At the Center for Reproductive Medicine in Winter Park, we believe that understanding your infertility treatment is vital to your success. Couples facing fertility problems understandably have many questions, and we strive to answer them clearly and thoroughly.
These are some of the most commonly asked questions we have encountered.
Are there any activities that are prohibited during an IVF cycle?
Although we encourage patients to maintain their normal routines as much as possible during treatment, there are several activities that should be avoided. Women who smoke are strongly encouraged to quit before undergoing infertility treatment, as byproducts of tobacco are known to be toxic to the egg and hazardous to the developing fetus. Alcohol consumption should also be ceased during infertility treatment and throughout pregnancy. Certain medications can have adverse effects during IVF, so be sure to tell your physician about any and all medications you are taking, whether prescribed or over-the-counter. Finally, strenuous physical activity such as aerobics, jogging, or weight lifting, should be avoided during ovarian stimulation and until the pregnancy test results are known. Light exercise, such as walking, is not harmful and can help reduce stress and improve circulation.
When will the pregnancy test be performed?
The blood pregnancy test is performed 17 days after egg retrieval.
What happens if I become pregnant?
If the pregnancy test is positive, you will continue visiting our office for follow-up blood work and ultrasounds to ensure the ongoing success of your pregnancy. After the fetal heartbeat can be detected, you will be referred to an obstetrician for the remainder of the pregnancy.
What happens if I am not pregnant? When can we try again?
When pregnancy does not occur, we recommend waiting one or two complete menstrual cycles before beginning another IVF cycle. This gives the body a chance to rest and allows us time to perform tests that may help us improve our infertility treatment strategy.
Where can I get information about Zika Virus?
To learn more information and to get the facts about Zika Virus, please visit here or contact the Florida Department of Health Zika Virus Hotline, 1.855.622.6735.
Will I need a high-risk obstetrician because I conceived with IVF?
A high-risk obstetrician is only needed when there are complications that put the mother or baby at increased risk, such as multiple pregnancy or certain medical conditions. Aside from the increased chance of multiple pregnancy, IVF poses no risk to the fetus.
Are IVF patients more likely to miscarry?
There are certain factors that can make it seem as if pregnancy loss is more common among infertility patients, when in fact the miscarriage rate is approximately equal to that in the general population. Since pregnancy is detected very early in women who undergo IVF, women who miscarry early are aware of a pregnancy that otherwise might not have been recognized. Also, women over the age of 35 have higher incidences of both infertility and miscarriage than younger women.
Are there any guidelines for men during IVF?
Maximizing sperm quality for in vitro fertilization can help improve the chances of successful fertilization. Because sperm cells take 74 days to develop and mature, men need to avoid certain activities for at least three months prior to the date of egg retrieval. A fever of 101 degrees Fahrenheit or higher can negatively impact the fertility potential of sperm cells, so notify an IVF nurse if you become ill before or during an in vitro fertilization cycle. Acetaminophen (Tylenol®) can be taken to help to keep your temperature below 101 degrees. Alcohol and tobacco use should be minimized before and during infertility treatment, and all recreational drug use is prohibited. Additionally, any medications (prescription and over-the-counter) or supplements you are taking must be reported to an IVF nurse, as some of these can have adverse effects on sperm production. Hot tubs, Jacuzzis, spas, and saunas should be avoided and, although moderate exercise is encouraged, you should not begin any new endurance exercise regimens during the three months before beginning infertility treatment. Additional specific instructions will be provided to patients by our nurses.
How many embryos will be transferred and how is this decided?
In accordance with the recommendations of The Society for Reproductive Medicine, we typically transfer one or two embryos in women under 30, two or three in women between 30 and 35, and three in women over the age of 35. However, because individual circumstances can vary, we ultimately make this decision on a case-by-case basis. The goal is to have the best chance of implantation while minimizing the risk of multiple pregnancy.
Will IVF diminish my egg supply?
Women are born with far more eggs than they will ever need. While ovulation induction generally results in the collection of multiple eggs in a single cycle, there is no measurable effect on the overall supply.