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Question
Hello doctor,
Me and my husband let go naturally but had a miscarriage, so we are learning about IVF method. The doctor told me there is a high risk of miscarriage during IVF? How is the treatment?
Answer
Answered by Dr. Dr. Jean Clement Sage - Fertility Specialist - Reproductive Support Center - Vinmec Times City International Hospital.
Hello,
With the question “Is there a high risk of miscarriage with IVF? ”, the doctor would like to answer as follows:
The risk of spontaneous abortion in an IVF pregnancy is not more than in a natural pregnancy but an IVF pregnancy starts all with hormonal treatment and this treatment is required for a pregnancy to take place. good progress. Without good endocrine treatment, the fetus can stop growing and the germ of miscarriage. Some IVF pregnancies require special treatment before embryo transfer such as Progesterone injection, antibiotics, corticosteroids, Tetra Folic, Protakecare. It is necessary to continue this treatment for a long time as prescribed by the doctor.
Sudden bleeding in the first week of pregnancy is more common in IVF pregnancies, but this bleeding is not a sign of miscarriage. In this case, you need to tell your doctor right away so that an ultrasound and blood test can make sure the pregnancy is developing well. You need to adhere to bed rest as much as possible until the bleeding stops. Do not change or stop taking your medicine without consulting your doctor.
Priority, you need to see and consult the doctor at the hospital that has monitored and treated you IVF because they are the ones who understand your entire medical record and have more accurate information to be able to best advice for you. You should keep in mind that there is a 15% chance of spontaneous pregnancy or IVF to miscarry, it is natural selection to eliminate an abnormal pregnancy, such as a 21 chromosomal abnormality.
If unfortunately miscarriage, you need Try to let the fetal tissue escape naturally and avoid aspiration curettage because it will leave scars in the uterus and limit embryo implantation for the next pregnancy. The natural birth with pills can take days but it holds your lucky chance for the next pregnancy. The doctor does regular ultrasounds to check that the fetal tissue has come out and that there is nothing left in the uterus.
If you still have questions about IVF, you can go to a hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!
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