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Sometimes loves needs a little of help, in many cases IVF is that support you need and one of the best treatment to achieve your dream of starting a family. Today, our fertility specialists will discuss all you must know about an IVF treatment with donated eggs.
Before explaining this IVF process, we will tell you what this procedure includes.
Today, you are probably on the first or second day of your endometrial cycle in case of frozen embryo transfer, it will be necessary for our fertility specialists to perform a transvaginal pelvic ultrasound to check your uterus, endometrial thickness, and ovaries.
Once the check is done, our team will be given a list with daily indications of the medicines to use (such as Primogyn, Estradiol, Prednisone, Aspirin for children, etc.). Our doctors will increase the dose of Primogyn every four days. The idea is to perform a new pelvic ultrasound on day 10 of the endometrial preparation cycle (or before) to measure the endometrial thickness.
If the thickness is less than 7 mm, medications such as viagra and sachets of Estradiol gel will be added. We will also add Progesterone tests to complete the treatment assessment.
While this happens, you can continue with your daily life except for the following:
Endometrial preparation lasts almost two weeks (14 to 15 days). Once the endometrium reaches a thickness between 8 to 12 mm, we start with progesterone and increase the Prednisone dose from 5 to 20 mg.
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On the day of the onset of progesterone, blood tests will be necessary to measure the levels of Estradiol (which should be greater than 200), while progesterone should be less than 1. These are very important in deciding whether or not embryo transfer is possible in this cycle.
If the progesterone levels are too high, then it is ideal not to perform the embryo transfer since the chances would be low (less than 5%).
On day 2 or 3 of starting Progesterone, it is necessary to measure progesterone levels (above 11). If below this number, it will be required to apply an intramuscular injection of Progesterone to check the progesterone levels the next day before the injection.
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On the day of embryo transfer through IVF, we recommend arriving at the clinic half an hour before your appointment so we can begin the intake of water to fill the bladder and serve as an acoustic window to have a good vision of the endometrium at the time of the embryo transfer.
Once the bladder is of adequate size, you will move to the recovery room, where the embryo transfer will be performed.
You will be placed in a gynecological position (the same as the transvaginal ultrasounds), where our nurse will perform an abdominal ultrasound.
Then the specialist will place a speculum to visualize your cervix, which will be cleaned of the residues of Progesterone with a unique culture medium and introduced, under ultrasonographic guidance, the first catheter (which will serve as a guide for the 2nd catheter).
The embryologist is informed to load the embryos in another catheter and bring them from the laboratory to the operating room to introduce them through the guide catheter. Thus the doctor will place the 2nd catheter.
Our specialists will place the embryos in the middle of the endometrium and deposit them there. Once this is done, the catheters are removed, and you will remain at rest for between 15 and 20 minutes.
Once the embryo transfer is done, the specialist will give recommendations for your health, such as nutrition, physical activity, the care you must take after the transfer, and the medications to follow.
Fourteen days after the embryo transfer, you will have a pregnancy test in the blood, and if the result is positive, a second test is necessary 48 hours later to see that the hormone levels are increasing.
The first pregnancy ultrasound is performed two weeks after the second blood pregnancy test.
We know your dream of starting a family is strong, and struggling with infertility may be challenging. Our team at The Fertility Center will stay at your side in every part of your journey. Contact us today and schedule an appointment!
Gynecology, Obstetrics and Biology of Human Reproduction Surgeon at the Autonomous University of Guadalajara, specialist Biologist of Human Reproduction by the Mexican Institute of Infertility.
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