Indications for eco in the absence of an ovary
Treatment that has failed for a year or more.
Concomitant diseases that interfere with normal treatment or prevent pregnancy, such as endometriosis or myoma.
Problems in the reproductive system of the partner: low sperm quality, etc.
Peculiarities of reproductive technologies in the absence of one ovary
Before using assisted reproductive technology, the doctor necessarily conducts a complete examination of the woman’s body, corrects the hormonal background, restores the menstrual cycle with special drugs, and treats all related diseases, even if they are not related to reproductive health.
Quite often women who suffer from adhesions in the ovaries have serious metabolic disorders, i.e. overweight. That is why it is very important to bring their metabolism back to normal before planning a pregnancy. In addition, they are recommended to have a diet limiting the consumption of sweets and flour, sports and water procedures.
According to the recommendations of reproductive specialists, the most important thing in the treatment of polycystic ovarian syndrome is taking special medications, which should be prescribed by a specialist based on a complete examination of the body, hormonal background, metabolism, etc. This is especially important if the patient is planning in vitro fertilization. Specifically, in the United States, a patient undergoes IVF if she was overweight only after she has reduced her weight by 30% of the original weight. This is not just an empty requirement – after losing weight the success rate of IVF cycles increases by almost 15%.
Already after the preliminary stage, artificial insemination itself is planned and performed. Reproductologist chooses the drug individually for each patient, depending on the hormone level tests. It is very important to follow every requirement of the reproductologist, take the medications at exactly the right time and observe the dosage. Otherwise, hyperstimulation syndrome may occur, when the ovaries produce too many oocytes at one time, which affects the entire reproductive system.
Peculiarities of stimulation in a patient with polycystic ovary syndrome
Even though reproductive specialists are particularly careful in selecting stimulation drugs for patients with polycystic ovaries, this does not yet guarantee success. A woman may not respond to stimulation at all or respond to it too strongly.
Depending on the result obtained, the doctor may adjust the dosage of drugs, while periodically checking the level of hormones in the woman’s blood. This will achieve the best possible result, but if the treatment does not provide the right conditions for fertilization, the reproductologist may postpone the IVF cycle to the next month. In this case, it will be the most reasonable way out, as the doctor cares about the patient’s health and prevents the occurrence of serious complications in the reproductive system.
One of the peculiarities of IVF for polycystic fibrosis is the possibility that the eggs obtained will be of completely different quality. The problem is that modern reproductive medicine cannot assess the quality of an egg as well as the quality of an already prepared embryo. As a result, after stimulation, doctors will try to fertilize as many eggs as possible. However, if the eggs are not mature enough, they can be artificially grown and then fertilized. Only after this, and after several days of cultivation, can we safely talk about the quality of the embryos.
If after stimulation the woman is not at risk of ovarian hyperstimulation, two embryos can be transferred into the uterine cavity at once, but no more. If there is a risk of such complications, then the woman has the option to preserve the finished embryos and wait until the body stabilizes and is ready for the placement of the embryo. Cryopreservation of embryos in no way affects their quality or the success of IVF. In the case of cryopreservation their transfer can be delayed for a month or two after stimulation.