2-day, 3-day or blast transfer?

When you do IVF, it is possible to transfer your embryos * on Day 2 after egg collection (usually 4-cell embryos), * on Day 3 after egg collection (usually 8-cell embryos) or * on Day 5 (after the embryos have reached blastocyst stage). Also, leftover embryos can be frozen on any of these days too. What are your options, what should you consider when deciding, and how/when should you talk to your doctor, nurse, embryologist about all this? […]

Do more IVFs give you higher chances of success?

“I’m wondering is it true what they say that the more cycles of IVf you do the higher your chances of getting a BFP? Depending on quality and # of embies put back of course.” There are basically three schools of thought on this, as I understand it: 1. It’s a numbers game. … […]

Our IVF/IUI/TI cycle just failed … What should we be asking at the review?

After all that anxiety, fear, hope and expectation, a failed cycle is just devastating. You’re booked for a review appointment with your specialist – but what should you be asking about now? The most important question, of course, is WHY your cycle failed. There could be many possible explanations, some of which are just guesses and some of which are backed by concrete evidence or could be investigated further. […]

What are the main IVF protocols used in NZ?

Basically there are three main protocols used by NZ clinics (plus a few variations, which I’ll try to add later): 1. The ‘long’ protocol (default for young women and those with normal FSH; not generally used on high FSHers unless they are quite young, and seldom on anyone over 40 because it can easily oversuppress those with diminished ovarian reserve). 2. … […]

Can acupuncture help?

There’s a very interesting difference between Western and Chinese medicine on how fertility is viewed. Western doctors tend to focus on the cycle in which your eggs are produced (e.g. the cycle in which you do IVF), whereas Chinese medicine takes a much more long-term view. … The Chinese medicine perspective is that, although age and heredity are huge determinants of egg quality, eggs and their chromosomes can also be damaged during their development if they are subjected to toxins or have to grow in a sub-optimal environment. So, if you maximise the quality of the ‘soil’ in which they develop, then you will be able to get the best possible eggs that the woman can produce at her age. […]

Questions to ask a prospective specialist

Before committing to working with a particular specialist, it’s a good idea to ask them a few questions to get a feel for their approach to treating patients like you.

All too often I have talked with women/couples who have gone through their first consult with a specialist and simply assumed that whatever treatment plan […]