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Assisted Hatching: A Comprehensive Guide

July 02, 2024
embryo assisted hatching

Understanding Assisted Hatching

Assisted hatching is a technique used during in vitro fertilization (IVF) to help embryos hatch out of their protective outer layer. This process involves making a small hole in the outer layer of the embryo, which can aid in embryo implantation in the uterus. Not all IVF procedures include assisted hatching, as its necessity varies based on each individual’s situation. Researchers continue to study the effectiveness of assisted hatching, and its impact on IVF success rates is still debated within the medical community.

assisted hatching

Who can benefit from assisted hatching?

Individuals who have been unsuccessful with previous in vitro fertilization (IVF) cycles may benefit from assisted hatching. It can also be helpful for those with a history of failed embryo transfers or for women with advanced maternal age. People with thick egg shells or poor embryo quality might find assisted hatching to be a suitable option as well.

How assisted hatching works

Assisted hatching helps embryos to hatch by thinning the outer layer. The procedure is often used for older women or those with previous unsuccessful IVF attempts. Here is how it works:

  1. Embryo Selection: Before the procedure, the embryologist selects the most viable embryo.
  2. Microtool: A microtool is used to create a small opening in the embryo’s outer shell.
  3. Encouraging Implantation: This process aims to make it easier for the embryo to implant in the uterus lining.

Risks and considerations

Assisted hatching is generally considered safe, but like any medical procedure, it does carry some risks. The main risk is the possibility of the embryo being damaged during the process. Additionally, there is a small chance of multiple pregnancies occurring from the procedure. It is essential to discuss all potential risks with your fertility specialist before proceeding with assisted hatching.

Preparing for an assisted hatching procedure

Assisted hatching is a procedure that helps embryos implant in the uterine wall. It involves making a small hole in the embryo’s outer layer to help it attach better.

Before the procedure, your fertility specialist will discuss the process with you in detail and answer any questions you may have.

During the procedure, you will be given anesthesia to ensure you are comfortable. Remember to follow your doctor’s instructions carefully to prepare for the assisted hatching procedure.

The assisted hatching process step by step

Assisted hatching is a technique used during IVF to help the embryo hatch out of its shell. Here’s a general idea of how the process works:

  1. The embryo is carefully placed under a microscope.
  2. A small hole is made in the outer layer of the embryo, known as the zona pellucida.
  3. This hole helps the embryo break free and implant in the uterus.

Remember, this is a simplified overview, and the actual process may involve more detailed steps depending on the clinic and the specific situation.

Types of assisted hatching techniques

Assisted hatching techniques include the following types:

  1. Chemical: Using acidic solutions to weaken the outer layer of the embryo.
  2. Mechanical: This involves making a small hole in the zona pellucida using micromanipulation tools.

Success rates and what to expect

Success rates of assisted hatching vary depending on factors like the woman’s age and the clinic’s expertise. On average, the success rate ranges from 20% to 40% per IVF cycle. It’s crucial to discuss with your fertility specialist about the tailored success probabilities based on your specific situation. After the procedure, you may experience some mild cramping, but it is typically well-tolerated. Rest and avoid strenuous activities for a day. Follow your doctor’s recommendations closely to optimize your chances of a successful outcome.

Aftercare and recovery tips

After undergoing assisted hatching, it’s crucial to rest and allow your body to heal. Here are some tips to help you recover smoothly:

  • Follow your doctor’s instructions carefully for post-procedure care.
  • Take prescribed medications on time to manage any discomfort or prevent infection.
  • Avoid strenuous activities and heavy lifting for a few days to give your body time to recuperate.
  • Stay hydrated and eat nourishing foods to aid in the healing process.
  • Monitor for any unusual symptoms or signs of complications and inform your doctor promptly.
  • Attend all follow-up appointments to ensure that your recovery is progressing as expected.

Conclusion: Is assisted hatching right for you?

Assisted hatching can increase the chances of success for some couples undergoing in vitro fertilization. If you have struggled with fertility issues, discussing assisted hatching with your fertility specialist may be worth considering. It is essential to have a detailed conversation with your doctor to determine if this technique aligns with your specific situation and goals. Remember, assisted hatching is not a guaranteed solution, but it could potentially improve the likelihood of a successful pregnancy for some individuals. Ultimately, the decision to pursue assisted hatching should be based on your unique circumstances and medical advice from your healthcare provider.

Sr. IVF Specialist & Medical Director at NANDI IVF
Dr. Payal Bajaj is an experienced Obstetrician & Gynecologist with over 20 years of experience in the discipline. She is a Reproductive Endocrinologist & Infertility Specialist. She has Done MBBS From the Renowned Lady Hardinge Medical College. DGO from the prestigious VMMC & Safdarjang Hospital, DMAS From World Laparoscopy Hospital.

She has Completed Her esteemed ASPIRE -ISAR Fellowship in the field of Reproductive Medicine from AFGC, Delhi And St' Mother's Hospital Japan.She has also been trained from the University of KEIL Germany. She has won various academic awards all through her academic career.
Dr. Payal Bajaj

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