Couples with infertility problems, IVF treatments are trying to have a baby. However, in some couples, the trials fail. Yeditepe University Hospital, Department of Obstetrics and Gynecology Dr. Cem Ficicioglu, using seven methods to prevent unsuccessful treatments, he says.
One in six couples have infertility problems. The biggest hope of these couples is the IVF method. However, not every IVF treatment is successful. There are some methods to increase success in IVF. These methods; increasing the adhesion of the embryo, opening the liquid filled tubes, artificial uterus, genetic screening, egg trimming, uterine thickening and abortion prevention. When they started the IVF treatments, they asked how many times they could try. Fıçıcıoğlu, “Pregnancy rates vary depending on the age of the woman, her husband and factors that depend on her. We can't give a 100 percent pregnancy rate. It is possible for women who do not have young and serious problems to get pregnant more than 90 percent in the first three attempts. Generally speaking, there is always the possibility of not being able to conceive 30-40 percent.
We provide a thorough medical examination of the pairs to ensure that patients do not suffer financially and morally. As the eggs come out and the sperm do not put quite limit on the number of in vitro fertilization trials. Between each treatment there is a rest of 2-3 months. ”
Success increases with 7 methods
Stating that they have applied 7 methods for patients who have failed IVF treatment 4-5 times but failed. Dr. Fıçıcıoğlu describes the problems and solution methods that occur:
• Holding in the uterus
Is there any obstacle to hold on to the uterus? For this purpose, the uterus is filmed. Uterine examining with camera giving liquid. The polyps of the uterus are removed hysteroscopically. If uterine uterine fibroids and more than 4 centimeters if the uterus to hold the pressure of the embryo to hold the next trial should be removed before.
• Fluid Accumulation in Tubes
One of the reasons for unsuccessful treatment is the accumulation of fluid in the tubes. This accumulation of fluid prevents the baby from holding back by the current during transfer. The liquid accumulating tubes are either completely removed or their mouths are closed and the back-flow is prevented.
• Egg Quality
In the laboratory, egg quality is determined and ways of improving are sought. If first
If egg quality and growth is slow in 2-3 attempts, artificial intrauterine application is performed by taking a small piece from the uterus and enlarging it in the laboratory. The endometrium sample is cultured in the laboratory and transferred to this culture medium. In this environment that mimics the inside of the uterus, embryos become faster and better quality and have a positive effect on the outcome of pregnancy.
• Genetic Screening
Genetic screening is done in both parents. Genetically diagnosed embryos, embryos without disease are given to the womb. Thus, the risk of genetic disease in the mother and father is eliminated by the familial transition.
• Trimming the Egg Shell
In older mothers and recurrent failures, the eggshell may be thick. The eggshell is shaved and thinned and introduced into the uterus. This increases the hold.
• Intrauterine Thickening with Medication
Although the effects of some drugs have not been fully proven, the drug is being used to prepare the uterus inside to a sufficient thickness during treatment. In spite of all these, there may be recurrent failures and miscarriages, albeit at a low rate.
• Heparin to Prevent Abortions
The second period of menstrual period and after the transfer of the drug with the active ingredient contributes to the continuation of pregnancy. Ovarian reserve decreases depending on age, may decrease in young patients. Successful results can be obtained in IVF applications up to the age of 43. If the patient's age is advanced but the ovarian reserve is good, it is necessary to encourage her to try.