IVF & Assisted Reproduction

IVF is not one treatment but a sequence of them, and most of the worry comes from not knowing which step you are on. This section explains the whole programme — from the first scan to the day of transfer — in the order you will actually meet it.

An embryologist at a microscope in the IVF laboratory

What this covers

Everything the laboratory can do, and when each technique is worth doing. IVF and ICSI, the ways sperm and eggs are selected and stored, genetic testing before transfer, and what happens when a cycle does not work.

Every topic

52 guides on IVF and assisted reproduction

Written and reviewed over four and a half decades. Nothing here is a summary of somewhere else — these are Dr. Layyous’s own articles.

IVF — common questions

How long does one IVF cycle take?

From the start of stimulation to the pregnancy test is usually four to six weeks. Preparation and tests beforehand may add several weeks, and Dr. Layyous will map the dates out with you at the first consultation.

Is IVF painful?

Most of the process is injections and scans rather than surgery. Egg collection is done under sedation, and discomfort afterwards is usually mild and short-lived. Tell the team if anything feels worse than expected.

What is the difference between IVF and ICSI?

In IVF, eggs and sperm are placed together and fertilisation happens on its own. In ICSI, a single sperm is injected directly into each egg. ICSI is usually chosen where sperm numbers or movement are low, or where a previous cycle fertilised poorly.

How many embryos will be transferred?

That depends on your age, embryo quality and history. Transferring fewer embryos lowers the chance of a twin pregnancy, which carries higher risks for mother and babies. It is a decision made together, not a fixed rule.

Do I need bed rest after embryo transfer?

No. The evidence does not support it, and lying still for days does not improve the chance of implantation. Normal daily activity is fine — the clinic will tell you the few things worth avoiding.

What happens if a cycle does not work?

A failed cycle is information. The response to stimulation, the fertilisation rate and the embryo quality all point towards what to change next time — a different protocol, further testing, or a different technique.

Have a question about IVF and assisted reproduction?

Message Dr. Layyous directly. Most questions are quicker to answer than to worry about.

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