Saturday, October 23, 2021

IVF from a to z

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IVF from a to z

What does infertility mean?

After 1 year, a couple (if the age of the woman is under 35) despite regular unprotected sexual intercourse, It is the case of not being able to conceive at the end of 6 months (if between 35 and 38), or at the end of 3 months if it is over 38. Around 15% of couples all over the world have to resort to assisted reproductive techniques due to infertility.

When should a doctor be consulted?

In general, spouses have no It is recommended that they consult a doctor if they cannot become pregnant for 1 year despite having regular sexual intercourse without applying a contraceptive method. However, in case of frequent or infrequent menstruation, a history of three or more miscarriages, previous pelvic infection, small testicles in men and advanced age of women, it is necessary to consult a doctor without waiting one year.

In IVF application. Does the age of the woman affect the success?

The ideal reproductive age for women is between 18-25. However, in modern societies, the age at marriage and, accordingly, the gestational age are gradually delayed. Today, especially with the increase of women taking an active role in business life, it is possible to delay their fertility.

In parallel with the developments in medicine, the developments in pregnancy follow-up have also become encouraging advanced age pregnancies. The fact that many couples who have been treated for infertility for many years and cannot have children want to benefit from the successes achieved in infertility treatments also play an important role in this increase. This situation brings with it some medical problems. Women who want to become a mother at an advanced age but cannot become a mother by normal means, Pregnancy rate in in vitro fertilization also decreases due to the decrease in the number of eggs after the average age of 35 or the deterioration of the quality of the eggs. For this reason, women are recommended to delay early marriage and pregnancy.

What is the success of IVF treatment?

Although pregnancy rates vary from center to center and according to the characteristics of the couple, worldwide The accepted pregnancy rate is 40-80% and the baby-take-home rate is around 10-50%. The remaining 10% group cannot have children today despite all the possibilities of modern medicine. The success rate of IVF treatment is higher in young couples who have not had a previous failed IVF attempt.

A second attempt can be made when the financial situation and psychological factors are appropriate. There is no need to try again if there is no sperm in a man and an egg in a woman, on the other hand, it may not be right to set an upper limit for people who can create quality embryos and do not have a serious uterine problem.

What are the factors that negatively affect the success of IVF treatment?

Age of the couples, severe damage to the sperms, adhesions that will prevent the embryos from adhering in the uterus, such as fibroids or polyps. Problems, water-filled tubes, and endometrioma (chocolate cyst) affect the success of IVF negatively.

Is IVF the only treatment method for infertile couples?

With a detailed examination, the source of the problem should be clarified, the need for treatment should be determined, and the couple’s e-mail The treatment method that will enable them to achieve pregnancy in the easiest way should be determined and presented to the couple.

The response to the treatment varies from person to person, and different responses can be obtained in each IVF trial.

How is IVF performed?

More than one egg from the mother-to-be with the drug treatment given is taken. Sperm taken from the father-to-be are separated in a special way in the laboratory. Together with each egg, it is put in the same container with 50,000-100,000 sperm. This number can be increased in cases where sperm parameters are defective. A sperm enters the egg on its own and fertilization is expected to occur. Fertilized egg cells divide to develop the embryo. Embryos are checked every day and they are allowed to grow under laboratory conditions for 2-3 days.

Who is IVF treatment applied to?

Classical in vitro fertilization (IVF) treatment is generally It is a preferred form of treatment for expectant mothers who cannot become pregnant due to obstruction in their tubes. It is also applied in cases where the damage in the number, movement and shape detected in the sperm analysis of the father-to-be is moderate.

What is the difference between Microinjection (ICSI-Intra Citoplasmic Sperm Injection) and IVF treatment?? >

In the in vitro fertilization method, sperm and eggs taken out of the body are brought together in a special environment in the laboratory and fertilization is expected to occur spontaneously.

From the developing embryos, those suitable for transfer are selected.

How long does the treatment take?

About 15-18 days from the beginning of the treatment to the embryo transfer, until the day of the pregnancy test It takes about 30 days.

What are the stages of microinjection treatment?

Development of follicles
Collection of eggs OPU ( Oocyte Pick )
Laboratory procedures
Embryo transfer ( ET )
Beta hcg ( blood pregnancy test )

Who is microinjection treatment applied to?

Microinjection is usually applied in severe male infertility. It is preferred in the treatment of men who have sperm in their testicles, although the sperm count is very low in the man or there is no sperm in his semen. It can be applied in cases where the age of the mother-to-be is more than 38 and the father-to-be has no problems, as well as in cases where one or more of the reasons that will lead to infertility exist in both mother and father candidates.

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