy Over 35!

Today we learnt, our very own duchess Megan is pregnant at age 37. The little darling is expected in spring of 2019.

How amazing. She was beaming from ear to ear as she touched down in Australia earlier today.

Why this post you may wonder?

Well, it is a good news story and l love sharing good news, she is 37! And often we are told how difficult it is to conceive over that age.

We are constantly told and with good reason that a woman’s fertility falls off significantly once she reaches her 35th birthday, according to Katherine O’Brien, head of policy research at the British Pregnancy Advisory Service (bpas), women should not  panic about conception after the age of 35.

According to her, there are evidence which suggests that having sex twice a week, 82 per cent of women aged 35-39 will conceive within one year of trying.

While women in their late thirties might have to try harder to conceive, they stand a high chance of falling pregnant relatively swiftly (HUFFPOST).

Of course the biological clock is real but the age with the most decline is in one’s 40s.

That is not to say women below the age bracket cannot be faced with problems.

Women of any age can be faced with infertility.

We started trying when I was 30, and I only fell pregnant after a few IVF attempts at age of 38.

The bottom line here is that a woman who leads a relatively healthy life like Magen does have a higher chance of falling pregnant.

Luck or Cause:

I use to have to deal with comments which suggests we were just unfortunate. “you are so young and can’t get pregnant”? I also thought it was my fate to suffer this disease, friends who have also suffered this disease often joked that they were unlucky.

Knowing what I know now I don’t think my particular situation was down to luck, I had an underlying disease which I believe affected my ability to fall pregnant easily.

For others they may have lived  a relatively healthy life and still for some reason unable to fall pregnant. So it could be luck for some and medical for others? I don’t know.
But generally adopting a healthy lifestyle is of great benefit to a achieving one’s  quest for parenthood.

I know Megan is lives a healthy lifestyle and maybe just maybe luck was also on her side. Regardless it’s nice not to suffer the dreaded disease.

Causes of infertility

women in their mid to late thirties conceive naturally if they are ovulating regularly and have no known cause of sub-fertility and have maintained a healthy lifestyle when there is no male factor problem. Men’s age also has an impact on their fertility.”

According to the NHS websites the known causes of infertility are

Irregular ovulation

Endometriosis

Low spent count,

Low egg quality

Age

Pelvic inflammatory disease

Polycystic ovary

Cervical mucus problem.

It advised women over 35 to consult their GP if they have not conceived after trying regularly for 12 months.


Everyone’s story is different, whether you have been trying for a few months or a few years, keep your hopes alive with the news of Megan’s pregnancy. Who knows Mother Nature may smile on you soon.

Whatever the length of time please seek medical help if you have been trying for 12 months without success.

Your partner in Hope

D’Ebi

Related post

https://faithfulwait.com/2018/02/22/endometriosis-a-cause-of-infertility/

https://faithfulwait.com/2018/03/19/infertility-a-male-and-female-issue/

https://faithfulwait.com/2018/09/15/good-news-statistics/

https://faithfulwait.com/2018/04/08/a-womans-dilemma-is-40-too-old/

#IVFIS40

On the 10/11/1977 IVF was born in the person of Louise Brown. She was born at Oldham and District Hospital in Greater Manchester weighing 5lb 12oz.

Fast forward 40 years and thousands of couples have fulfilled their hopes of becoming parents VIA IVF. Louise Brown was the first of many children born via the IVF PROCESS.

A  process which has made the dreams of many couples including ours come true. Our first daughter was conceived via this process and I can truly say we are eternally grateful to have her in our lives.

Across the world this November, the birthday of the IVF process is being celebrated.

If you are still sitting on the edges wondering if this process is for you. A few stats may help you decide.

According to NHS

There are 1 In 7 couples with fertility problems.

6.5m IVF babies have been born worldwide since this technique began.

There are more than 325,000 IVF babies born from IVF to date.

24.8% of frozen embryo resulted in live birth.

26.5% of fresh embryo resulted in live birth.

15.6% resulted in multiple pregnancy

According to Resolve male fertility issues are as common as female, each represents 33% while unexplained is 33%.

Is IVF for you? This is a personal question one that can only be answered by you and your partner, taking into consideration the statistics as well as the cost of getting treatment.

Consider all the options available to you and make your decision of becoming a parent possible.

Leave us a comment and let us know your IVF story: we would love to hear from you.

Your Partner in Hope

D’Ebi.

Related post:

Read More »

Top Rated IVF Clinics in UK 

The HFEA is the authority which regulates and holds information about every IVF clinic in the U.K.

The information about success rates is published on their websites.Guides to clinics/ Every clinic is inspected to ensure that they meet the UK government standards and rules in relation to safety and ethics. In 2014 The HFEA published its data on fertility clinics.

How rates are compared. 

Clinics are ranked by the national average. A clinics birth rate is presented as either above, below or consistent with the national average live birth rate, this data is used to predict the future chance of a live birth for an average patient who goes to that clinic. This is presented as a range. eg, the predicted chance is between 12 – 28%.

Presenting the figure as a range is the preferred method, simply because no statistic is absolute and results vary from year to year. If an upper range is chosen this may change yearly. The range varies from one clinic to the next depending on the number of cycles performed yearly.

For example: If a clinic carried out 100 treatment cycle a year and 20 women had a live birth. This is a 20% live birth rate for that year.

How likely is it that the clinic could repeat this performance if it treated another 100 women with similar treatment needs under similar clinical conditions the following year? The range gives the answer that the success rate will fall between 12% and 28%.

There is no official ‘league table’ of UK fertility clinics, however, the results that are published by the HFEA do give a broad indication of the top-performing clinics in the country and show which ones have above-average rates of success.
The actual life birth rates shows how a clinic performs in a year. This data is used to predict the future but it’s by no way a guarantee of the results for each individual patient.

How figures are collate

Data published on the HFEA’s website is from individual treatment cycles and results gathered by individual clinics.

The HFEA visits clinics periodically to assess the reliability of their reporting. Each clinic is required to check the individual cycle and outcome data held by the HFEA against their own medical records for the reporting period, and then to self certify, by signing a document confirming the data they have provided is correct.

Success Rates:

There are many reasons why a clinic may have a higher or lower success rate. This maybe due to the fact that some clinics may treat few or more patient with difficult fertility problems than the national average. 

Latest Clinical Pregnancy Rates for London Clinics (results categorised by age group and listed alphabetically) HFEA published data (on 19/5/2014) for the period 1st July 2012 – 30th June 2013 (For fresh IVF & ICSI cycles)

< 35 years  35-37 years 38-39 years 40-42 years

ARGC                                     80.2%         68.3%           50.0%.             47%

Bart’s                                       36.3%        31.1%             25.2% 9.    9 out of   41*

Chelsea & Westminster     45.7%         34.3%           20.3%           14.8%

CREATE                                    40.2%       40.0%  10 out of 39*       19.3%

CRM*                                        44.3%       37.9%            29.0%          21.4%

Guy’s                                        36.0%         33.1%.           29.7%.         21.6%

Hammersmith                      41.2%          31.1%           26.6%           13.3%

Homerton                               23.6%         22.7%            17.1%           14.3%

Kings College assisted        30.6%.       31.9%             21.2%          17.5%

London Fertility Centre     29.3%        30.9%              20.4%         14.2%

London Women’s Clinic     32.8%        31.0%              25.5%          11.3%

Reproductive Genetics        54.4%       42.4%              42.3%         30.0%

The Bridge Centre                   29.4%      24.6%             17.7%         11.2%

The Lister Fertility Clinic     49.5%    38.2%                26.7%        21.5%

UCH*                                          42.8%      40.1%               36.1%       29.4%

 

Other related posts: Surviving Treatment, Exploring Treatment Options. ,Infertility: When to seek help

 

Disclaimer:

The information contained here is intended as a guide only, the writer is not an IVF specialist. Please check the HEFA website HFEA site  for more recent published data. This data was taken from the ARGC website, which has the highest results across all age range.
*Centre for Reproductive Medicine Coventry, UCH Centre for Reproductive and Genetic Health.

*% not applicable if number of cycles is less than 50 in any group.