{"id":4407,"date":"2017-03-21T09:11:05","date_gmt":"2017-03-21T09:11:05","guid":{"rendered":"https:\/\/www.newlifeukraine.com\/fertility-blog\/?p=4407"},"modified":"2017-03-21T09:11:05","modified_gmt":"2017-03-21T09:11:05","slug":"ovarian-stimulation-path-success","status":"publish","type":"post","link":"https:\/\/www.newlifeukraine.com\/ru\/ovarian-stimulation-path-success\/","title":{"rendered":"Ovarian Stimulation- A Path to Success"},"content":{"rendered":"

Ovarian Stimulation\u00a0— a Path to Success<\/strong><\/p>\n

There are different reasons for couples who suffers from Infertility to apply for a Surrogacy program. The wide range of fertility complications and problems lead the patients to choose one of the most effective solutions recognized as ovarian stimulation. This includes the hormonal stimulation of patients\u2019 follicles (known as «self-cycle») for in vitro fertilization and then transferring embryos to a surrogate mother.<\/p>\n

A main precondition for the program are a set of mandatory tests from both male and female patients.<\/p>\n

What should be considered for the self-cycle before, during and after the program:<\/p>\n

Ovary accessibility<\/strong>\u00a0— IVF doctors usually don’t recommend to start the stimulation if the ovaries are not well-accessible and for instance, are located high in the pelvis\u00a0due to the possibility of hyperstimulation.\u00a0It makes it very difficult to reach follicles vaginally for egg retrieval. That is why the purpose of the first ultrasound also is to detect the ovaries’ locations that\u00a0help the doctor to make the decision whether or not to start the hormonal treatment.<\/p>\n

Cysts<\/strong>\u00a0—\u00a0Another sign against launching the stimulation are the cysts in the ovaries. The reason is that the\u00a0cyst\u00a0may also respond to the stimulation like the follicles, they may increase in size and burst that can lead to the removal of ovaries or cause other consequences (blood intoxication).<\/p>\n

In this case the recommendation is to start taking the birth control pills and after approximately 21 days stop taking them. In about 5 days take another ultrasound to observe whether the\u00a0cyst is\u00a0dissolved or not.\u00a0If it is still there, it\u00a0definitely\u00a0must be aspirated and the patient is able to undergo the stimulation only after some time of the surgical intervention.<\/p>\n

Contraceptive\u00a0pills<\/strong>\u00a0— stimulation can be started on a fresh cycle without taking the birth control pills or\u00a0on the second day of menses\u00a0after taking pills. When the patient is on contraceptive\u00a0pills, the cycle can be controlled\u00a0and the patient is advised to take the last pill according to the program dates.\u00a0Most importantly, the date of the last pill is calculated\u00a0considering the necessity of synchronizing the patient’s stimulation with the surrogate mothers preparation. It is worth to mention here that the surrogate preparation lasts several days longer and consecutively starts earlier than the stimulation.<\/p>\n

Options of doing stimulation<\/strong>\u00a0— Intended Parents should consider that there are two options to do the stimulation: starting the hormonal treatment under the supervision of the local IVF doctor and arrive on Day 9 of stimulation to be examined at the receiving clinic where the egg retrieval\u00a0will be done, or\u00a0alternatively be completely stimulated at the country where their surrogacy program is being planned.<\/p>\n

Length of stay<\/strong> —\u00a0If the stimulation is done at the local clinic, it is optimal for intended parents to stay in the country of their surrogacy program for 6 days, and if not they should stay for about 17 days.<\/p>\n

Medical plan<\/strong>\u00a0— as the stimulation is a very delicate process, its careful planning and management plays a significant role in the final result. That is why some important details should be considered for the stimulation and shared with the receiving clinic:<\/p>\n

— The patients should request from the local IVF doctor the medical\/stimulation protocol, which includes a list of hormonal supplements, by Day 8.<\/p>\n

— Ultrasound\u00a0scans are to be done on\u00a0Day\u00a01,\u00a0Day\u00a05\u00a0and\u00a0Day\u00a08\u00a0of stimulation with photos, sizes and quantities of follicles in each ovary written in the medical report.<\/p>\n

— Estradiol tests are to be done on the same days of ultrasound to measure the hormonal level and ovarian respond to the medications<\/p>\n

— Complete blood\u00a0count\u00a0and blood\u00a0coagulation\u00a0(prothrombin) tests are to be done on\u00a0the 7th\u00a0Day\u00a0of stimulation.<\/p>\n

After the IVF doctor of the receiving\u00a0clinic examines the\u00a0patient personally they tell them when to take the final trigger shot which is taken 36 hours before the egg retrieval.\u00a0It is impossible to tell this without personal examination exactly when the egg retrieval can be done, because\u00a0doctors makes decisions based on the follicles’ size and patient’s readiness for the medical manipulation.<\/p>\n

 <\/p>\n

Important note:<\/strong> The\u00a0IVF doctor of the receiving\u00a0clinic cannot prescribe the medications from a far as this is against the medical protocol, but the\u00a0IVF doctor needs to be fully involved in the stimulation process and prepare the surrogate mother based on the stimulation response of the intended parent. That is why it is very important to provide the doctor with the above mentioned information in a timely manner.<\/p>\n

Each stimulation protocol is individual and reflects the patient\u2019s medical history, previous\u00a0stimulation plan, current health conditions, ovary reserve and number of follicles\u00a0in ovaries.<\/p>\n

There are some medications to be taken in second half of the day (7-8 pm) and others in the morning. However, the local doctor needs to give the patients precise instructions about the dosage and when to take the prescribed medications. IVF doctors have different methods of stimulation, for instance, when 1 or several follicles\u00a0reach\u00a014 mm or at least 13 mm in size, some doctors add Cetrotide or\u00a0Orgalutran. That is why it is important to know the size of the follicles by Day 5 of stimulation.<\/p>\n

 <\/p>\n

Empty Follicles Syndrome<\/strong>\u00a0— on very rare occasions, patients have Empty Follicles Syndrome (EFS) that means no oocytes\/eggs are retrieved after the aspiration, but this should not be considered a reason to give up the hormonal medical treatment. In this case, along with other recommendations, IVF doctors\u00a0suggest to change the stimulation protocol\u00a0for the next attempt which, can lead to a pregnancy and a healthy baby.<\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Ovarian Stimulation\u00a0— a Path to Success There are different reasons for couples who suffers from Infertility to apply for a Surrogacy program. The wide range of fertility complications and problems lead the patients to choose one of the most effective solutions recognized as ovarian stimulation. This includes the hormonal stimulation of patients\u2019 follicles (known as […]<\/p>\n","protected":false},"author":1,"featured_media":4408,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-4407","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"yoast_head":"Ovarian Stimulation- A Path to Success - Ukraine RU<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.newlifeukraine.com\/ru\/ovarian-stimulation-path-success\/\" \/>\n<meta name=\"twitter:label1\" content=\"\u041d\u0430\u043f\u0438\u0441\u0430\u043d\u043e \u0430\u0432\u0442\u043e\u0440\u043e\u043c\" \/>\n\t<meta name=\"twitter:data1\" content=\"New Life Ukraine\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u041f\u0440\u0438\u043c\u0435\u0440\u043d\u043e\u0435 \u0432\u0440\u0435\u043c\u044f \u0434\u043b\u044f \u0447\u0442\u0435\u043d\u0438\u044f\" \/>\n\t<meta name=\"twitter:data2\" content=\"5 \u043c\u0438\u043d\u0443\u0442\" \/>","yoast_head_json":{"title":"Ovarian Stimulation- A Path to Success - 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