Maybe IUI and IVF aren’t an option for you and you’d like to try and increase your odds generally while ttc naturally. Or maybe you’re gearing up for – or in the middle of – IUI or IVF treatment. Or on one of those interminable waiting lists! Is there anything you can do NOW that can help improve your odds? Yes! There are a number of things you can do to get your bodies readier and more likely to succeed than they currently are for conception and pregnancy. Many of these take several months or more before you see the full benefits, so remember, it’s never too early to start AND it’s never too late to start because every little bit helps! If you’re on a waiting list for IVF (or waiting to get on one!!), this is a fruitful way to make the most use of your time. … [...]
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So you’ve read the IVF manual and are all ready to start a cycle. What are some of the “wish I’d known that” snippets that veteran IVFers can share with you to help fill the knowledge gaps about what to expect? Well, one that comes up a lot is having a clear understanding of the not-so-straightforward hurdles involved in an IVF cycle. Here’s a list of some of the main hurdles you need to clear as you go through the process … [...] 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? [...] “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. … [...] 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. [...] “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”? [...] 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. … [...] |
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