Patient's question:
My sister has been married for 7 years and has not been pregnant. Tests revealed that her fallopian tubes are blocked and both sides are obstructed. The male partner has a sperm vitality rate of 30%. Could you please tell me what the success rate is for IVF, how much it costs, and what the hospitalization situation is like?Doctor's answer:
The success rate of in vitro fertilization (IVF) is generally less than 50%. IVF technology is usually safe, but it may lead to some complications:1. Ovarian torsion. Due to ovulation induction treatment causing multiple follicles to grow, or the formation of multiple corpus luteum cysts after egg retrieval, the ovaries may become significantly enlarged. If a woman moves excessively or changes her posture too quickly, it can lead to ovarian torsion. The patient may experience sudden severe abdominal pain, accompanied by nausea and vomiting. If the twisted ovary cannot be repositioned in time, surgical treatment may be required. In severe cases, the necrotic ovary may need to be surgically removed.
2. Multiple pregnancies. Because multiple embryos are transplanted into the uterus, the rate of multiple pregnancies caused by IVF is significantly higher than in natural conception, approximately 25–30%. The risk of late miscarriage and premature birth in multiple pregnancies is significantly higher than in singleton pregnancies. The mother's risk of developing gestational diabetes, gestational hypertension, experiencing difficult labor, and postpartum hemorrhage also increases significantly. Therefore, multiple pregnancies are disadvantageous for both the mother and the child. Currently, many IVF centers are reducing the rate of multiple pregnancies by decreasing the number of embryos transplanted or performing single-embryo transfer. For triplets or higher-order pregnancies, reduction (selective reduction) is necessary, and for twin pregnancies, the patient must undergo reduction.