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Medical Video: In Vitro Fertilization (IVF)
IVF program, aka in vitro fertilization (IVF), is one of the many techniques available to help people with problems with fertility to have babies.
Since it was first introduced in the 1970s, IVF programs and other reproductive helper methods have given birth to more than 5 million babies worldwide.
Quote from Liputan6.com, according to data from the Central Statistics Agency (BPS) in 2008, the number of couples experiencing fertility disorders reached 10 percent of all couples in Indonesia, or reaching 4 million. Approximately five percent (around 200,000 couples) must be assisted with IVF programs.
The number of IVF clinics in Indonesia to date has 27 clinics in 11 major cities, including Jakarta, Medan, Padang and Denpasar.
What is the IVF procedure?
Before starting IVF, your doctor can give you a number of prescription fertility drugs. This fertility drug serves to stimulate your ovaries to produce many eggs at a time. The large number of eggs helps increase your chances of successfully getting pregnant with IVF.
As long as you take these drugs, your doctor will continue to monitor the ovaries, hormone levels in the body, and ensure that your eggs are in the process of maturing in the ovary follicles.
When the egg is mature, the doctor will use a thin syringe to lift the egg cell and then put it together with sperm, which has already been removed from your partner or donor, in the petri glass. This is where the in vitro fertilization process begins.
The fertilized egg, now called an embryo, is then incubated for several days. During the incubation period, your embro will continue to be monitored and checked for growth and development. After that, the healthiest embryo will be put back into your womb using a flexible thin tube (catheter) to continue its growth and development in your body.
Then, the doctor will prescribe progesterone supplements to increase your chances of having a normal and healthy pregnancy.
Some doctors may choose to move more than one embryo, while others think that only one embryo must be removed. This is done to avoid health risks associated with multiple pregnancies. One embryo is actually enough to make a pregnancy happen if you are less than 35 years old.
IVF can be done using your egg and your partner's sperm, or both eggs and / or sperm come from a donor.
Who can run the IVF program?
IVF program is not the main recommendation for handling infertility. Conversely, IVF will be recommended if other methods, such as fertility drugs, surgery, and artificial insemination, do not work.
IVF programs may be the best solution, if you or your partner is diagnosed with:
- Endometriosis
- Little sperm count
- Impaired uterus or fallopian tubes
- Ovulation problems
- Antibody problems that threaten the life of sperm or egg cells
- Inability of sperm to enter or survive in the cervix mucus
- Unexplained infertility problems
Women who have a problem with the fallopian tube will benefit greatly from this IVF program. The IVF procedure does not involve the fallopian tube, so a woman whose fallopian tube is blocked, or does not have a fallopian tube at all, will be facilitated to plan a pregnancy with IVF.
Women with endometriosis and polycystic ovary syndrome (PCOS) will also be greatly helped by this program, because IVF can help them cope with signs and symptoms of infertility, and make it easier for them to get pregnant.
Women who have an irregular ovulation cycle can also run a dream pregnancy with the help of IVF, because fertility drugs can be used to encourage ovulation and the production of healthy eggs.
For men who have minimal sperm count problems, IVF programs will be supported by intracytoplasmic sperm injection (ICSI). ICSI can help your partner get pregnant, because this injection only requires one healthy sperm to produce eggs during IVF.
How good is my chance of becoming pregnant with IVF?
Quoted from webmd.comthe success rate of IVF will depend on a number of factors, including the cause of your infertility, where you performed the procedure, and your age.
If you don't want to use donor eggs for your IVF procedure, even if the egg you produce is not healthy, your chances of getting a successful pregnancy will decrease.
If you are 30 years old, using donor eggs can increase your chances of getting pregnant with IVF. Even so, even though older women manage to get pregnant with IVF programs, those aged 40 years and over can still be at greater risk of miscarriage.
What you need to understand, IVF in Indonesia does not allow the involvement of donors (eggs and sperm), or substitute mothers (surrogate mother).
Other health conditions that might hinder the success of your IVF program, including fibroid tumors, ovarian dysfunction, abnormal hormone levels, and uterine abnormalities. Women who have this condition have a low chance of being able to successfully get pregnant with IVF.
What are the side effects and risks of IVF?
After you finish running IVF, you can resume your daily routine. However, your ovary is still possible to swell. It is best to avoid strenuous activities that can cause pain and discomfort.
Common side effects, including:
- Leucorrhoea - transparent fluid coming out of the vagina immediately after the procedure, caused by the process of swabbing the cervical wall before embryo transfer
- The breasts soften due to high estrogen levels
- Feeling mild
- Mild cramps
- Constipation
In addition, in vitro fertilization (IVF) increases the risk of ovarian overstimulation syndrome and multiple pregnancy. The risk of overstimulation can be easily overcome if the doctor continues to closely monitor your ovaries and hormone levels during fertility drug therapy.
The risk of multiple pregnancy is directly related to the number of embryos inserted into the uterus, especially if you are over 35 years old. Double pregnancy is a high-risk condition not only for your health, but also for your fetus.
There is a high probability of birth defects for babies conceived through the IVF process. Consult your doctor for more information.
If you or your doctor is concerned about reducing genetic disorders to your fetus, the IVF fertility clinic program provides a preimplantation genetic diagnosis test service. Some genetic disorders can be identified by a special test before the embryo is put back into the womb, ensuring you have a great chance to have a healthy fetus.
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