Doctor insights on:
Support Of Multiple Ivf Transfers
What is the role of assisted reproductive techniques such as in vitro fertilization (ivf) and gamete intra fallopian transfer (gift) in the treatment of infertility of patients with endometriosis?
Bypass the tube: Although it is not completely understood why endometriosis causes infertility, it is commonly accepted that the endometriosis may result in pelvic adhesion, and affect the tubal function. Because ivf bypass the tube, so it will help these patients. ...Read moreSee 2 more doctor answers
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 are the factors positively influencing a successful implant of the embryo in an icsi IVF procedure?
Several: Age of female most important, ovarian reserve tests (fsh, amh, afc), stimulation factors, excess embryos for freezing, number and quality of embryos, day of transfer, chromosome screening, technique of transfer, and ejaculated vs testicular sperm. Also, icsi overused, so avoid it if possible - about 2-4% higher delivery without icsi. Icsi is just the technique to inseminate the egg. Best wishes. ...Read moreSee 1 more doctor answer
Variable: There are many variables that come into this question that it is impossible to answer accurately. I encourage you to seek consultation with a reproductive endocrinologist who can give you an answer accurate to your specific situation. Ivf in general costs 12-15, 000 per cycle. ...Read moreSee 1 more doctor answer
Expensive: It can add up. Many insurances don't provide good coverage, if at all. ...Read more
Trisomy 18 Support: Edward's syndrome is the result of a chromosome abnormality, namely trisomy 18. Support groups include resources and emotional support. Visit the trisomy 18 foundation for assistance. ...Read more
Success rate of IVF with needle aspiration vs tissue extraction of sperm....any difference in outcome?
Here are some ...: IVF is done in 2 ways: 1. Mix 1-4 timely retrieved eggs with the sperms from partner/donnor in lab so to form a fertilized eggs/embryos, then transport the embryos to uterus; 2. Inject a retrieved sperm (aspirated and selected) into a retrieved egg to form a embryo for IVF. Success rate: 1. method 1 is about 22-25% per cycle & 25-35% for multiple cycles; 2. method 2 is about 65%. ...Read more
Depends: 1. Insurance coverage or the whole process, part, medication, how many trials...2. Geography prices maybe different in different parts of the country 3. Requirement for additional procedures e.g. Surgical sperm harvest or genetic diagnosis of the embryos 4. Cost for undesired effects effects of treatment e.G multiple pregnancy. Based on these and many factors the economic impact could be vary. ...Read more
If chances of conception increase in 2 embryo transfer IVF Why doc recomend single embryo?what are risks of 2 embryo apart from twins?
It's all about twins: Twins are a little bit trickier pregnancy. Twinning with 2 embryos is as high as 20-30%. In the US the ASRM allows 1 or 2 embryos in a 29 year old woman, but recommends only one. Personally I believe this is patient's choice and do NOT recommend 1 vs. 2, but that's me. Your info says you are 29 and in the UK? I do not know the UK standard of care but the science is the same. Best wishes! ...Read more
Surrogacy vs donor: Surrogacy means that you and your partner provide the egg and the sperm, but someone else becomes pregnant and delivers. You have to have the legal papers in order because you have to adopt. Donor child usually means that a sperm donor provided the sperm, but you conceive and deliver a child that is genetically yours, but the male portion of heredity isn't your husband. In the later you are preg. ...Read more
See answer : The overall success rate for IUI is ~10-20% per menstrual cycle and closer to 20% if fertility drugs are used by the female. Success dependent on many factors: age of woman, volume of semen, total sperm count, total sperm motility count, presence of ovulation problems, etc. If no success after 3-6 cycles, consideration should be given to other options such as ivf. ...Read more
Friends: Support groups are primarily a social activity that gives people with certain conditions a friendly environment to meet and discuss matters helpful to their condition. For many it breaks isolation, help fight depression, is an opportunity to teach and learn, troubleshoot common problems, learn about resources in the community, and possibly consider advocacy. ...Read moreSee 1 more doctor answer
What are the pros and cons of hospital delivery w/epidural vs. Natural birth at a birthing center?
? birthing center ?: Safety is the prime concern I have for deliveries. I have had relatives born in caves & understand it can be okay.I have also run to "normal" deliveries to salvage a baby that came out wrong. Our local facilities have midwives delivering next door to docs, where a case can be quickly moved to an OR for C section if needed. No off site birthing center can eliminate the hour + lost in a transit. ...Read moreSee 1 more doctor answer
Depends: Early delivery for any pregnancy (singleton or twin) should be avoided. If early delivery is not avoidable, then your doctor may decide that a c-section is safer for the babies than a vaginal delivery. This usually occurs for very small babies and for babies that are breech or transverse and not head down for delivery. ...Read more
Many variables: There are many variables to consider when considering long-term care. Cost is affected by location & unit (1bdrm vs shared) as well as type of care required. Nursing homes are typically more expensive than assisted living b/c staffing requirements. Check out http://www.aarp.org/relationships/caregiving-resource-center/LTCC.html as starting point for comparison. ...Read more
Yes: Nerve and muscle cells belong to tissues groups that don't reproduce...When they die, they are replaced by connective tissue that does reproduce...There are four basic tissues in your body, muscle, nerve, connective, and epithelial ....Two are specialized (nerve and muscle) and don't reproduce, and two are non-specialized (epithelial and connective) and do reproduce. ...Read more
Try the following: http://www.ncoa.org/ and https://www.Thefamilycaregiver.Org/caregiving_resources/agencies_and_organizations.Cfm. This may get you started in the right direction. ...Read more
Can per-cutaneous bone filling of multiple cysts in elbow restore full range of movement? Is there a chance of joint getting freezed?
Bone cysts: The filler will do just that--fill the cysts/holes. Directly, this should not improve or lessen range of motion. ...Read more
Pelvic US - right ovary has a volume of 13cc and left has a volume of 8 cc. multiple peripherally oriented follicles are present in both ovaries. ?
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