IVF/ICSI

 IVF/ICSI

What is IVF? 

In vitro fertilisation (IVF) is one of the most well-known forms of assisted reproductive technology, and for good reason. One in 18 babies born in Australia has been conceived through IVF. Since the first IVF baby in 1978, researchers estimate that IVF has helped create around 10 million babies worldwide. 

IVF involves taking an egg from the female partner and combining it with sperm from the male partner in a laboratory dish containing a special solution. This approach allows us to side-step a huge number of fertility problems found in both men and women.

How does IVF work?

In order to combine the eggs with sperm, we need to collect these cells from you and your partner.

Ovarian stimulation

For women, the first step involves taking hormone injections for ovarian stimulation. This encourages your ovaries to mature and release multiple eggs instead of the typical one per month. Your progress is monitored through frequent ultrasound scans and blood tests so we know when to time your egg collection.

Egg retrieval

The egg retrieval is a day procedure, under either local or general anaesthesia, where we use a fine needle to retrieve the eggs directly from your ovaries. You can expect to return home on the same day.

Sperm collection

For men, sperm collection is much more straightforward. You’ll be given a private room at the Genea facilities where you can produce your semen sample via masturbation. If you are unable to produce the semen sample for any reason, your fertility doctor can perform a minor procedure known as testicular sperm aspiration, which extracts the sperm from your testicles using a fine needle.

Fertilisation and incubation

The eggs and sperm are then mixed in a dish to allow fertilisation. This is when a sperm cell unites and fuses with an egg cell. From here, an embryo develops, nourished by Genea’s exclusive culture media, GemsⓇ, and housed in the controlled environment of the Genea GeriⓇ time-lapse incubator. If you have opted for preimplantation genetic testing (PGT), a few cells are biopsied from any suitable embryos and used for testing. This can identify a number of genetic abnormalities that may cause problems with the pregnancy or in your child.

Embryo transfer and pregnancy testing

Once we have identified the healthiest embryos, you, as the female partner, will undergo the embryo transfer procedure. This involves using a long, thin catheter via the cervix to place the embryo in your uterus. Any embryos that weren’t needed for the transfer but may be suitable for future use can be frozen. Two weeks later, you’ll have a pregnancy blood test.

How is ICSI different from IVF?

ICSI follows the same steps as IVF but replaces the fertilisation step with intracytoplasmic sperm injection. Instead of leaving the egg and sperm in the dish to combine on their own, the embryologist injects a single sperm cell directly into each egg. Our fertility experts may recommend ICSI if your fertility problems are caused by sperm issues that prevent them from penetrating and fusing with the egg on their own. 

Who should consider IVF/ICSI? 

After your initial consultation and investigations with one of our IVF specialists, we will have a clearer idea of whether IVF with or without ICSI will be suitable for you. 

IVF- and ICSI-assisted conception has helped millions of couples:

  • With unexplained infertility
  • Affected by female fertility factors, including blocked fallopian tubes, ovulation disorders, endometriosis, or premature ovarian insufficiency 
  • Affected by male fertility factors, including very low sperm count, poor motility (movement), or abnormal morphology (size and shape)

IVF may also be used to build the families of solo parents using donor eggs or sperm. 

Some couples or individuals may have a reasonable chance of successful conception through an alternative to IVF known as intrauterine insemination (IUI). IUI offers a less costly and less invasive approach to assisted reproduction.


More about IUI →

Frequently Asked Questions

Your out-of-pocket costs for IVF will depend on your private health insurance coverage and whether you meet the eligibility criteria for Medicare contributions. If you choose to have PGT or to freeze and store any extra embryos, this will also attract additional fees. You can learn about Genea’s current treatment fees here.

IVF is not considered a risky treatment, but as with any medical procedure, there is the potential for complications or side effects. Some women may experience abdominal cramping, bloating, headaches, or moodiness from the hormone medications involved in ovulation stimulation. There is also a low risk of ovarian hyperstimulation syndrome, which is an exaggerated response to the hormone medications. While this typically resolves on its own, severe cases can cause potentially life-threatening complications. Surgical risks of egg collection include the chance of bleeding or infection, though these occurrences are rare.

PGT is entirely optional but can give you much-needed peace of mind. If you have a known personal or family history of an inheritable disease, the PGT results can help you avoid transferring an embryo carrying the genes for this condition. It is also useful for patients who have experienced recurrent miscarriage or failed IVF cycles to potentially improve the chances of a successful subsequent pregnancy.

IVF and ICSI with Central West Fertility Specialists

Central West Fertility Specialists is a fertility clinic conveniently located in the heart of Orange, NSW. We are proud to be partnered with Genea Fertility, an Australia-wide fertility network known for their innovation and pioneering approach to fertility treatment, including IVF and ICSI. With IVF success rates consistently above the national average, you can be confident your treatment is supported by the technology and team needed to give you the best possible chance of growing your family. Genea Fertility has a full-service laboratory located in Orange so you don’t need to travel to Sydney for your procedures.

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