Managing IVF Pregnancy
In vitro fertilisation (IVF) is a set of treatments used to aid in the creation of a child or to help with fertility, or to prevent genetic abnormalities. In IVF, mature eggs are extracted (retrieved) from the ovaries and fertilised in a laboratory with sperm. The fertilised egg (embryo) or eggs (embryos) are then transported to a uterus for further development. IVF takes roughly three weeks to complete. The procedure might take longer when these processes are broken down into smaller chunks.
The most successful assisted reproductive technology is in vitro fertilisation (IVF). A couple's eggs and sperm can be used in the operation. Eggs, sperm, or embryos from a known or anonymous donor may be used in IVF. In some instances, a gestational carrier, or someone with an embryo implanted in their uterus, may be employed. Many factors, like age and the reason for infertility, influence your odds of having a healthy baby with IVF. Furthermore, IVF can be time-consuming, costly, and intrusive. IVF can result in a pregnancy with multiple fetuses if more than one embryo is transplanted to the uterus (multiple Pregnancy).
Risks of IVF include:
There have been several births. If more than one embryo is transplanted into your uterus through IVF, you will likely have several children. Pregnancy with multiple fetuses increases the risk of early labour and low birth weight compared to a single-fetus pregnancy. Premature birth and low birth weight are two of the most common complications. According to research, IVF modestly increases the likelihood of a baby being born prematurely or with low birth weight. Ovarian hyperstimulation syndrome is a condition in which the ovaries are overstimulated. Using injectable fertility medicines to promote ovulation, such as human chorionic gonadotropin (HCG), can result in ovarian hyperstimulation syndrome, which causes enlarged and painful ovaries.
Miscarriage. Miscarriage rates for women who conceive through IVF with fresh embryos are similar to those who conceive spontaneously, ranging from 15% to 25%. However, the incidence rises with maternal age.
Complications of the egg retrieval process When collecting eggs using an aspirating needle, there is a risk of bleeding, infection, or injury to the intestine, bladder, or blood vessel. Sedation and general anaesthesia, if administered, are also associated with risks. Before beginning a cycle of IVF using your eggs and sperm, you and your partner will likely need various screenings, including: Ovarian reserve testing is a procedure that involves examining the ovarian reserve. During the first few days of your menstrual cycle, your doctor may test the concentrations of follicle-stimulating hormone (FSH), estradiol (oestrogen), and anti-mullerian hormone in your blood to evaluate the amount and quality of your eggs. When combined with an ultrasound of your ovaries, the findings of your tests can help you forecast how your ovaries will react to fertility drugs.
Analysis of sperm. A semen analysis would be performed shortly before the commencement of an IVF treatment cycle if it was not done as part of your first fertility evaluation.
Screening for infectious diseases. Infectious illnesses, including HIV, will be checked for you and your companion.
Before beginning a cycle of IVF, consider important questions, including
What is the estimated number of embryos that will be transferred? The patient's age usually determines the number of embryos transplanted and the quantity of eggs recovered. Because older women have a reduced chance of implantation, more embryos are generally transplanted unless they utilise donated eggs or genetically screened embryos.
What are your plans for any surplus embryos?
Extra embryos can be frozen and kept for several years for future use. Although most embryos will survive the freezing and thawing, some will not.
Before your eggs are ready for retrieval, you'll require one to two weeks of ovarian stimulation. You may need to do the following to figure out when the eggs are ready to be collected:
Vaginal ultrasound is an imaging examination of your ovaries to track the growth of follicles, which are fluid-filled ovarian sacs where eggs mature.
Blood testing to see how well you're responding to ovarian stimulation drugs. As follicles form, oestrogen levels rise, but progesterone levels fall until after ovulation.
Fertilisation can be attempted using two common methods:
Insemination in the traditional sense. Healthy sperm and mature eggs are combined and incubated overnight during traditional insemination. Injection of sperm into the cytoplasm (ICSI). ICSI involves injecting a single healthy sperm straight into each maturing egg. When the quality or quantity of sperm is a concern, or fertilisation efforts during previous IVF cycles have failed, ICSI is frequently performed. The chances of giving birth to a healthy baby after using IVF depend on various factors, including:
Age of the mother.
If you're younger, you're more likely to get pregnant and give birth to a healthy kid using your eggs via IVF. For a successful result, women over 41 are frequently advised to consider utilising donor eggs during IVF.
Embryos that are more developed are related to more excellent pregnancy rates than less developed embryos (day two or three). Not all embryos, however, make it through the development process. Discuss your unique circumstances with your doctor or other health care professional.
Women who have previously given birth have a higher chance of conceiving via IVF than women who have never given birth. Women who have tried IVF several times yet failed to conceive have lower success rates.
Managing IVF Pregnancy can be a cakewalk if you're placing your care in the right hands. In order to do that, make an appointment at Ovum Hospitals, Hoskote & Banashankari Centre, they are one of the most recommended IVF centres in Bangalore.