The continuation of IVF pregnancy is a spontaneous natural event, neither the pregnant lady nor the doctor can do much apart from waiting and watching to see how the pregnancy is progressing. Sometimes spotting or bleeding can occur. This may be part of the healthy developing pregnancy or it can also indicate miscarriage or very rarely pregnancy in the tubes.
As three months crosses we are more reassured that things will proceed smoothly. Medical support of pregnancy is carried on. Routine antenatal visits including ultrasounds are recommended like any other pregnancy.
The decision for the route of delivery depends on the status of the neck of the womb (cervix) at term pregnancy and other factors like: previous caesarean section if any. Normal vaginal delivery can be recommended to women carrying IVF pregnancies. However the threshold of alarm is high as it is a precious pregnancy and obstetricians do not hesitate to perform a caesarean section if necessary.
Intracytoplasmic Injection (ICSI)
Intrauterine Insemination (IUI)
In an Intrauterine Insemination cycle, a sample of motile is prepared by the embryologist and placed directly inside the uterus using a very fine catheter. The is deposited before the release of an egg or eggs, in a natural or stimulated cycle. Conception occurs naturally inside the body.
IUI can be offered on a natural or stimulated cycle. On a stimulated cycle (super ovulation), the size and number of follicle are measured using ultrasonography; a Human Chorionic Gonadotrophin (is given to mature the eggs when the follicles reach a certain size. IUI is performed 24-36 hours after the administration of the injection.
The intrauterine insemination success rate is upto 20% per cycle. It is recommended that at least 3-4 cycles of treatment are attempted before considering other options.
- Unexplained infertility
- Male infertility (mild)
- Failure to conceive after ovulation induction treatment
- Dysfunction Ejaculatory failure
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