Test tube baby is the most advanced form of treatment for infertile couples. This treatment is suitable for all types of infertility, but is most recommended to women with blocked tubes and men with poor semen quality. Test tube baby treatment is considered In line with the Islamic teaching. It should not be considered as a last treatment and should not be left for the advanced age. It has best results if performed on women under 35 years of age, but the treatment can be performed after 40 years of age with good success rates. The young couples with no detectable cause have the highest results.
The treatment cycle is completed in 2 months. It is started on day 2 of the menstruation when multiple tests are done on the wife. Husband’s attendance at clinic in not compulsory at this visit, if semen analysis is already known On day 21 of this menstrual cycle the wife is given an injection. From day 2 of the next menstruation the wife is given daily injection for next 10-14 days. During this time she visits the clinic every 3 days for ultrasound. Once the desired number and size of eggs is achieved the wife is given 2 injections for maturation of eggs. Next day both husband and wife are called to clinic together.
For husband living away or abroad it is important to understand that this is the only day when husband is required at clinic in this treatment. The husband gives his semen. The wife is taken to Operation Theater and given general anaesthesia. The eggs are removed from the ovary with the help of a needle and placed in the incubator. The couple is allowed to go home after 2 hours. In the lab, the sperms and eggs are then mixed for fertilization. This is done by 2 methods.
In-vitro fertilization (IVF)
In this method the eggs and sperms are placed in close proximity in a dish and are observed for next 48 hours for spontaneous fertilization.
Intra – cytoplasmic sperm injection (ICSI)
In this method an eggs in held with a tube and sperm is aspirated in a needle. The sperm is then injected into the egg. This method is highly technical and has a high fertilization rate.
Three days after egg collection the wife is called to clinic again and the fertilized egg is placed in her uterus through a special catheter. This means that in test tube baby treatment the pregnancy grows for first 3 days in lab and for the rest of nine months it grows in wife’s uterus like normal pregnancy. Only the start of pregnancy is facilitated in test tube baby treatment.