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In this article, we're going to describe how in vitro fertilisation works. Let's first begin by recapping the female menstrual cycle. Here is the brain and two important parts of the brain involved in the menstrual cycle is the hypothalamus and the pituitary gland.

Due to Covid, Medline Academics, which runs the top courses for gynaecologists in the country - teaching and training programme came to a standstill. But without loss of time, we got motivated to see that one of the PAN India universities is willing to associate with us. The hybrid IVF Fellowship Traininr in India is for 12 months. Here we will be giving 120 hours of clinical postings in addition to the 5 days simulation training, exposing them with the different faculty members. Now coming to live classes, it will be conducted twice in a week and will cover the topics from basic to advanced topics in ART. During the practical training session, they can meet their faculty in person.

For students pursuing the Best IVF Fellowship in India, understanding controlled ovarian stimulation is fundamental to mastering the IVF process. The first step is controlled ovarian stimulation and this is using gonadotropin releasing hormone agonists or gonadotropin releasing hormone antagonists plus gonadotropins such as follicle stimulating hormone and then finally human chorionic gonadotropin or HCG. These three injections are used in the first step of in vitro fertilisation and their role is to essentially stimulate follicle development. So here is the hypothalamus and the pituitary gland again and here is the ovary again containing many follicles ready to develop. Normally as we have learned the hypothalamus produces gonadotropin releasing hormone at day one of the menstrual cycle. Gonadotropin releasing hormone stimulates the release of follicle stimulating hormone from the pituitary gland. Follicle stimulating hormone will travel to the ovary to stimulate follicle development.

Controlled ovarian stimulation using gonadotropin releasing hormone agonists begin at day 20 of the previous menstrual cycle the time when the corpus luteum is slowly degenerating and gonadotropin releasing hormone agonists is continued until day 10 of the new menstrual cycle. Gonadotropin releasing hormone agonists prevent spontaneous follicle rupture due to luteinizing hormone surge and promotes follicle development. At day one of the menstrual cycle gonadotropins are introduced.

Gonadotropins are there to stimulate follicular development. When ultrasound monitoring indicates that the eggs are mature human chorionic gonadotropin is injected to induce final follicle maturation and development and subsequently ovulation. This is about day 10 of the menstrual cycle.

Gonadotropin releasing hormone agonists stimulates gonadotropin releasing hormone activity. Gonadotropins mimic follicle stimulating hormone stimulating follicle development and human chorionic gonadotropin stimulates the final follicle development. Another initial drug that can be used for controlled ovarian stimulation is gonadotropin releasing hormone antagonists. Again the hypothalamus produces gonadotropin releasing hormone which stimulates the pituitary to release follicle stimulating hormone. Follicle stimulating hormone stimulates the development of some follicles from the ovaries. In this method at day one you start gonadotropins to stimulate follicular development. The careful and correct application of Gonadotrophin Releasing Hormone Agonists and Antagonists along with the use of Gonadotrophins and Human Chorionic Gonadotrophins is important to achieve a positive ovarian response. At Dr Kamini Rao Hospitals the doctors individually tailor the stimulation protocol depending on the age of the patient, ovarian reserve, hormonal profile and history of past treatments so that a higher number of follicles may be harvested while lowering risks associated with the treatment. Dr Kamini Rao Hospitals is an establishment known for its evidence-based fertility treatment and IVF Treatment in Bangalore.