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Thursday, 7 December, 2000, 01:30 GMT
Sex 'boosts IVF chances'
IVF
Many doctors do not recommend sex after IVF treatment
Couples who have sex at or around the time an IVF embryo is implanted have more chance of becoming pregnant, say researchers.

However, a UK expert says that the tiny risk of the womb expelling the new embryo after sex would lead him not to recommend it immediately after IVF.

The study, reported in New Scientist magazine, was carried out at Adelaide University, where scientists checked the progress of more than 1,000 embryo transfers.

Half the women involved were asked to have sex in the days around the transfer, half told to avoid it.


We advise couples not to be sexually active immediately after IVF

Dr Simon Fishel
Lead researcher Kelton Tremellen found a 50% improvement in the number of embryos that successfully implanted.

However, most of these involved extra multiple pregnancies, such as twins and triplets, rather than more singleton pregnancies.

The researchers suggest that a component of semen may have the effect of affecting the immune system so that it does not reject the new embryo.

Genetic defects

Although two or sometimes three embryos are implanted in the womb, many do not develop into pregnancies, and others miscarry at a very early stage, although scientists are not entirely sure why.

It has been suggested that some embryos carry genetic defects which mean they can never become a child.

Dr Simon Fishel, Director of the Centres for Assisted Reproduction at the Park Hospital in Nottingham, told BBC News Online that the extra pregnancies may be due to the natural fertilisation of extra eggs released after the woman is given fertility drugs, but not harvested by the doctors to be fertilised in vitro.

Provided there is no specific reason which entirely rules out pregnancy, such as blocked fallopian tubes, there is always a small chance of naturally created embryos implanting alongside those produced with IVF.

He said that while it was highly unlikely that sex following implantation could dislodge the embryo, there was still a theoretical chance.

He said: "If intercourse for any reason brought about contractions of the uterus, it could expel the embryo.

"So we advise couples not to be sexually active immediately after IVF."

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See also:

28 Feb 00 | Health
Sperm boost may aid fertility
31 Dec 99 | Health
IVF 'no better than insemination'
31 Mar 99 | Medical notes
IVF
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