Step by step
What happens in between the initial decision to seek the help of assisted reproduction and the completion of the process? It is the journey that leads to fertility and the completion of your family.
Let's follow it one step at a time
We answer all your questions.
Don’t hesitate, fire away!
Exactly which tests must a woman undergo regarding the health of her vagina and uterus before going for implantation? I have heard about a culture during the period.
Indeed, a healthy vagina and especially a healthy uterus play a significant role in embryo implantation and a successful IVF result. The vaginal condition can be evaluated with a clinical examination as can the creation of discharge both from the vagina and the exocervix. But this test should not be performed during menstruation since it is less reliable. On the other hand, the evaluation of the uterus requires more specialised tests. Initially an ultrasound check can evaluate the uterine texture and morphology. Also, endometrial culture can be examined provided that the material is not retrieved during menstruation. I would suggest that material retrieval be made a few days after the end of the period with a special uterine culture collecting device at a specialised clinic. This is a modern method without an anesthetic, which will not trouble you and which gives us particularly reliable results. Thus, if a certain microbe is found in the uterus it can be dealt with.
Following embryo transfer how long must I wait for the result?
Do not rely on pregnancy symptoms. We suggest you take an hCG blood test around 15 days after embryo transfer to find out the result of the attempt. Until that moment try to be patient and not to worry.
Is it necessary to get preimplantation screening in IVF or should it only be done when there is an existing hereditary condition in the parents?
Preimplantation screening is one of the tools we use in assisted reproduction to help couples who need it. It should however be carried out when there are specific indications and not on everyone without exception. Indeed, it is employed on couples with a hereditary disorder, so we can ascertain the condition of the embryos. In this case, a PGD (preimplantation genetic diagnosis) is performed and embryos are tested for specific genetic disorders, such as thalassemia and cystic fibrosis. Thus, only the healthy embryos are transferred to the uterus. However, PGS can also be of help. Couples suffering from repeated miscarriages or failed IVF attempts, as well as women of an advanced reproductive age can benefit from checking embryos for chromosomal abnormalities. Our mission once again is to transfer only healthy embryos to increase the chances of success.