What are the main IVF options for poor responders?

What are the main IVF protocol options for women with high FSH/low AMH/DOR and poor responders? This post covers the main protocols, choices of stim drugs to use, and the main arguments for high vs. low-stim options. […]

Conflicting expert opinions – how do I know who’s right?

So, you finally plucked up the courage to go for a second opinion, and guess what – now you have two or more well-qualified and plausible experts with compelling arguments telling you to do the exact opposite. Who should you trust? Who’s more credible? And, can’t we just rely on the scientific literature to give us the answers? […]

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 … […]

New and “untested” treatments

“My doctor talked about the ethics of infertility treatment and how some clinics will try (and charge for) all sorts of unproven treatment where often there was no medical reason for a particular patient to require that unproven treatment.” The unproven treatment issue is a really interesting one because most medical professionals consider “proven” to mean something supported by multiple randomised controlled trials. The problem is that cutting-edge ideas are new and haven’t had the chance to be sufficiently trialled (or, in some cases, don’t lend themselves to such randomised designs for ethical and/or practical reasons). So, should all the new ideas be ignored until they are considered “proven”? […]