IVF gives good results in habitual abortion.
What is habitual abortion? One becomes pregnant but the pregnancy stops and ends in spontaneous abortion. If this happens 3 or more times in a row without success in having children, this condition is called habitual abortion. This is very frustrating. So you get pregnant and hope is kindled but then it all ends with SA (spontaneous abortion) or MA (more on missed abortion in a later post J)
What is due to this? Previously, it has been argued that this is almost always due to chromosomal defects in the embryo. Today we know that many of these abortions are due to errors with the implantation process. That there is something wrong with the ability of the embryo to attach and develop, or that the lining of the uterine cavity does not show optimal conditions for. This is due to errors with/or lack of protein pressure on the part of the embryo or mucous membrane.
Many other conditions can also affect the embryo's ability to attach. Especially immune diseases as these produce a general inflammatory reaction in the body that affects protein expression in the lining of the uterus. Unfavorable hormonal conditions can also act negatively.
But abortion, of course, can also be caused by the embryo being chromosomally wrong! Chromosomal defects, unfortunately, are not a rare phenomenon, and are increasing with age. This is mainly due to errors occurring in connection with cell division, but may also be due to primary rare chromosome states in the parents. Therefore, one always examines the parents for these.
Why IVF? Because an IVF attempt optimizes all the processes involved, including the conditions surrounding the implantation itself. In addition, we have more eggs to choose from when doing IVF.
Embryoscope is the latest innovation in IVF. This is where embryo development is filmed. This provides lots of information about the quality (normality) of the embryo. When cell division occurs, the time this takes and also the synchronization of these, gives us a timeline (Timeline). This ensures a better selection of the embryo to be returned to the uterine cavity (greater chance that the embryo is normal)
When you do IVF, you know when the embryo is returned and when the implantation will take place. Measures can therefore be more targeted to improve the fastening processes J
Often patients with habitual abortion are told to just try again and hope for the best because all examinations and blood tests have shown normal findings!
This I would argue is bad advice for this group of patients. There is always a reason when there is an abortion. It's not accidental. Often there is something wrong with the implantation. IVF gives very good results in this group and should be recommended. We here at Klinikk Hausken have helped many.
Spesialist i gynekologi og obstetrikk.
