Notes in the process of ovulating for IVF

The article is professionally consulted by Master, Doctor Nguyen Thi Xuyen - Clinician - Reproductive Support Center - Vinmec Times City International Hospital.

The success rate of in vitro fertilization (IVF) depends on many factors, of which ovarian stimulation is an important step, helping a woman have enough follicles to develop for the creation process. embryos in a test tube. Women need to know the notes during ovulation to facilitate IVF.

Step 1: Physical examination This step is performed when you first come to the clinic for infertility treatment. Both husband and wife will have a general reproductive health examination, including:
Gynecological examination; Uterine adnexal ultrasound, check the number of follicles; Basic blood tests, blood biochemistry; Testing for sexually transmitted diseases such as HIV , syphilis , hepatitis B , taking vaginal fluids for Chlamydia test ... Semen analysis ; Endocrine test. Step 2: Ovarian stimulation Then on the 2nd day of the menstrual cycle, if the wife's health is favorable, ovarian stimulation will be performed according to the appropriate regimen.
During the treatment period, the type of egg-stimulating drug changes depending on the appropriate regimen. It is possible that the wife will be given oral or injectable fertility drugs or both, usually cases of poor response to oral fertility drugs will be prescribed injectable fertility drugs.
During ovarian stimulation, the doctor monitors the follicles with follicle ultrasound and blood tests, thereby adjusting the drug depending on the response of each patient.
The duration of egg stimulation depends on the individual patient, ranging from 10-12 days.
Step 3: Egg retrieval When the eggs are satisfactory, inject HCG to prepare for egg retrieval. About 36-40 hours after the injection, the wife fasted in the morning, went to the hospital to aspirate eggs. Egg retrieval will be carried out to remove the satisfactory eggs from the woman's body for fertilization with her husband's sperm in a test-tube environment.

2.1 Compliance with drug use Whether it is an oral or an injection, a woman should strictly follow the instructions of the doctor, do not arbitrarily stop the drug, change the drug or increase or decrease the dose. This is extremely important.
2.2 Diet To be healthy during this period, a woman needs to eat a variety and science. The following should be noted:
Drink enough water every day, at least 1.5l water/day; Increase the diet and eat a variety of vegetables and fruits; Eat a lot of fish, vegetable oils, nuts; limit animal fat, trans fat (in fast food, fried food...); Do not smoke, drink alcohol, tea, coffee, carbonated drinks, because they adversely affect egg quality; Limit processed foods, canned foods, contain many additives and preservatives.

2.3 Exercise mode You can have normal activities and work, but you should walk gently, avoid heavy work to avoid the risk of ovarian torsion and ovarian cyst rupture; Many couples wonder if injecting fertility drugs can abstain from sex. The answer is that there is no need to abstain absolutely, but it is necessary to limit the relationship between husband and wife, should not have sex with a high frequency that affects health and the risk of ovarian cyst rupture; Keep your mind at ease, avoid stress; Gentle exercise, improve health with subjects such as yoga, walking... 2.4 Other notes Ovarian stimulation increases estrogen hormone, making breasts full and may feel mild nausea . However, usually these sensations only occur in the last 2-3 days of ovarian stimulation and will quickly disappear after egg retrieval; Ensure body hygiene and cleanliness of the intimate area; Follow up with your doctor's appointment.

As soon as the patient sees abnormal signs, the patient should immediately contact the doctor to be monitored and considered for treatment.
Abnormal signs after injecting fertility drugs include:
Dark abdominal pain or cramping pain in the lower abdomen; Excessive abdominal distension; Nausea or vomiting a lot, diarrhea; Shortness of breath, low blood pressure, fast heartbeat; Mild weight gain or rapid weight gain for about a few days after the injection. The important things you need to keep in mind during ovulation include sticking to the right medication as prescribed, a varied diet, gentle exercise, and scheduled follow-up visits. It is also important to pay attention to unusual signs to promptly report to the doctor, avoiding the occurrence of complications.
Vinmec IVF Reproductive Center is the address of infertility - infertility treatment chosen by many couples. So far, the Center has performed fertility support for over 1000 infertile couples with a success rate of over 40%. This rate is equivalent to developed countries such as the UK, USA, Australia,...
The center gathers a team of leading experts in the field of obstetrics and gynecology nationally and internationally, trained in centers leading in the world such as in the US, Singapore, Japan, Australia and famous fertility centers in the world.
With a high level of expertise and extensive experience, Vinmec IVF Center's experts are capable of synchronously and comprehensively deploying the most advanced assisted reproductive techniques today, helping realize the dream of becoming a parent of hundreds of families across Vietnam.