Center Information

Zion Women셲 Hospital, Serving with Love


궡슜씠 蹂댁뿬吏묐땲떎.

What types of infertility tests are there?

Zion Women셲 Hospital has a specialized Infertility and IVF Center.
Basic blood tests including a gonadotropin test, semen analysis, hysterosalpingography, the postcoital test (PCT) and laparascopy etc. are used to test infertility.
The semen analysis is possible after 2~3 days of abstinence from sexual intercourse.
Tests for women are performed according to their menstrual cycle.
Since the hysterosalpingography is performed after menstruation has ended and before ovulation, it is recommended that you contact the hospital and make an appointment on the first day of menstruation.
The PCT utilizes the ultrasound and the cervical mucus to predict the period of ovulation, the test is then performed at the hospital within 8 hours of sexual intercourse.
A laparoscopy is sometimes the final infertility test to be taken.
Unless it is necessary, tests do not have to be taken again if they have already been taken at another hospital, so it would be helpful to know the results of the previous tests before coming to the hospital.

What is intrauterine insemination (IUI)?

IUI is a type of infertility treatment where the sperm is collected and processed with a special culture medium to retrieve only the good sperm, which is directly inserted into the uterus using a thin catheter during ovulation. This is a relatively simple procedure that has the advantage of being inexpensive.

When should IUI treatment be received?

IUI treatment can be received when the sperm is weak or when testing after sexual intercourse shows that the sperm lacks motility. It may also be received when the woman has antibodies against her partner셲 sperm or when the cause of infertility is unknown.

What is the success rate for IUI?

The pregnancy rate for each attempt is approximately 10~15%, repeated attempts will have an accumulated pregnancy rate. In the case of a controlled ovarian hyperstimulation IUI, in which multiple eggs are ovulated, the success rate is approximately 20%.

What types of methods are there for IUI treatment?

The methods for IUI treatment include the method of using the ovulation date in a natural ovulation cycle, the method of administering controlled ovarian hyperstimulation injections 3 days into menstruation and the method of using ovulation induction agents along with the controlled ovarian hyperstimulation injections to ovulate multiple eggs.

How long do I have to rest after IUI treatment?

You should rest for approximately 20~30 minutes after IUI treatment and normal life can be resumed after that.

When can I know I am pregnant after IUI treatment?

Menstruation will start after approximately 2 weeks if the IUI treatment was unsuccessful. If menstruation has not started after 2~3 days from the expected menstruation date, you can check if you are pregnant by taking a blood or urine test.

How many times can I receive IUI treatment?

씤Although IUI treatments are normally administered 3~6 times, the number may differ since there are personal differences according to the age of the infertile woman, the cause of infertility and the length of infertility.

What are the precautions regarding IUI?

Sexual intercourse should be avoided 2~3 days before the IUI procedure and the man should abstain from excessive drinking and hot saunas. After the procedure, baths and light exercising is possible and sexual intercourse does not need to be avoided since it does not affect the pregnancy.

What is in vitro fertilization (IVF)?

In a normal pregnancy, the egg released from the ovaries meets the sperm in the fallopian tube to be fertilized, the fertilized egg then moves to the uterus while growing and is implanted in the endometrium. IVF refers to the process of retrieving the egg and sperm to fertilize them externally, after which the fertilized egg is cultured for a certain period and then transferred to the uterus for pregnancy.

When should IFV treatment be received?

IVF is recommended in cases where both the fallopian tubes are obstructed, male infertility is severe, or the patient has gone through several unsuccessful IUI attempts due to endometriosis or infertility of unknown causes.

What is the process of IVF?

1) Controlled Ovarian Hyperstimulation Injection
Hypodermic injections are administered a week before the start of menstruation for the long-term method and 2~3 days into menstruation for the short-term method. Controlled ovarian hyperstimulation injections are administered to facilitate the growth of multiple eggs and the dosage is adjusted according to each individual. The injections are generally given for 7~10 days and growth of the ovarian follicles is observed through an ultrasound during the injection period. Selecting a method for the controlled ovarian hyperstimulation, such as the GnRH agonist method, that is more suited to the individual can increase the rate of success.
2) hcg
hCG injections are intramuscular injections that facilitate the growth of eggs and their ovulation. When the largest ovarian follicle has grown to 18mm, an hCG injection is administered that night and the egg is retrieved after approximately 36 hours.

3) Egg Retrieval
Sperm must also be retrieved on the same day the egg is retrieved. Intravenous anesthesia is administered for the egg retrieval process and the egg is located by suctioning the follicular fluid with a needle while watching through a transvaginal ultrasound. The egg is placed in culture fluid for an external fertilization with the sperm and the fertilized egg is externally cultured until it becomes an 8-cell embryo. From the day the egg is retrieved, progesterone (corpus luteum hormone) is administered through intramuscular injections with 1~2cc at a time, these injections are continued for approximately 2 months if the patient becomes pregnant.

4) Embryo Transfer
The embryo is transferred after 3~5 days of retrieving the egg. Embryo transfer refers to the inserting of the embryo into the uterus through a thin catheter. Anesthesia is unnecessary since there is no pain involved. Around 3 embryos are generally transferred.

5) Pregnancy Blood Test
To confirm whether the IVF was successful or not it can be confirmed through a blood test 2 weeks after retrieving the egg. If the blood test is positive for pregnancy, a second blood test is taken after a week and the existence of a fetal sac is checked through an ultrasound one week after if the numbers have increased.

When do I have to go to the hospital for IVF treatment?

You should go to the hospital 6~7 days before your next expected menstruation for the long-term method, and 2~3 days into menstruation for the short-term method as well as the GnRH agonist method. The schedule for the controlled ovarian hyperstimulation method can be decided by consulting with your doctor before the treatment.

Will the process of egg retrieval or embryo transfer be painful?

The process of egg retrieval is not very painful due to the intravenous anesthesia. The embryo transfer is painless and thus requires no anesthesia.

How long do I have to rest after embryo transfer?

You will be discharged after resting for 3~ 4 hours following the transfer, no particular rest is necessary after that.

What is the success rate of IVF treatment?

The average pregnancy rate for IVF is approximately 35~40%.

沅곴툑븯떊 궡슜쓣 寃깋빐二쇱꽭슂!