Pros And Cons Of In Vitro Fertilization
Infertility can be defined as failure to achieve pregnancy in women in child bearing age who are having regular marital life and don’t use any contraceptive method for more than one year. It can be primary which means that the lady never conceived before or secondary in which she has a history that she gets pregnant before.
In vitro fertilization (IVF) is a treatment for infertility in which a woman's eggs (oocytes) are fertilized by sperm in a laboratory dish. One or more of the fertilized eggs (embryos) are then transferred into the woman's uterus, where it is hoped they will implant and produce a pregnancy.
In vitro fertilization (IVF) involves several steps — ovulation induction, egg retrieval, sperm retrieval, fertilization and embryo
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There may also be an increased risk of some pregnancy complications, such as preterm birth. Ectopic pregnancies can occur after IVF, although the risk is much lower than with other fertility therapies.
Women who are considering IVF should discuss the risks, benefits, and alternatives with their healthcare provider and partner before treatment begins. In most cases, several cycles of a less expensive and less invasive infertility treatment are recommended before considering IVF.
More than one cycle of IVF treatment is often necessary before pregnancy occurs. Unfortunately, some women will not become pregnant despite multiple IVF attempts.
WHO SHOULD CONSIDER IN-VITRO FERTILIZATION?
IVF is usually considered by couples who
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COH is done using different protocols. The most common one is a long GnRH-Agonist (®Lupron) protocol where the secretion of gonadotropin hormones is suppressed in order to prevent premature ovulation. Once optimal suppression is achieved, the next step is the recruitment of multiple follicles by daily injections of gonadotropins.
Ultrasound imaging and hormone assessments are used to monitor follicular development. The goal of stimulation is to have at least two follicles that are approximately 15 to 18 mm in size. In most cases, more than 2 follicles develop; in some cases, more than 20 may develop. When the lead follicles have reached the appropriate size, the final maturation of eggs is done by HCG administration. Egg retrieval is scheduled 34-36 hours after HCG injection. In some cases, a GnRH agonist (®Lupron) may be used for the ovulation trigger.
Sometimes IVF cycles need to be canceled before the next step for one of these
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