Mature Mischief 3
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Egg retrieval is often done through a procedure called transvaginal ultrasound aspiration. During this procedure, an ultrasound probe is inserted into the vagina to identify the follicles. A needle is then guided through the vagina and into a follicle. A suction device connected to the needle is used to remove the egg from the follicle.
Multiple eggs can be removed from multiple follicles in about 15 to 20 minutes. You'll take synthetic hormones to stimulate your ovaries to produce multiple eggs — rather than the single egg that typically develops monthly.
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Medications that might be needed include:. During treatment, your doctor will monitor you. You'll have blood tests to measure your response to ovarian-stimulation medications. Estrogen levels typically increase as follicles develop, and progesterone levels remain low until after ovulation. Follow-up visits will also include having vaginal ultrasound — a procedure that uses sound waves to create an image of the inside of your ovaries — to monitor the development of fluid-filled sacs where eggs mature follicles.
When the follicles are ready for egg retrieval — generally after 10 to 14 days — an injection of human chorionic gonadotropin Pregnyl, Ovidrel or another medication can help the eggs mature. Egg retrieval is done under sedation, typically in your doctor's office or a clinic. A common approach is transvaginal ultrasound aspiration, during which an ultrasound probe is inserted into your vagina to identify the follicles.
Multiple eggs can be removed, and studies show that the more eggs retrieved— up to 15 per cycle — the better the chances of birth. After egg retrieval, you might have cramping. Feelings of fullness or pressure might continue for weeks because your ovaries remain enlarged. Shortly after your unfertilized eggs are harvested, they're cooled to subzero temperatures to preserve them for future use.
The makeup of an unfertilized egg makes it a bit more difficult to freeze and lead to a successful pregnancy than does the makeup of a fertilized egg embryo. The process most commonly used for egg freezing is called vitrification. High concentrations of substances that help prevent ice crystals from forming during the freezing process cryoprotectants are used with rapid cooling.
Typically, you can resume normal activities within a week of egg retrieval. Avoid unprotected sex to prevent an unintended pregnancy. In intracytoplasmic sperm injection ICSI , a single healthy sperm is injected directly into each mature egg.
ICSI is often used when semen quality or number is a problem or if fertilization attempts during prior in vitro fertilization cycles failed. When you want to use your frozen eggs, they'll be thawed, fertilized with sperm in a lab, and implanted in your or a gestational carrier's uterus. Your health care team might recommend using a fertilization technique called intracytoplasmic sperm injection ICSI. In ICSI, a single healthy sperm is injected directly into each mature egg.
The chances of becoming pregnant after implantation are roughly 30 to 60 percent, depending on your age at the time of egg freezing.
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The older you are at the time of egg freezing, the lower the likelihood that you'll have a live birth in the future. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission.
This content does not have an English version. This content does not have an Arabic version. Overview Egg freezing, also known as mature oocyte cryopreservation, is a method used to save women's ability to get pregnant in the future.
Request an Appointment at Mayo Clinic. Egg retrieval technique Egg retrieval is often done through a procedure called transvaginal ultrasound aspiration. Share on: Facebook Twitter.
Show references Assisted reproductive technologies. Society of Assisted Reproductive Technology.
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Accessed Nov. Fertility preservation. This is where a failure of medical judgment, or at least, medical management, seems to have occurred. What are the circumstances where we should allow or even recommend selective reduction? Their weight ranged from two pounds, five ounces to three pounds, four ounces. All were placed on ventilators but within two weeks they were breathing on their own. This birth captured and held the attention of America. Most Americans believe the McCaugheys faced an inevitable choice between the risks of this multiple pregnancy and what was for this family, as fundamentalist Christians, the morally untenable option of selective abortion.
Here was a very dangerous situation and this multiple pregnancy did not have to happen, and it should not have happened. Good medical practice mandates ultrasound scans for women who have taken fertility drugs in order to monitor the number of eggs they produce. Ovarian overstimulation carries dangers of swelling and bleeding of the ovaries and severe fluid retention. In rare cases this can lead to heart failure.
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In some cases of multiple births, more than three, the children can suffer from strokes, chronic lung disease, mental retardation and blindness. Shortly after the multiple birth, critical voices on major Sunday news programs discussed the overzealous use of fertility drugs. This medical technology must be carefully monitored and if the medical management has failed, then selective reduction should be used. Human IVF mostly operates in the private sector and these clinics operate without government regulation.
There are guidelines in place, but compliance is voluntary. There are also ethical considerations published by The American Society for Reproductive Medicine in