How to prepare for embryo transfer? What to do before and after?

There is no such study. However, we recommend our patients not to take any cell phones or other mobile devices into the room during the embryo transfer. But afterwards, patients do use their cell phones to e.g. relax or just to have some fun during bed rest. We also don’t have our phones with us as we’re afraid of some interference.

I think you mean drugs we use during the procedure. We use Heparin and acetylsalicylic acid very often and there are no side effects. Besides, these drugs vanish from the blood very quickly so they cause no problems. We stop to take some of them on the 44th day of gestation. We also stop giving Acofil earlier so you do not have to wait until your system will be cleaned.

You should be on a normal diet, without any restrictions. You just should take Omega 3 and anti-inflammatory supplements. We are not dieticians so we’re not the best persons to be asked that question. However, you should surely eat a lot of vegetables and fruit, whole grain bread, maybe less meat. In other words, you should eat according to the food pyramid and avoid fast food.

It depends on your ovarian reserve and the quality of eggs. As I said before, the biological age does not correspond to one’s metrical age. So it may not be too late. It depends on your ovarian reserve and the response of ovaries to the stimulation. Of course, it is sure that late forties are not like early twenties. At the age of 45, the quality of oocytes diminishes. But we can never say that late forties do not allow us to have children from own oocytes. However, the chances are decreased for sure. But if we do not have our own eggs in the late forties, we can use donated eggs and undergo the whole procedure. Sometimes we even recommend using donor eggs because in the early 40s we do not have enough time to wait and be stimulated many times. The time is running very fast then so we recommend going for donors as that procedure will surely have higher success rates. It is especially important to us because in Poland the maximum woman’s age for IVF treatment is 49.

No, we do not allow anyone to enter the theatre. We are very strict in terms of hygiene and the environment in our theatre. We have special ways to keep it very clean to create the best environment for our embryos. We try to do it as quickly as possible because we know that the more time passes before we put embryos in the uterus, the more harmful it is to them. So we are very focused on the procedure, we do not talk during it. We also ask our patient not to talk or laugh or move her stomach because it makes it more difficult for us to put the catheter into the uterus. Time is important to us as we always want to achieve success. That is why we do not allow the partner into the theatre. However, afterward when our patient is lying down and resting, her partner can join them.

Yes, the scratching is performed during the cycle before the transfer. Of course if the transfer fails, the scratching is going to be repeated. The scratching increases the rates of embryo implantation so we need to repeat it before the next transfer. We also recommend it because usually the fact that it is the second transfer means we should put more effort to be successful. We want to do as much as we can.

Always before the transfer cycle. Otherwise, it doesn’t make any sense. It has to be done in the cycle before. And yes, it really helps.

I’m sorry but we do not have any such data. We always count it as the whole procedure, we do not divide it into first, second or third transfer.

It is difficult to answer this question as we need more information on your medical history. What kind of treatment did you undergo? Was there any procedure at all? Was it successful? It would be better for us to contact privately or meet for the consultation.

It depends on embryo quality and your age. If you are less than 35-38 years old, we do not recommend a double embryo transfer after a failed single embryo transfer. But in case you’re older and you’ve already had more than one failed single embryo transfer, then we recommend to have a double embryo transfer because it’s more successful. However, you have to be aware that there is a higher risk of multiple gestation. A multiple pregnancy is always more complicated and the risk of other complications is much higher, too. So we can recommend it but the final decision always belongs to the patient.

First of all, you have to see your endocrinologist who will give you medicines for your disease. Then we can start stimulation with the standard procedure. This does not require a special protocol. Sometimes when the hormone levels are ok but you have an autoimmune disease, we recommend to have small doses of L-thyroxine.

Yes, we use oestrogen to thicken the endometrium. However, some patients still have problems with endometrium so we use other drugs like Sildenafil or Pentoxifylline. We also use platelet-rich plasma which is a new procedure. At the moment you won’t find much data about it on Internet but it’s changing. We use it because the results encourage us to perform this procedure. It’s something new and there’s not much information about it so far. We are waiting for other clinics to share their experience in this area as well. The problem with endometrium thickness is not easy to solve because some patients do not react to our drugs. Generally, in our medical world the endometrium problem is the most difficult one to solve at the moment. It especially refers to women who have undergone some endometrial procedures like e.g. abortion.

We do it usually between the18th and the 22nd day of the cycle. It is performed in the mid-luteal phase of the cycle before the transfer.

There is a risk of multiple gestation and everything that it involves, like pre-term birth, babies’ low birth weight, some complications such as hypertension, diabetes, anaemia connected with pregnancy and many more. These are normal multiple gestation risks.

I would suggest to stay 2 to 3 days after the embryo transfer. Generally, everything what is exhausting and stressful for the whole body will be harmful to the success of IVF treatment. We do not recommend to stay at home but we also do not recommend to overstrain your organism.

Usually our immunologist gives the indication of doing these lab tests. The use of steroid drugs is for us also an immunologist’s indication. We are gynaecologists and we have our specialists in immunology that take care of a patient’s immunological state. We operate together to adjust the best treatment.

You should take oestrogen (Progynova) till the 8th week of pregnancy and progesterone (Utrogestan) till the 12th week of pregnancy because you have to wait for the hormone shift, for the placenta to be done. The placenta starts to produce steroid hormones and when it’s done, you can stop taking Utrogestan.

It depends on a patient’s situation and the stage of endometriosis. The answer is not so simple because we do not have enough data to make a decision about the protocol which can be used in such a situation. But I do not think that drugs cause the condition to get worse.

It depends if it is a natural cycle or hormone replacement treatment. It depends on when you start to take progesterone and how old the embryo is. If it is day 3 or day 5 embryo. The thickness of endometrium also plays an important role here.

I suppose that the first one but I’m not an embryologist so I am not able to give you the right answer. Embryologists have much more experience with embryo quality. We always consult them when we have problems or hesitations. Together we choose the best solution for our patients.

It depends on your age, AMH level, if you’ve had earlier procedures or not. It is difficult to answer such a question not knowing everything about the patient.

The most important for the patient is to be relaxed. When the patient is stressed, it is always difficult to cooperate. It is also important to have a full bladder because it is much easier to put a catheter into the uterus. When it goes smoothly, it is also less stressful for us. We always try to do it as well as we can. The patient can eat before the transfer, there is no need to be fasting. In fact, there is no special preparation needed. It is enough to be relaxed and open-minded and have a positive attitude.