Planned IVF Treatment: Navigating the Stimulation Phase

Embarking on a journey with one of the best IVF treatment centres in Delhi, NCR, and Gurugram requires a clear understanding of the clinical steps involved. Successful IVF is a result of meticulous planning, starting from the very first days of your menstrual cycle.

1. The Foundation: Ovarian Stimulation

Ovarian stimulation is initiated on the 2nd or 3rd day of the menstrual cycle. Before starting, we perform baseline ultrasonography and biochemical tests to ensure the body is in the optimal state for down-regulation. The ideal baseline includes:

• Thin Endometrium: Measuring between 2–4 mm.
• Follicle Size: No follicles should be larger than 9 mm (ideal range is 2–9 mm).
• Hormone Levels: Serum E2 should be <25 pg/ml and LH should be <4–5 IU/L.

2. Stimulating Multiple Follicles

Unlike a natural cycle where only one dominant follicle is produced, IVF requires multiple enlarging follicles. To achieve this, Gonadotrophins (225 IU to 300 IU) are administered intramuscularly for 6–7 days. Follicular growth is then monitored every alternate day starting from Day 7.

3. The Trigger: Predicting Ovulation

By combining sonographic observation (Days 7–10) with serum estradiol hormone levels, we can accurately predict the time of ovulation. The “Trigger” injection (HCG, recombinant HCG, or GnRH agonists) is given when:

4. The Critical Window: Oocyte Retrieval

Timing oocyte retrieval is the most critical stage of the IVF cycle. Careful planning permits the optimal retrieval of mature eggs. If aspiration is done too early, the oocytes will be immature and fail to fertilize. If done too late, the eggs may be spontaneously released and lost in the peritoneal cavity.

Why Choose Talwar Fertility?

At Talwar Fertility & Child Health Centre, we specialize in personalized stimulation protocols. By closely monitoring hormone levels and follicular diameter, we ensure that every patient receives the precise timing required for a successful pregnancy outcome.