Doctor insights on:
Is the sart score the best way to pick an IVF clinic? Are there things that can skew those numbers up or down?
Many ways to skew #s: Success rates matter when choosing a clinic but patient selection skews them. A center that helps as many patients as possible to try ivf with their own eggs will appear to have "lower success rates" than one that directs women to donor egg sooner or turns patients away. Comparing donor egg success rates is more 'apples to apples'. Recommendations from friends, former patients, referring mds count. ...Read more
In vitro fertilization is an assisted reproductive technology. Ivf is a procedure used to treat fertility problems and assist with the conception of a child. During ivf mature eggs are retrieved from the ovaries and fertilized by sperm in a lab. A few days later, the fertilized egg (embryo) or eggs are implanted into the uterus. One cycle of in vitro fertilization ...Read more
What should you look for in an IVF clinic? Are there any recommendations for which is the best clinic in northern california?
It seems to me that all IVF clinics would perform the procedure the same- and use the same protocols. What are the factors that make some clinics perform higher?
What type of conditions would be acceptable by IVF clinic to perform pre-implantation genetic dx? Does fh or autism in family provide basis for pgd?
1) If your relatives: With autism have a heritable genetic syndrome (e.g., fragile x ) or a copy repeat error on microarray known to cause autism 2) "advanced maternal age" (35 & >, ) increases risk of down syndrome & other chromosomal abnormalities 3) "advanced paternal age, " increases risk of new mutations & autism. Babies born by ivf have a higher incidence of autism than those conceived without assistance. ...Read moreSee 1 more doctor answer
Is cumulus aided transfer a proven technique to increase implantation success in IVF procedures ? Which clinic in the us utilizes this technique ?
No: This technique, which adds cumulus cells from inside ovarian follicles to the ivf mixture, has not been shown to improve ivf success whatsoever. As ivf centers strive to improve pregnancy rates, if this was shown to help, this simple technique would be widely employed (but it's not). If you're doing ivf, find a center with the highest ongoing success rates you can afford. See us at www.Ivfmd.Com. ...Read more
Any IVF Clinic: Virtually every ivf clinic performs icsi. Icsi is the most important advance after ivf for treatment. Icsi should be limited to severe male factor cases where the sperm cannot get into egg without assistance. If you need it then there is no other treatment. Male factors = 35% of ivf cases but icsi used 65% nationally. Recent study highlights risks (http://1.Usa.Gov/kzpobx). Best wishes. ...Read moreSee 1 more doctor answer
Hi im cycle day 4 of stimulation meds ivf. Ive had some bleeding today. Sunday so cant get hold of clinic. Is this normal?
IVF bleeding: "Day four" of ovarian stimulation is usually the fourth day of your cycle, and the bleeing may simply be a residual of your period. It is unlikely for the bleeding to be related to the stimulation medications, but call the clinic on Monday to be certain. ...Read more
Idid IVF fresh cycle and transfer 1 blast embryo. I did hpt and got positive. My clinic want to stop progesterone before (14days)beta.Is that ok ?
Unusual: That's an unusual approach, at least in the us it would be...But you should always always always follow the instructions of your ivf specialists, ivf is not a committee opinion. If you don't understand 'why' you are instructed to do something, do not take a survey of other doctors, ask your doctors for explanation. ...Read more