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Case Studies |
Case Study IVF
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Case Study IVF Lucy and Graheme had been trying to conceive for two years before they came to SEFC. Lucy, 28 years was a legal assistant and Graheme 27 years, a warehouse manager. The couple were both in good health. Previous investigations had been carried out at their local hospital. The couple went for consultation at SEFC where the Consultant confirmed the need for IVF. Treatment would involve a course of ovarian stimulation by injection to produce approximately 10-12 eggs followed by an egg collection. Lucy would have to attend for three or four ultrasound appointments to watch the follicles, which contain the eggs, develop. The eggs would be harvested as a day case procedure, under sedation, using transvaginal ultrasound. The eggs would then be inseminated to achieve fertilisation and up to two embryos transferred to the uterus after three days. Typical pregnancy rates were in the order of 35% at embryo transfer. Lucy had a nurse consultation to plan a treatment cycle and to complete a number of consent forms. Lucy underwent a course of ovarian stimulation and responded well to the medication. The egg procedure was uncomplicated and nine eggs were collected. Five of the eggs fertilised normally and the embryos developed well. The couple were keen to avoid a multiple pregnancy so five days later one good blastocyst was transferred to the uterus. Three remaining embryos were of excellent quality and were frozen for possible future use. Lucy and Graheme had a positive pregnancy test two weeks later and the pregnancy scan at seven weeks confirmed a foetal heartbeat. The couple were advised to contact their family doctor to arrange antenatal booking. Cost: Comment: Lucy and Graheme elected to have a single embryo transfer to minimise any risk. Single embryo transfer is becoming a more popular decision for many couples. The couple elected to have a blastocyst transfer five days after the egg collection. This means the embryo was more advanced. It also allowed the best embryo to be selected for transfer with more certainty. Although expensive technology, carrying out blastocyst transfer allows us to maximise the chance of pregnancy for our couples, particularly when transfering just one embryo.
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