ganz lieben Dank für diese Infos
. Eigentlich sollten alle Kliniken solche Infos in Faltblättchen ihren Patienten mitgeben, dadurch könnten schon einige Ängste genommen werden. Denn man macht sich ja so schon jede Menge Sorgen.Ich würde mich ja zu gerne für meinen Fall beruhigen lassen. Ich denke allerdings, dass Deine Infos einen erfolgreichen Transfer beschreiben, einen ohne Kontraktionen + Blutungen.
Hattest du eigentlich auch Kontraktionen nach dem Transfer? Ich ja ganze 4 Tage lang. Ich habe dann täglich 2 Magnesium-Tabletten genommen. Der Doc meinte, das sei genau richtig gewesen.
Aber schön zu hören, dass deine Freundin trotz Blutung ss geworden ist, das ist ja schon mal ein Fünkchen Hoffnung.
Was mir allerdings zu Denken gibt ist Folgendes:
The fact that the presence of blood on the catheter or bleeding from the cervix is a negative sign was strongly supported (number two on the list)
. However, the negative effect of blood is probably the sign of a difficult transfer, and whether the blood per se is a negative factor is not known. Not touching the fundus was thought to be the third most important factor on the clinicians' survey
. It has actually not been possible to find data on this aspect of embryo transfer. Avoiding attaching a tenaculum was the fourth most popular factor. Similar to bleeding, this probably reflects the difficulty of the transfer. Another area which needs further assessment is the role of ultrasound monitoring during transfer. This is technically difficult, as the best way to ultrasonically view the uterine cavity is by transvaginal approach. During embryo transfer it is most difficult to place an ultrasound probe and the speculum and catheter. If abdominal scanning is used, the bladder needs to be filled, and the catheter tip is not easily visualized on the scan. The clinicians rated this number 11 out of 12, but this may reflect a lack of familiarity rather any evidence. A pilot study by our unit (Hurley et al., 1991) did not show significant difference, and the clinicians found it very difficult. Woolcott and Stanger (1997) found that ultrasound guidance during embryo transfer improved the placement of the catheter tip with respect to the endometrial surface. They found that endometrial movement was a significant positive factor. However, I believe that this area needs further investigation, as it is highly likely that some embryos are misplaced. A novel approach was described in a pilot study by Parsons et al. (1987) who utilized transurethral scanning of embryo transfers. This has not been repeated by other workers.
The role of `mock embryo transfer' was also rated low (tenth) by the clinicians. Some workers advocate performing this in a pre-treatment cycle (Mansour et al., 1990; Knutzen et al., 1992) with significantly better results, others just prior to the embryo transfer.
The use of anti-prostaglandins was universally discarded, but as it is recognized that cannulization of the uterus does cause contractions, and these presumably hinder implantation. Evidence for the potential negative effect on implantation that uterine contractions may cause comes from Fanchin et al. (1998). They carried out 5 min of digital recording of uterine contractions as seen on ultrasound prior to transfer. They found a stepwise decrease in pregnancy rates with lowest to highest uterine contraction frequency.
Viele Grüße,
Moorhuhn
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! Um den Transfer herum nehme ich übrigens 15 mg Predni. Habe davon keine Nebenwirkungen. Ich merke überhaupt kaum was von den Medis. Am anstrengendsten finde ich das Utrogest, das macht mich total schläfrig.
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, dass es wieder nicht geklappt hat. Für das nächste Mal hat man ja leider auch keine Garantie 
Ich glaube schon, dass es nicht so ungewöhnlich ist oder sollten wir etwa seltene Einzelfälle sein? Komisch.....
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