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In Vitro Fertilization (IVF)

Medically reviewed by Norbert Gleicher, MD, FACOG, FACS - Written by CHR Staff - Updated on Nov 15, 2014

How IVF Works

The first step is to determine whether IVF is appropriate for a patient, and if so, what protocol should be used, and whether special adjustments may be needed to address the patient's clinical circumstances. This is accomplished through some initial testing to determine the cause(s) of infertility. This diagnostic testing stage may include:

  • hormone tests such as AMH and FSH;
  • an evaluation of the uterine cavity and fallopian tubes, with HSN or HSG; and
  • semen analysis.

At CHR, the initial testing is taken very seriously; to us, it only makes sense to identify the problems before trying to tackle them. As a "fertility center of last resort," we see patients daily with a long history of failed IVF cycles at other centers. It is astonishing how many of these patients have infertility causes and/or related medical conditions affecting their fertility potential that were not identified, thus not addressed during the course of their previous IVF attempts.

Once the causes of infertility are identified and IVF is chosen as the plan of action, the basic flow of treatment is similar for most patients, although some patients do require additional interventions or adjustments.

Typical Steps of an IVF Cycle

Norbert Gleicher, MD, FACOG, FACS

Norbert Gleicher, MD, FACOG, FACS

Norbert Gleicher, MD, leads CHR’s clinical and research efforts as Medical Director and Chief Scientist. A world-renowned specialist in reproductive endocrinology, Dr. Gleicher has published hundreds of peer-reviewed papers and lectured globally while keeping an active clinical career focused on ovarian aging, immunological issues and other difficult cases of infertility.