How does a cycle of in viin in vism fertilization take place?

In vi vismable in vism (IVF) is a technique applied in the treatment of infertility, bringing a high success rate. A cycle of in vismicular fertilization consists of preparation, egg activation, follicle monitoring, ovulation, fertilization, embryo transfer, hormones supplementation, pregnancy test, and monitoring.

Step 1. Prepare

First, at the rare infertility clinic, the couple will prepare and supplement the medical records, including examination and do the following tests:

  • Gynecology examination, PAP test,ultrasound pelvic examination;
  • Basic blood tests: GS-Rh, HIV, HbsAg, BW;
  • Semen of the item;
  • End noisy test.

After the test, if all results are normal, the patient will be required to submit a marriage certificate, a copy of the people's identification certificate with the original for comparison. If the documents are valid, the couple will have an appointment to start the treatment.

The beginning of the cycle of in vismation is taking contraceptives a month before entering the stage of ovarian stimulation. This will ensure the use of ovulation prevention drugs at the right time if the patient is having an uneven menstrual cycle.

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Step 2. Ovarian stimulation

Ovarian stimulation is the second step in the in viinal fertilization cycle, the implementation of which depends on whether the regimen is long or short. With a long regimen, the doctor begins to inject the drug GnRH from the 21st day of the previous cycle. With a short regimen, proceed to activate the ovaries during menstruation.

There are many regimens applied in ovarian stimulation, each based on a different psychological mechanism despite the use of the same drug, but there is a group of patients who will respond to one regimen better than the other. However, when changing the regimen for the patient, it does not mean that the response to treatment will change accordingly, from poor to good.

Step 3. Monitoring the development of ovule cysts

The process of monitoring the ovary cyst will be evaluated by performing an ultrasound through the vaginal route and a bloodormonal test, several times during the cycle of in viin in visicular fertilization. Based on this result, the doctor will have a correction of the dose of the drug in accordance with the development of the ovule cyst.

Step 4. Complete ovule m maturity and hCG injections

HCG (Human chorionic gonadotropin) is a drug of the end noisy group, which has a completely mature ovule stimulating effect. Determining the appropriate date of hCG injection is very important, since on that basis will determine the time of incubation of eggs.

HCG

HCG has a completely mature ovule stimulating effect

Step 5. Vaginal ovulation

The female's eggs will be sucked from the ovaries with a needle, under the guidance of ultrasound and anesthesia, helping the patient to relieve pain and feel more comfortable. Tissue damage and infections are very rare.

Egg poking is carried out between 34-36 hours after hCG injections. Anesthesiologist is injected intravenously (helps relieve pain and anesthesia) to alleviate the discomfort that occurs during the procedure. Most patients sleep during egg poking. The ultrasonic probe is inserted into the vaginal line used to observe the ovaries and the ovary cysts inside the ovaries. A long needle that can be observed on ultrasound is used to suck out the solution of each cyst. The suction solution is consisting of cystic, cystic and egg-in-the-egg translation. The doctor will proceed to suck the eggs and cystic solution into a test tube and the embryonic staff will identify the eggs in the cystic solution under a microscope.

After a few days, a small number of cases may result in vaginal bleeding and abdominal tension. Usually, the patient will fully recover after 1-2 days. If after that, the patient shows signs of abdominal tension, abdominal obstruction, vomiting and nausea, little urination … need to notify the treating doctor.

The number of poke eggs is related to the number of ovaries, the location of the ovaries that can be poked and the number of ovules that develop when stimulated ovaries. On average, each patient will poke between 8 and 15 eggs.

Vaginal ovulation

Vaginal egg poking

Step 6. Fertilization of eggs and feeding embryos

Sperm and eggs will be put together for fertilization under a special condition (suitable culture environment conditions, temperature, humidity and light) to support fertilization. The culture medium is established to help the fertilization process take place under the best normal conditions and the embryo can develop in the early stages. Thanks to nourishment in laboratory conditions, one can recognize which embryos are well developed, which embryos are poor or do not grow.

Sperm is taken by masturbating to the male in the morning during the day of the egg poking,after which the sperm will be separated from the semen. If the patient has difficulty obtaining sperm, it is possible to choose to send sperm freezing earlier, considered as a backup sample and sometimes this is the main source of sperm.

After the eggs are successfully poked, they will be transferred to the laboratory for preservation under conditions that can sustain development. The embryo after fertilization will grow in a small in-disk or in viin with the same culture environment as in the ovate and uterus. These embryo-containing discs will be preserved in the implant to ensure the temperature and concentration of gases such as O2, CO2,…

A few hours after poking out the egg, the sperm will be introduced into an egg-in-the-egg environment (IVF), or inserted into the sperm for direct fertilization with an adult egg, called the technique of injecting sperm into the ovule cell (ICSI). Next, the eggs continue to be kept in the transplant cabinet. The technician will periodically survey these culture plates to assess the development of the embryo.

In the days after IVF or ICSI,the embryo will be assessed for development status. On the first day, the embryo develops normally characterized by a cell with two spores, this is called a spores. Two days later, the embryo begins to divide into 4 cells. On the third day, the embryo contains 8 cells. If cultured steadily to the fifth day, the embryo will grow in an artificial way to the blastocyst (embryonic sicular) stage containing a mass of 80 or more cells, an internal cavity of water.

Since there will be some eggs and embryos growing abnormally, not all eggs will fertilize and all embryos will develop normally. The ability of the embryo to form a pregnancy is associated with the normal development of the embryo. However, this is uncertain because not all observed embryos will develop with normal genomes, nor will all slower-growing embryos have abnormal genomes. On the other hand, the edicging observed under a microscope is the most important and common instruction for choosing good embryos for transfer into the uterus chamber, this process is called embryo transfer.

Although all the steps do well, there may still be some situations that occur in the laboratory that lead to not being pregnant.

IVF Success Rate at Share99

Sperm will be separated from semen in the laboratory under a special condition

Step 7. Transfer of workpieces

For about 2-3 days after poking the eggs,well-developed embryos will be selected for transfer. The number of embryos transferred affects pregnancy rates and multi-pregnancy rates. However, the mother's age and the ermity of the new embryo are the two factors that most influence the results of pregnancy. The remaining non-transferable embryos, if they are of quality, will be frozen and can be transferred to the next cycle of in vi tube fertilization.

The embryo is usually transferred on the 3rd or 5th day after the step of sucking the egg. The doctor will insert a soft tube through the cervical uterus into the inside of the uterus and place the embryo inside the uterus. During this process, anesthesia is usually not required and the patient may be discharged after a few hours of rest.

Step 8. Hormones Supplements

The likelihood that the embryo can successfully nest in the uterus depends on the full support of hormones. Progesterone is used regularly for this reason.

Progesterone supplements can be oral, by injection or vaginal and in some cases it is necessary to coordinate in several ways. Start replenishing the drug on the day of the smoking poke. Most often, the cells in the follicles will produce progesterone after poking the egg. However, during suction, these cells can be removed along with the egg. Therefore, the addition of progesterone is essential, helping the endo will be well prepared to receive nesting embryos.

The drug is used daily until the pregnancy test is carried out. If tested for pregnancy, the woman will have to take progesterone continuously for several more weeks.

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Step 9. Pregnancy test

It is necessary to take a pregnancy test whether the vaginal hemorrhage is more or less. This test helps to determine the possibility of pregnancy and is carried out 10-14 days after embryo transfer. The test can be re-tested after 2 days to confirm if the result is positive. If the test is negative, the doctor will discontinue the drug progesterone and guide the next steps of handling.

Step 10. Early pregnancy monitoring

If the results of the pregnancy test are follow-up, follow-up is necessary to determine the risk of complications such as miscarriage, extra-intra-uterus or multiple pregnancy conditions for appropriate and timely treatment. Take endormonal drugs containing progesterone that support the gestational family.

IVF

Embryo transfer is carried out at The Center for Assisted Reproduction – Share99 International Health Hub

When not yet pregnant but still embryos, the doctor can continue to use the embryo to transfer into the uterus of the woman at the next cycle of in viin fertilization without having to take steps to stimulate the egg or poke the egg.

During the cycle of in vismation fertilization, husband and wife should be psychologically prepared, healthy, work arrangements and cost preparation … to ensure that the fertilization process is complete and not affected by subjective factors.

At Share99 International Health Hub system, in vicular fertilization (IVF) is currently applied in the treatment of infertility. Share99 brings together a team of specialists in Assisted Reproduction who are leading experts in the field of obstetrics and gynecology in the country and internationally, trained in leading centers in the world such as the US, Singapore, Japan, Australia,… With high professional qualifications and experience, vinmec's team of experts is capable of comprehensively deploying the most advanced assisted reproduction techniques in the world.

For direct advice, please click hotline number or register online HERE. In addition, you can register for remote consultation HERE

SEE MORE:

  • How long does it take to smoke an egg?
  • Does it hurt to poke eggs?
  • How long does it take to smoke an egg?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

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