Fertility Treatment for Women with PCOS – IVF

In vitro fertilization (IVF) is not usually first-line treatment for women with PCOS, but some will need IVF treatment to help them conceive. If this is you, don’t feel like a failure or be afraid of it. IVF success rate with this treatment is highest when compared to previous fertility treatments of Clomiphene and FSH ovulation induction.

Common reasons for you to go down the IVF path include:

  1. No pregnancy success with Clomid, Metformin, Ovulation induction or all other fertility treatments that are Ovulation Induction and intrauterine insemination.
  2. Where previous simpler fertility treatments have caused an exaggerated response of the ovary by causing 3 or more follicles to grow, it puts you at increased risk of multiple pregnancy if all are fertilized.
  3. When there are other fertility reasons that necessitate IVF treatment; male factor issues such as low sperm count and poor swimmers, fallopian tube obstruction or endometriosis in the pelvis
  4. Another common reason is increasing female age: In all women, the chance of pregnancy decreases as we age, and if you’re around 37 or older, your fertility specialist may encourage you to consider IVF instead of spending 6-12 months. it may not work and then you will be a year older.

This next section will give you an understanding of management and maintenance during; The IVF cycle, how you might feel, the risks and what your chances of pregnancy might be.

IVF Treatment Process The IVF treatment process basically involves taking your eggs (also called ovary/oocyte) from your ovaries and combining them with your partner’s sperm in the lab. Thus, sperm and egg fertilization takes place in the laboratory at a fertility clinic, not in the fallopian tube.

In normal human physiology, each month a mature egg is grown to maturity and then ovulated. But in IVF we don’t want just one egg, we want at least three or more eggs to give you a higher chance of developing embryos.

Treatment IVF Timeline: The beginning of your IVF treatment

Your fertility specialist and clinic will give you injections of fertility hormones that will stimulate and enlarge the eggs in your ovary. Your ovarian response will be monitored by clinical nurses and doctors with blood tests and pelvic ultrasounds. When your follicles are at the proper growth size (18 – 22 mm), it is decided to retrieve the eggs from your ovaries.

By the way, these hormone injections are the same FSH – follicle stimulating hormone used in ovulation induction fertility treatment. Again, do not be afraid of these FSH injections, they are simple and you will be shown at length by the staff how to use them.

IVF egg collection

Your eggs are removed from the stimulated follicles in your ovary in a twenty to thirty minute process. For this, you can be anesthetized or have it done under local or general anesthesia. Afterwards, you may experience cramping menstrual pain that can last for a day. The eggs are then placed together with the sperm in the laboratory for fertilization to occur. Fertilized eggs are then divided and developed into embryos.

IVF embryo transfer

Embryo transfer is a simple process; takes about ten to fifteen minutes. It’s very similar to having a Pap smear – the speculum goes into your vagina to visualize the cervix. The best-looking embryo is selected that day to return to your uterus through a small plastic tube. Patients are generally advised to grow the embryos for up to 5 days when they should be over 100 cells by then and the chance of implantation should be higher. Also, on day 5 of embryo growth, you can select the best embryo to be transferred back.

After two weeks you will go back to the clinic for a pregnancy test and this can often feel like a very long wait.

Many women say that this is actually the hardest part of IVF treatment (waiting to see if IVF is successful).

IVF Process: How You Can Feel

pass through any infertility treatment It can be a roller coaster ride, but with more IVF you also expect higher chances of pregnancy, especially if it takes more time, when it takes more time.

So of course expectations are often higher.

When the pregnancy is not successful, especially if you have to do the treatment again, you may start with excitement and then be disappointed. That’s why it’s important to have some kind of support around you or to have apps that will help you stay grounded and focused and still live and love life.

  • Here are some other feelings you may have: Feeling cranky or irritable, especially during injections
  • Nausea
  • Headaches, especially if you are prone to them
  • Bloating in your belly as your ovaries enlarge. Your clothes may be tight, especially in the first two weeks after the eggs are hatched, many women think their bellies are so big that people will think they are pregnant. This tends to occur when a large number of eggs are collected from the ovary… and I’m talking about twenty or more.
  • Periods such as cramping pelvic pain after egg retrieval and sometimes up to the next two weeks
  • Your breasts will feel larger and may be tender to the touch

IVF Success: What are the chances of pregnancy with IVF Treatment?

IVF gives you the highest chance of pregnancy compared to any other PCOS fertility treatment.

However, it will depend on:

  1. Your age
  2. Your weight and overall health, such as whether you have diabetes or insulin resistance.
  3. How good is the laboratory that takes care of your eggs, sperm and embryos in your IVF clinic.
  4. The quality of your embryos.
  5. Number of embryos returning to your uterus
  6. Whether you have other fertility factors, such as having the condition called endometriosis, or male sperm problems that may affect the chances

in general your female ageIt will be related to your chances of pregnancy, which is related to the age of your eggs, and IVF success. The younger we are, the younger our eggs and therefore the higher the chance of pregnancy. As we age, our eggs also age and our chances decrease. of the IVF success So for us women, you can see that time is important when we take action for our fertility. Delay can lead to worse outcomes and regrets.

On average, when an embryo is transferred back, the chance of pregnancy in women younger than 38 is around 35-40%. For women between the ages of 38 and 40, the chance can vary between 25 and 35%. For women over 40, the chance is less than 20%.

What are the Possible IVF Side Effects of IVF Treatment?

IVF treatment has almost the same possible side effects as ovulation induction therapy with FSH. Some feelings may be worse as the dose of FSH hormone is higher and therefore the ovaries will be more stimulated and larger.

The risk of multiple pregnancy is another IVF side effect and will depend on the number of embryos transferred back to the uterus.

Me and most fertility experts recommend transferring only 1 embryo. By placing 2 embryos, the chance of twins is around 20%.

Many couples say they would love to complete their family by making twins. Although it may sound like a good outcome, the truth is that many IVF babies from multiple pregnancies deliver earlier than the due date, and because of their premature birth, they can unfortunately develop brain damage, resulting in a bad outcome. Cerebral palsy.

But fear not if you need IVF in general. Most women with PCOS undergo IVF and have babies. It gives the highest chance of pregnancy out of all possible fertility treatments.

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