Eggs, Sperm and Embryo Freezing
Center : Fertility Center
Eggs Freezing is process for preserving egg cells after collecting the eggs from the ovaries of the women who are waiting for the fertilization of sperm in the future spouse. It is beneficial for women older than 35 years and planning to have children in the future.
Sperms Freezing is process for preserving sperm after collecting. It is preserved waiting to be used with future spouse. The sperm can be injected into the uterus or injecting into the egg for fertilization, called IVF or ICSI. Sperm, eggs and embryo can be reserved at temperature of -196 degree Celsius. When needed, the sperm is thaw to return to the original temperature according to the laboratory procedures as well as checking the quality for suitability for medical use.
Embryo Freezing is the process that related to preserving embryos from fertilization in preparation to move back into the uterus in the next round if not pregnant in the first round. Each embryo transfer is at the discretion of the doctor and the participation of the spouse.
The duration of frozen eggs, sperm and embryo
The duration of frozen eggs, sperm and embryo: embryo can be frozen for up to 10 years, the quality of the embryo remains the same and the baby born without any abnormalities. Eggs and sperm can also be frozen up to 10 years as well. The annual maintenance costs are according to quantity and the conditions of the hospital.
The quality of the embryo after freezing
The quality of the embryo after freezing: after thawing the embryo from freezing, embryo quality may be reduced or die. However, this does not occur often. Most of the cases, the quality of the embryo remains the same as there is standard for regular monitoring.
Who should freeze sperms, eggs and embryos?
- Unmarried women but want to take the eggs to be used when married or before the quality and quantity of eggs decreases with age. Cancer patient can collect eggs and sperms before radiation chemotherapy treatment. The treatment can cause atrophy of egg and reduced sperm quality, which affect reproductivity, if cured from cancer.
- Young couple who are not ready to pregnant. But afraid that as the age increases, will cause infertility.
The benefits of embryo freezing
- Save a lot of costs per treatment cycle
- Patient feels less painful as there is no injection required.
- Stimulate eggs or collect eggs every month of treatment
- Increase the rate of each pregnancy egg collection
- Convenient if there is no time to implant the embryo in that cycle or have to travel.
- even in successful cases and already giving birth can use frozen embryo transfer service to have children next time
- Collecting and placing sperm should be done while the body is normal. If not feeling well or on any medication, inform the doctor. The genitals should be kept clean without any infection. Feel relax. Refrain from ejaculation for at least 2 days but no more than 7 days.
- Wash your hands well and collect sperm by masturbation.
- Collect sperm in a container provided by the hospital without washing the container. The hospital will provide private room with an attached bathroom for collecting sperm.
- If collect sperm from the house, it should be delivered to the laboratory within 1 hour. By collecting sperm in a container that provide by the hospital; do not put in refrigerate or on ice.
- The results will take not more than one and a half hours after the laboratory examination.
Preeclampsia is a characterized by blood pressure level greater than or equal to millimeters of mercury (mm Hg) with proteinuria in urine. In pregnant women who are more than 20 weeks pregnant until after giving birth one week, the preeclampsia will gradually disappear.
Causes of preeclampsia
Causes of preeclampsia is not yet known for certain. It may cause by abnormalities of the immune system, some endocrine hormones or from inherited. It is presumably caused by imbalance between some proteins that are formed during pregnancy causing vascular disorders in pregnant women; resulting in the body unable to create enough blood vessels to placenta. Therefore, some parts of the placenta lack of blood. The death of some placenta tissue release substances that contracted the blood vessels throughout the body of pregnant women.
Who are pregnant women at risk of becoming preeclampsia?
- Pregnant women who have history of preeclampsia.
- Pregnant women who are overweight or with a body mass index of 35 or more
- Pregnant women who have underlying diseases such as diabetes, high blood pressure, chronic kidney disease and SLE.
- Twin pregnant women
- Pregnant women younger than 18 years or older than 35 years
- First pregnancy
Symptoms of Preeclampsia
Preeclampsia sometimes develops without any symptoms at initial stage. Pregnant mothers are aware from regular checkups which can be detected before the symptoms get worse. Obstetrician will observe high blood pressure and proteinuria in urine as well as circulatory problems, such as edema. However, high blood pressure and mild edema can occur during pregnancy and do not always indicate severe problems. In addition, urine protein levels indicate infection symptoms, so it's difficult to pinpoint preeclampsia at the beginning. These symptoms may occur in the later stages of pregnancy. Therefore, if the risk is detected and pregnant women with these symptoms should see a doctor immediately.
- Weight gain greater than or equal to 1 kilogram per week
- have a lot of nausea and vomiting
- swelling of the face, hands, ankles, and feet
- Headache, especially in the occipital area of the forehead, after taking pain relief medication and does not improve
- Blurred vision, may be temporary loss of vision
- Tighten at the chest or the epigastric area
- If severe may have convulse, lead to bleeding in the brain
What are the complications of the pregnancy?
Complications / side effects that may occur from preeclampsia are:
- Complications to mothers
- Deaths are often caused by bleeding in the brain from stroke
- Seizures occur
- Vision loss may be temporary or permanent
- have pulmonary edema
- bleeding in various organs from thrombocytopenia
- Complications to the fetus
- Intrauterine growth restriction
- Premature birth
- abruptio placentae
- fetal death
- bradycardia from lack of oxygen
What are the treatments for preeclampsia?
- In mild preeclampsia may not be necessary for hospitalization. However, it is needed to follow up on the treatment regularly according to the doctor appointment. Rest well and reduce spicy food. Observe and count the movement of the baby every day and measure blood pressure regularly.
- Be aware of the symptoms of the disease that must be urgently come to see the doctor, such as headache, blurred vision and tighten at the chest or the epigastric area. If there are no complications and side effects.
- If preeclampsia is server, patient must be hospitalized for close observation and be on the lookout for complications. Blood pressure will be monitor closely. If blood pressure level is higher than or equal to 160/110 mm Hg, it is necessary to receive antihypertensive drugs, to prevent stroke. The fetus's growth is monitored by ultrasound, it may necessary to receive anticonvulsants medication 24 hours before and after giving birth. In severe cases induced abortion may be necessary by giving birth-inducing drugs. This can be done through forceps and vacuum extraction, but will be cesarean when there are medical indications, such as mothers whose cervix is not open.
How to prevent preeclampsia?
There is still no method to prevent preeclampsia 100%. However, when pregnant or preparing to become pregnant, the risk of preeclampsia can be reduced by the following methods:
- Reduce salty foods
- Drink more than or equal to 8 glasses of water per day, if there is no disease to limit the drinking of water.
- Add protein (such as meat, eggs, milk, liver) to food. Avoid fatty foods and fried food
- Having enough rest and exercise regularly
- Try to raise the legs when there are opportunities, such as when sitting and sleeping.
- Avoid alcohol and caffeinated beverages (such as tea, coffee, cola, and energy drinks)
- Attending antenatal care from the moment become pregnant. After that, follow the doctor's advice to reduce the chance of preeclampsia. And / or reduce the likelihood of the severity of preeclampsia. Although preeclampsia can be an alarm, in the case of mild symptoms, it is safe with constant pregnancy examinations. If you have been diagnosed with preeclampsia, the obstetrician will provide special care to both you and the fetus in order to prevent the danger and to ensure the safety of both the mother and the baby.
Female sterilize reversal surgery
sterilization is a permanent contraception after having enough children. The most popular method of sterilization is tubectomy on both sides. Then remove parts of the fallopian tube. However, over time some women will change their mind and want to have more children. Therefore, they come back to see the doctor for surgery to reverse sterility. Sterilize reversal surgery is to rejoin the remove two ends of the fallopian tube.
How is sterilize reversal surgical by laparoscopy performed?
- A laparoscope is passed through the abdomen under general anesthesia
- Before sterilize reversal, the doctor will evaluate both fallopian tubes on the remaining length and the blockage. If it is found that the remaining fallopian tubes are long enough and do not block, the doctor will perform sterilize reversal. However, if it is found that the remaining fallopian tubes are short or block, the doctor may use other method of surgery to restore the fallopian tube. Therefore, the doctor may be able to either perform sterilize reversal on both sides or one side or cannot do at all.
- The doctor performs sterility sterilize reversal by stitching the fallopian tubes together.
- The doctor will perform hysterosalpingography to see if the color can pass to the end of the fallopian tubes after sterilize reversal.
- After surgery, patient will be hospitalized for 1-2 days if there are no complications, the doctor will make appointment to check the incision 7 days after surgery. Then make appointment for hysterosalpingography to check the fallopian tubes 1-2 months after the surgery to see if the color can pass to the end of the fallopian tube.
Factors affecting the success of sterilize reversal
- Age of women
- Methods and locations of sterilized fallopian tubes
- Length and quality of the remaining fallopian tubes
- Period after sterilization
- Expertise of doctors
However, pregnancy after successful sterilize reversal also depends on other factors such as structure, function of fertility of women and the semen quality of the male as well.
The Sterilize reversal by other means apart from surgery
In addition to surgery for sterilize reversal, there are other treatments for pregnancy which is an IVF. It is recommended in women over 37 years of age, irregular menstruation, and other factors that may result in infertility or male semen quality disorders, etc.
Female sterilize reversal surgical complications
Risk of failure, for example, sterilize reversal can be performed only one-sided or irreversible. Injury to neighboring organs in the pelvis. In the case of fascia such as the small intestine, large intestine, the risk from general anesthetic, the chance of ectopic pregnancy. Therefore, if it is found to be pregnant, antenatal care should be taken immediately.
Things to know before becoming pregnant
- In general, pregnant women are at risk of death from childbirth 15-20 cases per 100,000 women giving birth
- In the case of pregnant women over 35 years old, the fetus is at risk of chromosomal abnormalities, such as down syndrome higher than pregnant women younger than 35 years old. Prenatal diagnosis is recommended by blood test or amniocentesis.
- In case of having cesarean surgery before, the next pregnancy is likely to have placenta previa, placenta percreta, uterine rupture and hemorrhages may have to perform hysterectomy or may be death.
- In the case of having a pre-gestational history of complications such as preeclampsia, diabetes during pregnancy, premature birth and postpartum hemorrhages; cause the next pregnancy to be at increased risk of such complications which are harmful to pregnant women and fetuses.
- If having congenital disease, must consult a doctor and monitor the disease well before becoming pregnant. This is because the disease may worsen during pregnancy and affect the fetus, such as thyroid and heart disease.