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Take thirteen questions about IVF

Take thirteen questions about IVF

My Life gynecologist Lucas Yamakami explains that this process is done in the laboratory: spermatozoa (collected through masturbation ) are placed next to the ovules (collected by means of vaginal puncture) and the fertilization happens naturally. If the male gametes have difficulty penetrating the eggs, they are injected. After this process, the resulting embryos are grown in the laboratory for three to five days and replaced in the womb of the woman. The following steps occur as in natural pregnancies: the embryos placed inside the uterus must be fixed and continue their development.

couple seeing pregnancy test - Photo Getty Images

The couple that goes through this process usually have many doubts. Is it that simple? What can a woman do or can not do? Are there any specific tests or restrictions?

1) Does the woman need to use any special medications?

At the beginning of treatment, medications are used to increase the number of mature ova available in the ovary in the menstrual cycle. "This stage is controlled by frequent ultrasonography and sometimes blood tests to evaluate the response to medications and decide the optimal time to collect the eggs," explains gynecologist Paulo Bianchi, coordinator of the Huntington Unit at Samaritano Hospital. 2) Can I get treatment at menopause?

Ultrasound - Photo Getty Images

"After the menopause, the woman no longer has ova or ovaries to be fertilized," says Paul. According to the doctor, there is an alternative treatment called anonymous ovodoation, which is basically an in vitro fertilization in which another person's eggs are used.

3) How long have you been unsuccessful in getting pregnant in the traditional way, do you have to wait to consider this type of treatment?

Before looking for any treatment, it is necessary to identify what may be making pregnancy difficult. "If a woman is over the age of 35 or the couple has already presented with a factor that could disrupt fertility, the researchers recommend that they wait for about a year of unsuccessful pregnancy attempts to begin the search for the problem. research can begin to be done after six months of trying, "says Paulo Bianchi.

Since it is a treatment for getting pregnant, it is recommended not to drink alcohol and not to smoke

The gynecologist Lucas Yamakami states that there are also other situations in which the couple may seek early help, such as absence of regular menstruation, history of severe infection, endometriosis or suspected alteration of semen.

Once the cause of infertility has been identified, the physician will guide the couple to find the method more suitable - which may or may not be in vitro fertilization.

6) How long is the treatment?

Treatments in human reproduction last on average 20 days per try. The. "In this period, the couple should go to the doctor and perform procedures such as ultrasound, collection of ova and semen and transfer of the embryos," explains Lucas.

7) Is there any side effect? ​​

Pregnant drinking juice - Photo Getty Images

According to experts, the most common side effect is swelling, which can correspond to a weight gain of up to two pounds. "These effects are related to the exaggerated stimulation of the eggs, which grow a lot," says Lucas.Weight gain, headache, abdominal discomfort and changes in appetite or mood may occur but are uncommon. "Serious side effects such as thrombosis, severe bleeding and infections also occur, although they are very rare," says Paulo Bianchi.

8) What tests should the couple do before treatment?

Before considering any treatment , the couple should do a thorough investigation of infertility, which includes ultrasound exams, hormonal assessment, tubal evaluation by hysterosalpingography and sperm. "In addition, it is important to have tests for HIV, hepatitis B and C, HTLV, syphilis and rubella," says Lucas.

9) Is there a difference between in vitro fertilization and pregnancy without?

Sleeping baby - Photo Getty Images

"The risks of IVF pregnancy are equal to the risks of natural pregnancies of couples with the same profile," says gynecologist Paulo Bianchi. In other words, if the couple were able to conceive naturally, they would run the same risks they are experiencing with in vitro fertilization - all depends on the characteristics and habits of the couple.

However, Paul elucidates a difference: "in the first eight weeks of gestation IVF, it is common to use some supporting hormones that are not commonly used in natural gestations. " According to him, after this period, gestation occurs naturally.

10) Is the in vitro fertilization baby at greater risk than a traditionally conceived baby?

"The fertilizing baby is as normal as it could be if your

11) Can a woman follow a normal routine during treatment?

"Normally, it is recommended not to engage in physical activities such as jogging and bodybuilding during treatment" , says Paul. That's because your ovaries get bigger and over-moving can cause problems. As for food, a healthy diet is recommended without major food restrictions.

It is also important to note that since it is a treatment for getting pregnant, it is recommended not to drink alcohol and not to smoke during treatment, as well as other restrictions that apply to any woman who is pregnant or intends to become pregnant.

12) Can the couple have intercourse during in vitro fertilization treatment?

Yes, but it should be avoided in some periods. "When the semen collection period approaches, it is recommended that the man stay two to five days without ejaculating to improve the quality of the harvested material," explains Paulo.

"Soon after the sperm and ovarian uptake, the couple must still remain in abstinence to avoid pain in the woman because of the size of the ovaries, "adds Lucas.

13) What is the possibility of success of IVF?

The average probability of success is 40 %. "The percentage can increase or decrease depending on the characteristics of each couple," says Lucas Yamakami, who says the main variables are the woman's age and the cause of infertility.


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