IVF and pregnancy: How is Transvaginal egg retrieval performed?

Although IVF is a comprehensive treatment plan, it produces individualized approach to deal with infertility, which is based on the diagnosis and screening of each patient. As for oocyte’s retrieval, it is one of the most critical aspects of the whole treatment, which culminates at the later stages of IVF.

The process starts 34 to 36 hours after a patient takes their HCG injection (which is meant to stimulate the ovaries). The doctor uses ultrasound technique to further analyse ovaries, and check for tiny follicles.

“During the retrieval process, a professional anaesthesiologist will not sedate you to lose consciousness. They will just help you feel comfortable. This state is called conscious sedation. A thin needle is then inserted into your vagina and your ovary. Here, your doctor will gently guide a needle attached to a probe through the vaginal wall,” says Goral Gandhi, a senior embryologist and a trainer who is the Founder and Director of a world class IVF clinic, Indo Nippon IVF and a training academy.

The embryologist also sheds light on how and when an embryologist takes over the process. “After the eggs will be drawn out using light suction one by one, they’ll be collected in test tubes labelled with your name, and details. The patient material will then be handed off to an embryologist. Here is when we perform the critical procedure of examining to find eggs, and perform either fertilisation or oocyte cryopreservation (the technical term for egg freezing),” she explains.

The entire process is not rigorous but requires careful precision and certaint. Egg retrieval takes approximately 20-30 minutes, and the patient is able to return home after a brief period of recovery from the procedure.

Talking about minor complications after the procedure, another fertility expert, Dr Sarina Kepler,      says soreness, cramping and mild vaginal bleeding are common on the night of retrieval. “We prescribe pain medication before the patient leaves the clinic, so that they can get back to normal by the following day.”

Explaining about the side effects, the doctor says that they are minimal, which is possibly the result of enlarged ovaries during the process. The ovaries are likely to remain enlarged for the next several weeks.

One should avoid heavy lifting, vigorous exertion or intercourse until the pregnancy test, recommends the doctor.

Some couples may also be suggested undergoing preimplantation genetic diagnosis (PGD), to ensure that embryos are devoid of any genetic anomalies. The PGD process, which also selects the healthiest embryos for transfer, thus, helps in increasing the chances of a successful pregnancy.

The success of transvaginal egg retrieval and embryo transfer process depends largely on the pregnancy test, which is performed approximately two weeks after the process.


Source : NewsOnFloor

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