{"href":"http://player.captivate.fm/services/oembed?url=http%3A%2F%2Fplayer.captivate.fm%2Fepisode%2F927ff456-b69e-441b-b6de-9d9538a2e0c0","version":"1.0","provider_name":"Captivate.FM","provider_url":"https://www.captivate.fm","width":600,"height":200,"type":"rich","html":"","title":"Egg Collection and Embryo Transfer","description":"This week we\u2019re talking about egg collection and embryo transfer with former podcast guest Alpesh Doshi. \r\n\r\n\r\nWe discuss how it all works and how the hormones are used to stimulate the ovary to produce follicles. \r\n\r\n\r\nDo numbers matter? \r\nWe discuss the importance of managing your expectation in terms of what it all means, what size means, what % of follicles will result in an egg, and what stage an egg can be at. \r\n\r\n\r\nAlpesh explains how patients need to be informed at every stage of scans with how many follicles are in each ovary, what size are they, how many are they expected to grow, at the last scan, when they are ready for trigger - the patient should have more details chat about what to expect. \r\n\r\n\r\nDid you know 80% of follicles result in eggs? Typically follicles that are over 14mm in diameter \r\n\r\n\r\nWhat if I don\u2019t get enough eggs? \r\nThere is often a lot of disappointment that can come because patients aren\u2019t sure how to interpret numbers. But it\u2019s important to remember that 15 follicles don\u2019t mean 15 eggs. Alpesh explains how important it is that patients shouldn\u2019t fixate on a number = it could be a number of eggs and the number of embryos. The journey from the egg to the embryo is a funnel as the numbers come down. More important to focus on the embryo number.\r\n\r\n\r\nHow long does egg collection take and does it hurt? \r\nIt can take 15 minutes to 45 minutes depending on the number of follicles. \r\nThe procedure takes place under a general anesthetic, meaning you will have been nil by mouth since the night before. Alpesh explains the procedure of draining the follicles and how once it is done, and you have one round from the anesthetic you will be monitored to make sure everything is OK before you can go home. All in all about 2 hours. \r\n\r\n\r\n\r\n\r\nWhen will you hear from the clinic after egg collection? \r\nThe embryologist has a conversation straight after once you are awake to explain what will happen next eg. IVF or ICSI \r\nThere will then be a call the next day to update\r\nDay 3 call - assessment \r\nDay 5 - to let you know how many have developed into Blastocyst \r\n\r\n\r\nHave a listen to a previous episode with Embryologist Rachel Cutting about \u2018What an embryologist does\u2019 \r\n\r\n\r\n\r\n\r\nWhat to do on the day of embryo transfer? \r\n\r\n\r\nIf you have no complicated history of ET - no sedation will be needed, it\u2019s like a smear test. You will need a full bladder, and a catheter will be passed into the cervix, using ultrasound and the embryologist will pass another catheter to release the embryo in the middle of the uterus. \r\nIt takes about 20 minutes. You will be at the clinic for about 30 mins and then can go home. Hormones continued and then dealing with the two-week wait and talking to the clinic as much as you like. \r\n\r\n\r\nHow to deal with the Two Week Wait #TWW\r\nNatalie talked about how important it is to give yourself things to look forward to, and how she and her husband went away for a few days, so they\u2019d done something nice even if the outcome wasn\u2019t what they\u2019d wanted. Alpesh talks about the importance of the emotions between couples being supported and managed. \r\nWe will be making an episode about how you cope with the TWW, so if you\u2019ve read this far and would like to tell us please email \r\n\r\n\r\n\r\n\r\nThe outcome - what if it\u2019s not successful? \r\nWhat to expect from your clinic. Alpesh talks about how they manage a negative outcome, giving them a call during the TWW, see if they\u2019ve had any time of spotting. \r\nThey call you for a blood test in the clinic for the pregnancy and also make sure they call a week after if it\u2019s negative. \r\n\r\n\r\nWhat do you need after a failed cycle to try again? \r\nCourage, resilience, managed expectations, and never fear from asking questions that might have come about from the previous cycle. Alpesh says never be scared to ask. \r\n\r\n\r\n\r\n\r\nSOCIALS: \r\nIVF London\r\n\r\n\r\nFertility Poddy\r\n\r\n\r\nKate on Insta \r\n <p...","thumbnail_width":300,"thumbnail_height":300,"thumbnail_url":"https://artwork.captivate.fm/efd79d2f-5ff5-4ff8-9bc0-1be273f36ad2/cover-image-ks8t1kmy-thefertpod.png"}