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In Vitro
Fertilization (IVF)
Its development began in England in 1978, and the first success was the
birth of a baby girl named Louise Brown. A few years later, the
technique started to be developed in Argentina.
Procedure Steps
It basically consists of 4 steps:
1)
Ovarian stimulation, with the purpose of producing a significant
number of eggs so as to secure the formation of an adequate number
of embryos. We always transfer 2-4 embryos, which will give us a
good chance of pregnancy with low chances of multiple pregnancy.
2) Egg retrieval, by means of a
transvaginal ultrasound transducer fitted with a puncturing device.
3) Egg insemination with sperm (placing
a number of concentrated motile spermatozoa beside the eggs), which
is done at the CEGYR laboratory. These inseminated eggs are kept in
a heater from 2 to 5 days until the embryos are formed.

4) Embryo transfer, consisting in
transferring the embryos into the woman’s uterus through the vagina,
with a very fine catheter introduced into the cervix.
As you can see, In Vitro Fertilization is wholly performed through
the vagina, thus not requiring an “operation” or “surgery”.


IVF Patients
Different kinds of patients can undergo an
IVF treatment.
1)
Women who suffer from total or partial bilateral tube occlusion, or
different kinds of tubal adhesions.
2) Alterations in sperm quality,
quantity or morphology that are severe enough to prevent the
achievement of a pregnancy through intercourse or inseminations.
3) Several failed inseminations. This
situation makes physicians suggest turning to an IVF.
4) Severe endometriosis.
5) Unexplained infertility.
IVF Pregnancy Rate
These techniques have a 35% success rate per
attempt in women under 38. Past this age, chances are significantly
reduced.
IVF Risks
Until today, no increase in malformations or genetic disorders have been
observed in patients undergoing this technique as compared to general
population.
The main complications, ovarian hyperstimulation and multiple pregnancy,
derive from ovarian stimulation. In general, we perform a significant
stimulation in order to obtain a large number of eggs. However, in some
very rare occasions, egg production is much higher than the one we are
seeking for. This results in a condition known as ovarian
hyperstimulation syndrome, consisting of ovarian enlargement with
accumulation of fluid in the belly, multiple kinds of discomfort and
disorders in the blood test results. This syndrome is generally cured
spontaneously.
The second complication, multiple pregnancies, also derives from an
excessive stimulation. It is known that twin pregnancies are not
considered a complication, for risks for the mother and babies are only
slightly increased. However, pregnancies with triplets and more (high-order
multiple pregnancies) really imply serious complications both for the
pregnant woman and the babies. The delivery will be pre-term and the
babies will be premature, with huge risks involved, weeks or months of
NICU (Neonatal Intensive Care Unit) and the possibility of permanent
problems for the babies.

Anyway, although stimulation with IVF is
significant and all the eggs available in the ovaries are retrieved,
only 2-4 embryos are transferred, depending on the woman’s age (2 good
quality embryos in the case of women under 38 and 4 in the case of women
past this age), and consequently the occurrence of high-order multiple
pregnancies with this technique is very unusual. « Menu |