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In Vivo Fertilization: Meaning, Process, and How It Differs from In Vitro Fertilization

Last updated: December 01, 2025

Overview

In vivo fertilization is the most basic biological process where fertilisation occurs between sperm and egg inside the female body. Its existence is the result of natural conception, and it is different from that of in vitro fertilisation, in which fertilisation takes place outside the body in a laboratory. This article talks about the concept of in vivo fertilisation, how the process takes place, facilitated in vivo approaches, and the difference between in vitro and in vivo fertilisation.

What is In Vivo Fertilisation?

In vivo fertilisation is basically natural conception where the sperm meets an egg inside the body. When someone asks what in vivo fertilisation is, the simplest answer one can give is natural conception. The fertilisation happens internally and without medical intervention.

In vivo fertilisation is a part of the future assisted fertility techniques, where some stages of fertilisation or embryo development take place in the woman’s body. Nevertheless, conception through natural in vivo fertilisation is still the predominant biologically normal way of reproduction.

How Does In Vivo Fertilisation Occur Naturally?

Natural in vivo fertilisation follows a well-coordinated biological sequence. Here is how the process happens step by step:

  • Ovulation:

    Each month, a woman’s ovary releases a mature egg. This egg journeys to the fallopian tube, where it stays for about 12–24 hours.

  • Sperm Movement:

    During sexual intercourse, millions of sperm are ejaculated. Just a few of these sperm manage to enter the cervix, uterus, and finally the fallopian tubes.

  • Fertilisation Inside the Body:

    When sperm find their way to the fallopian tube and are still lucky enough for the egg to be alive, one sperm penetrates the egg. What follows is fertilisation, the moment of which takes place naturally in the woman’s body.

  • Embryo Development:

    Next, the fertilised egg - the embryo - is getting its cells divided while it is on its way to the uterus.

  • Implantation:

    After 5–6 days, the embryo attaches itself to the uterine lining; thus, the very first stage of pregnancy is marked.

This entire sequence defines natural in vivo fertilisation, which is entirely dependent on the body’s hormonal balance and reproductive health.

Assisted In Vivo Fertilisation Techniques

Although such techniques are less frequently used than IVF, assisted in vivo methods are attracting more attention. These methods can allow fertilisation and early embryo growth to occur in the woman’s body.

Some examples include:

  • INVOcell Device:

    A tiny medical device that contains eggs and sperm and is inserted into the vagina for fertilisation and early embryo development prior to the transfer to the uterus.

  • Intracervical Insemination (ICI):

    Intracervical insemination (ICI) is a form of artificial insemination, wherein sperm is inserted near or at the cervical opening rather than the uterus. ICI is the closest artificial insemination technique to the natural insemination process.

  • Intrauterine Insemination (IUI):

    Sperm is introduced straight into the uterus; however, fertilisation is still done naturally in the fallopian tubes.

These methods of assisted in vivo fertilisation are more natural than the ones used in vitro, although couples with severe infertility may not be able to use them.

Difference Between In Vivo and In Vitro Fertilisation

The main difference between in vitro and in vivo fertilisation is mainly dependent on the location of the fertilisation of the egg. The following table provides a summary of the main differences:

Features In Vivo Fertilisation In Vitro Fertilisation (IVF)
Fertilisation Site Fertilisation of eggs takes place inside the body Fertilisation of eggs takes place outside the body
Level of Intervention Minimal or no medical procedures High medical involvement
Suitable For Couples with healthy fertility Couples facing various infertility issues
Control Over Process Limited control Highly controlled conditions
Common Methods Natural conception, IUI, INVOcell IVF, ICSI

Both processes aim to achieve pregnancy, but the difference between in vitro and in vivo fertilisation lies in how and where fertilisation takes place.

Advantages and Limitations of In Vivo Fertilisation

Advantages

  • It is in accordance with the body’s natural fertilisation process.
  • Medical intervention is minimal or not needed at all.
  • It does not involve laboratory fertilisation steps.
  • The cost of it is typically lower than that of IVF.
  • Many couples desiring a natural way of conceiving get emotional support from it.

Limitations

  • It is not a method of choice for fallopian tube occlusion.
  • Such a procedure has a very low male-factor infertility success rate level.
  • Women with major reproductive conditions cannot use this method.
  • The medical control over fertilisation is limited.
  • Age-related fertility decline has a strong effect on the method.

For many couples with infertility, IVF is preferred due to its higher success rates and precision.

In Vivo Fertilisation vs. IVF: Which is Better for You?

The choice to either use in vivo fertilisation or in vitro fertilisation depends on the analysis of the health state, age, fertility profile, and medical history of the couple. The fertilisation process in vivo depends on the natural body process; therefore, it can only be used for couples who have no fertility problems. Consequently, IVF offers greater control to people who struggle to conceive - they are able to track the development of the embryos, pick the healthiest ones, and, as a consequence, the success rates will be increased.

In vitro fertilisation is also helpful in assisting couples who have issues like the blockage of tubes, low sperm count, hormonal imbalance, or where infertility is unexplained. And because each couple has its own medical profile, the choice between in vivo and in vitro methods should not be a matter of guessing.

A fertility expert can help determine the most suitable option after evaluating reproductive health, tests, and overall medical needs. Getting advice early from a specialist makes the process of deciding easier and leads to better pregnancy outcomes.

Conclusion

In vivo fertilisation is a natural biological process where fertilisation occurs inside the body, while IVF takes place in a laboratory. The distinction between in vitro and in vivo fertilisation allows a couple to make the correct choice regarding their fertility pathways. In case you need a personal evaluation or guidance from any professional, the specialists of Indira IVF are easily accessible to direct you to the right fertility way.

Common Questions Asked

What is in vivo fertilisation in humans?

 

In vivo fertilisation is a natural conception, meaning that the egg and sperm meet and fuse in the woman's reproductive system, which is typically the fallopian tube

How is in vivo fertilisation different from IVF?

 

In vivo is a process that happens naturally inside the body, whereas IVF fertilises eggs in a lab, and then the embryos are transferred to the uterus for pregnancy.

Is in vivo fertilisation possible for infertile couples?

 

In vivo fertilisation may only work for couples who do not have significant infertility problems, while couples with medical infertility will generally be prescribed treatments like IVF.

What are examples of in vivo fertilisation?

 

What are examples of in vivo fertilisation? Natural conception, intrauterine insemination (IUI), and INVOcell-assisted fertilisation are examples of processes where fertilisation still takes place in the woman's body.

Which is more successful - in vivo or in vitro?

 

Which is more successful - in vivo or in vitro? In vitro fertilisation tends to be more successful because it offers a controlled fertilisation and embryo development environment, thus making it applicable to a broad spectrum of infertility problems.

Does in vivo fertilisation require medical intervention?

 

Natural in vivo fertilisation does not necessitate any kind of intervention, while assisted technologies like IUI or INVOcell do require the services of a medical professional, even though the fertilisation process occurs internally.

**Disclaimer: The information provided here serves as a general guide and does not constitute medical advice. We strongly advise consulting a certified fertility expert for professional assessment and personalized treatment recommendations.
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