Unlocking Infertility Solutions: IVF at Keiai Clinic

Table of Contents:

1. Introduction
2. In Vitro Fertilization: An Overview
3. Ovulation Induction 3.1 Start of Ovulation Induction 3.2 Normal Natural Cycle 3.3 Monthly Stimulated Ovulation Induction Cycle
4. Climate and Letrozole: Ovulation Induction Drugs 4.1 Climate 4.2 Letrozole
5. Mild Stimulation In Vitro Fertilization
6. Ablation Induction in Stimulated Cycles
7. Preparing for Egg Collection 7.1 Testing Before Egg Collection 7.2 The Procedure of Egg Collection
8. Post Egg Collection Guidelines
9. Embryo Transfer Methods 9.1 Fresh Embryo Transfer 9.2 Frozen Embryo Transfer 9.3 Assisted Hatching for Frozen Embryo Transfer
10. Determination of Pregnancy
11. Assisted Hatching for Frozen Embryo Transfer
12. Conclusion

Article

Introduction

In vitro fertilization (IVF) has revolutionized the field of reproductive medicine, offering hope to countless couples struggling with infertility. This advanced treatment involves a series of procedures to Collect eggs and fertilize them outside the body, followed by the transfer of the embryos into the uterus. In this comprehensive guide, we will walk You through the different aspects of IVF, from the process of ovulation induction to the determination of pregnancy. So, let's dive in and explore the world of IVF!

In Vitro Fertilization: An Overview

IVF is a technique that allows couples to conceive by bypassing certain fertility barriers. The process begins with the stimulation of the ovaries to produce multiple eggs. These eggs are then retrieved using a transvaginal ultrasound device and fertilized with sperm in a laboratory. After a few days of embryo development, the healthiest embryos are selected for transfer into the uterus. The remaining embryos can be cryopreserved for future use. IVF offers hope to individuals and couples facing fertility challenges, such as blocked fallopian tubes, male factor infertility, or unexplained infertility.

Ovulation Induction

Before the egg collection process, it is necessary to induce ovulation to ensure the availability of mature eggs. There are various methods used for ovulation induction, and we will discuss three main approaches.

3.1 Start of Ovulation Induction

For most IVF cycles, ovulation is induced by a combination of hormonal medications. Patients are typically asked to visit the clinic on the third day of menstruation to initiate the process. The levels of hormones, such as estradiol (E2) and follicle-stimulating hormone (FSH), are measured, and ultrasonography is performed to assess follicle development. If any residual follicles are found, the cycle is reset to prepare for the next cycle.

3.2 Normal Natural Cycle

In some cases, ovulation can be induced in the normal natural menstrual cycle without the need for hormonal stimulation. This method is recommended for women who have only one follicle development or those who have not achieved pregnancy in previously stimulated cycles. It is also a suitable option for individuals, such as breast cancer survivors, who need to maintain low hormone levels.

3.3 Monthly Stimulated Ovulation Induction Cycle

In monthly stimulated ovulation induction cycles, patients are given oral medications like Clomid or Letrozole to enhance follicle development. Additional injections of human menopausal gonadotropin (hMG) or follicle-stimulating hormone (FSH) can be administered to increase the number of follicles and their growth rate. The use of biotechnologically prepared recombinant FSH preparations allows for self-injections, providing convenience to those with busy schedules.

Climate and Letrozole: Ovulation Induction Drugs

To stimulate the ovaries and promote follicle development, medications like Clomid (clomiphene citrate) and Letrozole (letrozole tablets) are commonly used.

4.1 Climate

Climate triggers the brain's response, leading to the induction of ovulation. It also stimulates the ovaries directly. Common side effects of the drug include headache and blurred vision, although they occur infrequently. In some cases, climate may cause thinning of the inner lining of the uterus. However, it is generally well-tolerated and safe for use in ovulation induction.

4.2 Letrozole

Letrozole is a drug primarily used to prevent the recurrence of breast cancer in hormone receptor-positive patients after breast cancer surgery. It acts by temporarily blocking the Enzyme responsible for estrogen production. Letrozole has a direct effect on the ovaries and can be used for ovulation induction. Recent studies have shown that its use is generally safe and does not pose a significant risk of fetal malformations or heart diseases when used as directed.

Mild Stimulation In Vitro Fertilization

Mild stimulation IVF is an alternative approach that aims to retrieve a smaller number of high-quality eggs. It involves the use of medications like climate and/or hMG injections to stimulate the ovaries gently. This approach is suitable for individuals who do not require aggressive stimulation or those who have had poor responses to traditional IVF protocols. Mild stimulation IVF offers several advantages, including reduced costs, fewer side effects, and a more tolerable treatment experience.

Ablation Induction in Stimulated Cycles

Ablation induction in stimulated cycles is a commonly used method worldwide to grow multiple follicles. It involves daily injections of hMG or FSH preparations from the third day of the menstrual cycle. However, close monitoring is crucial to avoid the risk of ovarian hyperstimulation syndrome. At our clinic, we prefer the mildly stimulated ovulation induction cycle as the basic treatment approach. However, for patients with certain conditions, such as pituitary amenorrhea or severe polycystic ovary syndrome (PCOS), stronger stimulation may be necessary.

Preparing for Egg Collection

Preparation for egg collection involves various tests and procedures to ensure your safety and optimize the chances of success.

7.1 Testing Before Egg Collection

Before the egg collection procedure, a range of tests is performed to assess your overall health and identify any potential concerns. Blood samples are taken to check for amenorrhea, inflammation, and hemostatic problems. Additionally, screening for hepatitis B and C, HIV, AIDS, and chlamydia infections is conducted. These tests are essential to ensure a safe and successful IVF Journey.

7.2 The Procedure of Egg Collection

Egg collection, also known as oocyte retrieval, is a crucial step in IVF. It is performed under anesthesia to ensure your comfort during the procedure. Typically, there is no need to limit food intake beforehand, and the procedure itself takes around five to ten minutes. However, allowing additional time for preparation is necessary. Depending on the number of follicles present, the procedure duration may vary. After the collection, you will be asked to rest for a brief period, and then a post-procedure examination will be performed to ensure there are no complications.

Post Egg Collection Guidelines

After the egg collection procedure, it is important to follow certain guidelines to support the success of the IVF cycle.

Please Note: The remaining content is truncated due to exceeding the word limit.