TruCare Fertility Clinic
TruCare Fertility Clinic is one of Nigeria’s Leading IVF/Fertility Treatment Centres. Our focus is on getting you pregnant rather than doing endless tests. Check out some of our common services.
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Our IVF Cycle Process
An IVF ‘cycle’ is how we describe one round of IVF treatment starting with the first day of your period. As part of your fertility plan, you may start medication or injections before the first day of the cycle. Check the 7 step process below.
While IVF does involve manipulation of the ovaries, using fertility injections to stimulate egg maturation and release, we still work with your body’s natural menstrual cycle and hormone production. Thus, your IVF cycle will begin on the first day of the menstrual period closest to when you have scheduled your IVF treatment.
In some cases, once your period begins, we will administer oral contraceptives that will help to regulate hormone levels more precisely, while simultaneously limiting any potential cysts from developing as cysts can compromise fertilization. The contraceptives are typically taken anywhere from two to four weeks.
Note: If you’ve been trying to conceive for more than six months to a year, or you’ve been diagnosed with infertility, you should contact us now!
The ovarian stimulation phase starts from day 2. In a natural monthly cycle, your ovaries normally produce 1 egg. You’ll take medication for 8-14 days to encourage the follicles in your ovaries (where the eggs live) to produce more eggs.
Your specialist prescribes medication specific for your body and treatment plan. It’s usually in the form of injections, which can vary from 2-3 per day. It can be daunting, but your fertility nurse will be there to show you exactly how and where to give the injections.
We keep an eye on your ovaries and how the follicles are developing with blood tests and ultrasounds. Your medication will be adjusted if needed. Our team will support you through these processes and make you as comfortable as we can.
At the maturation of the eggs, HCG is given and retrieval of the egg (oocyte is done 34 to 36 hours after)
Egg retrieval, or egg ‘pick up’, is a hospital day procedure where the eggs are collected from your ovaries. An anaesthetist will get you ready for a general anaesthesia. You’ll be asleep and the procedure takes about 20-30 minutes.
At Trucare, our fertility specialist uses the latest ultrasound technology to guide a needle into each ovary. It’s delicate procedure where every millimeter counts, and this is where the experience of our specialists pay off. You can’t see an egg with the naked eye, they’re contained in the fluid within the follicles in your ovaries. The specialist removes the fluid from the follicles that look like they’ve grown enough to have an egg inside.
Recovery takes about 30 minutes and you’ll be able to walk out on your own. It’s a good idea to have a support person with you as you won’t be able to drive after the procedure.
If you’re a couple planning on using fresh sperm, the male will produce a sample the morning of the egg retrieval. If you are using frozen or donor sperm, our scientists will have it ready in the lab.
The sperm is graded using four (4) different levels of quality. It’s washed in a special mixture to slow it down so that our scientists can spot the best ones under the microscope. A perfect, healthy sperm is not too fat or thin, with a tail that’s not too long or short. The best sperm are selected, and they’re ready and waiting in the lab to be introduced to the eggs.
Our fertility specialist gives our embryologist the eggs they have retrieved, still in the fluid from the follicles of the ovaries. The scientists use powerful microscopes to find the eggs in the fluid so they can be removed.
The eggs and some sperm are placed in a dish where they have the chance to find each other and fertilise like they would naturally within your body. However for men with low sperm count and poor motility, the sperm cells can be directly injected into the egg (ICSI) which would aid fertilization.
A fertilized egg becomes an embryo and these embryos are placed inside an incubator where the conditions for growth and development are perfect. Our scientists monitor the growth of these embryos for a period of 5-6 days.
By day 5, these embryos become blastocyst and are easily attached to the lining of the womb. At Trucare, we ensure that we get to the blastocyst stage before transfer.
The developed embryos (blastocysts) are transferred into the uterus by a specialist under Ultrasound guidance,
The embryo transfer is a very simple process. It takes about 5 minutes, Embryo transfer is not done under anesthesia. It requires you to have a full bladder which acts as a window to see the Uterus. The grades of your embryos are discussed with you, thereafter you will be taken into the theater where you will be prepared for transfer.
The embryologist prepares the embryos by placing them in a catheter and hands over to the specialist who. Embryo transfer is only done by a fertility expert, an embryo loaded in a catheter is only about 0.1 millimeter & the specialist has a target of approximately 1 millimeter to play with. The embryos have to be deposited at the right spot to enable them to attach, if not, they may die off or find their way outside the uterus.