When a couple really wants a child, and a woman can not get pregnant naturally for a long time, the family starts to try artificial methods. One such method is ECO ICSI (ICSI). This is an in vitro fertilization using an intracytoplasmic injection.
ECO plus ICSI - what is it?
IVF artificial insemination is a process where eggs and spermatozoa are placed in a single container. In this environment, conception takes place in a "natural" way. But ECO by ICSI is carried out with pronounced violations and abnormalities in men. It is possible with one morphologically normal and viable tadpole.
Responding to a popular question about what an IVF IVF is, how the process itself is going on, it should be said that this procedure is performed artificially under a microscope. The embryologist takes 1 spermatozoon and inserts it directly into the egg with the help of special micro-tools (a needle and a sucker holding the capillary). This method helps to fertilize all the oocytes that were obtained during the puncture.
ECO plus ICSI is a very complicated procedure that requires a clear and fast work of a specialist. This process takes place under a fourfold increase. With this method, doctors use a high-precision micromanipulation system to which glass instruments are attached. Through the joystick, it allows you to translate the movements of hands into microscopic operation of the equipment.
ECO Statistics ICSI
Before agreeing to this procedure, most couples are interested in the question of what the IVF ECHO efficiency is. According to statistics, fertility rates can range from 30 to 80%. Pregnancy depends on various factors, the most important of which are:
- The quality of germ cells. For example, the selected spermatozoon may externally have excellent characteristics, but it also contains chromosomal abnormalities. Affects the result of IVF IVF and the structure of the egg, especially its ability to divide.
- Age of the woman. Every 5 years, significantly reduce the response to artificial stimulation. For example, before the age of 30, the chance of getting pregnant from the first is about 48%, to 35-40%, after 45 years - only 20%.
- The genetic set of parents. The cycle in which the puncture took place gives less chance of successful fertilization.
- Damage to biological material during fertilization by ICSI.
- The woman's health and her ability to endure a strong child.
Before the beginning of the procedure, the expectant mother should visit an experienced gynecologist-obstetrician, and father - also genetics, so as not to transfer infertility to the son. Still it will be necessary to hand over all analyzes, to pass or take place complex inspection, and in case of need, and treatment to the husband and the wife. No doctor can give a 100% guarantee that after carrying out ICSI the egg will be accurately fertilized.
If the pregnancy did not occur after four consecutive stimulations, then the effectiveness of the following attempts can be greatly reduced. Sometimes there are cases that the long-awaited impregnation has been coming since the 9th time. In rare cases, doctors offer alternative methods of treating infertility: donor spermatozoa, ovules, embryos or surrogate motherhood .
What is the procedure for IVF IVF - step by step?
Before carrying out this stimulation, future parents must first prepare their organisms. ECO IVF procedure is carried out in stages:
- Stimulation of the ovaries to produce oocytes. The woman is prescribed hormonal drugs, which must be taken within 2-3 weeks. During this period, doctors monitor the development of follicles and await their maturation.
- Egg extraction is performed by aspiration and puncture of the follicles. Then they are placed for several hours in a nutrient medium and oocytes are recovered. This procedure is performed using sedative anesthesia.
- Preparing the sperm and separating the active sperm , which is first immobilized with a microneedle (interrupted by a tail), and then sucked into it.
- Transfer. On the microprimer, the egg is held, then the microneedle is pierced with its envelope and injected into the sperm.
How many fertilized eggs can be recognized for the next day, and after 3 more days the pre-embryos are transferred to the uterus for further development. They are administered with a thin catheter without the use of anesthesia. Experts choose the most advanced embryos, and the rest are frozen and preserved for future use if pregnancy does not occur.
ECO ICSI - training
To achieve the maximum result, doctors recommend conducting IVF with ICSI in a natural cycle. Before the beginning of the procedure, future parents should lead a healthy lifestyle, exercise, eat right and give up harmful habits. Also, experts recommend taking tests for:
- HIV;
- Rh factor and blood group;
- Wasserman's reaction;
- hepatitis;
- spermogram;
- STI;
- ECG;
- compatibility, etc.
When do ICSI with IVF?
IVF IVF procedure is assigned in the following cases:
- The resulting number of eggs is less than 4.
- The number of mobile spermatozoa is low.
- In the semen, antisperm antibodies or pathologies were detected.
- Spermatozoa were obtained using the surgical method from the epididymis through the skin.
- Low percentage of the onset of IVF fertilization.
How many embryos are planted with ECO IVF?
Stages of IVF IVF include the embryo placement of the embryo into the womb of the woman. Experts choose from them the best in the amount of 2-3 pieces. Very often only one embryo is implanted, but there are situations when that is all. In such cases, a multiple pregnancy occurs, which proceeds like the usual pregnancy. In this case, the expectant mother should take an increased amount of Progesterone.
Pregnancy after IVF IVF
The full development of the embryo, when the pregnancy of ECO IKI came, probably in 90%. The technique extends the chance to endure a healthy child, but this method does not naturally select the sex cells. For this reason, the baby has congenital pathologies. In order for this to happen before conception, it is necessary to visit the genetic center.
ECO ICSI - pitfalls
Thanks to modern technology, almost every woman can become pregnant nowadays. On the offensive of conception after IVF IVF for the first time affect both the natural factors of the environment, and the qualifications of the specialist and the health of the parents. Choose a proven clinic, adhere to the recommendation of doctors, believe in a positive result and then you will necessarily get it.