Health

Does IVF depend on menstruation? – VnExpress


I’m abroad, time is limited, can I return home to do in vitro fertilization without waiting for the exact date of my period? (Mina Nguyen, 32 years old, California, USA)

Reply:

You and your spouse can rest assured because now there is a protocol to use progesterone PPOS to inhibit premature ovulation for customers who do not need to wait until their period to still be able to do IVF. Regardless of the day of the menstrual cycle, even in the middle of the cycle can still use this regimen to stimulate eggs. Stimulating eggs within 1 week can get eggs for IVF.

To help you better understand this, we need to know about ovulation. Ovulation is part of the menstrual cycle, which occurs when an egg is released from the ovary. If fertilized, the egg will begin the process of cell division, and at the same time move to the uterus until the blastocyst forms will implant in the uterus and if the implant is successful, the woman begins the pregnancy process. . On the contrary, if not fertilized, the egg will decompose, shed during menstruation. Typically, typical ovulation occurs around day 14 of a 28-day menstrual cycle. For infertile couples who do not have much time to wait for ovulation, the doctor will use PPOS regimen to stimulate eggs.

IVF treatment that does not need to be based on menstruation has been applied in assisted reproductive centers. There have been studies showing that despite early ovulation, the results on oocytes and embryos obtained are not different. Therefore, now with the new trend of IVF treatment, the ovulation process is completely independent of the menstrual cycle. Especially, this trend combined with cryopreservation of embryos not only increases the success rate of IVF in Vietnam but also many countries around the world. More and more centers are performing oocyte retrieval, embryo storage and subsequent insemination, so IVF can be performed on any day of the menstrual cycle.

However, this regimen is often preferred for subjects with low ovarian reserve, who have done IVF to get few oocytes, few embryos; infertile women with endometriosis in the ovaries; Elderly patients with failed IVF… or infertile patients who don’t have much time for treatment, start treatment urgently like cancer patients.

At the Reproductive Support Center of Tam Anh General Hospital, doctors are ready to advise customers, especially overseas Vietnamese customers who want to return to Vietnam to perform IVF at a low cost. , effective. We know that giving birth needs a long process of preparation, especially infertile couples need a lot of time to prepare carefully in terms of health, time, and financial and mental well-being.

Therefore, in order to help you and your wife firmly grasp the opportunity to return to your home country to find a child thanks to IVF technology, I hope to be able to advise and support you and your wife through online counseling sessions, discuss with you. Think carefully about the time and time for you to arrange your schedule, work, buy plane tickets back home to perform IVF.

MSc. Giang Huynh Nhu
Director of the Center for Reproductive Support, Tam Anh General Hospital in Ho Chi Minh City

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