For whom is the Assisted Hatching with IVF suitable?
Assisted hatching is thought to be helpful for couples with a poor prognosis whose embryos arethought to lack sufficient energy to complete the hatching process.According to the American Society for Reproductive Medicine, assisted hatching may be indicatedfor women with advanced maternal age (older than 38), two or more failed IVF cycles and poorembryo quality. Apart from this Egg quantity and quality factor and Zona factor - cases with embryosthat have a thick outer shell also gives indication for the use of Assisted Hatching Technique.Because assisted hatching is a difficult technique, the success is dependent on the embryologist'sexperience and technique, it is important to talk with your fertility clinic about how successful theyare with the procedure.
Is Assisted Hatching with IVF Safe?
There can be complications from assisted hatching. It is possible to damage embryos with hatchingand lower the pregnancy rates. Therefore, it is essential that if assisted hatching is done, it must beexpertly performed by properly trained embryologists. In addition, assisted hatching has beenassociated with an increased risk of monozygotic (identical) twins.Views remain mixed as to whether the technique actually improves the chances of pregnancy, butmost agree that it may be helpful in selected groups of patients.Assisted hatching is done while the embryo is in the laboratory. Before being transferred back to thewomb a hole is made in the outer layer of the embryo or it is thinned, using acid, laser or mechanicalmethods. Assisted Hatching using laser technology is probably the best technique. Laser assistedhatching is a gentle and safe way to weaken a part of zona pellucida. Several studies have shownthat using a laser is superior to chemical and manual hatching. Minimal handling of the embryo anddelivering fast and exact control over the drilling of the hole are the advantages of laser assistedhatchingLaser assisted hatching is performed prior to the embryos being transferred back to the uterus.The actual pregnancy and live birth rates seen in an individual IVF center or infertility clinic will varyaccording to the hatching technique used, the overall quality of the laboratory, the skill of theindividual performing the hatching, the embryo transfer skills of the physician, and other factors.