Consequences of IVF for a woman. ECO stages and procedures
A great many pairs have been used in assisting reproductive technologies in recent years. Each patient has her own testimony for carrying out certain procedures. Every tenth woman experiencing problems with conception needs IVF.About this manipulation will tell you today's article. You will find out what the consequences of IVF may be, and also you can get acquainted with the stages of its implementation.
In Vitro Fertilization
What is this procedure? In vitro fertilization is a manipulation that involves conception outside the female body. The probability of pregnancy is about 60 percent. Not all couples get a positive result on the first try. Some families are forced several times to resort to the procedure of in vitro fertilization.
The procedure is carried out in different ways. The condition of the patient and her individual characteristics are always taken into account. The procedure for a man is practically irrelevant. But if the quality of his sperm leaves much to be desired, then here also individual manipulations are applied. In vitro fertilization is assigned to couples who are not able to conceive a child naturally. The list of main indications includes: absence of fallopian tubes or ovaries, poor quality of partner's sperm, not amenable to correction. Protocols conducted with IVF can be long and short, with minimal hormonal correction, ultrashort or hyperlength. But most often the first two are used. More about them and what effects of IVF can occur, find out later. Do not forget that the organism of each patient is individual.
Nearest and long-term negative consequences of ECO
It would seem that it can happen bad during the protocol of in vitro fertilization? !But even if during the stimulation and after it you did not have any difficulties, they can meet in the future. All the consequences of IVF can be divided into immediate and remote.
The first include sudden negative situations or complications arising during stimulation or immediately after cell transfer. The most common circumstance is the OSS - Ovarian hyperstimulation syndrome. Also during this period, complications such as allergies, intolerance to one or another drug, side effects, inflammation may occur. Often, the immediate consequences of IVF are abdominal pain, fluid formation in the anterior space, stools, nausea and vomiting, liver dysfunction caused by the use of a large number of medicines. During a puncture, a woman may have a bleeding, which is also not a very pleasant circumstance.
On the long-term consequences of the doctors are still hot arguments. It is known that the procedure of IVF is quite new, it is shrouded in a lot of myths. It is believed that this manipulation causes an intensive growth of tumor neoplasms. Especially dangerous if their nature of origin is malignant. Manipulation may in the future cause headaches in women, the procedure reduces the ovarian reserve. Any modern center of IVF pre-examines a woman, studies the risk of unpleasant situations.
Ovarian hyperstimulation syndrome - a frequent complication of
What consequences after IVF you can have, you already know. It is worth highlighting OSS - a syndrome of ovarian hyperstimulation. What is dangerous and always appears?
OCG is a condition caused by hormonal interference in the patient's body. At one stage of IVF, a woman is forced to take medicines that stimulate the growth of follicles. Doctors need to take not one or two eggs - more is needed for success. Often physicians receive from the ovaries of a woman with 10-20 follicles. In this case, the glands in the natural cycle are not able to work out so much. Against the background of preparations, the ovaries increase in size, they become overgrown with a multitude of follicular cysts. Symptoms of this condition are usually the following: pain in the lower abdomen, an increase in the size of the sexual glands, fluid accumulation in the abdomen, thickening of the blood. Therapy is necessary for all patients with this problem.
The scale of the negative consequences can be very different. More often doctors resort to outpatient treatment, but the possibility of hospitalization is not ruled out. The syndrome of hyperstimulation of the ovaries is dangerous because the resulting cysts can be twisted and burst. This is fraught with acute pain and internal bleeding, requiring surgical intervention. Consequences of OHSS that doctors fear may be: thromboembolism, respiratory, cardiac or renal insufficiency, ovarian apoplexy. The treatment provides for a certain diet, rest, consumption of a large amount of fluid, the use of drugs to dilute the blood.
Short or long protocol: the possibility of choosing
What has the procedure for IVF consequences for a woman you already know. Despite this, many representatives of the weaker sex decide on this manipulation. In most cases, a long or short protocol is chosen for the procedure. What is the difference, is there a choice for the patient?
If you contact a good center of IVF, then it is most likely that you will not be able to make a decision on choosing a protocol. After collecting anamnesis, the doctor decides which method is right for you. A long protocol is used for women with a good ovarian reserve. If the stock of eggs is not high, then count on a short protocol. It will begin on the 3rd or 5th day of your natural cycle, stimulation lasts an average of 10-14 days. The patient is given drugs that prevent premature ovulation. The long protocol goes, accordingly, longer - on average 3-5 weeks. Before the superstimulation, the doctor appoints the patient drugs that block the production of LH.After reaching its minimum values, the activation of the ovaries begins with the appropriate medications. It is generally believed that the positive outcome of the whole operation depends on the hormone-blocking procedure before IVF.Indeed, the percentage of pregnancy with a long protocol is higher.
Examination and preparation is an important stage of
. In order for the ECO to have a positive effect on a woman, only positive recommendations should be considered. The first and very important survey is to determine the stock of eggs. Install it is not as difficult as it seems. It is enough to donate blood to hormones: AMG, FSH and LH.Based on the obtained values, the doctor determines the duration of the protocol. Both partners need to be screened for infection, and a woman still has to pass an analysis for antibodies to rubella. The internal cavity of the uterus is necessarily inspected. If it contains polyps, synechia, or cysts, they are deleted before the protocol begins. A man gives a spermogram to establish his fertility.
Before stimulating a couple it is recommended to lead a healthy lifestyle: to refrain from alcohol and smoking, to exclude heavy sports. Food consumed by future parents must be rich in proteins. If you have chronic diseases, then tell them about it to the doctor.
The use of hormonal drugs: stimulation of
The stages of IVF are divided into three main stages: drug preparation and reception, puncture and fertilization, embryo transfer and support. Medications necessary for stimulation are prescribed by the doctor. To increase the number of follicles use preparations based on FSH, for example, "Puregon".Podstegivanie this hormone leads to the maturation of 5-30 eggs at a time. Note that not all of them can be full-fledged and suitable for further processing.
To prevent the development of their own hormones used compounds that block the work of the pituitary. These include "Organutran".Immediately before puncture, a woman is administered medications containing chorionic gonadotropin( pregnancy hormone).
Follicle puncture and fertilization of eggs
Collection and treatment of follicles are the following steps. Eco assumes a material intake when using general anesthesia. Manipulation is quite painful, so it is not carried out "live".During the puncture, the direction of the needle is monitored using an ultrasound scanner. The doctor chooses the closest and least traumatic path. The procedure lasts an average of half an hour. But because of the use of anesthesia, the patient needs medical supervision for another 2-3 hours.
After puncture, the follicles are processed by the partner's sperm, then potential children are placed in an enabling environment. IVF involves embryo embryos on the third or fifth day( depending on individual characteristics).
Transfer and embedding of embryos
Russian legislation has recently decided not to transfer a large number of embryos. Now the clinics are limited to two( at most three) fertilized cells. Be prepared for the fact that not all of them will get accustomed. Embryo seeding does not require the use of anesthesia. With the help of a thin catheter, the fetal egg is delivered directly to the uterine cavity, the process of passage through the fallopian tubes is excluded. The manipulation lasts no more than 10-15 minutes. During the procedure, a woman may experience mild discomfort and traumatic pain.
After the procedure of
What are the consequences of IVF?Comments of women who have gone through this procedure indicate that for some time after the transfer they had to remain within the walls of the medical institution. During this period, doctors recommend to observe peace. Therefore, you will not be able to return to the usual business. After the transfer, physicians observe the woman, excluding possible complications. If there is no bleeding, acute pain, the temperature after IVF is normal, then the patient can go home. The woman is prescribed further support, which provides for the use of preparations based on progesterone. Apply them necessarily, because due to the intervention, the yellow body can not support pregnancy, which can be prolific.
Positive result: pregnancy
You can evaluate the result of the manipulation after 10-14 days. The pregnancy test is often uninformative. It shows a positive result due to the presence of the injected hCG hormone. Therefore it is better to go on ultrasound to your doctor. Two weeks after the transfer, a good machine will show the presence or absence of a fetal egg in the uterine cavity. Also, a reliable answer to the question of interest will give a comparative blood test for hCG.The most favorable consequence of IVF is pregnancy.
Childbirth after IVF
How are babies born? ECO does not oblige to conduct cesarean section. But, as practice and feedback shows, it is appointed quite often. The main cause may be chronic diseases of a woman, gynecological pathologies in the anamnesis, multiple pregnancies. Natural delivery after IVF does not differ from usual. But once it is worth saying that with this pregnancy, complications often occur in the form of placenta previa, premature detachment, weak labor.
Psychological side of
Often, women experience the consequences of IVF from a psychological point of view. Often this happens when using donor materials: sperm or egg. The parents who have taken place are constantly trying to find in the child the features that do not coincide with their features. To such parents, doctors are advised to consult a psychologist, as the situation can get out of control.
Failure in IVF is also experienced by women very hard. Many patients immediately want to enter the next protocol. But the body needs time to recover. Be strong, next time the chances for a positive outcome will be higher.
Summing up
From the article you were able to find out what are the consequences of IVF.This procedure causes a serious blow to the female body. Therefore, it must be prepared in advance. The more thorough the preparation and the more responsible approach, the higher the probability of a positive result. I wish you success and patience!