This phrase is known as IVF. That the husband’s sperms are placed with the eggs that are withdrawn from the wife’s body in a suitable environment and conditions in order for the fertilization process to take place outside the body and to remain for a certain period until embryonic cells are formed (the beginning of the embryo) and then they are put back by a special catheter into the wife’s womb. And usually begins with taking treatment either from the (21) day of the menstrual cycle or with the beginning of the first day of a new menstrual cycle, and this is decided by the attending physician, taking into account that the first day of the menstrual cycle begins with blood flow even if it is a small amount. This program applies in the following cases: 1 – The passage of a period of marriage with no pregnancy occurring in a healthy couple and who do not suffer from any problem hindering pregnancy after applying all the numerous attempts for treatment, including artificial insemination (unexplained infertility). 2 – When there is a blockage in the fallopian tubes, which are the only passage for the egg to reach the uterus after meeting with the sperm, in which fertilization takes place in the normal state of pregnancy. 3 – A weak sperm count or some other defect in it, which does not allow the normal fertilization of the egg. This course is divided into three stages after the training course for both spouses: The first stage includes: 1 – Starting pharmacologically with hormonal stimulants for the ovaries after the wife’s preparation for this, and the start of periodic reviews of the center to discuss the laboratory results and follicle growth during the stimulation period. 2 – An experimental measurement of the uterine cavity by means of ultrasound, there is also a measurement of the uterine cavity before starting the administration of stimulant drugs in the practical way, which is known as (MOC). 3 – Hormonal tests as requested by the treating physician. 4 – Study the development of follicle growth through ultrasound and analysis until the time of the egg retrieval process The second stage includes: 1 – The eggs were previously removed by the laparoscope, and currently the Arab Center for Fertility and Treatment of Infertility Hospital and all centers of the world are withdrawing the eggs from the wife’s ovaries by means of ultrasound waves through the vagina (Vaginal probe), which is a simple process but You need local anesthesia or general anesthesia, and this depends on the wife’s psychological preparations. Note: Very slight vaginal bleeding may sometimes occur after egg retrieval, and this is normal as a result of penetration of the vaginal wall with the special needle for removing eggs. 2 – Laboratory work of the tube child, which includes: 1 – Transferring the eggs to the laboratory and placing them in the nutrient medium under certain conditions and in ready incubators after separating them, and preparing the semen to be ready to be placed with the eggs, the incubation period for the eggs. 2 – Embryological study of fetal cells and selection of appropriate embryos for transfer to the wife’s womb. And the preparation of vaccines necessary for the process of transferring embryos to the wife’s womb. The third stage includes: 1 – The process of transferring embryos to the uterus, and this process is done without anesthesia because the wife will not feel any kind of pain, and this process is done by inserting special catheters loaded with embryos through the vagina and cervix into the wife’s womb.
Important notes after embryo transfer:
1 – The wife can carry out her daily work, starting from the second day of embryo transfer, except for work that requires great effort. 2 – The wife can travel if she is coming from a remote place, either by plane or by land transport. 3 – The spouses must abstain from sexual relations for a period of not less than a week after the embryo transfer. Success rate of IVF and pregnancy: During the period of continuous work at the Arab Center for Fertilization and Treatment of Infertility Hospital, we, praise be to God, have reached an excellent success rate of 30% as an average rate, and this percentage is equivalent to any rate of pregnancy success in international centers, which reaches between 28-35% and the Arab Center for Fertility and Treatment Infertility always works diligently to advance to better results than that, noting that the success rates are controlled by several factors, including the quality of the eggs that were withdrawn, the fetal cells after fertilization, the inner lining of the uterus, and so on. The rate of abortion after pregnancy is equal compared to any normal pregnancy for a healthy couple, and it is no different from them, which is equivalent to 15%. Important Notes: 1 – Both spouses can, during the period of stimulation and preparation for the wife, have a normal sexual relationship. 2 – The sexual relationship between spouses must be abstained for a period of not less than three days before the eggs are withdrawn. 3 – It is possible to repeat the cycle of IVF several times if the spouses are not lucky enough to conceive on the first attempt. Noting that the repetition of such a process increases the chances of pregnancy by 90-95%. And the most beautiful wish is granted to the center and its employees for success to be the ally of every couple, as well as patience and perseverance is the basis for the success of work, God willing.