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IVF explained: an introduction to treatment

Dr Jack Biko, President of SASREG, gives a plain introduction to what IVF involves from the first stimulation injection to the pregnancy test.

Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG)IVF TreatmentFertility TreatmentFertility Treatment PathwayAll learning videos

A typical IVF cycle runs roughly like this: a few weeks of preparation and baseline tests; around eight to fourteen days of daily stimulation injections with scans and blood tests along the way; a trigger injection at a precisely timed hour; egg collection about 36 hours later under sedation; fertilisation in the laboratory that day, by conventional IVF or ICSI; three to six days of embryo development; then either a transfer or freezing of embryos; and about nine to fourteen days later a blood pregnancy test. Not every cycle follows that shape. Protocols differ — long agonist, antagonist, mild stimulation, natural cycle — and a cycle can be converted, cancelled, or planned as freeze-all from the outset. Use this talk for the overall map and your own clinic's plan for the detail.

Recorded at Fertility Show Africa in 2023. Protocols, timings and clinic practice vary; no two IVF cycles are identical, and your plan may differ from the one described here.

Key takeaways

  • IVF has a recognisable sequence: stimulation, trigger, egg collection, fertilisation, embryo development, transfer, pregnancy test.
  • There is no single IVF protocol — the medicines, timing and whether embryos are transferred fresh or frozen are chosen for you.
  • Numbers fall at every step, from eggs collected to embryos suitable for transfer.
  • Dr Biko speaks as President of SASREG, the South African professional society for reproductive medicine.

Related Antega guides

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Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG)

Why can an IVF cycle be unsuccessful?

Dr Mohamed Cassim goes through the points in an IVF cycle where things can fall short — egg and sperm quality, fertilisation, embryo development, the lining of the womb and implantation.

Read the guide

References

  • Fertility Show Africa Expert Talks — https://www.youtube.com/watch?v=29DkBxAWBYU
  • Fertility Show Africa 2023 show programme — https://fertilityshowafrica.com/wp-content/uploads/2023/07/FSA-2023-Show-Programme.pdf
  • Southern African Society of Reproductive Medicine and Gynaecological Endoscopy — https://sasreg.co.za

This video was produced by Fertility Show Africa Expert Talks (programme curated with IFAASA and SASREG) and is shared for education only. It is not medical advice and does not replace guidance from your own doctor or fertility clinic. Naming an organisation does not imply a partnership with Antega.