Tuesday, 30 September 2014

How to deal with failed IVF

The introduction of In Vitro Fertilization (IVF) more than 30 years ago has made parenthood possible for millions who otherwise would never have been able to conceive. When your body says no to in vitro, you at least have options like surrogacy to discover and still have child with your own genes.

It is understandable that an IVF procedure requires an enormous emotional commitment at each level of the program, whether or not IVF is successful. From a personal experience, it was observed when the couples were undergoing IVF in Raipur, failed IVF leaves broken heart.

What if experiencing the failure of your last IVF is the key that begins to end the misconceptions? What if spending time with your tender broken heart can not only help balance your hormones, but can help you heal every other failure you have yet to heal? 

Technical Truths

IVF patients need to be prepared for the fact that about 15-20% of pregnancies miscarry, and the risk of miscarriage after in vitro fertilization is probably the same as for natural conception. The reason the IVF miscarriage rate sometimes appears to be higher is that an IVF pregnancy is diagnosed long before it normally would be in the case of a natural pregnancy.

Most women who conceive on their own do not test themselves for pregnancy until they have missed their period, whereas with IVF the diagnosis of pregnancy is made before the woman misses a period. One should remember, however, that a pregnancy is not confirmed until the presence of a gestational sac has been diagnosed by ultrasound. If this criterion is used to verify pregnancy, then the miscarriage rate with IVF is no greater than that of the population at large.

Ask yourself. You are not a quitter right?

But miscarriage can have a positive side, however. Painful as it is to the couple, the very fact that they conceived at all indicates they are likely to be able to do so again. It is reasonable to expect that although a successful pregnancy was not achieved on the first try, the fact that they could initiate a pregnancy means that their overall chances of having a baby will increase on subsequent IVF attempts.

A failed IVF or a canceled in vitro cycle can be the first step of real healing. Don’t blame it on assisted reproduction for the rest of your fertility journey.
The physical demands of IVF ranging from the annoyance of hormone shots and blood tests to the discomfort of egg retrieval for the woman and the need for the man to produce a semen specimen on demand, all add to the emotional stress associated with the process. 

So, be emotionally prepared and call for support from your family throughout the treatment cycle. It will help both partners cope more effectively with the physical demands on the woman.

Dr Neeraj Pahlajani

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