Common problems during treatment

 

nfertility refers to the failure to become pregnant after more than one year of normal sexual intercourse without contraception.

“Infertility does not mean that you cannot get pregnant, it just makes it more difficult to get pregnant.” Sometimes pregnancy is a matter of probability, and most infertile couples still have a chance to get pregnant naturally.

Egg retrieval

 

The egg retrieval operation will be scheduled between 8:00 and 12:00, and will last about 20 to 40 minutes (operation time varies depending on the number of eggs). You will need to fast and not drink water for 8 hours before egg retrieval. The operation is performed under soporific anesthesia, and the eggs are removed under the guidance of vaginal ultrasound. You can go home after about an hour of observation after the operation without having to stay in the hospital, but you must take leave to rest on the same day. After the operation, only pinhole wounds will be left, so no stitches are required.

The egg retrieval process is performed under soporific anesthesia, so the operation is like sleeping. When you wake up, the operation is completed and you basically don’t feel anything. Only a small number of people will feel soreness like during menstruation, and some people will feel bloating.

 

Stress and irregular work and rest schedules may affect the quality of eggs. It is recommended not to put too much pressure on yourself during the entire treatment. There is no need to avoid food, but it is recommended to drink more water and protein. If you are taking Chinese or Western medicine, it is recommended that you discuss with your doctor whether it can be used together with the medication during treatment. In addition, because a large amount of ovulation-promoting drugs are needed to promote ovulation, drinking alcohol during the process may affect the efficacy of the drugs. Alcohol cannot be metabolized, so drinking alcohol is not recommended.

The following are recommended items during treatment:

1. Try to avoid stress affecting your body

2. Avoid drinking alcohol

3. Maintain a normal work and rest schedule, and drink plenty of water and protein

4. Ask your doctor about the medications you take for a long time

※取卵手術後 3-5天:

→避免具刺激之食物

例:咖啡因、辛辣…等

※待下次生理期才可服用:

→補品

You may feel bloated for 2-3 days after the egg retrieval surgery, but it will be much better after your menstrual period comes in about a week!

Freezing eggs

 

Age affects the quality and quantity of eggs. After the age of 30, if you are single and your AMH is <1.5, you can consider freezing your eggs as early as possible.

It is recommended that women after the age of 25 can take a blood test to test their AMH values to understand their ovarian function and plan for the future.

 

The survival rate of frozen eggs after thawing is not 100%, but on average it is above 90%.

However, according to statistics, there is no significant difference in the fertilization rate and implantation rate between thawed eggs and fresh eggs.

Therefore, freezing eggs is still a good choice for women to preserve their fertility and retain their reproductive rights for their future selves.

IVF

If you are over 40 years old and your AMH value is less than 1.0, it means that there are not many ovarian follicles left. Because age affects the quality of eggs, the rate of poor egg quality is higher and the possibility of natural pregnancy is lower. Therefore, if you start preparing for pregnancy after the age of 40, you will be recommended to try reproductive medicine-related treatments as soon as possible (e.g., in vitro fertilization, artificial insemination, etc.).

Egg cultivation has a time cost and cannot reverse the fact that the number of eggs has decreased. We support egg cultivation, but egg retrieval cannot be delayed because of egg cultivation. The time cost of trying to get pregnant at an advanced age is very high, and every day is very important. Therefore, if you need to cultivate eggs, it is recommended that you consult an outpatient clinic and communicate with the doctor to discuss the most beneficial way for you to achieve the goal of successful pregnancy as soon as possible.

 

Before implantation, basic immune test items will be collected to determine if there are any immune problems.

Immunity is an unidentified cause of infertility, but there are many causes of infertility, and immunity is just one of them.

There is still a lot of room for inconclusive research on the issue of immunity, but we cannot attribute all unknown causes of infertility to immunity. For example: thyroid problems, infection problems, stress, etc., all of which may affect pregnancy.

Immunity needs to be checked and treated, but it is not the only cause.

 

A urologist can perform micro-epididymal sperm retrieval (MESA) or testicular sperm retrieval (TESE) at the same time as an IVF procedure, where eggs are removed from the woman’s ovaries, fertilized in vitro, and then placed back into the woman’s uterus for implantation.

If the couple is relatively young, they can also have their vasectomy connected and achieve pregnancy through natural sexual intercourse.

 

It is not advisable to have sexual intercourse from five days before egg retrieval to one week after egg retrieval, because the ovaries will become swollen after the ovulation injection, so it is not advisable to engage in various intense sports.

During intercourse, the abdomen will experience severe vibrations, which can easily lead to torsion of ovarian cysts. The ovaries should be allowed to rest for at least one week after egg retrieval.

After egg retrieval, it is best to have sex one week later!

 

Poor sperm condition is not necessarily due to congenital reasons, it may be caused by stress, working environment, temperature, infection, etc. You can consult a doctor to evaluate the use of health foods to adjust sperm conditions.

If the husband’s sperm quality is poor, intracytoplasmic sperm injection (ICSI) is usually used during the IVF treatment to select sperm with good motility and normal morphology and inject them into the eggs to fertilize them.

 

If you have symptoms such as adenomyosis/chocolate cysts/endometriosis, it will be more difficult to get pregnant naturally.

Usually women hope to get pregnant after treatment, but it is not possible to get pregnant during the treatment. If pregnancy does not occur too long after treatment, endometriosis will recur. There is also the concern of damaging ovarian tissue during surgery for chocolate cysts.

Therefore, it is recommended that you discuss your personal issues with a professional doctor.

 

Artificial conception has a lower success rate than in vitro fertilization because there are more variables.

The in vitro fertilization treatment is to place the blastocyst that has been cultured and developed in vitro fertilization into the uterine cavity for implantation, while artificial insemination is to inject sperm into the uterine cavity. The sperm needs to swim to the fallopian tube on its own to meet the egg, fertilize, become a blastocyst, and then implant in the uterine cavity.

Therefore, the success rate of IVF is higher than that of artificial insemination treatment.

It is recommended to treat the implantation as pregnancy and take more folic acid supplements.

Egg / sperm donation

If you are over 40 years old and your AMH value is less than 1.0, it means that there are not many ovarian follicles left. Because age affects the quality of eggs, the rate of poor egg quality is higher and the possibility of natural pregnancy is lower. Therefore, if you start preparing for pregnancy after the age of 40, you will be recommended to try reproductive medicine-related treatments as soon as possible (e.g., in vitro fertilization, artificial insemination, etc.).

When donating eggs, there is no need to pay additional registration fees, health examination fees, or drug fees. However, if the egg donation treatment is cancelled midway, you will need to bear the cost of drugs and examinations.

During the egg donation treatment, you will need to visit the doctor 7-8 times.

No, but if the number of mature donated eggs is less than 15, a second egg retrieval will be required. If this happens, the nutrition fund of $99,000 will be paid in installments.

Basically, the impact of egg donation treatment on the body is minimal and there will be no sequelae. Only women with polycystic syndrome may develop ovarian hyperstimulation syndrome (OHSS) because they respond well to the drug. Therefore, if a woman has this condition, the doctor will lower the dosage to avoid possible side effects. The ovarian reserve is fixed at birth. At the beginning of puberty, when the menstrual period comes every month, dozens of eggs on both sides of the ovaries are ready to mature. However, without any drug assistance, the female hormones secreted by the body each month are only enough to supply 1 to 2 eggs to mature. The remaining small follicles that are not selected will atrophy and be metabolized by the body. Ovulation drugs only save the eggs that would otherwise shrink in each cycle, and provide enough hormones to allow all the eggs to grow and be retrieved. Therefore, future eggs will not be used, nor will they affect the egg bank or bring on menopause early.

Injections are divided into long-acting and short-acting types. The doctor will arrange the injection required according to each person’s condition. One injection of the long-acting ovulation injection can last for seven days, while the short-acting ovulation injection needs to be injected every day. Both can also be used at the same time. Currently, ovulation injections are mostly given subcutaneously, which greatly reduces the pain of the injection. You can inject yourself at home. If you are afraid of self-injection, you can go back to the hospital and have a nurse help you inject yourself. No additional injection fee will be charged.

During the donation process, if there are abnormalities in the report and the donation cannot be completed, no fees or compensation will be borne. However, if the donation is not completed due to factors such as canceling the donation or being unable to cooperate with the treatment during the donation process, the resulting expenses and related joint and several liability will need to be borne by the individual.

Other questions

Because of the use of menopausal needles, it is theoretically normal to have irregular bleeding, but it is not the menstrual period. Some people will have continuous bleeding for a week, and some will have intermittent bleeding. It is not certain, so don’t worry too much!

You can list them and submit them to the tax bureau, but whether they can be deducted depends on the decision of the tax bureau!

After joining, there will be someone to serve you.

※The above content is general medical information. The actual situation should still be evaluated by a professional physician for advice. The results of the treatment vary according to individual physical conditions.