Question : I have tried IVF and embryo transfer multiple times without success. What’s your advice for better chance of success?
Answer : There are several factors affecting the success of conception after the transfer, such as quality and/or aneuploidy of the embryo, abnormality of uterus and hormones, as well as other health issues like congenital diseases involving the endocrine system, immunity system disorders, etc. The doctor needs to review previous treatment records of each married couple and may have to perform further examination such as an ultrasound scan, a hysteroscopy, a blood test to examine the functionality of endocrine and immunity systems, including chromosome check to see whether the wife or the husband that passes down the abnormality in embryo, etc. After consulting the results, the doctor will propose an appropriate treatment approach accordingly, such as an operation to fix the abnormality in uterus, embryo DNA testing, medication to cure the endocrine and immunity systems, etc. These procedures will increase the chance of success for your next treatment.
Question : What should pregnant women do during the COVID-19 pandemic?
Answer : The World Health Organization has found that the risk of being infected with COVID19 for pregnant women are not different from non-pregnant women. In addition, there are only 1% of pregnant women infected with the virus developed serious illness that required medical attention. The Centers for Disease Control and Prevention (CDC) in the USA still does not have any clear evidence regarding the adverse effects from COVID-19 infection during pregnancy. However, pregnancy loss, including miscarriage and stillbirth, has been observed in cases of infection with other related coronaviruses [SARSCoV and MERS-CoV] during pregnancy. It is currently unknown whether COVID-19 infection can be transmitted from the mother to the unborn baby by other routes of vertical transmission (before, during, or after delivery). Nevertheless, your safest bait is to avoid infection at all cost. You should avoid traveling to high-risk areas, wash your hands frequently, avoid touching your face, eyes, and mouth with your hands, keep distancing from the others, and not touch any surface with infection risk, and so on. You should be wearing a surgical mask when going outside and consult a doctor if you develop suspicious symptoms like a fever, coughing, and breathing problems, etc.
Obstetrician and Gynecologist, Reproductive Medicine
JETANIN Journal Vol.11 No.2