In Vitro Fertilisation (IVF)

‘In vitro’ translates to ‘within the glass’, reflecting the nature of IVF. After a course of hormone stimulation, eggs are collected and combined with a sperm sample in our lab in an attempt at fertilisation. We implant a successful embryo directly into the uterus and freeze others for future cycles.

In Vitro Fertilisation Melbourne

Is IVF right for you?

At the start of any fertility process, we get to know you and your unique circumstances, including your current personal situation and medical history. This helps us understand what treatment you might need and whether IVF is the right choice for you.

IVF may be the right treatment if you have or are experiencing:

  • problems with ovulation and fertility, due to conditions such as PCOS or endometriosis;
  • blocked or damaged fallopian tubes;
  • male infertility or a low sperm count; or
  • unexplained infertility.
 

IVF is also used in situations where there are other medical concerns. If you or your partner are at risk of passing on a genetic disorder to your child, IVF may form part of your health and reproductive plan. Similarly, many people opt to preserve their fertility via freezing if they are about to undergo medical treatments that may harm their fertility, such as radiation and chemotherapy. IVF may be the best option to fall pregnant after such treatments.

In some situations, a person other than the intended parent may have the embryo implanted in their uterus. This person is known as a gestational carrier or surrogate. They will carry the baby to term and it will then be passed to the intended parent or parents after birth. 

We also offer IVF for single women, same-sex couples and gender diverse couples to be able to have a baby using donor sperm. Have a conversation with our team to find a treatment plan that is right for you. 

Our IVF process

Our IVF process timeline begins with your initial consultation before any treatment begins. In a typical menstrual cycle, only one egg makes it through the ovulatory process to be released, while others that are not selected as the dominant egg will die off. For IVF treatment, your ovaries are stimulated to release multiple eggs in one cycle, to use the eggs that would have died off without medication. This allows us to create multiple embryos and give you a greater chance of falling pregnant. A typical IVF timeline looks like:

  1. Hormone Stimulation: You are provided with hormone medication to take for around 2 weeks to stimulate your ovaries, which allows more eggs to mature and be retrieved at one time. Medication is often an injection under the skin, and you will be monitored throughout the process with ultrasounds and blood tests to ensure healthy development.
  2. Collection: When your eggs have matured, you will have a hospital visit where you will be put to sleep and your eggs will be collected. Eggs are extracted vaginally using an ultrasound-guide probe and in the least invasive way possible. This procedure typically takes 10 to 15 minutes. Sperm
  3. Sample: On the same day, your partner will provide us with a sample of his sperm, or we will prepare a sample from a previous sperm retrieval or a donor. The samples will be assessed for health and viability.
  4. Fertilisation: In the lab, the eggs will be combined with the sperm sample in hopes of fertilisation and the creation of multiple embryos. IVF embryo development involves growing each embryo until it reaches the blastocyst stage, which can take around 3 to 6 days.
  5. Embryo Transfer: After this early development, you will return and an embryo will be implanted directly into your uterus — an IVF embryo transfer. Others will be safely preserved in an embryo freezing procedure using liquid nitrogen in a process called vitrification, and preserved so that they may be used in the future.
  6. Pregnancy Test: Once the embryo has been transferred, we wait for 11 days and then have a blood test to check if you have fallen pregnant. This can be a challenging time to wait, so we suggest planning activities and keeping busy throughout. We are with you every step.
 

While we know that learning you haven’t fallen pregnant can feel disheartening, we encourage you to stay upbeat. Falling pregnant, even through IVF and other fertility treatments, often takes multiple cycles, similar to falling pregnant naturally. We’re always there when you need support.

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Risks of IVF

Due to the use of different hormone stimulation and IVF medications, some women will experience exaggerated symptoms of their usual menstrual cycle, including tenderness, bloating and nausea. This may develop further into Ovarian Hyperstimulation Syndrome (OHSS), but this is uncommon. If any complications do occur, we will help you understand and manage the treatment, prioritising your health and comfort as much as possible.

IVF also carries the risk of multiple births when more than one embryo is transferred to the uterus at a time. Carrying more than one fetus increases the risk of early labour and physical or mental impairments for the baby. Multiple embryo transfer is typically reserved for women over the age of 35 after discussion with their fertility specialist.

Unfortunately, going through IVF or any other fertility treatment does not guarantee you will be able to get pregnant and have a baby. We truly wish we could guarantee that for every patient, but we make every effort possible to give you the best chance of having a baby.

IVF embryo storage

Under current Victorian law, we are allowed to keep your embryos frozen for up to 5 years from the day they were stored. This can be extended if the responsible persons consent to storage for another 5 years and go through a written application process. Our specialists can help you through the process of extending. Rest assured that your embryos are never discarded without your consent or without us contacting you. 

IVF alternatives

For most people, our specialists will recommend other less invasive fertility treatments before IVF, and then suggest IVF if they are not successful for you. We offer a range of other treatments you may want to try first, including artificial insemination and ovulation induction.

ICSI is a similar process to IVF, but instead of using multiple sperm to try and fertilise an egg, a single sperm is injected directly into the centre of the egg. This attempts to overcome male infertility issues and increase the chance of fertilisation occurring.

IUI is a less invasive process of artificially placing washed sperm directly into the uterus around the time of ovulation, hoping that the sperm will enter the fallopian tube and fertilise an egg. IUI is often used for unexplained fertility, or in the case of using donor sperm.

Tracking ovulation is an important process when trying for a baby. Ovulation induction is a minimally invasive treatment that involves taking medication in the form of tablets or a fine needle injection to induce ovulation and help women have more regular menstrual cycles.

As women age, it becomes less likely that they will be able to fall pregnant naturally, but freezing your eggs as early as possible can help you prolong your ability to reproduce and try for a baby when you’re ready. Whether for personal or medical reasons, egg freezing is a way to help you try and get pregnant in the future.

IVF Clinic Melbourne

FAQ

While aspects of IVF treatment, including injections and embryo transfer, can cause some discomfort, it is very unlikely that individuals will feel any significant pain. The experience may be slightly uncomfortable, but most women can go through the process without any pain.

A usual IVF treatment cycle takes around 6-8 weeks, from the initial consultation, through the entirety of treatment and all the way to the pregnancy test. The treatment course can vary slightly due to different personal circumstances. Multiple IVF cycles may be required to achieve a pregnancy.

The cost of IVF will vary for different individuals based on their circumstances and treatment needs. At Create Fertility, an initial IVF cycle costs $4098.80. You can find out more about our estimated out-of-pocket IVF cost on our Fees page.

The key difference between both fertility treatments is where fertilisation takes place. In a cycle of intrauterine insemination (IUI), fertilisation occurs within the body, with assistance given to the sperm to reach the egg, while in an IVF cycle fertilisation occurs outside of the body with an embryo being implanted. IUI is a non-surgical outpatient procedure in which sperm is placed directly into the uterus, decreasing the journey for the sperm to reach the egg and increasing the chances of conception. IVF by contrast involves retrieving eggs from the ovaries and fertilising them with sperm in a laboratory to create an embryo that is then transferred into the uterus.

Intracytoplasmic Sperm Injection (ICSI) is a specialised form of IVF treatment, where instead of using multiple sperm to try and fertilise an egg, a single healthy sperm is selected. This sperm is injected directly into the centre of the egg to try and improve the chances of fertilisation where IVF and other techniques have not been effective. Overall, IVF and ICSI follow a similar process, but ICSI is used to overcome male-factor infertility by only using a single sperm that has been observed as viable under a microscope.

The success of achieving a pregnancy is dependent on a number of factors, including the age of the patient. Some embryos may not survive the freezing and thawing process if cells are damaged. However, an embryo that is vitrified at the blastocyst stage has approximately the same success rate as a fresh embryo. While no embryo transfer process can guarantee pregnancy, the success rate of frozen embryos is similar to that of fresh embryos. Similarly, using a frozen embryo is just as safe as one that is transferred immediately without vitrification. Our skilled embryologists take pride in looking after your eggs, sperm and embryos in our care. They are stored safely and securely in our lab.

After an egg has been inseminated, our scientists begin looking for signs of fertilisation around 16 to 18 hours later, observing whether the egg and sperm have fused. Embryos that are normally fertilised are then assessed for healthy cell division, with most embryos having between 2 and 4 cells on the second day. By the third day, they will often have 6 to 8 cells, and on this day a biopsy may be taken for preimplantation genetic testing. Day 4 usually sees the embryo develop into a compact ball of around 16 cells, and on day 5 the embryo develops into a blastocyst — a cluster of rapidly-dividing cells. Each healthy blastocyst must be transferred or frozen by day 6 to remain viable.

Ready To Begin Your IVF Journey?

Choosing to undertake IVF can feel like a big decision. At Create Fertility, we understand the emotional and physical challenges of fertility treatment. Our caring team are here to guide and support you through each stage with empathy, understanding and expertise.

Whether you are just beginning to explore your options, or you’re ready to take the next step, book an appointment with one of our fertility specialists today.

Whenever you are ready, we are here for you.

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