How to convince a Family for IVF after 5 years of Marriage?
Why IVF?
Our Indian culture has a strong belief that women should conceive the next 3 months of marriage, but the reality is not on our part, some says God , some says Karma. Everyone after marriage is not getting pregnant immediately for various reasons. Some couples may postpone their conception due to various reasons. So, the discussion here is not about the couples who don’t want to conceive immediately. The couples who expect a baby after their marriage may all not be successful. So the fact behind it is one must take necessary steps after their calmness. Being fretted is not advisable for finding solutions, only action gives solutions. Instead of knowing the incapability of each other it is better to opt for the required thing. Here, the text is mainly framed to convince the family for IVF, by explaining the advantages and make clear to couples undergoing the treatment. IVF is an assisted reproductive technology with more positives and lesser negatives. It records the higher success rate globally and is a better reproductive technology than the world ever had. To have a better analysis of In- Vitro Fertilization treatment, we need to relate-study advantages of IVF and disadvantages of IVF with respect to the infertility conditions. IVF treatment consists of ovarian stimulation of the woman in order to obtain a greater number of eggs and, thus, fertilize them in the laboratory with the semen of the couple or an anonymous donor if this is the case. Then, the development of the embryos obtained in culture is observed and, finally, the best embryo is transferred to the woman's uterus to achieve pregnancy. The likelihood of pregnancy with IVF is much higher than with AI.
When we look after Success Rates?
These are the success rates obtained according to the latest report of the SEF (Spanish Fertility Society) for each age range established
Women <35 years The gestation rate per IVF-ICSI cycle is 44.4%, while the gestation rate per AI cycle is 13.3%.
Women 35-39 years
The gestation rate per IVF-ICSI cycle is 35.1%, while the gestation rate per AI cycle is 12.8%.
Women ≥40 years
The gestation rate per IVF cycle is 21.4%, while the gestation rate per AI cycle is 8.4%.
Obviously, in women of advanced maternal age who already have low oocyte quality, the success of IVF begins to be accepted and, therefore, it will be necessary to apply combining techniques such as preimplantation genetic diag (PGD) or egg donation to achieve pregnancy.
What is the requirement for IVF?
To perform IVF, the eggs are acquired directly from the ovary by means of a follicular puncture. This allows patients with blocked fallopian tubes to be able to undergo this treatment without affecting the success rate. The same is true for women with tubal ligation who do not have tubal quality. The only possible treatment for those free from bacteria who regret the decision made in the past is IVF. On the other hand, one of the greatest advantages with IVF does not require regular menstrual cycles or spontaneous ovulation, as all this is controlled with hormonal medication.
Embryo quality
One of the most important benefits of IVF is that it allows us to observe the evolution of embryos from fertilization to day-to-day transfer. This makes it possible to evaluate certain parameters of their morphology that are related to quality, such as the following:
With this, a degree of premability is assigned to each of the embryos with the aim of choosing the one that has the good chance of implantation.
Vitrification
Vitrification is a freezing technique used on eggs and embryos that ensures very high survival rates, which has greatly optimized IVF cycles. After ovarian stimulation and fertilization in the laboratory, several embryos are obtained that may be suitable for transfer to the maternal uterus if they are of appropriate quality. Besides, vitrification allows the cryopreservation of surplus IVF embryos for future embryo transfers if the first one is not successful or, on the other hand, to have a second child in the future. In these cases, only one endometrial preparation treatment would be necessary, without having to go through the entire IVF process. In addition, egg vitrification is the technique used to preserve fertility of women who decide to become mothers later. In this way, it is ensured that the oocyte quality is good at the time of IVF and the pregnancy rate is not affected by age. In order for a traditional pregnancy to take place, it is necessary for the male to have optimum seminal quality, with a high concentration of mobile spermatozoa and with good morphology. When these parameters are greatly affected, resulting in severe male infertility problems, the only possible technique to ensure gestation is IVF-ICSI.
For example, IVF has allowed men with the following fertility problems to become fathers today:
Oligozoospermia
Astenozoospermia
Teratozoospermia
Azoospermia
Vasectomized men
Infertile males from chemotherapy or radiation therapy
Men who have a zero count of sperm in the ejaculate, whether due to vasectomy or other sterility problems, will have to obtain the sperm sample through an epididymis biopsy or testicular biopsy. Since these spermatozoa are of very poor quality, insemination will necessarily have to be carried out by microinjection of sperm. Men who are going to undergo cancer treatment it is important that they first preserve a sperm sample in order to remain frozen and use it in the future if they wish to become parents. These frozen semen samples can be used for both AI and IVF. However, since they are considered valuable semen samples, it is more common to perform an IVF in order to have a greater probability of success.