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Advantages and disadvantages of ivf treatment


Advantages and disadvantages of ivf treatment

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.

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Indications and contraindications for IVF or artificial insemination

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.

Special features of ivf

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.

In Vitro Fertilization "FOR" and "AGAINST"

Table. What is the difference between IUI and IVF?

Advantages of IVF:
Disadvantages of IVF:
1. The ability to have children even at the absolute sterility of both mother and father;
1. Insufficient evidence base (the problem of IVF is that the procedure has not been studied enough, and there is no guarantee that the upcoming child will not be a surprise in some respects);
2. There are no cases in which the cause of anomalies or malformations of the child, was IVF;
2. Problems with reproduction in artificial children (not proven as a large part of the results of IVF has not grown up yet);
3. There is evidence that these children have an increased intelligence and are more calm;
3. Some experts believe that such children are more susceptible to tumor processes and various diseases.
4. The woman herself bears the foetus, and gives birth to the child.
4. It is important to understand that the pros and cons of IVF fertilization are only suspected, and it is necessary to decide whether to take such a risk, individually. The most significant fact is that the method requires a deep and prolonged study.
5. This fertilization method is relatively young and poorly understood, so there are plenty of arguments for and against IVF. In particular, the Swedish researchers believe that babies born using IVF are more susceptible to cancer. In addition, there is a perception that children born this way themselves will have problems with fertility. Also, refusal to do IVF - is the high cost of this method.
6. Another reason against IVF. Procedure for the treatment and fertilization takes quite a long time - from several weeks to one month. All this time the woman gets her samples taken every day and needs to undergo additional medical tests.
7. The risk to a women's health is not excluded either. It is not just the reception of hormonal medications, but also in the fact that at the time of withdrawal bleeding can happen, perhaps the possibility of an infection. Also in a case of wrong implanting of the embryo during IVF protocol, the drawback is the development of an ectopic pregnancy.
8. During the long time of the fertilization procedures some women develop nervous disorders - psychosis, seizures, panic and aggression.

The most frequent reasons because of which IVF can fail:

  • 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.
  • Obesity.
  • 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.

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