Embryo transfer is one of the most crucial parts of in vitro fertilization (IVF), and accurate placement within the uterus is key to its success. In a recent video, Dr. Gulati, a highly respected IVF specialist, breaks down the process and clears up some common concerns and misconceptions about embryo transfers.
The Concern About Embryo Placement
Many patients are understandably worried about whether the embryo is placed in the right spot during the transfer. Dr. Gulati reassures them that this is a valid concern, since the doctor cannot directly see where the embryo lands during the procedure. The transfer is often referred to as “blind” because the doctor can only guide the catheter containing the embryo into the uterus, but not see the exact location of its placement. This uncertainty can understandably cause anxiety for many.
How Ultrasound-Guided Transfers Help
At Dr. Gulati Infertility Clinic, they use ultrasound-guided transfers to help ensure the best possible placement of the embryo. Here’s how the process works:
- Full Bladder: The patient is asked to have a full bladder before the procedure, which helps make the ultrasound images clearer.
- Abdominal Scan: An ultrasound is performed on the abdomen, allowing the doctor to see the uterus clearly.
- Catheter Insertion: The catheter containing the embryo is then inserted into the uterus.
- Visual Confirmation: With the help of the ultrasound, the doctor can see exactly where the catheter is positioned, ensuring precise placement.
Tracking the Embryo with Air Bubbles
Since the embryo itself is too small to be seen on an ultrasound, Dr. Gulati’s team uses a clever method to track it—air bubbles. These bubbles, which surround the embryo, reflect the ultrasound waves, making it possible for the doctor to see them on the screen and verify that the embryo is in the right place.
Misunderstandings About Ultrasound Images
A common misconception Dr. Gulati addresses is that the ultrasound images given to patients during the transfer show the actual embryo. In fact, what’s visible on the screen are the air bubbles, not the embryo itself. The only clear images of the embryo are taken by the embryologist under a microscope before the transfer.
The Role of the Embryologist
Dr. Gulati emphasizes the critical role embryologists play in IVF. They’re responsible for capturing those microscopic images of the embryo and ensuring it is properly