Advantages and disadvantages of ivf treatment
Advantages and disadvantages of ivf treatment
- Indications and contraindications for IVF or artificial insemination
- Special features of ivf
- In Vitro Fertilization "FOR" and "AGAINST"
- The most frequent reasons because of which IVF can fail
In vitro fertilization method is one of the options of artificial conception. The fertilization itself however does not happen naturally but in a test tube (in vitro). The essence of the procedure is to extract the egg cells from the female body, fertilize them and implant them back. This method is used in the case of infertility diagnosis.
For the first time in the history of successful IVF fertilization it was done in the eighties of the twentieth century in the United Kingdom. Studies in this direction began in the fifties, and by the end of the century the method has become extremely popular. Much has changed during this time. At first we shall find out what is the IVF procedure. Next, consider the advantages and disadvantages of this method.
The only indication for the procedure is infertility, but not all types of it can be successfully corrected with the help of IVF. This method is used if a pregnant woman has:
- Endometriosis (of any of the organs of the reproductive system);
- Lesions of the fallopian tubes;
- Cystic disease of the ovaries;
- The inability to get pregnant associated with immunological status;
- Idiopathic infertility (when the reasons haven’t been identified);
- Disturbances in the formation, development and allocation of sperm alleged father.
Also, there are a number of reasons for the rejection of IVF, which should be considered during preparatory diagnosis of the woman. These include:
- Mental disorders;
- Any disease of the uterus, during which it becomes impossible for the implantation of a fertilized egg in its wall (abnormal development, inflammation, and other);
- Oncological diseases of the reproductive system (and any other organs, as well as those transferred in the past and or cured);
- Neoplasms of benign nature, located on the uterus;
- Inflammation of various genesis.
Two factors play the key role in determining the contraindications:
- The ability to bear a child and give birth to him;
- The danger to the woman's life and the future of the fetus.
Contraindications for men have not been identified. The main point is the presence of seminal fluid with a large number of healthy sperm.
This procedure is suitable not just for women of childbearing age, but also for those who are already in menopause. A special feature of pregnancy in these mothers is the use of hormone replacement therapy which plays as a substitute. The procedure can also be successful in women who had their ovaries removed and any other women who have a uterus in "working" condition. Statistics of IVF outcomes at this stage of the method is 30-35% success rate on average. In older women (over 45) it falls to 1%. Which means, the younger the expecting mother, the higher the chances of getting pregnant. However, the number of attempts at fertilization is calculated individually and can be virtually unlimited. Only certain indications are a signal to stop trying.
Table. What is the difference between IUI and IVF?
- Poor-quality embryos. If the failure is due to the quality of the embryos, one should consider alternative IVF clinics with more skilled embryologists.
- Endometrial pathology.
- Pathology of the uterine tubes.
- A genetic nature of the problem.
- The similarity of HLA antigens in the partners.
- The presence of antibodies in the female body, which prevent pregnancy.
- The problems of the endocrine system and hormone disorders.
- The age factor.
- Bad habits.
- Wrong advice or failure by the woman to comply with the doctor's recommendations.
- Poorly conducted examinations (a failure to immunogram, hemostasiogram).
- Polycystic ovary syndrome (reduced quality of the eggs).
- Reduced follicular reserve.
- The presence of chronic diseases in the female reproductive system, liver, kidneys, lungs, gastrointestinal tract, and so on.
- Presence of infectious diseases (herpes, hepatitis C, and so on.).
- Disturbances in health during the IVF process (influenza, SARS, asthma or trauma, gallstone disease, and so on.).
- Adhesive process in the pelvis or external genital endometriosis.
- Congenital and acquired anomalies - the two-horned uterus or saddle uterus, doubling of it, fibroids, etc.
Despite all the shortcomings of the IVF method, it is gaining popularity. For many it is the only hope to have a baby. If you are unable to conceive a baby, you should consult with a physician-reproductologist.