In the article, we will consider how many times IVF can be done.
In vitro fertilization gives many families the chance to have a baby. However, there is no guarantee that pregnancy will occur the first time. Even in countries where medicine is highly developed, primary fertilization ends in childbirth only in 35-52% of cases. The success of the first attempt in Russia is a maximum of 30%. However, the second and subsequent attempts increase the chances up to 90%. In this regard, it is very important to know how many times you can do IVF.
Indications
In vitro fertilization is recommended for patients if there are certain indications for this procedure:
- Surgical interventions on the female reproductive system.
- Obstruction, no fallopian tubes.
- Disturbances in the functionality of the endocrine system.
- Presence of adhesions, neoplasms in the pelvis.
- Surgical, conservativetherapy that failed.
Male Cause of Infertility
Statistics show that in about half of all cases, the cause of infertility lies in the male factor. In this regard, both partners should be examined. It is also important that at present the right to free IVF can be obtained not only by couples who are officially married, but also by couples who are not married, but simply cohabiting, but dreaming of a joint child. In addition, the age of partners is not limited by any framework.
How many times you can do IVF according to compulsory medical insurance, we will tell below.
It is important to note that this quota procedure can also be done for a woman who does not have a permanent partner. However, in such a situation, she should be prepared for the fact that additional costs may arise, namely, she will have to pay for donor services, the donor biomaterial itself.
What does the quota apply to
Usually, the funds allocated for IVF by quota can cover the following manipulations carried out during the fertilization procedure:
- Stimulating hormones.
- Sampling of viable oocytes.
- Growing of embryos, their selection.
- Transfer of embryos into the uterine cavity of the patient.
How many times a year can IVF be done? This is a frequently asked question as there may be failed attempts.
Reasons for failed fertilization
No reproductologist, even the most famous and experienced, canensure that pregnancy occurs after the first IVF attempt. The most favorable age for artificial insemination is the age of up to 35 years. However, this also applies to natural attempts to get pregnant - every year a woman's number of follicles decreases. In addition, with age, the likelihood that a defective egg will mature increases.
At the age of 35-40, the chance of getting pregnant with IVF remains at a fairly high level and reaches 25-40%. The success of the procedure will depend on how many follicles a woman has and what quality the egg has. At an older age, the chances become minimal. After the age of 40, the probability that the outcome will be successful is only 10%. In this regard, with age-related IVF, those procedures that use a donor egg are more successful.
Other reasons
Fertilization can fail for many other reasons:
- Obesity.
- Hormonal failures.
- Having bad habits.
- Genetic pathologies.
- Infectious lesions.
- Associated pathologies of the endometrium, fallopian tubes.
The gynecological history of the patient also plays a significant role: whether there were early abortions, surgical operations, inflammatory diseases, fibroids, curettage. Other he alth disorders also have an impact: pathologies of the lungs, heart, gastrointestinal tract, kidneys, which can manifest themselves at the wrong time.
At the time of the procedureIn vitro fertilization, a woman should be completely he althy so that her body does not waste energy on fighting other diseases. If this principle is not followed, a common cold can become the cause of an unsuccessful fertilization attempt. In this regard, it is necessary to carefully monitor the state of he alth, monitor the results of laboratory, ultrasound, and other studies.
The experience and qualifications of a specialist, careful adherence to his recommendations by the patient can directly affect the positive outcome of in vitro fertilization.
Psychological reasons should not be discounted. Often, after an unsuccessful IVF attempt, a woman becomes depressed, loses hope for a favorable result. While the new protocol must start with faith in the best.
To be fair, it should be noted that not everything depends on the patient. The reason for an unsuccessful IVF attempt may lie in the insufficient quality of the husband's (donor's) spermatozoa, as well as the quality of the embryos that were transplanted.
Find out how many times you can do IVF.
After what time is it allowed to do re-fertilization
To stimulate the growth of follicles, specialists prescribe high doses of hormonal medications to the patient. The consequences of their use may include the following:
- Hair loss.
- Deterioration of emotional state.
- Weight fluctuations in any direction (greater, smaller).
- Violationblood clotting.
- Problems with the thyroid gland.
- Menstrual irregularities and more.
Therefore, it is important to find out in advance how many IVF can be done per year. If repeated IVF is performed in each cycle, hormonal therapy can provoke ovarian hyperstimulation syndrome. The symptoms of this syndrome begin to appear 2-5 days after the use of a large dose of hormonal substances. A woman has a feeling of fullness in the ovaries, a sharp pain of a stabbing character. Swelling of the extremities, vomiting, bouts of nausea, tachycardia, and a decrease in blood pressure are only a small part of the symptoms that a woman can experience after hyperovulation is stimulated. In addition, cases are known when a fatal outcome occurred due to OHSS.
To prevent such a side effect, reproductologists advise doing intervals between attempts. So how much IVF can you do?
If there was a failure, you can start a second protocol only after 3 months. This allows the body to rest, recover as much as possible. This need is also due to the fact that the expectant mother, if the next attempt is successful, will need strength to carry and give birth to a child.
How many IVF attempts can one make in a lifetime?
The legislation of our country does not regulate the number of possible IVF attempts. But there are WHO recommendations, according to which it is not allowed to repeat IVF ifthe interval between attempts is less than 3 menstrual cycles. That is, by simple calculations, it can be determined that no more than 4 attempts of artificial insemination can be made during the year.
The decision on how often IVF can be performed, as well as the number of protocols to be carried out, should be determined individually. In this case, the causes of infertility, the age of the woman, the results of examinations and her analyzes should be taken into account.
IVF in natural cycle
If a woman is under 35 years of age, her menstrual cycle is regular, there are no hormonal disturbances, an IVF program in the natural cycle is allowed. This program is not as effective as the classical one, since specialists only monitor the natural processes in the female body, not being able to influence them. In ideal cases, only one egg can be extracted, and it may turn out to be of poor quality and unsuitable for fertilization. But IVF in the EC has one big advantage - it does not require ovulation stimulation with the use of hormonal medications. Repeated attempts at EC do much less harm to women's he alth than short and long protocols. However, in this case, endless attempts at artificial insemination are unacceptable.
With 8 failed attempts
Reproductionists around the world adhere to the unspoken rule that IVF should be abandoned if 8 attempts were unsuccessful. After the fifth attempt, each subsequentgives less and less chance of a positive result. Therefore, movement in the same direction is inappropriate. As a rule, a couple dreaming of a child is recommended to replace the IVF program. For example, to make an attempt to replant a donor egg. The success rate of the egg donation program reaches 55%.
In clinical practice, a case is known when a woman was able to become pregnant only as a result of the 44th attempt.
Number of free attempts
How much IVF can be done on CHI? The Ministry of He alth issued an order on free artificial insemination in 2004. Since 2013, this feature has been publicly available. Currently, most IVF procedures in Russia are carried out within the framework of compulsory he alth insurance. To be able to do artificial insemination for free, you should apply for a quota.
IVF quota can cover the following stages of the procedure:
- Ovulation stimulation.
- Fence, insemination of the egg.
- Growing, cryopreservation of embryos.
- Transfer of the embryo into the uterus.
The procedure for artificial insemination according to compulsory he alth insurance can be considered completed if a fetal egg is found in the patient's uterus during ultrasound.
IVF quota can cover the cost of no more than 141 thousand rubles. All medicines that are required to perform these procedures can also be paid for by the MHIF. Laboratory tests before and after the fertilization procedure are not included in the quota. If there is a need to use donor sperm or eggs, you will have to pay for themyourself.
Any couple who are citizens of the Russian Federation, or a single woman can do IVF under compulsory medical insurance. However, the infertility of a man or woman must be confirmed by an examination.
How many times can I do IVF on a quota? In theory, up to 4 IVF attempts can be made during the year, but in practice it turns out differently. The process of preparing for fertilization from the moment a woman turned to a specialist to replanting can take up to six months. Also, the process is complicated by the fact that many laboratory tests remain valid for only 2 weeks.
That is, practically it turns out to make no more than two IVF attempts during the year. In addition, this is a highly demanded procedure, which causes queues for its free conduct, which also reduces the number of possible attempts.
We looked at how many times IVF can be done.
