How to Avoid Ectopic Pregnancy with IVF

For many couples facing infertility, the dream of welcoming a child into their lives can feel out of reach. Thankfully, IVF treatment in Delhi has given many hope by helping them achieve parenthood. However, this advanced reproductive technology carries with it certain risks, including the possibility of ectopic pregnancy. But what is ectopic pregnancy? How does it occur? Are there any ways to avoid ectopic pregnancy in IVF? Let’s get answered!

What is Ectopic Pregnancy?

First and foremost, we will understand what ectopic pregnancy is

In normal pregnancy, fertilization happens in the tube and implantation occurs within the uterus. However, in ectopic pregnancy, the scenario gets changed. Instead of attaching to the uterus lining, the embryo gets attached to the else where organs, fallopian tubes, and sometimes the ovaries or cervix. 

These locations lack the necessary conditions to support a developing fetus, making it impossible for ectopic pregnancies to proceed safely. 

Without timely intervention, this can result in ruptured fallopian tube, significant internal bleeding, and situations that could endanger life or result in the loss of the pregnancy. As a result, they require termination as soon as detected to protect the woman's health.

Risk Factors

Several factors can increase the likelihood of an ectopic pregnancy during IVF treatment. These include:

● Damaged Tubes: If your fallopian tubes get damaged due to infection, then there is a higher chance of embryos implanting in the tubes instead of the uterus.

● Fresh vs. Frozen Transfers: Ectopic pregnancies are more common with disturbed hormonal milieu more so seen in fresh embryo transfers

● Smoking: Certain lifestyle factors like cigarette smoking can increase the chances of an ectopic pregnancy.

● Previous Ectopic Pregnancy: If you have had an ectopic pregnancy before, the risk of having another is doubled.

● Uterine Disorders: Conditions like fibroids, adenomyosis, and endometriosis, which cause inflammation, can cause the embryo to move in the opposite direction.

● Caesarean Scar: An improperly healed caesarean scar may serve as a site for ectopic implantation.

How to Avoid Ectopic Pregnancy in IVF?

The good news is that there are a few steps that you can take to reduce the risk of ectopic pregnancy during IVF treatment:

Make Lifestyle changes: Consider quitting smoking before starting the IVF treatment.

Addressing Tube Issues: In case of damaged tubes or a history of ectopic pregnancies, procedures like tubal clipping through laparoscopy or removal may be recommended to prevent embryos from migrating to the tubes. Consult with an IVF specialist in Delhi to know your treatment options.

Optimal Embryo Transfer Techniques: Using minimum amounts of transfer media and placing the embryo in the proper spot within the uterus can reduce the risk of ectopic pregnancy. Ensure that transfers are done under ultrasound supervision to avoid placing the embryo too close to the fundus (top of the uterus), where ectopic pregnancies are more common.

Uterine Relaxants: When there is a high risk of ectopic pregnancy, uterine relaxants like oxytocin receptor antagonists may be administered before the embryo transfer. These can help reduce the chances of ectopic implantation and improve overall implantation rates.

Ectopic pregnancy is a serious concern for individuals undergoing IVF, but by understanding the risk factors and employing prevention strategies, you can minimise your risk. If you are considering IVF treatment, consult with Dr Rhythm Gupta to understand and eliminate the risks of ectopic pregnancy and fulfil your dream of parenthood.