Friday, March 06, 2020

Head versus heart in IVF

Many educated patients find it very hard to deal with IVF failure, especially when the cycle was perfect, and the doctor transferred a top quality blastocyst into the uterine cavity when the endometrium was receptive.
After all, the doctor did everything possible, and the blastocyst looked perfect, the endometrium was 8 mm and trilaminar, the transfer went smoothly and the doctor was really optimistic !
So then why did the cycle fail ?
The reality is they understand that medical science doesn't have the answers to all their questions, but they find it very hard to accept this.
Because they are educated , they expect that medical science will have all the answers.
However ,  we need to accept the limitations of medical technology . After  all, when we put an embryo back in the uterus, we can't monitor or track or control what is happening to it. This is a microscopic ball of living cells, and implantation is a biological process which is notoriously inefficient !
The problem is these patients are emotionally very vulnerable , and don't want to accept the truth that not everything is in our control !
They want answers, which is why sometimes doctors end up manufacturing them , just to keep them happy, by running additional expensive genetic tests and offering experimental expensive unproven treatment. Sadly, this doesn't help them reach their goal at all, and just ends up making them waste money !

What to find an IVF clinic which respects your time and intelligence ?

Do’s and don'ts after the embryo transfer.

Lots of patients are very worried that they will do something stupid after the transfer, which will reduce the chances of their embryo implanting, and cause their IVF cycle to fail.
These anxieties usually falls into the category of foods which they eat; (hot foods or cold foods); or physical activity. For example, they are scared that lifting weights , or the bumpy ride on Indian roads may dislodge the embryo.
This is why many doctors are happy to give them a long list of do’s and don'ts. Mother-in-laws and mothers and aunts will also chime in, with many old wives' tales. And friends who are pregnant will be happy to add their 2 cents !
The truth is that the natural place for an embryo is the uterus – it’s its natural sanctuary ! An embryo in a uterus is like a pearl in an oyster – it’s safe and secure and nothing you can do can dislodge it, so you really don't need to worry.
Remember that an IVF pregnancy is exactly like a natural pregnancy – the only difference is that you happen to know there is an embryo in your uterus ( which fertile women who are having baby making sex don’t !)
Whether the embryo spends five days in the test tube in the IVF lab, five days in your fallopian tube inside the body doesn't matter – once it reaches the uterus, it’s safe.
Of course, whether it will implant or not is not something we can control – that’s still a biological process we cannot influence as yet !

What to find an IVF clinic which respects your time and intelligence ?
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