2024 Author: Priscilla Miln | [email protected]. Last modified: 2023-12-16 00:21
Infertility in the modern world is a fairly common occurrence faced by young couples who want to have a baby. Over the past few years, many have heard "IVF", with the help of which they are trying to cure infertility. At this stage in the development of medicine, there are no clinics that would give a 100% guarantee for pregnancy after the procedure. Let's turn to IVF statistics, factors that increase the effectiveness of the operation and clinics that can help infertile couples conceive a child.
What is IVF?
In vitro fertilization, which is briefly called IVF, is one of the most common and reliable methods of infertility treatment. If we translate this definition from Latin, then literally it will mean fertilization outside the body, that is, the body begins to be born in a test tube, andonly then it is transferred to the mother's body. Doctors advise resorting to this method to couples who have not been able to conceive a child for a year, living a sexual life without protection. If for some reason the egg and sperm could not merge in natural conditions, doctors create ideal ones for them in the laboratory. Let's briefly consider the stages of this kind of fertilization.
First stage IVF
In time, the process lasts for one full-fledged menstrual cycle of a woman. It highlights several important steps that make it possible to get pregnant.
Prevention and stimulation of egg maturation processes in a woman's body. At this stage, a woman's he alth is analyzed by a reproductive specialist, on the basis of which certain hormonal drugs are prescribed, the dosage is determined individually. These drugs help increase the number of eggs produced, instead of one, several are formed. Preparations artificially prepare a woman for pregnancy. It is important at this stage to do regular ultrasounds to monitor the process of egg maturation.
Egg retrieval
All mature cells of a woman are removed from her body with a thin needle, while constantly being monitored by ultrasound. In time, this procedure takes only a few minutes, after a short rest (about 2 hours) you can go home.
Fertilization process
In parallel with the previous stage, the woman, the man hand over seminal fluid. After inthe clinic turned out to have both female and male cells, and embryologists are starting to work. The cells of a woman and a man are placed in a test tube, and artificial conditions for fertilization are created. Conception occurs, after which the test tube is sent to the incubator, in which embryos will develop for 2 days. Embryologists continue their work and monitor the development of cells.
Planting an embryo into a woman's body
This happens with the help of a thin catheter. At a time, a woman should not be transferred more than 2 cells, because in this case, a multiple pregnancy is possible. 2 cells is the best option. In this case, the strongest eggs are selected, which are more likely to survive. If there are other embryos left, they can be frozen "just in case" so that they can then be planted in the mother's body if this IVF is unsuccessful. This stage does not take much time, it does not bring discomfort, but after the expectant mother needs to rest. This completes the IVF process, the woman is prescribed hormone therapy, which will allow the embryo to develop favorably. After 2 weeks, an hCG test is prescribed, thanks to which it is determined whether the woman is pregnant or not.
The process and scheme for the implementation of artificial insemination is called the IVF protocol. Depending on individual indicators, the order may change.
How effective is IVF?
When deciding on in vitro fertilization, many parents-to-be are worried about IVF statistics. According to established practice, the data are such that withthe first time, the chances are 50 to 50. That is, exactly half of the couples still find a child, and the second half is temporarily deprived of such an opportunity. The good news is that on the second attempt, the probability increases to 90%. Of course, it is quite difficult to predict the result, because everything depends on individual characteristics and indicators. Next, we will analyze the factors that both negatively and positively affect the successful implementation of artificial insemination.
Factors affecting IVF outcome
Despite the IVF statistics above, every couple who plans to use this method should be aware of what affects the result:
- Clinic. Of course, it is very important to carry out the procedure in a good clinic, which has its own status in this area, new equipment, highly qualified specialists.
- The reason a woman can't get pregnant. If the cause is low sperm activity in a man, the likelihood of successful IVF is high, and if there is a blocked tube in a woman, the chances are reduced.
- How many women can't get pregnant. The longer a couple fails to conceive, the lower the chances of a positive result.
- The presence of a tumor, even if benign, reduces the likelihood of pregnancy.
- Wrong lifestyle.
- Age. If a woman is 35 years or older, the effectiveness of the procedure is low, more than 2 embryos can be implanted within one IVF protocol, because the likelihood that they will take root is small.
- Donor eggs or sperm favorably affect the outcome of artificial insemination.
Increase the chances of a positive result
You can influence IVF statistics on your own, increasing your chances of becoming parents. The main thing is to remember that everything is in your hands. It is necessary to strictly follow all the recommendations that the doctor gives to the couple. At the same time, not only a woman, but also a man should follow the rules. In order to increase your chances of conceiving a child, you need to carry out several protocols. This is the case when the more you try, the higher the chance. As we said earlier, the repeated procedure increases the possibility to 90%, the probability of IVF failure is only 10%.
You must choose a good clinic, we will give a rating of the best in Russia below. The better the organization, the better the services it provides, remember this!
Statistics
On the territory of Russia there is the Association of Human Reproduction, which conducts comparisons and studies, displaying pregnancy statistics after IVF. According to the data she presents every year, about 40,000 IVF cycles are performed in Russia. Of these, pregnancy occurs in 1 case out of 4. The average pregnancy rate using artificial insemination is 39%. Most of the clinics are located in Moscow and St. Petersburg. The majority of patients are over 30 years old, although the likelihood of becoming pregnant is significantly reduced. Clinics deal with the most diverse and difficult causes of infertility, such as endometriosis, endocrine infertility.
Rating of clinics in Moscow
Earlier we mentioned that it is extremely important to choose a good hospital, now we will determine the list of the best IVF clinics. The selection took place on the basis of the effectiveness of the procedures that led to pregnancy and childbirth. We invite you to familiarize yourself with the rating of clinics, the best in Russia:
- First of all, we will indicate the IVF clinic in Moscow - the Center for Reproductive and Prenatal Medicine, which is briefly called EMC. It employs doctors with experience in the best centers in Europe. Employees of this organization take on the most difficult cases in which the couple has no hope of giving birth to a child. Thanks to the active work of the clinic, more than 3,000 children have already been born. The cost of a full-fledged artificial insemination program is 3,100 USD. e., paid in rubles at the exchange rate.
- IVF clinic in Moscow "For birth", which, like the previous one, helps in the treatment of infertility. On the basis of the clinic, there is a service that helps with the resettlement of couples who have arrived from other cities and regions. The total cost of the IVF program is 223,000 rubles. If donor cells are used, the cost is reduced to 170,000 rubles.
- The IVF Center in Moscow will assist not only in the procedure, but also in the diagnosis of infertility, treatment and the use of other methods of reproduction. Official data show that the effectiveness of the work of the organization is 1.5 times higher than the average for Russia, that is, the incidence of pregnancy is high here. One Protocolfully costs 194,000 rubles, but there are also free compulsory medical insurance programs.
- IVF clinic in Moscow "Mother and Child" is a whole network that operates not only in the capital, but also in other regions of the country. Only in Moscow there are 6 centers of this network. In the reviews, women indicate the friendliness of doctors, a cozy atmosphere, which are so important during pregnancy and childbirth. The price of the full program is 200,000 rubles, the organization also accepts patients under compulsory he alth insurance.
- In conclusion, we will point out the he alth center "SM - clinic", which is located in Moscow. The difference between this clinic and others is that among the equipment there are multi-gas incubators in which the embryo develops at natural temperature, the environment is constantly disinfected. The cost of the procedure is 150,000 rubles.
The best Russian clinics located in other cities
- The IVF Center, located in Volgograd, is a large organization that deals with the treatment of infertility, the effectiveness comes in 49%. The price of the procedure is 130,000 rubles, and free participation in the CHI program is possible.
- The international center in St. Petersburg specializes in reproductive medicine and has been operating since 1993, the percentage of positive outcomes is constantly increasing every year. This clinic has a CHI program, paid IVF services cost 95,000 rubles, which is considered quite inexpensive compared to other clinics.
- The IVF Center, which is located in Smolensk, shows the effectiveness of protocols of 49.7%, this is a fairly high figure. In addition, you cannot only to try IVF, but also to try to cure infertility. The cost of the full program, including all drugs and therapy, is 130,000 rubles. An additional plus is that at the clinic you can queue up for IVF under a compulsory insurance policy and carry out the procedure for free.
We have brought to your attention a number of the best IVF clinics that operate in different parts of our country. Let's pay attention to the fact that in the selection we were based on the feedback of patients and the percentage of effectiveness. The prices indicated by us are approximate, they are valid at the beginning of 2018.
IVF with egg donation
There are cases when the cause of a couple's infertility lies in violations of the processes of egg maturation in a woman. In this case, the use of a donor female germ cell is popular. This type of artificial insemination differs in some features. There are three stages of the procedure:
- Choosing a donor, in some cases relatives or acquaintances can be donors. As a general rule, a couple does not know information about their donor, if they are not acquaintances (relatives), only information about the phenotype is provided - the properties and characteristics of an individual person. Donation can be both free and for a fee. The age of the donor must not be more than 35 years old, and it is also necessary to have at least one he althy child.
- Ratio of menstrual cycles. At this moment, it is analyzed when the woman's body matures in order to be ready to receiveegg and embryo attachment. In order to provoke maturation, hormone therapy is used, thanks to which the body prepares for a future pregnancy.
- IVF procedure, which is carried out according to the scheme outlined above in general terms.
IVF statistics with a donor egg show that in 57% of cases the result is positive. Some clinics that specialize in this in detail achieve a 70% success rate, which is an excellent result.
IVF with donor sperm
The reverse situation, when the problem of infertility is contained in male germ cells, is solved by IVF with donor sperm. Also, this method is used in the case when a woman does not have a husband, but she wants a child. The process is almost identical to the previous one.
- Search for a sperm donor. As a rule, couples or a single woman go to the sperm bank, which is available at almost every clinic, and select the necessary candidate there. One vial of sperm is enough to fertilize all of a woman's eggs. A vial is a container in which the candidate's seminal fluid is stored.
- Fertilization of an ovum in a test tube in the way described above. Intrauterine insemination is also possible, which involves the introduction of sperm into the uterus of a woman. This method is not effective, pregnancy occurs in only 20% of cases.
The main thing is a positive attitude, faith in the result and the support of a loved one will help to conceive a child, endure and give birth to him!
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