What is the Fallow (Injury) Technique?
“Office Hysteroscopy and stimulation of uterine cells to increase pregnancy potential”
The uterine factor is very important in in vitro fertilization treatment. In order for the embryo to hold on healthily, the gestational capacity of the uterus must be good.
Intrauterine evaluation is extremely important, especially in recurrent IVF failure. Ultrasound alone is limited in clearly evaluating the inside of the uterus. Medicated uterine film is especially used to evaluate the tubes, but it may lead to some incorrect results in intrauterine evaluation, and is sometimes troublesome and painful.
In Recurrent In Vitro Fertilization Failures
Hope of becoming a Mother & Father:
Fallow Technique
Hysteroscopy is the gold standard technique for evaluating the inside of the uterus. With office hysteroscopy, developed with the latest technique, this procedure can be performed on patients in a short time under office conditions without anesthesia, and if there are uterine problems, they can be diagnosed and treated at the same time. For example, pregnancy rates can be increased by treating structural and pathological problems such as endometrial hyperplasia and endometritis, such as intrauterine adhesion areas, polypoid developments, uterine septum cases. As Gürgan Clinic group, we have conducted many scientific studies on office hysteroscopy and recurrent pregnancy losses and published them in scientific journals. We safely offer this service to our patients.
“Fallow Technique” is a fertilization method used in the field of reproductive health. In this method, the aim is to rest the woman's ovaries. The fallow technique aims to increase ovarian reserve and develop healthier eggs by resting the ovaries. This method may be considered especially for women with low ovarian reserve or low response.
The fallow technique is applied as follows:
- Preliminary: The woman's menstrual cycle is monitored before starting hormonal treatment to rest the ovaries. If necessary, ovarian suppressant drugs can be used at the end of the previous period.
- Rest Period: Once hormonal therapy is started, suppressive medications are usually used for 2 to 3 weeks to allow the ovaries to rest. During this process, the ovaries stop producing hormones and enter the resting phase.
- Hormonal Stimulation: When the rest period ends, the necessary hormone medications are given to stimulate the ovaries. This supports the development of multiple eggs.
- Collecting Eggs: When the eggs grow large enough as a result of hormonal stimulation, the egg collection process is performed.
The main purpose of the fallow technique is to rest the ovaries and ensure the development of higher quality eggs. It is thought that the eggs obtained with this method may be of better quality, but since each woman's situation is different, the effects of the fallow technique may not be the same in everyone.
The fallow technique can be considered especially for women who face decreasing ovarian reserve as they get older. However, it is important to meet with a reproductive health professional to learn more about this technique and to assess your suitability.
With “Fallow Technique 2”
Pregnancy Rate Increased, Miscarriage Rate Decreased!
Prof. Dr. Gürgan, who unsuccessfully tried IVF with the Fallow Technique 2 he developed
It succeeded in increasing the pregnancy rate in women to over 40%…
What is Fallow Technique 2?
President of the World Infertility and In Vitro Fertilization Association, Prof. Dr. Timur Gürgan explained the 'Fallow Technique 2' technique he newly developed at ivft. Stating that the 'Fallow' technique is a procedure aimed at balancing the disorder detected in the intrauterine immune system in recurrent IVF failures, Gürgan said, “Sometimes we cannot explain the reasons for this failure despite good embryo transfer, and this causes a great collapse in people. "Spouses become reluctant towards IVF treatment, thinking, 'So it won't happen,'" he said.
Gürgan said:
“In other words, if the hormones, growth factors, and various secretions we call cytokines that enable the good embryo to embed in the uterus are insufficient, burial does not occur. Studies have shown that intrauterine embeddedness is especially problematic in patients with polycystic ovaries who have problems with the intrauterine immune system, patients with ovulation problems accompanied by menstrual irregularities, patients with chocolate cysts, or people whose immune systems are impaired by genetic or environmental factors. So, when doing IVF in these people, it is not enough to put the embryo into the uterus. “This is where the fallow system comes into play.”
Prof. Dr. Timur Gürgan said that with the 'Fallow 2' technique, they observed that women with polycystic ovary disease and who could not get pregnant even though good embryo transfer had been made before became pregnant at a rate of 40.9%.
Embryo Freezing
'Freeze, thaw and transfer'
Stating that the 'Fallow' technique is applied all over the world, but this technique has turned into a new technique with the embryo freezing and thawing model, Gürgan explained the technique he calls 'Fallow-2' as follows: “We froze good embryos to eliminate any problems that may occur in the uterus. The next month, we made small incisions in the uterus under hysteroscopy using special scissors. After applying this technique, we left the uterus in a sort of fallow state. Thus, the uterus is ready for embryo transfer. We thawed the frozen embryos and transferred them. “This method increased the pregnancy rate and also reduced the miscarriage rate.”
Ayşegül Kahvecioğlu | Ankara | Nationality
