Dr Girija Wagh, Obstetrician, Gynecologist, IVF expertMD, FICOG, DIP ENDO, FICS
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Assisted Reproductive Techniques ( ART ) such as In Vitro Fertilisation (IVF) pregnancy is on the rise.
Assisted Reproductive Techniques ( ART ) such as IVF in vitro fertility pregnancy is on the rise. Delayed maternal age, changing lifestyles etc are being identified as the probable reasons why such an assistance is needed. Many women seeking such a treatment with me, always have been anxious and worried as to what is going to be the next therapy. Detailed counselling sessions are usually offered, nearly in all centres to make the couple understand the techniques and what they are supposed to expect throughout the treatment. But many still want to know some guidelines and steps which will be easy to understand.
As is the norm today usually “google-it “ and find it, is the common act but many have confided saying that they didn’t get the answers so easily and this adds to their concerns.
This writeup is especially written for those couples, who have chosen to undertake pregnancy by in vitro conception options. I have decided to divide the entire write up into three sections namely :
Delay in decision due to baseless guilt, can contribute to unsuccessful outcomes. In today’s modern era, it is important that smart and timely decisions are taken to achieve good outcomes. Unfortunate situations such as reduced ovarian capacity of making eggs, blocked tubes, less number of sperms in a man, inability to ovulate naturally, diseases such as endometriosis, need ART. Situations such as obesity, abnormal attitude leading to excessive stress, abnormal lifestyle are correctable and some amount of assistance may help bring about positive outcomes.
The process involves some steps to be undertaken purposefully and outside the body and therefore is called as in vitro fertilisation and therefore is artificial. This is a common concern. Certain physical or hormonal barriers interrupt the process of coming together of the female and the male gametes leading to inability to achieve a pregnancy. Therefore these gametes are retrieved from the woman and the man and brought together in a conducive environment created to mimic the internal natural environment. This bringing together can be just by placing them together at a peculiar time or by actual injection process called as ICSI ( intracytoplasmic sperm injection ). ICSI is a special technique requiring skill and equipments to actually inject the sperm into the egg and initiate the formation of the zygote to lead to the formation embryo, which can be transferred at various stages of development. Retrieval of the gametes also involves a special technique. The eggs from the woman body are aspirated under sonography guidance and is a highly specialised technique.
Ovaries are stimulated to create eggs, to do so and then these oocytes are checked for the stage of development and quality and their capability to be fertilised. Sperms are retrieved through processing of the semen given by the man. In special situations, these sperms can be retrieved from the mans body by aspiration ( TESA ). Another concerns are possibility of a switch of the gametes the embryos and contamination in the labs. But all the labs that are licensed, follow strict regulations to avoid such mishaps.
Principles to follow
Dr. Girija Wagh, MD (Obstetrics & Gynaecology), FICOG, FICP, Diploma (Endoscopy, Infertility), Fellowship of Indian College of Ob-Gynec, Women health care specialist, Academician, Acclaimed Orator & Researcher, B. J. Medical 1990-1992, Topper University Of Pune 1992
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