Why “as much as possible”?
Because not every egg means the birth of a healthy baby. Reliable data show the following:
Predicted probability of giving birth to at least one, two and three children according to the number of mature eggs, taking into account the woman’s age and the number of eggs obtainedhttps://pubmed.ncbi.nlm.nih.gov/26604065/
The number of mature eggs needed to give birth to a baby correlates with a woman’s age, and this should be remembered.
So, the first step is to get the eggs.
How does this work?
The woman is prescribed appropriate drug therapy (stimulation), which stimulates the growth of multiple follicles in the ovaries, which mix potential eggs. The stimulation program is selected individually. In most cases, it lasts from 8 to 12 days. During stimulation, the required number of examinations in the clinic is 1-2 times (if this is not possible – ultrasound screening can be performed at the place of residence).
The next step is to collect eggs.
It occurs in a clinic, equipped with an operating room, under intravenous anesthesia through vaginal access. After the procedure of collection – puncture of follicles – eggs are stored in a special nutrient medium for 2 to 5 hours. The woman should remain under the supervision of staff to monitor the health of the clinic for 2 hours after ovulation.
And the final stage of the program is denudation and freezing by vitrification of all mature eggs. Denudation is the release of an egg from a radiating crown, which allows us to assess the maturity of the egg and ensure its storage. They are stored in 2-3 cells on special cryotopes in liquid nitrogen.
If there is an opportunity and time, it would be worthwhile before the first stage of the program “Fertility Preservation” to establish a work-rest regime, give up all bad habits, and most importantly – to undergo comprehensive vitamin training to improve reproductive function.
Before starting stimulation, it is necessary to undergo a regular gynecological examination, which includes ultrasound of the pelvis, colposcopy, smears on the flora, PAP test and ultrasound of the mammary glands. You can get this examination from your gynecologist or our clinic.
Given the preparation for the program “Preservation of Fertility”, you also need:
- cervical PCR analysis for sexually transmitted infections;
- blood test for TORCH infection;
- hormonal “mirror” of a woman – blood test for 2-3 days of the menstrual cycle: FSH, LH, free testosterone index, prolactin, AMG, thyroid hormones bets – TSH, T3, T4.
All of the above tests can be taken at the place of residence.