How to Prepare for IVF

In Vitro Fertilization (IVF) includes a range of procedures used to treat infertility and other genetic problems to help you conceive. IVF is the most effective assisted reproductive technology available today, but your chances of conceiving with IVF depend on many factors, including your age and the cause of your or your partner’s infertility. ^{[1] X Trusted Source Mayo Clinic Go to Source} Here are a few steps you can take to prepare yourself mentally and physically before IVF to achieve a higher success rate. higher work. A healthy, nutritious, high-protein diet is important for stimulating egg production in women, while mentally preparing for routine injections and screening tests. possibility of conception.

Table of Contents

Understanding the whole process

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Understand the process of in vitro fertilization. Before proceeding with treatment, you should fully understand the process of performing IVF techniques, so that you and your partner are prepared if you plan to do IVF with their support. IVF has five main steps: ovulation induction, egg retrieval, sperm collection, fertilization, and embryo transfer. An IVF cycle takes about two weeks, and you usually have to do more than one cycle to conceive. The IVF process consists of three stages: ^{[2] X Trusted Source Mayo Clinic Go to Source}^{[3] X Trusted Source Cleveland Clinic Go to Source}

Phase 1: Injections of drugs increase follicle production and stop ovulation. You have to see your doctor multiple times for blood tests and vaginal ultrasounds.
Stage 2: After the eggs are cooked, a small surgery will be performed to remove the eggs. The embryologist prepares the eggs and places them in a Petri dish, then injects one sperm into each egg.
Stage 3: After the egg is fertilized, the eggshell continues to divide until Day 3 or Day 5 when the embryo is transferred into the uterus. If desired, the doctor can examine the embryo for defects such as cystic fibrosis, muscular dystrophy, and Down syndrome. You must then decide how many embryos you want to transfer into the uterus, and decide whether the remaining embryos need to be frozen.
Remember that you cannot predict the likelihood of successful conception through IVF, because each couple has a different probability of success, influenced by age and reproductive health. Your doctor can give you a rough idea of your chances of having a successful pregnancy, based on your health and medical history. However, IVF is the most viable infertility treatment technique available today and has a high success rate. ^{[4] X Research Source}^{[5] X Cleveland Clinic Trusted Source Go to Source}

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Awareness of the risks of IVF. IVF is a procedure that takes a lot of money and time to perform, and can also cause stress, especially when you and your partner are trying to have a baby but have to go through many IVF cycles to achieve results. Stress and restlessness can become major risks during IVF. The medical risks of undergoing IVF are: ^{[6] X Trusted Source Mayo Clinic Go to source}

Multiple pregnancy: IVF increases the risk of multiple pregnancy if more than one embryo is implanted in the uterus, and having multiples increases your chances of having a premature birth.
Premature birth and low birth weight babies.
Ovarian hyperstimulation syndrome: This syndrome occurs when the ovaries are swollen and painful, caused by the use of injections to stimulate the ovaries. There are some common symptoms such as abdominal pain, edema, nausea, vomiting and diarrhea. If conception is successful, you will see these symptoms for several weeks.
Miscarriage: Although the miscarriage rate in women with IVF is similar to that in women who conceive naturally, the rate increases with the mother’s age. Using frozen embryos during IVF carries a slightly higher risk of miscarriage.
Complications that occur during egg retrieval: The doctor must use a needle to remove the eggs and can cause bleeding, infection, or damage to the rectum, bladder, or blood vessels.
Ectopic Pregnancy: An ectopic pregnancy is when an embryo implants outside the uterus, usually in a fallopian tube. About 2-5% of women undergoing IVF have an ectopic pregnancy.
Fetal Defects: There is evidence that the incidence of fetal defects is slightly higher in IVF conceptions than in spontaneous conception, but the mechanism by which this occurs is still unclear.

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Discuss the financial obligations of doing IVF. IVF is one of the most expensive infertility treatments available today. The cost of performing an IVF cycle in Vietnam is usually from 50-60 million VND. Most insurance companies will cover the cost of a diagnostic test such as an ultrasound or an x-ray of the uterus and fallopian tubes, but most do not cover the cost of IVF. The cost depends on your individual needs, as well as the standard fees at each hospital. Cost items when treating infertility with IVF include: ^{[7] X Research Source}

Ovarian stimulants
Initial fertility test
Ultrasound and follow-up
Blood tests
You may need some additional treatments such as intracytoplasmic sperm injection (ICSI) which costs about 10 million, which means the doctor injects a sperm directly into the egg, or pre-implantation check (PGD). ) is a genetic analysis technique of embryos and costs about 30 million VND. If you decide to freeze your embryos, you may have to spend a few million more for the initial freezing.
Your doctor will tell you the overall cost of IVF infertility treatments, and provide information about alternative funding sources if you don’t have enough money. In the US some clinics have IVF rebate programs, which means you have to pay a fee ($20,000-$30,000) upfront and the clinic will refund part of the money if you are unable to conceive after 3-4 cycles. period. However, you must clarify with the clinic what is a good outcome, as a pregnancy outcome after leaving the clinic does not guarantee that you will be able to have a successful baby afterwards. There’s a chance you might miscarry or have complications, and then you lose your chance to get a refund.
Some insurance companies also cover a portion of the cost of IVF treatments or fertility diagnostic procedures. You should talk to them about their policy on the cost of IVF infertility treatment. You may have to switch to another clinic to be accepted by your insurance company.

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Ask for support from a partner and/or family member. The IVF technique requires you to have 8-10 injections a day, go through many tests, as well as visit the doctor many times. During treatment you will need help from your partner and/or family member. You have to have someone learn how to inject you with reproductive hormones several times a day, and you also need their help dealing with the side effects of hormone doses.

Side effects of IVF include skin irritation at the injection site, abdominal edema, chest pain to palpation, headache, and nausea. You must also visit your doctor periodically during an IVF cycle to monitor your progress. Don’t be afraid to ask your partner and/or loved one for help during your IVF treatment, especially if you’re experiencing side effects from hormone injections.

Start the process of in vitro fertilization

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Tests for fertility problems. Before performing IVF, the doctor must do many tests for you and your wife to confirm the fertility of each person, in case your husband is a sperm donor. ^{[9] X Trusted Source Mayo Clinic Go to Source}

The doctor conducts an ovarian reserve test to determine the number and quality of eggs. This can be done through a blood test done during the first days of your menstrual cycle. The test results, along with ultrasound imaging of the ovaries, help doctors predict the response of the ovaries to fertility drugs.
They may also do a hysteroscopy, which is a procedure that injects fluid into the uterus through the cervix and makes an ultrasound image of the uterine cavity. In addition, the doctor must perform a hysteroscopy with a flexible laparoscope with a light, inserted through the vagina and cervix to enter the uterus, then they observe and determine the condition of the uterine cavity.
Another common procedure is HSG. They will inject dye through the cervix and take X-rays to see the shape of the uterine cavity, which is also a way to confirm that the fallopian tubes are open.

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Check your partner’s fertility. The man needs to undergo a semen analysis test before starting IVF if he is your sperm donor. Here’s how to find their fertility problems.

You and your partner need to be screened for communicable diseases, including HIV, before the IVF process begins.

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Join a fake IVF cycle. About a month before your first IVF cycle, your doctor will ask you to participate in a mock IVF cycle. This is a way to see if you and/or your sperm donor are responding well to hormone therapy. ^{[10] X Research Source}

During your sham cycle, your doctor will perform an ultrasound scan after you’ve gone through a 10-12 day estrogen-boosting cycle. Ultrasound helps them determine the depth of the uterine cavity and which technique is most appropriate to place the embryo in the uterus. ^{[11] X Trusted Source Mayo Clinic Go to Source} You also start taking birth control pills to regulate your menstrual cycle so that it syncs with your donor’s cycle if you want to use donor sperm.
Your doctor may give you a hormone that stimulates the release of gonadotropins to suppress LH levels, to make sure the uterine wall is in a ready state before embryo implantation.

Adjust living habits and diet

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Take omega 3 fish oil supplements and fpic acid supplements. Omega 3 fatty acids are known to improve embryo morphology during IVF treatment. Pregnant women use fpic acid to promote fetal health, and supplementing this substance during the period of preparation for conception by IVF will help prepare the body. ^{[12] X Research Sources}^{[13] X Research Sources}

Supplements are not regulated by the US Food and Drug Administration (FDA), so you should choose brands that have been third-party tested for purity and recommended by your doctor. In addition, your doctor will also tell you how much to take.

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Light to moderate exercise. Women who are overweight or physically weak have a lower chance of conceiving during an IVF cycle. ^{[14] X Research Source} Daily light exercise such as walking or yoga can reduce stress during the preparation for IVF, and regulate blood circulation. Mild to moderate exercise has no adverse effects on IVF treatments.

However, you should avoid strenuous activity and activities that require a lot of work on the cardiovascular system, such as jogging or aerobics, because there is a risk of miscarriage during treatment. ^{[15] X Research Source}

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Maintain a healthy sleep schedule. To increase your chances of conceiving you should maintain good nutrition and healthy habits at least 4-6 weeks prior to your first IVF cycle, including maintaining a consistent sleep schedule with the same amount of sleep each night. at least 8-9 hours. ^{[16] X Research Source}

Try to sleep in complete darkness to boost melatonin production in your body. Melatonin is a hormone that helps in the proper development of follicles. Creating conditions for the body to naturally produce melatonin is always better than using melatonin supplements.

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Eat high-quality low-fat foods. Follow a pregnancy-like diet, and maintain a healthy low-fat diet with high-quality foods, including food sources of iron, potassium, and magnesium. Build a diet rich in leafy vegetables, fruits, calcium and protein. ^{[17] X Research Source}

Avoid strict diets such as low-calorie or low-carbohydrate diets. Instead, you should eat so that you maintain a healthy weight so you don’t put your IVF treatment at risk.

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Limit caffeine and alcohol consumption. Just like during pregnancy, you should limit your caffeine consumption and avoid drinking alcohol or smoking, so your body will be in top condition before IVF. ^{[18] X Research Sources}

Advice

When consulting an IVF specialist, you need to be clear about your chances of success.
There is evidence that using frozen embryos leads to higher conception rates than using fresh embryos.

Steps

Understanding the whole process

Start the process of in vitro fertilization

Adjust living habits and diet

Advice

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