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In vitro fertilisation (IVF) is a process of fertilisation in which an egg is combined with sperm in vitro ("in glass"). The process involves monitoring and stimulating a woman's ovulatory process , then removing an ovum or ova (egg or eggs) from her ovaries and enabling a man's sperm to fertilise them in a culture medium in a laboratory.
Usage of assisted reproductive technology including ovarian stimulation and in vitro fertilization have been associated with an increased overall risk of childhood cancer in the offspring, which may be caused by the same original disease or condition that caused the infertility or subfertility in the mother or father. [25]
In vitro fertilization: once the egg is obtained it is fertilized with the donor sperm in a laboratory. [7] This can be done by ICSI technique or regular In vitro fertilization. Once the egg is fertilized, embryos are obtained that are kept in the lab for 3 to 5 days, when they develop to blastocysts. [ 8 ]
If there is embryo transfer of more than 4 embryos, the risk has been quoted as 1 in 45. [10] In natural conceptions, the incidence of heterotopic pregnancy has been estimated to be 1 in 30,000 pregnancies. [10] However, due to the increasing use of assisted reproduction technology, the overall incidence is 1 in 3900 pregnancies. [11]
The risk factors of artificial insemination are comparatively low to other forms of fertility treatment. The most prominent risk factor would be infection after the procedure, with other risk factors including a higher risk of having twins or triplets, and minor vaginal bleeding during the procedure.
Intracytoplasmic sperm injection (ICSI / ˈ ɪ k s i / IK-see) is an in vitro fertilization (IVF) procedure in which a single sperm cell is injected directly into the cytoplasm of an egg. This technique is used in order to prepare the gametes for the obtention of embryos that may be transferred to a maternal uterus.
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In some cases, in vitro fertilization (IVF) is used in which induced ovarian follicle stimulation is followed by extraction of oocytes from the ovaries. The oocytes are then fertilized in vitro by sperm using Intracytoplasmic sperm injection (ICSI) and the fertilized eggs are re-introduced into the uterus in a procedure called embryo transfer. [2]
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