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After successful fertilisation of the egg, the merged cells divide further, and the embryo develops. This will implant itself in the uterine lining, so that a pregnancy can develop. In order to promote this implantation, there are several options available to patients wanting to have children.
When several artificial insemination procedures have already taken place and no pregnancy has occurred, this is called recurrent implantation failure (RIF). The term is used to indicate that more than four good-quality embryos were transferred into the uterus during at least three cycles in a woman younger than 40. If RIF has occurred, various tests can help find the cause and then initiate targeted supportive measures. In addition, it is of course important to create good general conditions for implantation.
There is evidence that a well-built-up uterine lining is beneficial for implantation. This means it matters how thick the uterine lining is and how it is constructed. An optimally constructed mucosa exhibits a three-line structure in ultrasound, which depicts the boundary lines of the two layers of mucosa – that between the two layers and those between them and their surroundings (trilaminar structure). Most important, however, is that the mucosa is at least 7 millimetres thick – ideally, 8 millimetres or more. Values above this have no positive or negative impact on implantation. Since a uterine lining that is too thin is attributed to insufficient blood circulation, measures to improve blood circulation can improve the thickness of the uterine lining. And thus the chances of implantation after ovulation and fertilisation, and, as a result, of a baby.
There are various factors that positively or negatively affect the strength of the uterine lining. In order to support fertility treatment, patients can resort to supplementary measures and should avoid harmful behaviours, so as to increase the chances of the woman becoming pregnant. However, all measures that involve ingestion of a substance should only be undertaken after consulting the doctor.
Smoking: Nicotine can generally have a negative impact on fertility. Smoking is also suspected of resulting in a thinner uterine lining, for example, as it has been shown to severely impair blood circulation. Since smoking should in any case be stopped altogether once a woman is pregnant, as it is harmful to the unborn baby, the beginning of fertility treatment is a good time to give up nicotine.
For those who would like to have further tests done, the following are available:
All these additional examinations can be performed at your VivaNeo clinic. Talk to our medical specialists and let us advise you.