IVFUL STAGES
After your initial evaluation by your doctor, you need to visit another doctor before in vitro fertilization treatment begins. At this visit, you will discuss your treatment plan with your doctor. During one of your doctor visits, your uterine measurement may be taken with the help of a catheter. Catheter; It is a thin, flexible tool used during the stage of placing the embryo into the uterus.
Since the catheter first enters the cervix and then the uterus, the dimensions, shape and direction of the uterus can be determined through measurement. This is beneficial in embryo placement. Blood tests will be performed to identify possible infections in you or your partner.
The man will be asked for a sperm sample so that it can be analyzed. If an abnormal situation is encountered in the sperm analysis, another sample may be requested for further examination.
Nurses will tell you about your treatment plan and how to use the medications.
Egg Stimulation: Tube The baby treatment process begins in the menstrual cycle, depending on the egg stimulation process. (about a week before the woman's menstrual period) During this period, the woman usesGnRH analog drugs to stimulate her eggs. This medication effectively reduces the release of hormones that control the development of eggs in the ovaries. When you menstruate, vaginal ultrasound and blood tests are performed to check whether the medication reduces egg development.
If it does not, medication treatment is continued for another week or two. When the function of the ovaries temporarily ceases completely, the actual stimulation therapy begins. Hormone therapy is administered for approximately 10 days to stimulate the ovarian follicles. Blood tests and ultrasound will be needed throughout the treatment to determine follicle sizes. Drug use continues for approximately 10 - 12 days. Once sufficient egg stimulation is achieved, another hormone, hCG, is injected. Eggs are collected 36 - 38 hours after hCH injection.
Egg Collection and Fertilization of Eggs: Egg collection is performed under anesthesia. The egg collection process usually takes between 20 minutes and 50 minutes.
Fo The fluid taken from the lilicles is immediately taken to the embryology laboratory. In the laboratory, eggs are placed in a special solution and placed in an incubator. The time eggs spend in the incubator varies depending on how mature they are. On the day of egg collection, the man obtains the sperm sample by masturbation and delivers it to the laboratory. Sperm sample can also be collected outside the center in special cases. In particular, couples who may have difficulty in giving a sperm sample outside the home by masturbating without their partner can obtain a sperm sample at home. After the sperm is obtained, it must be delivered to the embryologists at the center within 1 hour at most. If this period is more than 1 hour; The male should obtain the sample at the center. If obtained outside the center; The sample should be delivered to the in vitro fertilization laboratory at room temperature (without exposure to extreme heat and cold) and without exposure to light. In rare cases, a second sperm sample may be requested on the same day. The next stage is the combining of eggs with sperm. The fertilization rate of eggs is usually80%. Eggs are checked 24 hours after collection. Fertilization has also occurred during this period.
Some embryos can be frozen and stored although it is deemed necessary. If pregnancy does not occur after treatment, frozen embryos can be used for the next transfer. In this way, the patient will not repeat the egg stimulation process again. The patient is discharged within 2 - 4 hours after the procedure and is asked to rest at home for 24 hours. It is natural to experience lower back or groin pain, similar to menstrual pain, and drop-like red or brown bleeding (from the chamber) within 1 to 2 days after the egg collection process. Such bleeding does not have a negative impact on the chances of pregnancy because it is not from the uterus.
If any of the situations mentioned below occur, you may need to inform your doctor:
a) Fever higher than 38 degrees by measurement
b) Excessive vaginal bleeding (from the chamber) (some bleeding is normal)
c) Very severe and ongoing pain (some pain is normal)
d) Weight gain of more than 1 kilo in 2 consecutive days
e) With increasing pain 8-10 hours after the procedure, urination inability to do it
Embryo Transfer: Embryo transfer is performed within 1 - 3 days after the eggs are collected. The number of embryos to be transferred depends on the embryo quality, but the legal limit in our country is three. You need to rest for 2 days after the embryo transfer process. 12 days after embryo transfer, a blood pregnancy test (beta hCG in blood) is performed. Even if there is bleeding that is thought to be compatible with menstruation, a pregnancy test must be performed because sometimes, although pregnancy has occurred, vaginal bleeding may occur due to the embryo being deposited in the uterus. If the test is positive, meaning there is pregnancy, an ultrasound will be performed approximately 3 weeks later.
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