You must know that the success rate of IVF HCG therapy lies in close monitoring and observation from the time of your follicular maturation to complete implantation of the placenta until the time of successful delivery of your newborn.
IVF HCG is a complex process that requires professional skills and of course your utmost cooperation if you want it to be a success. Your cooperation means recording all responses, signs and symptoms from ovulation to IVF HCG induction and during the entire pregnancy period.
This is really serious work and if you really want a child of your own, you have to follow all monitoring protocols.
The long tedious process begins by monitoring your follicle maturation where symptoms you need to report will be breast fullness, feeling bloated, feelings of nausea, craving for certain foods, headaches, mood swings, increased body temperature and a sharp lower pelvic pain that may signify that your mature egg cell has been released.
If in case you have follicular problems, gonadotropin therapy may be employed, but the symptoms you have to report are the same.
During this time and prior to IVF HCG, your uterus will also be monitored and you will undergo a series of sonographic exams to determine the thickness of the endometrial layer. If a certain level of thickness is achieved then you are now ready for the IVF HCG induction.
In addition to the two major factors needed for your IVF HCG therapy, your levels of estrogen, progesterone, FSH and LH are also closely being recorded. Now timing of IVF HCG administration is very important because your mature egg cells would normally have a lifespan of only 24 to 48 hours, so IVF HCG induction should be accomplished within that small window of time. During this time you may be asked to record your basal body temperature to help determine the viability of your egg cells.
Important factors need to be considered before the actual IVF HCG induction like the level of estrogen, which should show a steady increase from your day 6 to 8 of ovulation. If your estrogen level fails to show significant increase during this period, IVF HCG administration will have to be cancelled. Another factor to be considered is the size in diameter of your matured follicle, it should measure at least 17 to 18 mm; if this is not achieved IVF HCG is also cancelled.
And the last factor that will be considered will be the presence of other mature follicles, which may be a result of the ovarian hyper stimulation. If there are 3 or 4 more mature follicles IVF HCG cannot proceed to avoid the abnormal condition called OHSS (Ovarian Hyper Stimulation Syndrome). During this period you have nothing to do, but wait for the results and take extra precaution by not being exposed to any type of disease.
After the successful IVF HCG administration, it will now be the time to take extra caution especially if you have a history of previous miscarriages. You have to report any untoward signs and symptoms experienced like bleeding no matter how scanty it may be.
The next step in your IVF HCG is the retrieval of the mature follicle to be prepared for the IVF fertilization procedure. Normally retrieval is done 35 hours after IVF HCG administration. Procedure is done by aspirating the mature follicle using an ultrasound guided needle. Special skills and training are required in accomplishing this task to avoid over stimulation of the ovaries and damage to your egg cell.
If retrieval and fertilization is successful, your next step would be the embryo transfer. If you reach this period you are already halfway the most difficult part of conceiving. During this precious time you will be required to continuously monitor the progress of your pregnancy and to report immediately any untoward signs and symptoms. It is also very important to take care of your health by having enough rest and sleep, exercise allowed for pregnant women and a healthy and balanced diet plus your doctor prescribed vitamin supplements.