Jun 16, 2010
Posted in Fertility

Natural Cycle IVF Treatment – The Gentle Drug-Free Alternative

Though this might sound quite contradictory, however there really exists an innate side to the advanced fertility therapy, IVF. Even though nearly all IVF treatment programs employ potent hormone types and drug for stimulating the ovaries, NCIVF (or natural cycle in-vitro fertilization) is specially intended for females that are not able to conceive (for example due to undergoing breast cancer treatment) or do not wish to opt for fertility medications. In case contraindication to fertility drugs is the issue for some women (a past case of depression or ovarian cancer) or with a history of bad reaction to fertility medications then NCIVF appears to be a feasible option. Females that have endured ovarian hyperstimulation syndrome might be given this form of therapy since the condition is quite grave and could be life-menacing hence it might be risky for them to carry on with standard IVF treatment.

As NCIVF costs fractionally as compared to that incurred during standard IVF treatment hence several couples opt for it.

In natural cycle in-vitro fertilization, the body would be allowed to mature the regular single egg monthly. After ripening, harvesting of the egg would be done that would then undergo fertilization with the sperm. Implantation of the resultant embryo is then done inside the uterus a couple of days after (or could undergo freezing as per need).

Anywhere in-between the usual in-vitro fertilization procedures and NCIVF is the minimal stimulation in-vitro fertilization (mini-IVF, MS-IVF) that involves merely using the orally taken medication Clomid or clomiphene citrate (jab-free) for stimulating the ovaries.

Rather than repressing a female’s innate menstrual cycle, the approach adopted during majority of the IVF methods, MS-IVF, similar to natural IVF, would take advantage of a female’s menstrual cycle thus resulting ovulation being induced without extensive drug usage.

Before the commencement of NCIVF procedure, daily monitoring of temperature would be recommended employing an LH ovulation kit for around three weeks before onset of menses. This would be done for identifying when a rise in LH levels occur which is indicative of ovulation.

During the subsequent month, around three days prior to the anticipated LH rise, the woman would undergo an ultrasound scanning to check whether egg production by the follicles are taking place. In case it is occurring then the woman would be requested to self-administer an HCG shot during the dusk hours of that day and then thirty-six hours later, the egg would be retrieved via an operative procedure (delicate needle insertion via wall of vagina for egg retrieval from follicles) either after sedating the woman and giving pain killers or administering anaesthesia as per personal preference.

Fertilization of the eggs would be done and in case they are good quality ones they are re-introduced back inside the vagina using a delicate needle. Insertion of progesterone pessary would also be advised and a waiting period of two weeks after which blood test is done for corroborating whether the embryo implantation was successful.

Factually, the earliest IVF cycles in the seventies did not employ drugs, however as the method advanced, physicians uncovered that they were more successful when the ovaries were stimulated for producing over 1 egg during a month’s cycle and embedding several embryos inside the uterus in every cycle.

Presently, physicians are endeavouring to lower the cases of multiple conceptions, and with methods that improve embryo selection with the maximum likelihood of a successful conception (so that ultimately physicians would classically do merely a single embryo implantation during an instant), fertility methods such as MS-IVF and natural IVF are getting novel supporters.

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