Our doctors have performed over 10, IVF procedures and have taught at major medical schools, have won numerous awards, and have lent their expertise to the Discovery Channel and NPR. Get in touch to learn more about what we can do for you at any time and day of the week. Note: This is not intended to be a substitute for professional medical advice, diagnosis or treatment.
Information provided is for general educational purposes only and is subject to change without notice. Speak to your doctor directly with any questions you may have regarding a medical condition. Any information contained herein does not replace any care plan as determined by a physician. Call us. Contact us. Book a consultation. Patient Login. During assisted hatching, the outer shell of the embryo is artificially weakened by making a small hole in the zona pellucida. This can be done in several different ways.
The risk for identical twins might be slightly increased when assisted hatching is applied. Medical complications are higher in identical twin pregnancies than in normal, singleton pregnancies. Medicines such as antibiotics and steroid hormones are sometimes prescribed around the day of the assisted hatching and embryo transfer. This happens on the third day of embryo development when the embryos contain an average of six to eight cells.
The embryos are stabilized by a holding pipette. On the opposite side, a small laser creates a small defect in the zona pellucida. The embryos are then returned to the incubator for further development. Assisted hatching is thought to be helpful for some couples with a poor prognosis whose embryos are thought to lack sufficient energy to complete the hatching process. According to the American Society for Reproductive Medicine, assisted hatching may be indicated for women with:.
It is important to talk with your fertility clinic about how successful they are with the procedure. NICE also says that further research is needed to find out whether assisted hatching influences birth rates and to examine the consequences for children born as a result of this procedure. Some clinics believe assisted hatching can lead to higher birth rates in specific subgroups of patients. There is however no high-quality evidence to support the use of assisted hatching for any patient.
Minutes of this discussion and the evidence used to inform this discussion are available on the SCAAC webpage. Assisted hatching does not carry any known additional risks for the person undergoing fertility treatment. However, there is always some risk of damaging embryos with these types of procedures. If you have any questions about the safety and risks, your clinic will be able to discuss whether a treatment add-on would be safe for you to use considering your specific medical history and circumstances.
It is important to keep in mind that for most patients, having routine cycles of proven fertility treatment are effective without using any treatment add-ons.
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