In vitro fertilization (IVF) is a type of assisted reproductive technology (ART) that is used to treat infertility in both men and women. During IVF, eggs are extracted from the woman’s ovaries and fertilized with sperm in a laboratory.
The resulting embryos are then transferred to the uterus, where they can implant and grow into a pregnancy.
IVF is a complex and expensive procedure that requires a great deal of expertise and skill.
Success rates can vary greatly depending on a number of factors, including the age of the woman, the quality of the eggs and sperm, and the skill of the fertility specialist performing the procedure.
What is low egg retrieval?
One of the key stages of IVF is egg retrieval. During this procedure, the woman’s ovaries are stimulated with hormones to produce multiple eggs.
These eggs are then collected using a special needle that is inserted through the vagina and into the ovaries. The eggs are then taken to a laboratory where they are fertilized with sperm.
Low egg retrieval is a term used to describe a situation where fewer eggs are collected than expected. This can be a problem because the more eggs that are collected, the greater the chances of success.
If too few eggs are collected, it may not be possible to create enough embryos to transfer to the uterus or to freeze for future use.
The link between low egg retrieval and miscarriage
A recent study published in the journal Fertility and Sterility found that low egg retrieval during IVF may be linked to a higher risk of miscarriage.
The study, which was conducted by a team of researchers from the University of Adelaide in Australia, looked at data from more than 76,000 IVF cycles that were performed between 2009 and 2012.
The researchers found that women who had fewer than five eggs retrieved during IVF were more likely to experience a miscarriage than those who had more than five eggs retrieved.
The study also found that the risk of miscarriage increased as the number of eggs retrieved decreased.
For example, women who had only one egg retrieved were more than twice as likely to experience a miscarriage as those who had five or more eggs retrieved.
The researchers say that this study is the first to show a significant link between low egg retrieval and miscarriage.
Why does low egg retrieval increase the risk of miscarriage?
It’s not entirely clear why low egg retrieval during IVF may increase the risk of miscarriage. However, the researchers speculate that it may be related to the quality of the eggs that are retrieved.
During IVF, the eggs that are collected are screened for their quality. Only the best-quality eggs are used for fertilization.
It’s possible that women who have few eggs retrieved have a higher proportion of lower-quality eggs, which may be less likely to result in a successful pregnancy.
Another possibility is that low egg retrieval may be a marker for underlying fertility problems that increase the risk of miscarriage.
For example, women with fewer eggs may have a lower ovarian reserve (the number of eggs remaining in the ovaries) or may have hormonal imbalances that make it more difficult to conceive and carry a pregnancy to term.
What can be done to reduce the risk of miscarriage?
While low egg retrieval during IVF may increase the risk of miscarriage, there are steps that can be taken to reduce this risk.
For example, women who have few eggs retrieved may benefit from additional testing or treatment to identify and address any underlying fertility problems.
Additionally, some fertility clinics may recommend transferring more than one embryo during IVF in order to increase the chances of success.
While this approach can increase the chances of a successful pregnancy, it also carries a higher risk of multiple births, which can increase the risk of complications for both the mother and the babies.
Conclusion
IVF is a complex and expensive procedure that can be a highly effective treatment for infertility. However, the success rates of IVF can be influenced by a variety of factors, including the number of eggs retrieved during the procedure.
A recent study suggests that low egg retrieval during IVF may be linked to a higher risk of miscarriage.
While the reasons for this remain unclear, it’s possible that low egg retrieval may be a marker for underlying fertility problems that increase the risk of miscarriage, or that the quality of the eggs that are retrieved may be lower in women who have few eggs collected.
Fortunately, there are steps that can be taken to reduce the risk of miscarriage in women who have low egg retrieval during IVF.
These may include additional testing or treatment to identify and address any underlying fertility problems, or transferring more than one embryo during the IVF procedure to increase the chances of success.