IVF QUESTIONS & ANSWERS

1. Will injections make people fatter?

Some patients complained of gaining weight after the injection during the promotion period. This phenomenon is that the injection promotion will increase the level of estrogen and make the water stay in the body for a short time, leading to weight gain or edema. After treatment for a period of time, as the drug is metabolized, estrogen levels return to normal, the water retained in the body will be excreted, and the weight will return to normal. Some women worry that diet and activity will affect the success rate of test tubes, they will over-nutrition and restrict physical activity, and even rest in bed every day, which will naturally accumulate fat and increase weight.

2. Will it cause premature ovarian failure after ovulation induction? If I get multiple follicles at a time, will I use up the eggs in advance, and there will be no eggs in the future, and the menopause will be early?

There are about 300,000 eggs on the ovaries in adolescence, which are worn out and atrophy at a rate of about 30 per day for 30-40 years. Without medicine, only one egg in a batch of follicles per month grows and develops and ovulates. The other eggs in this batch will then die, and the ovulation injection can make this part of the original apoptosis. The eggs also grow up and mature. This is a kind of "turning waste into treasure, recycling resources", which will not additionally deplete the egg inventory and will not advance menopause.

3. There may be defects in the test tube baby, will it abortion?

In the early abortion of IVF, the abnormal rate of fetal abnormalities is similar to that of the natural cycle. If you choose the third-generation test tube, the embryo will be screened for chromosomes, the fetus will be healthy, and the miscarriage rate after pregnancy will be reduced to less than 5%, truly prenatal and postnatal care.

4. Why do I need oral contraceptives before promoting discharge? I am not contraceptive, I want children.

For patients with polycystic ovary syndrome, irregular menstrual cycles and abnormal ovulation, they often have high androgen performance. Luteinizing hormone is higher than follicle stimulating hormone. Oral contraceptives can regulate body hormone levels and inhibit ovulation. At the same time, inhibiting the growth of the endometrium can promote more uniform follicles during ovulation promotion, the maturation speed tends to be synchronized, and maximize the acquisition of more mature eggs.

5. I want twins, twins, can it be achieved?

During the embryo transfer, the doctor will give corresponding suggestions based on the needs of the guests and the conditions of the embryos. Generally, two embryos are transferred. If both are alive, it is a twin, and if only one is successful, it is a single. If you want a fetus of the dragon and phoenix, you can select a male and a female healthy embryos for transplantation after the embryo screening. If you hear two fetal hearts, you are twins, and if you hear one fetal heart, you are a single child. The chances of IVF twins are higher than normal pregnancy. a lot of.

6. Why do I need a hysteroscope?

The endometrium is the soil where the embryo is implanted. If the endometrium is thin or is not fertile with borers, it is not conducive to embryo growth. In the process of promoting drainage, the endometrium will be tested during each ultrasound examination. If the examination reveals that the endometrium is unevenly echoed, there is high echo, or the radiography shows that the uterine cavity line is not smooth, it is recommended to do hysteroscopy, and there is no abnormality in the diagnosis In the case of transplantation, the success rate can be greatly improved.

7. What should I do if there is a problem with the extraction?

For patients with oligoasthenozoospermia, sperm can be obtained by puncture. If a few sperm can be obtained, it can be used. Intracytoplasmic sperm injection technology itself can make up for this problem. In the absence of sperm, sperm supply should be considered.

For patients with sexual dysfunction, the sperm retrieval may fail due to stress. In this case, it is recommended to go to Thailand three or five days in advance, take a sperm and freeze it, and then take a fresh one on the day of the egg retrieval, which can reduce the stress on the heart. As for no sperm can be used.

8. Why does the follicle grow slowly or not long during ovulation promotion?

We have two classifications of ovarian responsiveness, the first is called low ovarian response, and the second is called slow ovarian response. The former refers to the low response of the ovaries, insensitivity to drugs, and the need for large doses to promote excretion. Some people do not have long follicles under the conditions of high doses to promote excretion. This is usually because the guests are older and have poor ovarian function. Consider donating eggs or try a micro stimulation program. Slow responders are follicles that grow slowly and absorb drugs slowly, which can be improved by adjusting the dose or prolonging the time of ovulation induction.

9. Is the gender selection accuracy high? Is the test tube baby bag successful?

In Thailand’s third-generation test tube, after the embryo develops to 6-8 cells or becomes an incubation sac, the embryo cells or tissues are extracted for screening. The gender and health of the embryo can be known. The gender accuracy rate is 99%. After the screening results come out, customers You can choose and transfer embryos according to your desired gender;

The test tube baby is not successful, and Thailand’s test tube technology is advanced, which is already a technical guarantee. In addition, the success rate mainly depends on the guest's own objective physical condition. If you are young, have good ovarian function, more follicles, and good sperm motility, you can also produce multiple grades of good embryos, and the success rate will be relatively high.

10. Is it better to transplant fresh embryos or frozen embryos for IVF?

Test-tube baby transplantation can be divided into fresh embryo transplantation and frozen embryo transplantation. According to medical statistics, the success rate of frozen embryo transplantation is 5%-10% higher than that of fresh embryo transplantation. This is because the body is overloaded during the month of promoting discharge. Estradiol injections and medications often result in high levels of estradiol, and egg retrieval operations will also stimulate the ovaries. If the hormones are high during the month or the endometrium does not meet the transplantation standards, fresh embryos cannot be transplanted. However, the transplantation of frozen embryos is to recondition the body after the menstruation in the next month, and the transplantation is in the best condition, and the success rate is higher.

11. What is the difference between three-day screening and five-day screening? Which is better to check 5 pairs or 23?

There are two screening methods for the third-generation IVF: 5 pairs and 23 pairs, and two screening times, the third day and the fifth day.

The third day of screening is when the embryo develops to 6-8 cells on the third day, one of the cells is extracted for testing. In this case, 1/6 or 1/8 of the embryo is extracted, which is very harmful to the embryo and is very likely The blastocyst is not developed; the screening on the fifth day means that after the embryo develops to become an incubating sac on the fifth day, a small part of the tissue is extracted for screening. It will cause little damage to the embryo and the embryo level is good, but it must become an incubator The capsule can be screened;

Checking 5 pairs refers to the screening of the five pairs of chromosomes x, y, 13, 18, and 21, including male and female sex chromosomes and the other 3 chromosomes that are more frequent. This is more suitable for guests who have a stronger purpose in selecting gender; Checking 23 pairs refers to screening all the chromosomes of the embryo. The remaining normal embryos after the screening can ensure the embryo's health to the greatest extent. This is suitable for those with abnormal chromosomes or family genetic medical history or want to ensure the success of embryo health improvement. Rate of guests. Generally, Thai test tube experts will recommend 23 pairs in five days, which is more secure.

12. Does the egg retrieval operation hurt? What should I do if I have ascites?

The egg retrieval procedure in Thailand is a general anesthesia. The actual egg retrieval process only takes about 15 minutes, but you have to go to the hospital 1-2 hours in advance to prepare. The egg retrieval process is unconscious, and the egg retrieval has been completed when you wake up. After the eggs are retrieved, the hospital will prescribe anti-inflammatory drugs. Just eat them on time. Rest within a week. Do not do heavy work and avoid strenuous exercise. If you have ascites, it is recommended to drink more sports drinks such as Gatorade and drink winter melon soup for diuresis. Menstruation will come in -10 days, and the menstruation will be restored when it comes. If the ascites is really severe, it is recommended to contact us in time and communicate with the doctor for examination as soon as possible.

13. What should I do if the man's blood infectivity index is positive?

Thai test tube technology can wash sperm. For hepatitis B, hepatitis C, syphilis, AIDS and other positive cases, contagious genes can be eliminated by sperm washing technology to ensure healthy sperm.

14. What conditioning products should I eat before the test tube enters the week to regulate the body?

One month before the test tube enters the week, eat some conditioning products appropriately. The woman takes coenzyme Q10, vitamins, and folic acid; the man takes arginine, zinc tablets, vitamins, etc., which can play a certain role in conditioning. Avoid smoking and drinking. In addition, you need to work regularly, stay up late and strengthen exercise.