When you\u2019re having trouble conceiving, it can be difficult to sort through the treatments available to you. Add the emotional stress fertility issues bring and you may not be getting all the information you need, especially when it comes to in vitro fertilization (IVF).\nTo find out if IVF is right for you, talk to your doctor or contact us at Magee-Womens Hospital of UPMC.\nYour first step should be to ask your doctor if IVF is a good choice for you and your partner.\nWomen who have difficulty conceiving naturally, including infertile couples, women wanting to get pregnant independently, and LGBT couples, can use IVF. Women who are not ready to conceive can also consider freezing their eggs for future use through IVF.\nRead on to find out more about what to expect from this treatment.\n\n\n\n\nHow IVF Can Help\nIn vitro fertilization involves fertilizing an egg outside a woman\u2019s body and then implanting the embryo in the woman\u2019s uterus. A few of the reasons women or their partners might experience infertility can include:\n\nSperm issues. If a man has a low sperm count or slow-swimming sperm (low motility), it\u2019s difficult for the sperm to reach and fertilize an egg.\nBlocked fallopian tube. For a woman, the issue may involve one or both of the fallopian tubes, the tunnels connecting the ovaries and the uterus. If the fallopian tube is blocked, sperm can\u2019t reach the egg.\nEndometriosis. This is a condition where uterine tissue grows outside the uterus. For a variety of reasons, endometriosis can cause fertility problems.\nOvulation problems. If a woman isn\u2019t ovulating regularly (or at all), it\u2019s difficult to get pregnant.\nEgg quality. Sometimes a woman\u2019s eggs do not fertilize well. In such cases, donor eggs are an option.\n\nWho Is a Good Candidate for IVF?\nDoctors typically recommend that couples try to conceive naturally for six months before considering IVF.\nIVF is also a good option for a person or couple who need to use donor eggs or sperm to conceive. Success rates per IVF cycle are correlated to a woman\u2019s age. A woman age 35 or younger has a 35 to 50 percent success rate per cycle; a woman who is 40 or older has about a 10 percent chance of success.\nHow Does In Vitro Fertilization Work?\nThe IVF process\nIVF follows a woman\u2019s menstrual cycle. If your doctor determines that you\u2019re a good candidate for IVF, here\u2019s what you can expect:\n\nOvarian stimulation\nBefore or at the beginning of each IVF cycle, you\u2019ll start receiving injections of hormones to coax your ovaries into producing additional mature eggs and to keep your body\u2019s ovulation schedule on track. At the beginning of your menstrual cycle, you\u2019ll get blood work done, along with a baseline ultrasound. You\u2019ll continue getting blood work and ultrasounds done so your doctor can monitor your developing follicles (fluid sacs that hold the eggs in your ovary) as well as egg maturity. When your doctor verifies that you have several mature follicles, you\u2019ll be given a different hormone to help the eggs mature.\nEgg retrieval\nA day or so after the follicles are deemed mature, your doctor will remove eggs from your ovaries with the help of an ultrasound and needle inserted through your vagina. The procedure takes less than a half hour and is done under conscious sedation, which means you\u2019ll be awake but won\u2019t feel anything.\nFertilization\nYour doctor will then determine if your eggs are mature. If they are, your harvested eggs and your partner or donor\u2019s semen will be combined, allowing the sperm to fertilize the eggs. If your partner\u2019s sperm is low motility, your doctor will inject the sperm directly into the eggs for a better chance at fertilization.\nEmbryo transfer\nThe last stage of this cycle is the transfer. Once your doctor determines which eggs \u2014 now called embryos \u2014 were successfully fertilized and which look healthiest, you\u2019ll return to the office for implantation. Your doctor uses an ultrasound to guide a catheter (a small, thin tube) into your uterus to place the embryos. The process doesn\u2019t usually require anesthesia.\nProgesterone\nAfter the transfer, you\u2019ll be given a hormone called progesterone daily for the best chances of maintaining pregnancy at this early stage. About two weeks after the embryo transfer, you\u2019ll get a pregnancy test. If it\u2019s positive, you\u2019ll continue the progesterone. A week or two later you\u2019ll have an ultrasound. If the IVF procedure has been successful, your pregnancy will be monitored. If it\u2019s unsuccessful, the process starts over.\n\nIVF offers couples who want to have a baby naturally the opportunity to do so. The process and technology behind IVF is well tested and has resulted in many healthy babies. To find out if IVF is right for you and to learn more about the procedure, talk to your doctor or contact Magee-Womens Hospital of UPMC.