IVF treatment journey can be a strange one for many people. Couples with fertility challenges prepares for IVF Treatment through different means. Sometimes your preparation can come through a group you belong to or through a friend or colleagues that have gone through that journey before.
More often than not your preparation can come through searching the web and asking the right questions. In this piece we have tried to highlight some of those questions we find necessary that a fertility patient ask their doctors.it’s good to arm yourself with knowledge so that you may make the best decisions, with your doctor, about your IVF options.
Below is some of the questions you need to ask your fertility doctor, but earlier on we have written another article highlighting “7 Important factors you need to consider while choosing a fertility clinic” you may need to have a look at that one too.
What’s your success rate?
Many factors(from treatment drugs, age of client and quality system in place at the fertility clinic) determines IVF success rate which is generally between 30 – 40%. Here at Fusion Nest we have a good success rate with clients of different age bracket(both old and young) You find out more on our testimony page or read more similar questions in our faq page.
IVF/Fertility Treatment cost
Cost of IVF Treatment is expansive any where in the world, and this is determine by many factors which includes cost of treatment drugs among others.
What types of treatment exist other than conventional IVF?
If I have a previous myomectomy but the fibroid has grown back, must I have it remove again before my IVF treatment?
You may be advised to attempt an IVF cycle first before going for repeat surgery to have the fibroids removed. Its advisable that IVF treatment be commenced soon after uterine fibroids have been removed (myomectomy) that is, after recovery from surgery and menses resumes.
Will uterine fibroids affect the outcome of my treatment?
Many women are able to achieve pregnancy with co-existing uterine fibroid but this depends on the size and location of the fibroid’s.
Fibroids that encroach on the uterine cavity (submucous fibroids) interfere more with implantation of the embryo to the uterus leading to reduced chances of achieving pregnancy.
Some fibroids can be large enough to displace the uterine cavity or obscure the ovaries making it difficult for eggs to be retrieved for IVF. In such cases its advised that the fibroids be removed before going for IVF treatment to improve success
Can I use my own eggs/sperm?
This depends on tests/Investigation results. If ultrasound scan, hormone profile and semen analysis reflect that your own eggs /sperm can be used, then certainly.
Must I use donor Eggs/Donor Sperm?
if after assessment and investigations have been carried out and its observed that the use of donor gamete (donor eggs or donor sperm)is the option that will improve the chance of achieving pregnancy, the couple will be counseled on the options available.
Then they can make an informed decision.
How will ovarian cysts affect my treatment?
There are different types of ovarian cysts and treatment is individualized according to specific clinical findings on Ultrasound scan and physical examination. Treatment options include; Observation, serial Ultrasound scan, surgical intervention-cystectomy, oophorectomy.
Functional Ovarian Cysts for example, are quite common and often do not need treatment and go on their own within about 8-12wks and do not usually affect response to IVF treatment. Your doctor will advise you on what type of ovarian cyst you have and the best option for you.
How many embryos will be transferred-?
It depends on the number and quality of embryos available for transfer. Many clinics may transfer 2 or 3 embryos to increase the chance of at least one embryo implanting in the uterus. However, most clinics will not transfer more than 4 embryos because of the risks associated with multiple pregnancies.
More recently, Elective Single Embryo transfer, where only one embryo is transferred to the uterus and other embryos are frozen for future use is done.
Will endometrial polp interfere with my treatment chances?
Yes. Endometrial polyps are growths that occur in the inner lining of the uterus and can make it difficult for embryo implantation to occur.
I have PCOS, what should I expect in the cause of my treatment
Women with PCOS (polycystic ovarian syndrome) are at risk of developing Ovarian Hyperstimulation syndrome (OHSS) while on IVF treatment. Symptoms of OHSS include rapid weight gain, vomiting, abdominal pain, abdominal swelling, and shortness of breath. Sever OHSS can be life threatening.
To avoid the risk of developing OHSS, a long treatment protocol may be used with IVF drugs tailored towards achieving a favorable IVF outcome.
I have a low sperm count what options do you have for me
Options for low sperm count include IVF with ICSI (intracytoplasmic sperm injection) or if sever or no sperm at all then donor sperm.
Will it be a 2-Day or 5-Day Transfer?
Day 2,3,5 transfer-Ideal day for Embryo transfer varies from woman to woman and cycle to cycle. Growing embryos to Blastocyst stage (Day 5 Embryo) helps to identify embryos with better chances for implantation in the uterus .35-50% of all fertilized eggs will develop to Blastocyst stage.
Some patients however, may have only 1,2 or 3 embryos that develop normally after fertilization. In such cases, there may be no advantage to continuing to blastocyst stage. The human body may be the best place for these embryos to grow and develop after fertilization hence, a Day2 or Day3 transfer may be done. Your IVF clinic will guide you on the best day for embryo transfer for you. Its worth noting that even good quality blastocyst embryos do not always result in successful pregnancy.