Both the male and female partner visit the clinic for a thorough medical examination and blood tests. They also consult an embryologist. Based on the blood investigation reports and Ultrasound scan, the fertility specialist determines the best IVF programme, appropriate for the couple and explains the treatment process in detail.
The couple is provided with a donor acquisition form. The specialist will help the couple select a donor from the profiles shared by the assisted reproductive technology (ART) bank. The ART bank is registered with the Indian Council of Medical Research (ICMR) and only healthy donors who have passed all required tests are selected as egg donors.
At Medicover, we understand the importance of confidentiality and thus, the identity of patients and the donors are never disclosed and kept confidential.
The selected donor is monitored through blood investigations and an ultrasound on day two or three of the menstrual cycle. Based on the results, the ovaries are stimulated with fertility medication to promote the growth of follicles containing the eggs.This can last for up to 12 days. The response of ovaries (quantity & quality of follicles) is monitored through ultrasonography and blood investigations at regular intervals. During this time period, the recipient also undergoes hormonal treatment to improve the uterus lining and to increase its receptivity.
After eight to 12 days of taking the fertility medication, a trigger shot is administered to assist with final maturation of the egg.The egg donor then visits the clinic for the egg retrieval process, which will be performed 34 to 36 hours after the trigger administration. Egg retrieval is a day care procedure that is performed with ultrasound guided aspiration, done under sedation to make it painless. The eggs are then retrieved and processed by embryologist in the ART laboratory.
On the same day, the male partner provides a fresh semen sample. If needed, sperms can be extracted from a testicle or epididymis in a separate procedure.
Different procedures can be used to fertilise the collected eggs. In this step, the sperms that were processed in the previous step are used to fertilise the donated eggs. Each mature egg receives a single healthy sperm. Sixteen to 18 hours after the eggs and sperms have been brought together, they are checked to see if fertilisation has taken place. The resulting embryo is then cultured in an incubator for up to 5 days.
After evaluating the growth of the embryos, the embryologist decides upon the best embryo and the day for transfer into the uterus of the female partner.
After the embryo transfer, specialists may prescribe medicines which enhance the chances of embryo implantation. After the stipulated period, pregnancy tests are conducted to confirm pregnancy.