IVF Clinic in K+31

First, let's figure out what factors influence the success of conception:

• Sperm fertility.
• Tubal patency.
• The presence of ovulation.
• Receptive endometrium.

There are other factors, but these points are more significant.

If, after a full examination of the couple, the cause of infertility is not identified, then a diagnosis of “infertility of unknown origin” is made, which, like other infertility factors, is coded by the International Classification of Diseases (ICD10).

In some cases, the cause of infertility of unknown origin is a psychological factor.

Spontaneous pregnancy often occurs in such couples after they have begun examinations in preparation for the IVF program. At this stage, patients are distracted by undergoing examinations, preparing for stimulation and, as a result, stop focusing on the problem of lack of pregnancy, tracking “favorable days” for conception, etc....

Pregnancy after IVF is no different from spontaneous pregnancy. There are only features of early management when the patient is taking hormonal therapy. Otherwise, it's exactly the same pregnancy. It, like natural, requires careful and caring observation.

Is it possible, if a woman wants, to give birth to twins using IVF? Multiple pregnancy is considered pathological (more complex). Our goal is to have a singleton pregnancy and give birth to one healthy child. Carrying two children is much more difficult. The risk of premature birth and other complications increases. For this reason, when conducting an IVF program, we most often transfer one embryo into the uterine cavity.

Previously, 2-3 embryos were actually transferred to increase the efficiency of the program. However, now reproductive technologies have reached such a level of development that you can transfer one embryo and expect pregnancy with a probability of 65-70%.

Two embryos can be transferred depending on the specific clinical situation. For example, with several unsuccessful IVF attempts, for patients of an older age group, with a woman’s persistent desire to transfer two embryos. But the doctor’s task is to assess all the chances and risks, talk with the patient, and jointly make the right decision.

The success of IVF depends on the joint work of a fertility specialist and future parents.

If a good embryo was obtained on the first attempt and all the necessary studies were carried out, then the probability is quite high. If genetic testing of the embryo was also done - PGT (an optional but recommended study), then the probability reaches 70%. But there are still 30% left. Therefore, it is impossible to predict the success of IVF, but with each cycle the likelihood of pregnancy increases.

Before IVF, a woman must undergo a series of tests to assess her physical condition and determine the best approach to the procedure. Some of the basic tests before IVF are listed below:

1. Blood tests: Includes complete blood count, coagulogram (blood clotting indicators), blood group and Rh factor, as well as analysis for the presence of infections such as HIV, hepatitis B and C, syphilis and others.
2. Hormonal tests: It is necessary to determine the level of hormones such as estrogens, progesterone, follicle-stimulating hormone (FSH) and luteinizing hormone (LH). These tests help evaluate the condition of the ovaries and endocrine system.
3. Ultrasound examination: The doctor performs an ultrasound examination of the pelvic organs to check the condition of the ovaries, fallopian tubes, uterus, cervix and endometrium. An ultrasound examination of the mammary glands may also be performed to exclude the presence of tumors.
4. Cervical cytology: This analysis allows you to exclude the presence of cervical pathologies, such as inflammation or dysplasia.
5. Sperm tests: A man has a semen test to evaluate the number, motility and shape of sperm. This is important for determining the ability of sperm to fertilize an egg.
6. Other tests: The doctor may order additional tests depending on the individual characteristics of the patient. This may include tests for autoimmune diseases, genetic tests, and tests for inflammatory diseases. or infectious processes.

Before IVF, it is important to consult with your doctor, who will determine the necessary tests and discuss with you the further plan of action. Each case is individual, so the list of tests may vary.

Main stages of IVF:

1. Preparatory stage: An obstetrician-gynecologist, a reproductive specialist, conducts a detailed examination and analyzes the reproductive health of the couple. A woman's ovulation is stimulated using hormone therapy to increase the number of eggs.
2. Retrieval of eggs: Using ultrasound, the doctor extracts eggs from the woman's ovaries. This is a procedure that is performed under local anesthesia or general anesthesia.
3. Sperm preparation: The man provides the sperm, which undergoes special processing to obtain the most suitable sperm to fertilize the eggs.
4. Fertilization: Sperm are added to eggs in a laboratory where fertilization occurs. After this, the eggs are observed for development.
5. Embryo transfer: The doctor transfers embryos into the woman's uterus using a special tube. This is an unpleasant but usually not painful procedure.
6. Monitoring and testing: The woman undergoes regular medical examinations, tests, and ultrasound diagnostics to monitor the development of the embryo and check the progress of the pregnancy.
7. Waiting for results: After the embryo is implanted, the couple is waiting for the results - a positive or negative pregnancy test.

Each stage of IVF requires attention and participation from both the medical staff of our clinic and the couple. It is important to remember that the success of IVF can depend on many factors, and each case is individual.