Embryo transfer is an essential component of infertility treatment, and it is usually the last stage of in-vitro fertilization (IVF) therapy. IVF has been used for decades to help millions of women to conceive and have children successfully.
However, despite its success rates, some couples experience IVF failures due to various factors such as poor embryo quality, implantation issues, and other fertility problems.
In such cases, using cryopreserved or frozen embryos may be the solution to achieving a successful pregnancy.
This article explores the benefits of using frozen embryos after IVF failure, the process of embryo transfer, and how it can increase the chances of pregnancy.
What is Embryo Transfer?
Embryo transfer is the final step in IVF where fertilized eggs grow in a laboratory for several days and then are transferred to the woman’s uterus to implant and develop further.
During the procedure, the embryologist uses a vaginal speculum to expose the cervix, passes a catheter through the cervix and releases the embryos into the uterus.
Multiple embryos are produced during the IVF process, and the best-quality ones are selected for transfer.
The number of embryos used for transfer depends on various factors, including maternal age, medical history, and the number of previous IVF failures. However, transferring more than one embryo can increase the chances of multiple pregnancies and other complications.
What Causes IVF Failure?
IVF failure can be caused by a wide range of factors, including genetic abnormalities, age-related issues, health conditions such as polycystic ovary syndrome (PCOS), sperm quality issues, and implantation problems.
Implantation failure is the most common reason for IVF failure. This occurs when the embryos do not attach or implant in the uterine lining. A thin uterine lining or poor-quality embryos are usually the primary causes of implantation failure.
In the past, IVF failures meant that couples had to undergo multiple IVF cycles, which could be expensive, time-consuming, and emotionally draining.
Fortunately, advancements in assisted reproduction technology have made it possible to freeze and store embryos until the couple is ready to attempt to conceive again.
What are Frozen Embryos?
Frozen embryos are fertilized eggs that have been cryopreserved (frozen) in a laboratory using special freezing techniques.
Embryos can be frozen at different stages of development, including the early stages of cell division (cleavage stage) or after the cells have divided into groups (blastocyst stage).
Freezing embryos allows couples who have unused embryos from IVF treatments to store them for future use, even after an unsuccessful IVF cycle. Frozen embryos can also be used in surrogacy or donated to others who are struggling with infertility.
Can Frozen Embryos Increase the Chance of Pregnancy?
Using frozen embryos can increase the chances of pregnancy, whether it is after a previous IVF cycle or for those who are struggling to become pregnant naturally. There are several benefits to using frozen embryos, including:.
- Frozen embryos have a higher implantation rate than fresh embryos, which means that they are more likely to attach to the uterine lining and develop successfully.
- Using frozen embryos can reduce the need for multiple IVF cycles, which can be costly and stressful.
- Frozen embryos can be used in different types of ART, including frozen embryo transfer (FET), surrogacy, and egg donation, which provides more options for couples facing fertility issues.
Frozen embryo transfer (FET) is a process where cryopreserved embryos are thawed and transferred to the woman’s uterus during a natural or hormone-controlled cycle.
FET has a higher success rate compared to fresh embryo transfer, and it is usually recommended for couples who have a history of failed IVF cycles or women who have a thin uterine lining.
Can All Frozen Embryos be Used for Transfer?
Not all frozen embryos can be used for transfer. The quality of the embryos plays a significant role in determining their viability for transfer.
Embryos that were stored in the blastocyst stage have a higher chance of survival and implantation than those in the cleavage stage.
Embryos that were frozen using slow freezing techniques may also have a lower chance of survival than those stored using vitrification, which is a newer and more advanced method of cryopreservation.
The age of the woman at the time of embryo freezing also affects the success rate of FET.
Women who froze their eggs when they were younger (under 35 years) have a better chance of getting pregnant using frozen embryos than those who froze their eggs when they were older (over 35 years).
What are the Risks Associated with Embryo Transfer?
Embryo transfer is a generally safe procedure with minimal risks. However, there are some risks associated with the process, including:.
- Infection: There is a slight risk of infection during the transfer process.
- Bleeding: Spotting or mild bleeding can occur after the procedure due to cervical irritation.
- Ectopic pregnancy: There is a small risk of ectopic pregnancy, which occurs when the fertilized egg implants outside of the uterus.
- Multiple pregnancies: Transferring multiple embryos can increase the chances of multiple pregnancies, which can be riskier for both the mother and the babies.
Your doctor will discuss these risks with you before the procedure to ensure that you are prepared for the potential outcomes and complications.
Conclusion
Embryo transfer is a crucial step in the IVF process, and it can be the key to a successful pregnancy.
For couples who have experienced IVF failures, using frozen embryos can be a viable option to increase the chances of a successful pregnancy without resorting to multiple IVF cycles. However, it is essential to understand the risks associated with the procedure and to ensure that you have chosen the right quality of embryos for transfer.