Complications can occur throughout the IVF process: common ones are ovarian hyperstimulation syndrome and ovarian hyporesponse (poorresponse). Ovarian hyporesponse refers to the inability to obtain good ovulation during hyperovulation, and patients often have low pregnancy rates and are difficult to manage. The following is a detailed description.
After egg retrieval
1. vaginal bleeding.
2. pelvic organ injury (especially with a history of pelvic adhesions).
3. bladder injury.
4. infection.
Measures: After egg retrieval, you should lie still, keep your vulva clean, and contact your healthcare provider promptly if you have severe abdominal pain, heavy vaginal bleeding, hematuria, or difficulty urinating.
Ovarian hyperstimulation syndrome
Incidence: about 3%
The time of occurrence can be divided into 2 periods: early onset is usually 3-7 days after egg retrieval: late onset is about 2 weeks after egg retrieval.
Clinical manifestations: abdominal distension, abdominal pain, nausea, vomiting, chest tightness, shortness of breath, oliguria, cold sweats, etc.
Ultrasonography: Bilateral ovarian enlargement and pelvic effusion.
Duration: about 1 month if pregnant, about 10 days if not pregnant.
Countermeasures.
1.High protein diet (chicken, duck, fish, pork, shrimp, etc.) at least 1-1.5 kg/day, follow the principle of eating less and more meals.
2, drink more water, to ensure that the water intake > 3000ml / day, you can add a little moderate sugar, salt, lemon in plain water according to personal favorite, but also increase the soup, juice, milk, etc.
3.Make more urine, maintain urine volume >2000ml/day, record 24-hour urine volume and vomiting volume according to the doctor’s prescription for patients, remember to keep in touch with the hospital to facilitate the doctor’s understanding of your condition.
4.Avoid overexertion and strenuous exercise, abdominal pressure and collision, which may cause ovarian torsion.
5.Contact with medical staff in time and stay in hospital for observation if necessary. Most patients can pass safely with active symptomatic treatment, while very few serious cases may endanger personal life.
Ovarian torsion
Incidence: about 0.009%
High risk factor: Ovarian enlargement due to ovulation-promoting drug use
Clinical manifestations: sudden, paroxysmal occult or severe pain on the affected side, gradually worsening, with nausea, vomiting, and possibly low-grade fever
Precautions: Avoid strenuous exercise and contact the hospital immediately if detected.
Matters related to multiple pregnancy and fetal reduction
Incidence: about 20-30%
Risks: prone to miscarriage, preterm labor, hyperemesis, premature rupture of membranes, etc.
Response: If you have three or more pregnancies, uterine anomalies, important organ diseases, or cannot tolerate twin pregnancies, you should actively cooperate with reduction of pregnancy.
Matters related to reduction of fetus: It is advisable to perform reduction of fetus about 1 month after embryo transfer, rest for 4 hours after the operation, observe whether there is abdominal pain and vaginal bleeding, continue the antiretroviral drugs, return to the hospital 24 hours after the operation to review the ultrasound, if the fetal heartbeat resumes, it is necessary to reduce the extinction again.
Miscarriage
Incidence: about 10%
High risk factors: embryonic factors, maternal factors, immune factors
Ultrasonography: empty gestational sac, no fetal heartbeat seen
Mode of miscarriage: complete spontaneous miscarriage or curettage. The natural discharge or the villi after curettage can be tested for the main cause of miscarriage.
Ectopic pregnancy
Incidence: approximately 3%
High risk factor: pelvic tubal lesions
Incidence of simultaneous intrauterine and extrauterine pregnancies: about 0.675%
Clinical manifestations: Early reaction is the same as normal early pregnancy, which may be accompanied by vaginal bleeding, gradually developing into severe abdominal pain, generalized cold sweating, vomiting, dizziness and other uncomfortable symptoms as the fetus increases and the pregnancy site varies.
Response: Get in touch with your doctor in a timely manner. Patients who are far away or out of town can be seen at a local regular hospital to avoid delaying the best time to seek medical attention.
Common problems after transplantation
If patients experience constipation after IVF transplantation, it is important to pay more attention to it. Because of the need for some progesterone drugs to protect the fetus after IVF transplantation, coupled with eating better and less exercise, the peristalsis in the intestines is reduced, and sometimes constipation will occur. In general, it can be regulated by diet, eating more vegetables, taking appropriate exercise and avoiding prolonged bed rest. In more severe cases, medications can be taken under doctor’s orders to reduce the patient’s symptoms.
Post-transplant medication
Medication is also very crucial to IVF after transplantation and must not be ignored. If the illness is not too serious, you should try not to use medicine, such as some minor colds, you can drink more water to relieve. If there are particularly serious symptoms, you need to do it under the knowledge of your doctor. The effect of using medication and not using medication on the transplant after IVF is different.