FIV la Medlife (2)

Avalon spune:

Articol: http://www.ivf-infertility.com/ivf/standard/complications/ectopic_pregnancy.php
Risks and complications of IVF treatment
Ectopic pregnancy
Ectopic pregnancy is a potentially life threatening condition. Ectopic pregnancy is a well-known but comparatively rare, complication of assisted conception treatments.
What is an ectopic pregnancy?
Ectopic pregnancy is any pregnancy that occur outside the cavity of the womb.
What is the incidence of ectopic pregnancy?
The reported incidence of ectopic pregnancy after IVF treatment varies between 2-11% of all pregnancies. This is much higher than is reported after natural conception, which is about 1 in 100 to 300 pregnancies. After one ectopic pregnancy, the risk of recurrence is between 10-20%.

In addition there is heterotopic pregnancy (a combined normal pregnancy and ectopic pregnancy). The incidence of heterotopic pregnancy after IVF is about 1% of all pregnancies compared with 2 in 30,000 after natural conception.

Where are the embryos most likely to implant in an ectopic pregnancy?
The commonest site of ectopic pregnancy is in the Fallopian tube (75-96%). Other less common sites include the ovary and cervix. Abdominal pregnancy is very rare, usually the fetus dies. However, occasionally it develops fully and survives, the delivery is performed by cutting the abdomen (laparotomy).

It is usual for the afterbirth (placenta) to be left over after the delivery of abdominal pregnancy, this is because it is usually fixed to the internal organs and removing it may results in damages to the these organs. These uncommon sites are very rarely encountered after natural conception compared to IVF pregnancies.

What are the causes of ectopic pregnancy?
This is not yet fully understood but the most common cause is a narrowed or distorted Fallopian tube. This could have been the consequence of past pelvic infections or operations, tubal surgery, previous ectopic pregnancy, adhesions or endometriosis. Occasionally there is a congenital abnormality of the tube.

It has been proposed that a damaged tube may be unable to expel the embryo, which may have been migrated into the tube from the uterine cavity and is trapped in the tube.

The technique of embryo transfer may contribute to the chance of ectopic pregnancy by forcing the embryo into the tube as a result of placing the embryo high in the cavity, injecting too much volume of the culture medium or injecting the embryos at high pressure. In most cases the cause of tubal pregnancy is not known.

Can ectopic pregnancy by prevented?


Unfortunately, ectopic pregnancy cannot be prevented. Complete tubal occlusion before starting IVF treatment was advocated by the pioneers of IVF, Mr Steptoe and Professor Edwards, following the first IVF pregnancy, which was ectopic. Although this practice may have helped to reduce the incidence of ectopic pregnancy, it is no longer performed. In addition it will not prevent an interstitial pregnancy, an ectopic pregnancy which implants in the inner part of the tube, which lies within the muscle of the womb.
What is the outcome of ectopic pregnancy?
Not all cases of ectopic pregnancies progress and pose a threat to the mother, in many cases the fetus dies and is absorbed. This is because there is either not enough space for the pregnancy to grow properly or the placenta can not form properly.

If the ectopic pregnancy does not die and carries on growing, the thin wall of the tube will stretch, causing pain in the lower abdomen. There may be some vaginal bleeding at this time. As the pregnancy grows, the tube may rupture; causing severe abdominal pain, internal bleeding and the patient may collapse.
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Alt articol: http://www.scienceblog.com/community/older/2003/E/20032613.html
Si intamplari reale: http://www3.fertilethoughts.com/forums/showthread.php?t=406891


mai vrei?

Avalon spune:

Fals. Dupa un fiv nu esti mai predispusa decat inainte la SEU. Predispozitia la SEU o dau afectiunile trompelor.

Gianina34 spune:

Buna fetelor,

Va urmaresc si va tin pumnii la toate.

Mirimir - e cel mai bine ca iti tratezi chisturile acum. Cu tratamentul de stimulare poti avea surprize cu ele. eu , de ex, nu am avut nici un chist inainte iar in urma stimularii ajunsese unul din ei la 13/5 cm. Am avut mare noroc cu sarcina ca altfel nu stiu ce ma faceam. Pe de alta parte insa am citit aici pe forum multe cazuri de fete care au ramas insarcinate chiar si in aceste conditii.

, gianina






26+

mirimir spune:

Florela 30, Gianina34,
multumesc mult pentru incurajari.
Ce face ingerasa ?

Gianina34 spune:

Mirimir draga, noi ce sa facem - crestem in toate directiile

Saptamana viitoare merg iarasi la control. Se pare ca mi-a mai aparut un polip desi pe precedentul tocmai mi-l scosese la inceputul lui decembrie cand am facut si cerclajul. Asta este, nu vreau sa ma mai gandesc. Ma lupt mai departe cu contractiile si durerile de burtica si astept sa fac ecografia sa vad ce mai face bebelusa.

, gianina

26+

nzkemi spune:

Fetelor se poate ca dupa fiv, sa ai risc de extrauterina,exemplu real sunt eu care am avut ghinionul acesta, si pe contractul pe care il faci cu clinica este mentionat acest lucru, dar asta este merg mai depare si poate data viitoare va fi bine.
Eu docamdata am facut medicatie pt eliminare si astept sa-mi vina cm, iar peste cateva luni voi face Et.
Florela iti ueaz mult succes de data asta cu siguranta vei reusi! vroiam sa te intreb cat ai platit pt crioprezervare pt ca eu am platit 16 mil, iar pe lista afisata pt net este specificata suma de 11 mil, dar poate este pe pretul vechi..?
Va urez mult noroc si sa auzim numai de reusite!!

alice_alice spune:

Buna !!! Numele meu este Alice si as dori sa stiu si eu daca a facut cineva laparo la medlife si daca totul a decurs bine,eu am trompele infundate.

florela30 spune:

Buna, emi. Si eu am platit la fel ca tine, probail nu au actualizat lista. Eu acum astept sa vad daca rezista embrionii decongelarii si cati vor ajunge la faza de blastocist. Am ales sa facem cu blastocist chiar daca se poate sa nu reziste nici unul pana atunci, dar sansele de implantare la blastocist sunt mult mai mari. Am emotii sa reziste macar unul.
alice, eu nu am facut laparo la medlife; am facut acolo doar histeroscopie si totul a decurs extraordinar de bine, nota 10 le acord ptr cum a decurs interventia si pt comportamentul asistentelor si al doctoritei. Eu cred ca si laparo o sa fie bine. Mult succes.

nzkemi spune:

Mersi mult Florela,pt raspunsuri imi esti un foarte mare ajutor!
Alice eu am facut laparo la medlife, totul va fi ok de la personal pana la medici,eu am stat o zi internata in spital si a doua zi am plecat acasa.
Operatia in general este usoara, te vei recupera foarte repede.
Daca mai ai intrebari nu ezita sa ma intrebi!

florela30 spune:

Buna fetelor. Sa va povestesc: ieri la ora 10 si 15 min a avut loc embriotransferul si totul a decurs f bine, dupa discutia cu dna dr. predoi deliana si dna dr. genetician mustata andreea, s-a decis sa se transfere cei trei embrioni care au rezistat decongelarii. Dupa cum v-am mai spus, doi embrioni erau in stare f buna unul era bunicel, dar nu se oprise din evolutie si dna dr genetician a zis ca avand in vedere ca sunt decongelati si sansele sunt mai scazute ca prima data sa-i transferam pe toti trei. Zis si facut. Asa ca acum sunt purtatoare a 3 puiuti si ma rog ca macar unul sa se lipeasca de mami lui si sa fie bine 9 luni de zile.Am primit in continuare tratament: inca doua zile medrol, utrogestan cate 2 capsule de 4 ori pe zi la ore fixe, aspenter- una pe zi, acid folic- una pe zi, estrofem o pastila de 3 ori pe zi. Si peste 14 zile( asa zic ei, voi va dati seama ca peste 12 ) vom face testul, care TREBUIE SA FIE POZITIV.
Doamne ajuta sa fie bine ptr noi toate!