Before the embryo transfer
Trial transfer has been made
Determination of the patient's cervical canal and uterine position
Performing the embryo transfer process under ultrasound and placing the catheter more easily and being able to see exactly whether the embryos are left in the right place in the uterus allows the transfer to be made easily. As a result, no matter which day the embryo transfer is made, certain factors must be taken into consideration when deciding. Each patient is evaluated individually and the embryo and the uterus must be in harmony to achieve implantation and pregnancy. And it is up to the experts to prepare the necessary infrastructure to achieve this harmony.
After the embryos are checked and selected on the morning of the day they will be transferred, they are brought from the laboratory in a special catheter by the embryologist and given to the physician who will perform the procedure. Embryos are deposited into the uterus under the guidance of abdominal ultrasound performed by the physician. Embryo transfer does not require anesthesia unless the patient has a special condition. The procedure takes approximately 5-10 minutes.
After the procedure, hormone medications are given in the form of injections or suppositories to support the uterus. If pregnancy occurs, this support continues until the 10th week of pregnancy. In cases where pregnancy does not occur and menstrual bleeding occurs, treatment is discontinued. The pregnancy test is performed on the 12th day after embryo transfer.
Embryo transfer
The last stage in the in vitro fertilization (IVF) method is embryo transfer. 1-2 of the best quality embryos selected from the developing embryos are dropped into the mother's uterus and the embryos are expected to attach to the uterus (endometrium) and form a pregnancy. The day of transfer is decided by evaluating many factors such as the woman's age, treatment history, number and quality of embryos. Embryo transfer is usually performed on the 2nd, 3rd or 5th day.
Embryo transfer is an easy procedure that does not require anesthesia. Since the transfer process is performed under observation with abdominal ultrasound, the bladder is required to be full during the procedure. For this reason, you will be asked to be tight when you arrive for the transfer process. Performing the transfer under ultrasound guidance ensures that the catheter passes into the uterus. It enables the work to be monitored. During the procedure, the specialist first visualizes the entrance to the uterus, called the cervix, using a vaginal instrument (speculum) and cleans the cervix with a warm liquid. Meanwhile, the embryo selected in the embryology laboratory is placed in the appropriate medium and collected. The embryologist prepares the embryos for transfer by pulling the embryos into a soft, long and thin transfer catheter made of silicone with a syringe attached to the tip. The specialist then passes the tip of the transfer catheter through the cervix and deposits the embryos into the uterine cavity.
After the transfer process, the patient is rested for 15-20 minutes and taken to his room, where he is asked to rest for approximately 1-2 hours. After the issues that need to be taken into consideration are explained by the nurses, the patient is discharged and the in vitro fertilization process is completed. From now on, 12 days are expected until the pregnancy test will be done.
Embryo transfer process
We have emphasized the importance of embryo transfer sufficiently in our article. What couples need to do after the transfer and all frequently asked questions are as follows.
1. Sexual intercourse after transfer
It has been suggested that having sexual intercourse after embryo transfer may pose two risks for the woman undergoing in vitro fertilization treatment. First, the woman's ovaries, which contain more than one corpus luteum and are enlarged due to hyperstimulation syndrome (overstimulation), may be at risk of rupture during sexual intercourse, which can cause pain and even significant intra-abdominal bleeding. For this reason, sexual intercourse should be avoided in patients with ovarian hyperstimulation syndrome (overstimulation) during treatment.
2. Exercise after transfer
Exercise may prevent pregnancy for several different reasons. Firstly, the mechanical vibrations created by fast-paced exercises such as running and contact sports can dislodge the embryo trying to hold on. Second, fast-paced exercises are known to raise average body temperature by up to 2 degrees. It has been reported that these increases in body temperature lead to anomalies resulting in miscarriage and death. Until more solid evidence becomes available, it is safest to avoid intense cardiovascular exercise after embryo transfer. to relax and do light exercises such as walking for up to 30 minutes a day.
3. Nutrition after transfer
You should always pay attention to nutrition, which is one of the most important elements before and after in vitro fertilization treatment.
A healthy body means a healthy baby. After the transfer, you will have a nutrition list as recommended by your doctor. Your practice is especially important for your baby's retention and development. In this process, folic acid and vitamins as supplements are factors that increase success.
4. Social life after transfer
According to research, neither excessive rest nor the negative effects of an active life have been encountered. Apart from resting for 1-2 hours after the transfer, you can continue your life by avoiding excessively heavy loads. In this case, the worst negativity is stress. Problems you may experience in your business life and social environment are dangerous because they cause stress. Stress is a completely negative factor for the baby. That's why you should avoid stress in your life and ask for understanding from those around you. If necessary, psychological support can help in this regard.
In short, after embryo transfer, it is more positive for patients to return to their work and normal daily lives, as long as it is not a very stressful environment and they are not exposed to chemicals that may harm reproductive health.
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