There is no evidence to suggest that either normal laparoscopy or ultra sound egg retrieval damages the ovaries. In fact, some reports in the medical literature suggest that following ovarian Biopsy, pregnancies occur in couples with a long term history of in fertility.
Once ovulation has occurred it is impossible to retrieve the eggs. The entire team of physician, nurse and embryologist will monitor your cycle very carefully to avoid premature ovulation.
This depends on the individual. The primary reason for delay is to allow the patients normal menstrual cycle to resume, which may take 2to3 cycle.
There is no specific number. This is determined by the couple together with the physician.
Most definitely, we recommend that the husband refrain from ejaculation for at least 48 hours, but for no more than 5 to6 days preceding egg retrieval. This precaution assures that the semen sample obtained for IVF will contain a maximum number of healthy, motile sperm.
Al though a definite time of abstinence to avoid damage to the pre-embryo has not been determined, most experts are recommend abstinence for two to three weeks. Theoretically, the uterine contractions associated with orgasm could interfere with the early stages of implantation. However , intercourse the night before pre-embryo transfer is acceptable.
The IVF team recommends that the patient be sedentary for a full 24 hours following pre- embryo placement in the uterus. Strenuous exercises such as jogging, horse back riding, swimming, etc. should be avoided until pregnancy is confirmed otherwise, the patients is free to return to her regular activities.
Pregnancy can be confirmed using blood tests about 14 days after egg aspiration. Pregnancy can be confirmed by ultrasound 30 to 40 days after aspiration.
Perhaps, in certain situations, IVF may be cheaper and physically less demanding than surgery to repair You fallopian tubes.
Four to five medications normally are given:
- leuprolide acetate are Brucerelin (lupron),an injectable drug that blocks secretions of the pituitary gland, thereby optimizing the number of oocytes retrieved.
- Human Menopausal Gonadotropin (HMG) or Follicle Stimulating Hormone(FSH),Hormones that stimulate ovarian activity, are injected daily for about 6-10 days prior to the procedure.
- Human Chorionic Gonadotropin (HCG), a hormone that mimics the action of the hormone which naturally induces ovulation is injected 34 to 36 hours before retrieval and may be used after retrieval to supplement natural progesterone production.
- Progesterone, a natural hormone that enables the uterus to support pregnancy, may be used as a daily injection after egg retrieval clomiphene citrate, a pill used to promote egg development.
No pronounced side effect?, have been associated with any of these drugs. However, the patient should inform the physician of any allergies she has or of any previous adverse reactions to drugs.
From patient to patient Ovarian response may vary. As many as half of the follicles may not contain an egg in some patients.
Yes, when multiple pre-embryos are transferred. 25% of pregnancies with IVF are twins. (In normal population, the rate is one set of twins per 80 births.) Triplets are seen in approximately 2-3% of pregnancies.
There are no known ill effects. Abnormal pre-embryos, even those produced through normal fertilization, do not seem to mature. However ,any long-term effects of IVF remain to be determined.
Approximately three weeks (all as an out patients). Fertility drugs are administered to stimulate the ovaries. Then during the four to six days prior to ovulation, the patient is monitored by ultrasound as well as by hormone levels.
A maximum of Three pre-embryos will be transferred to the uterus for possible implantation, patients will have several other options regarding the disposition of the remaining pre -embryos. One option is freeze pre- embryos for your later use. Other options are to donate or simply dispose of them, excess pre -embryos, if any, belong to you , and you will determine what is to be done.