Since the first child conceived outside the human body was born in 1978, in vitro fertilization has enabled millions of women to experience the joys of motherhood. Currently, the artificial insemination procedure is carried out in many Russian and foreign clinics, helping childless couples to acquire long-awaited offspring.
IVF stages
At the first visit to the clinic, the doctor carefully examines the woman, examines the history of the disease and issues a list of tests necessary for the procedure. It should be noted that the man will also have to donate blood and seminal fluid for research.
After the results of the tests are received, the doctor, provided there are no contraindications, enters the woman into the protocol. This is the name of one in vitro fertilization treatment attempt, which includes the steps described below.
- Ovarian stimulation. procedure, depending onThe natural cycle of a woman, lasts from ten days to two weeks, and consists in obtaining as many follicles as possible with the help of medicines. For these purposes, women are prescribed hormonal drugs that cause rapid cell growth.
- Puncture. When the eggs in the follicles mature, they are removed using a special device equipped with a sensor. Cell sampling is a rather painful procedure, and therefore is performed under general anesthesia. The more follicles mature, the higher the chances of a woman becoming a mother.
- Fertilization. While the woman lies on the operating table, the man donates seminal fluid for future offspring. Embryologists connect the germ cells of the parents under a microscope and leave them for a day. The next day, they evaluate the results and move the fertilized cells into a special solution, where they will grow for two, three or five days.
- Followed by the transfer of embryos into the uterine cavity.
- Medicated for maintenance.
- A B-hCG test is prescribed, the results of which can be used to judge the onset of pregnancy.
How many days does it take for the embryo to attach to the uterus?
All women on the protocol are interested in what day the embryo is attached to the uterus after IVF? It is generally accepted that the blastocyst, that is, the embryo transferred on the fifth day from fertilization, is attached to the walls of the uterus on the first day. Although sometimes it can happen a little later. If the embryos are transferred to the uterus on the second or third day of theirexistence, it will take at least two days before they take hold.
Female mode after transfer
Although the benefit of bed rest has not been proven, most doctors are inclined to believe that it is better to lie down while the embryo attaches to the uterus. On which day to get up, you need to decide based on the patient's well-being. The most optimal thing is to spend the first two days after the transfer in bed, then you need to move. This is due to the fact that a recumbent lifestyle provokes stagnation of blood in the pelvis, which makes it difficult for the embryo to attach to the uterus. On what day after IVF to go to work - you decide. The hospital issues a certificate exempting from work duties for one week, although in reality a woman who has undergone an artificial insemination procedure is not disabled.
If you have made the decision to go to work, try to sit at the computer less, arranging yourself small walks during the working day. Also, do not forget that you are not allowed to lift weights, as well as jump and raise your arms above your head. Compliance with these rules will significantly increase the chances of attaching the embryo to the uterus. On what day after the transfer you can donate blood for the pregnancy hormone, your doctor will tell you. Many women, before taking a blood test, try to find out their position with the help of pregnancy tests. Doctors do not advise their use andurge to wait for the day of the analysis, since the content of the hormone in the urine is several times lower than in the blood, and the test may turn out to be false negative.
And extra experiences negatively affect the attachment of the embryo to the uterus. What day is the test scheduled for? Agree, you don’t have to wait so long, but following the recommendations of doctors and patience will save you from negative emotions.
Signs of pregnancy
Since the process of artificial insemination is accompanied by the intake of a huge amount of hormonal drugs, it is rather difficult to determine the onset of pregnancy by some signs. All medications used create a background of pregnancy, which supports the attachment of the embryo to the uterus. On which day of the cycle the menstruation was delayed, with artificial insemination is also not considered as an important indicator.
According to numerous reviews of women who have undergone IVF, the only sign of pregnancy is a feeling of fullness in the lower abdomen. It comes gradually, and this does not make it possible to determine on which day the embryo attaches to the uterus. Signs of an onset pregnancy can also carry a serious threat to the he alth, and sometimes the life of a woman. This refers to such a formidable IVF companion as ovarian hyperstimulation.
Signs of hyperstimulation syndrome
This syndromeis a formidable companion of ovarian superovulation, significantly complicating the entire process of IVF treatment. So, for example, if the syndrome develops immediately after egg retrieval, then doctors postpone the transfer of embryos to the next cycle. The most characteristic signs of hyperstimulation are sensations such as:
- distension in the lower abdomen;
- rare urination;
- breaking stool;
- nausea, vomiting;
- shortness of breath;
- increase in abdominal circumference;
- pain in the ovarian region.
In addition, during ultrasound diagnostics, free fluid is determined in the abdominal cavity.
The syndrome can also occur as a reaction to the attachment of the embryo to the uterus. On what day you can feel the beginning of hyperstimulation, it is difficult to answer. It all depends on the general condition of the woman and the number of cells taken from her.
Factors affecting the attachment of the embryo to the uterus
According to statistics, the probability of pregnancy after IVF is approximately 40%, and this is provided that the woman is under 35 years old. After this age, the success rate drops significantly. As some doctors say, it's a lottery - lucky or not. Indeed, many women get pregnant on the first try, but there are those who go through IVF about ten times before becoming mothers.
For such women, there are some recommendations to increase the chances of the embryo attaching to the uterus. What day will the transfer be scheduled for,what to eat, what to drink, how to behave - everything matters. So, first of all, it is worth noting that it will be better if the embryos are allowed to grow up and they will be transferred on the fifth or sixth day after the puncture. In addition, to increase the chances of pregnancy, a few days before the transfer, you need to start drinking Piroxicam tablets. French scientists have proven that this drug slightly increases the chances of attaching the embryo to the uterus. On what day to start taking it, opinions differ: someone drinks for several days, and someone thinks that it is enough to take one tablet before the transfer. Also, the chances will increase if you eat protein foods and drink as much liquid as possible throughout the protocol.
Life after a positive test
The most difficult stage on the way to motherhood has been passed. To make the pregnancy easy, try to walk more in the fresh air, eat protein foods, not be nervous and carefully follow the doctor's orders. Remember that a lot of IVF pregnancies are lost due to misuse of medications. Also, in no case do not cancel hormone therapy yourself, wait for your doctor to do this. Usually, Urozhestan is prescribed to maintain the work of the corpus luteum, it must be used somewhere before the 20th week of pregnancy. Stop taking drugs responsible for the production of progesterone, the doctor will allow a little earlier - somewhere in the 16-17th week.