What seems to work best for which poor responders and women over 40?

This is one of those areas where we’d hope the empirical literature would be able to tell us what works for whom and under what conditions. But unfortunately poor responders and women over 40 – and particularly poor responders over 40 – are a relatively small group and rather neglected in the research (JMHO). So, […]

How do we know when to move on?

“Moving on” can mean a lot of different things: ditching IVF and going natural, moving to donor eggs, donor sperm, donor embryos, adoption, fostering, child-free living, accepting a smaller family than you hoped for … How do we know when it’s time to move on to the next option? And, when should we (and when should we NOT) be making those choices? In this post, I share a bit of my own story from the very lowest points of my ttc journey, how I weighed up the different scenarios of whether the journey would end in failure or end in success, what would have made me move onto another option, how I resisted making big decisions in my darkest hours, etc. […]

When and how should I seek a second opinion?

Suppose you had a friend who was grappling with a cancer diagnosis and kept wondering whether his/her specialist had really considered all the possible treatment angles that might work. Suppose he or she had been receiving some treatment but there hadn’t really been any sign of progress. What would you advise? Probably a second opinion, right? For some unknown reason, fertility patients seem to struggle with this notion that it’s somehow disloyal to seek a second opinion. Yes, it is awkward. But actually, it’s just good common sense if there’s any little voice inside your head saying “maybe there’s a better way …” If you think you might want to get a second opinion on your case, here’s what to do … […]

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 […]