What is the risk associated with IVF

Risks of fertility and IVF treatment

Follicular puncture
As with any procedure, a follicular puncture also involves risks, and any necessary anesthesia could put a strain on the body.

Complications such as injuries to neighboring organs could also occur during an ultrasound-guided follicular puncture; however, this risk is extremely low.

Multiple pregnancy
Transferring two embryos has been shown to increase pregnancy rates. The probability of a twin pregnancy is around 16 to 18%.

Ectopic pregnancy
Embryos can migrate - from the uterus into the fallopian tubes. Despite being properly inserted, an ectopic pregnancy (ectopic pregnancy) can occur. Regular monitoring and immediate therapy can minimize the risk of complications.

In terms of the risk of pregnancy complications and child malformations, there is no difference between IVF treatment and a naturally occurring pregnancy.

Miscarriage
8% to 10% of all pregnancies in Austria lead to a miscarriage. With IVF it is around 12 to 15%, depending on the underlying problem.

It should be noted, however, that the average age of women who have opted for IVF treatment is higher than that of women who became pregnant naturally. And the rate of miscarriages naturally increases with age.

Ovarian hyperstimulation syndrome (OHSS)
The aim of the stimulation is to obtain several egg cells. The more follicles mature, the larger the ovaries become. Multiple follicles and larger ovaries are therefore quite normal when stimulated; this has to be the case for the first step of IVF treatment to be a success - the maturation of several egg cells.

Yellow body cysts form from the follicles - in individual cases this can be too much and lead to a significant overfunction of the ovaries.

Only now are we talking about OHSS. This can cause fluid to form in the abdomen (ascites) and abdominal pain can occur.

In a few cases, the ovarian enlargement is so great that an inpatient hospital stay is necessary for better monitoring and treatment.

pregnancy
Of course, pregnancy is not really a risk - after all, you want a child.

However, pregnancy can lead to complications. The risk of a genetic or congenital defect or a stillbirth cannot be ruled out either.

These risks are neither higher nor lower with an IVF pregnancy than with a "normal" pregnancy - regardless of whether ICSI is used or not.

Infections
Since the vagina is not disinfected during egg retrieval, it is essential that a microbiological examination from a vaginal smear is carried out before starting IVF therapy. This minimizes the likelihood of infection during the IVF puncture, but does not completely rule it out.