Understanding the Ins and Outs of Natural Cycle IVF for Optimal Fertility Success
Natural Cycle IVF (NC-IVF) is a variation of in vitro fertilization (IVF) that differs from conventional IVF in that it does not use high doses of fertility drugs to stimulate multiple egg production. Instead, it focuses on retrieving the one naturally selected egg during a woman's natural menstrual cycle. Here's a detailed guide to Natural Cycle IVF:
Initial Evaluation and Consultation
Consultation with a fertility specialist: Discuss your medical history, fertility concerns, and suitability for Natural Cycle IVF. Assessing ovarian reserve: Evaluate the number and quality of eggs in your ovaries through tests like AMH (Anti-Mullerian Hormone) levels and antral follicle count.
Cycle Monitoring
Baseline ultrasound and hormone testing: Conducted at the start of your menstrual cycle to assess follicle development and hormone levels. Regular monitoring: Follow-up ultrasounds and hormonal assessments are done throughout the cycle to track follicular growth and predict ovulation.
Triggering Ovulation and Egg Retrieval
Natural ovulation or trigger shot: In some cases, a trigger shot (hCG injection) may be used to time the release of the egg. Egg retrieval: Typically performed about 36 hours after the trigger shot or natural LH surge. A small needle is used to retrieve the mature egg from the follicle.
Fertilization and Embryo Transfer
Fertilization: The retrieved egg is fertilized with sperm in the lab. The resulting embryo is monitored for development. Embryo transfer: A viable embryo is transferred back into the uterus, typically on day 3 or day 5 after fertilization.
Supportive Measures
Progesterone supplementation: To support the uterine lining for implantation and early pregnancy. Monitoring and follow-up: Regular monitoring after embryo transfer to track progress and potential pregnancy.
Advantages of Natural Cycle IVF
- Less Medication: No or minimal use of fertility drugs reduces the risk of ovarian hyperstimulation syndrome (OHSS) and side effects associated with high-dose medications.
- Reduced Cost: Since fewer medications are used, it may be more cost-effective compared to conventional IVF.
- Reduced Health Risks: Lower exposure to fertility drugs means fewer associated health risks.