Some couples head straight for IVF treatment without a second thought. This is probably a wise decision if they haven’t been able to conceive naturally for about a year. However, there are certain considerations that need to be deliberated before deciding where to have your IVF treatment. IVF is a life-changing treatment and selecting a good fertility clinic makes a huge difference to the outcome of your treatment as well as the type of service you will receive. Of course, everyone wants the best facilities that their money can buy, and this is exactly what you should get.
It is also important to be forewarned that though IVF has enabled many couples with fertility problems to have a baby, it is not a 100% first time guaranteed success treatment. The formation of a baby requires the participation of divine intervention along with medical science. A fertility clinic that that is reputed and has a record of a higher success rate is definitely a better choice. A good success rate means that they are obviously doing something right to get good IVF treatment results. But this doesn’t mean that your baby is guaranteed. It is better to understand the fine print before diving into IVF. Once you understand this, you will realise why it is better to pay a little more and choose a better medical facility like Medicover Fertility Clinic. At the end of the day, you want a baby, and you also want proper medical facilities with the latest treatment techniques.
The IVF treatment is a process in which the female egg and the male sperm are fertilised in the lab. After fertilisation, an embryo is formed. This process of fertilisation is conducted by an embryologist who then monitors the progress of the embryo. Generally, more than one egg is fertilised in the lab. The development and progress of the embryos are closely monitored by the embryologist. After 2 or 3 days a few embryos are selected for the IVF transfer. The IVF transfer is a procedure in which the embryos are placed in the mother’s uterus.
Usually, more than one embryo is transferred to increase the probability of at least one embryo attaching itself to the inner lining of the uterus and growing into a baby. There is also a possibility that more than one embryo can implant in the uterus and result in the couple having more than one child. Doctors usually do not advise multiple births as this poses certain health risks to the mother as well as to the development of the babies.
When the embryos are transferred to the mothers' uterus, there is the likelihood that none of the embryos may implant in the uterus lining and grow. This is termed as IVF cycle failure. But this is not a point to get disheartened. It enables the doctors to try and diagnose why the embryos did not implant and try something different during the next cycle. Researchers are constantly working on ways to improve the chances of embryo implantation.
WHAT IS BLASTOCYST TRANSFER?
A blastocyst is an embryo that is 5 days old. The blastocyst transfer is a newer technique that is now being used to improve the likelihood of embryo implantation. This procedure involves culturing the embryo in the lab for around 5 to 6 days instead of transferring it to the mother’s uterus when it is 3 days old.
Researchers have found many benefits of growing an embryo to a blastocyst in the lab and believe that this improves the chances of a successful pregnancy. The embryologist can monitor the embryos for a longer duration of time, which allows them to get a better understanding of which embryos are developing well and which are not. Thus the decision to transfer the best embryo is higher with a blastocyst transfer.
ADVANTAGES OF BLASTOCYST
There are many benefits to the blastocyst transfer, which has made it such a popular transfer technique in many leading fertility clinics. The fertility consultants at Medicover Fertility Clinic find that the Blastocyst transfer helps to improve the likelihood of the IVF treatment success with good quality embryos.
Some of the benefits of the Blastocyst transfer are:
Eliminate the 5 days arrest: Many embryos arrest by the time they are 4 or 5 days old. These embryos are weak or may have chromosomal abnormalities that cause them to arrest and not survive beyond 5 days. With a day 3 transfer, the embryos may arrest inside the uterus. With a blastocyst transfer these arrested embryos can be eliminated and the good embryos transferred.
Fewer number of embryos transfer: A normal IVF procedure could involve the transfer of 4 or 5 embryos, but with a blastocyst since the likelihood of implantation is much higher the number of embryos transferred can be kept to a minimal or 2 or 3 at the most. At times doctors prefer to transfer just one embryo.
Lower risk of multiple births: The greatest fear of the doctor when transferring multiple embryos is the risk of multiple births which can lead to birth defects, lower live birth rates, preterm births and underweight babies. The higher success rate of the blastocyst culture enables doctors to lower the risk of multiple births by transferring fewer embryos.
Embryo hatching: A significant step in the implantation process is the hatching of the embryo from its outer covering. Researchers believe that sometimes embryos fail to implant because they were not able to hatch from their outer covering. Assisted hatching is a technique used to help the embryos to hatch, usually embryos implant by the 6th day. In a blastocyst culture, the embryo begins to hatch even before the transfer and hence the embryologist can easily monitor if the embryo is facing some difficulty hatching and provide the required assistance.
Pre-implantation genetic tests: Some couples are concerned about genetic disorders. It is much easier to conduct a pre-implantation genetic test on a blastocyst as many cells have developed, and hence, few cells can easily be removed for testing. A Day 3 embryo has very few cells and hence no more than one cell can be removed for a pre-implantation genetic test. This test also helps to determine which embryos have no defects and are cleared for transfer.
Prepared uterine lining: In a natural pregnancy the embryo remains in the fallopian tubes after fertilisation for a few days before it moves to the uterus. In the meanwhile, the uterine lining prepares itself to receive the embryo. The blastocyst transfer is made at a time when the uterus lining is most receptive, and hence, this ensures a much higher possibility of implantation and pregnancy success.
The best embryo for the IVF transfer: On day 5 there are fewer embryos left, and hence this makes it easier to choose the best embryo for the IVF transfer. On a day 3 transfer the embryos all look the same, but by the 5th day they have grown to multiple cells, and one can easily distinguish the better embryo for the IVF transfer.
The blastocyst transfer has a number of very beneficial features which has made it a popular choice of transfer option for the IVF treatment by many reputed fertility clinics, including Medicover Fertility Clinic.
RISKS OF BLASTOCYST TRANSFER
There are minimal risks associated with the blastocyst transfer. However, some patients and doctors are still concerned about these.
Multiple births: Since the likelihood of implantation is higher with a blastocyst transfer, the chances of having all the transferred embryos implant is much higher with blastocyst transfer. Multiple births raise health risks for the mother and the babies.
Embryos may not develop into blastocysts: Not all embryos develop into blastocysts in an incubator. Some doctors suggest doing a day 3 transfer for a better chance of having at least one embryo implant than waiting for day 5 and having no blastocysts.
The so-called risks of the blastocysts transfer can hardly be called risks as there are ways to counter them, and hence, the blastocyst culturing process has been deemed as a successful technique for IVF treatment.
WHEN IS BLASTOCYST RECOMMENDED?
There are certain women who are specifically recommended a blastocyst transfer due to reasons such as:
- Women who have experienced multiple failed attempts of getting pregnant
- Women with high chances of having multiple births. Some women have a family history of multiple births and hence are advised blastocyst with a single embryo transfer.
- Older women with a lower ovarian reserve are strongly recommended blastocyst to increase their chances of conceiving.
Since blastocyst improves the chances of pregnancy success, it is advisable for patients with fertility problems to opt for blastocysts transfer. Even though a blastocyst is slightly more expensive, it justifies the cost against having to repeat the IVF treatment. The end goal is to have a successful treatment which results in a pregnancy.
WHY CHOOSE A GOOD FERTILITY CLINIC?
Some fertility clinics do not practice the blastocyst transfer. This could be due to the fact that they lack the proper infrastructure or the embryologist is no confident of his technical ability to grow the embryos to blastocysts. The clinic may not have its own lab facilities or maybe using the services of a consulting embryologist. Hence, a blastocyst would mean incurring an additional cost for the treatment which they would like to avoid and hence suggest a day 3 transfer.
Some fertility clinics fear that the embryos may not survive longer and hence are in a hurry to proceed with the embryo transfer. This could be due to the lack of proper incubator facilities. Fertility clinics responsibilities are over once the embryos are transferred to the mother’s uterus. If the IVF procedure fails because of none of the embryos implant, they are not at fault. The endpoint for of an IVF treatment is when the embryos are transferred to the uterus.
This is the reason infrastructure and clinic facilities are an important consideration at the onset of medical treatment. The poor quality facilities could lead to a failure of the IVF treatment. Some couples opt for smaller ill-equipped fertility clinics in the hopes of a cheaper treatment, but they do not realise the implication of the lack of infrastructure and the negative impact it could have on their treatment. The likelihood of a successful IVF treatment without proper facilities and infrastructure is greatly reduced.
The decision to save cost by getting a cheaper treatment will only end up in wasting money with a failed IVF treatment. And you will have to pay more to get the IVF treatment repeated.
HIGH IVF SUCCESS RATES AT MEDICOVER FERTILITY CLINIC
Medicover Fertility Clinic is a leading fertility solution provider in North India and is successfully operating 6 clinics in Delhi, Noida, Gurgaon and Rohtak. Medicover is an International brand with headquarters in Europe. They have a presence in 15 countries around the world and are providing a variety of medical services. Medicover has a record of a Medicover baby born every 3 hours around the world. Their high success rate is due to the fact that they use the latest techniques and medical procedures and have a team of highly qualified and skilled in-house doctors.
The fertility consultants at Medicover Fertility Clinic are all internationally certified, and many of them have international experience as well. A very important aspect of Medicover is that they offer specialised patient care. Each patient is given special personalised care. The way a patient feels has a lot to do with the way the body responds and could also have a positive impact on IVF treatment.
Pooja suffered from the low ovarian reserve, which was diagnosed at the age of 35. She has tried IVF treatment at a number of fertility clinics, but each time the procedure failed, and the doctors said that she did not have sufficient eggs for a proper IVF treatment. She has suggested donor eggs, but they wanted to have their own child as Pooja is an only child and her parents wanted a bloodline descendant. At Medicover Fertility Clinic, she was recommended blastocyst transfer. She had just one egg which was retrieved during that cycle. This egg was fertilised and carefully nurtured by the skilled and proficient embryologist to grow into a blastocyst. After 6 days, the blastocyst was transferred to her uterus, and in no time the embryo implanted, and she was pregnant.
Medicover has many such success stories where patients come on the verge of giving up as a last resort. Here at Medicover, they finally find fertility success and are able to get pregnant.
Pooja says, “I was so happy to finally got pregnant at Medicover Fertility Clinic. After consulting with so many doctors and trying IVF so many times, my husband and I were on the verge of giving up. But we are so thankful that we came to Medicover, and now we have an adorable baby who is the light of our eyes.”
The skill and expertise of the embryologist make a lot of difference to successfully growing the embryos to blastocyst culture.
IVF TREATMENT AT MEDICOVER FERTILITY CLINIC
Medicover Fertility Clinic boasts of state of the art infrastructure, and all the clinics are equipped with the latest equipment and modern facilities. Medicover maintains an international standard of service and operation.
Medicover offers patients the option to pay for the treatment in instalments with their special Interest-Free EMI facility. IVF treatment can be quite expensive, and Medicover does their best to keep the costs at minimal for the patients by advising them correctly and hence not wasting time and resources with an incorrect diagnosis. Medicover is a Fertility Clinic of global repute and caters to lacs of patients each year.
Q: What are my chances of having monozygotic twins with a blastocyst transfer?
A: There is no scientific proof that blastocyst increases the probability of monozygotic twins; hence, you have no higher risk of monozygotic twins with a blastocyst culture.
Q: My doctor advised that the probability of pregnancy with Day 3 transfer was higher as the embryos may not survive to the blastocyst stage.
A: This information is incorrect. Get a second opinion from a reputed clinic before proceeding with IVF treatment.
Q: Should I try transfer of 3 blastocyst embryos? My doctor advises against it.
A: The probability of all the blastocysts implanting is quite high, and hence you doctor is correct in advising against it.
Q: We tried IVF treatment with blastocyst but none of our embryos became blastocysts.
A: It could be due to a weakness in the embryos or improper lab conditions. Try getting your IVF treatment at a reputed clinic for better results.