How many eggs are retrieved in an ivf cycle

There are multiple reasons to choose this method, one of which being good sperm quality. ICSI , or intra-cytoplasmic sperm injection , is when an embryologist selects a single sperm and manually injects it into the egg, fertilizing it that way. This is used for a number of different reasons, one being male factor infertility. Now, we have 8 embryos. How do I know if I have male factor infertility?

The next big step is growing the embryos in the laboratory for the next days. This is another phase where attrition should be expected. After 3 days, embryos have cells. In general, most if not all embryos that fertilize will reach this stage. The greatest attrition rate comes from day 3 to day , or the blastocyst stage.

A blastocyst is the final stage of the embryo before we cryopreserve them or transfer to a patient. Certainly not every situation is identical and other factors can affect the outcome, but this does provide a general outline as to what to expect. The most important thing to remember is that this is a normal process. The sooner we get to work together, the better chance we have at getting you a higher embryo count with better quality.

She is board-certified in Obstetrics and Gynecology and in Reproductive Endocrinology and Infertility. Follow Us. Our biggest takeaway: This is totally normal! Now, We Fertilize the 10 Eggs… The fertilization process has to happen naturally overnight with partner or donor sperm in a laboratory. However, in frozen embryo transfers, the embryo transfer occurs in a subsequent cycle, remote from the process of ovarian stimulation.

As a result, the hormonal environment more closely resembles a natural cycle. Therefore, the outcome of the frozen embryo transfer is not hindered in patients who had a high number of eggs retrieved in a prior cycle. They found that the risk of OHSS increased when more than 18 eggs were retrieved.

So now, in addition to counseling you about your fertility prognosis based on your age and ovarian reserve, your doctor can also weigh in on how the number of eggs retrieved may modify your chances of getting pregnant. The decision of whether to perform a fresh or frozen embryo transfer should be made with your doctor based on your individual health circumstances, and may be influenced by your response to ovarian stimulation and the number of eggs retrieved.

Lucky Sekhon is a reproductive endocrinologist and infertility specialist and board-certified obstetrician and gynecologist. She specializes in diagnosing and treating reproductive issues and has particular expertise in fertility preservation egg freezing , LGBTQ family building, and in vitro fertilization with preimplantation genetic testing of embryos.

She also uses minimally invasive techniques such as laparoscopy and hysteroscopy to treat a variety of surgical conditions including endometriosis and uterine factor infertility. Association between the number of eggs and live birth in IVF treatment: an analysis of treatment cycles. Hum Reprod.

For example, if there are only 3 eggs available on the ovaries per cycle, then there would be only 3 mature eggs at the end of a maximally stimulated cycle. There comes a point when aggressive stimulation for the resistant ovaries is no longer cost effective. Pressing the gas pedal aggressively would only waste fuel without making the car going any faster. A better approach is to nudge the accelerator just sufficiently to allow the car to proceed at its speed limit while saving the gas to travel a longer distance.

In the Mini IVF protocol was introduced as an alternate approach to stimulate the resistant ovaries. Using a combination of clomiphene and a low dose of injectable FSH, Dr. Jon Zheng and colleagues aimed to collect only eggs per IVF cycle, assuming that a gentler and more physiologic stimulation could result in eggs with higher quality. While there was little doubt that the original Mini IVF protocol would lead to significant savings on the cost of medications, it did not improve pregnancy outcome for women with low ovarian reserve 6.

Apparently, embryo quality was not improved by limiting egg production to eggs per cycle. Believing that nothing can reverse the effect of time on egg quality, we hope to offset this disadvantage by trying to collect as many eggs as the ovaries can provide without overusing medications. During the Mini IVF cycle our patients use a combination of clomiphene and low dose injectable medications, undergo stimulation and monitoring and then egg retrieval.

All matured eggs are injected with sperm ICSI , and the resulting embryos are cryopreserved by the new vitrification method. Most patients would require 2 rounds of Mini IVF to accumulate at least 4 embryos for future transfer. Consider the case of Mrs.