WHAT IS A TEST TUBE BABY?
Insemination of the stimulated ovaries of the woman’s eggs with
the help of medication, gathered by ultrasonography in a
laboratory environment and obtaining pregnancy by placing the
developed embryos into the uterus. The response differs from
person to person and different responses can be obtained from each
test tube baby assays.
The treatment has five main steps:
• The completion of the guidance and examination of the
couples (hormone tests on the 2nd or 32nd day of the menstruation
period, vaginal ultrasonography, sperm test of the man and
hysterosalfingraphy/ office hysteroscopy in order to evaluate the
uterus)
• Pressuring of the ovaries with medication (the purpose of this
procedure is to prevent the eggs from breaking and thus falling
into the stomach and to obtain more embryos.)
• Growing and maturing the eggs with the help of medicine (the
purpose of this procedure is to obtain many candidate eggs that
will develop embryos.)
• Gathering of the eggs through the vagina (bulp) under surgical
conditions with the assistance of ultrasonography.
• The automatic fertilization of the eggs with the sperm (IVF) or
the injection of a single egg with a single sperm (ICSI)
• Placement of the developing embryos into the mothers womb.
WHAT IS THE SUCCESS RATE OF THE TEST TUBE BABY TREATMENT?
Pregnancy rates differ from center to center and the accepted
pregnancy rate in the world is 50-55% for getting pregnant and 35%
for taking the baby home. The rest of the 30% still cannot
conceive despite the modern medical developments. The success rate
of the test tube baby treatment is higher with young and with no
previous test tube baby experience couples. If the woman is over
35 years old the success rate is lower.
HOW DO THE EGGS DEVELOP DURING A TEST TUBE BABY TREATMENT?
On the 2nd-3rd day of the menstruation period the medicine called
gonadotropin, which is known to cause the enlargement of the eggs,
is given. During the medical treatment the enlargement, the eggs
are followed through ultrasonography and estradiol hormone level
in the blood is monitored and when the target egg reaches the
desired size (at lest 3 eggs of 17-18cm) in order to provide the
last matureness, the cracking injection (HCG) 5000-10000 IU is
performed.
HOW ARE THE EGGS GATHERED?
The gathering procedure starts after 32-36 hours following the
cracking injection. Egg gathering procedure is carried out in the
surgery room of our clinic together with vaginal ultrasonography
under anesthesia and the eggs are then immediately sent to the
laboratory. The procedure of gathering eggs from both of the
ovaries will take approximately 15-30 minutes.
Sometimes even though there are many eggs no egg cellules can be
obtained. The most important reason for this condition is that the
cracking injection is made at the wrong time. In order to obtain
good quality eggs it is very important to do the cracking
injection at the right time and to be present at the clinic at the
specified time for the gathering of the eggs.
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