Monday, January 29, 2018

Should I use donor eggs ? or do surrogacy ?

A PCOD patient asked me for a second opinion after failing an IVF cycle at another clinic.

Here is the summary in response to your questions,
1. I donot have pics of embroyos.
18 oocytes were retrived; MII oocytes 16+2
ICSI DONE
16 EMBRYOS DAY 2
DAY OF CRYOPERSERVATION Day 3
Cell grade 8X8A,3X6A;2X5B
3grade C embryos dizcarded
FIRST fet 1early stage and 2 compaction grade
Result negative
Second fet 1blastocystand 2 early stage embroys tranfered result negative
Uterus is arcurate and both tubes patent
Query
Are the embryos okay..? or donor eggs suggested since AMH is very high ie 24
Or
Is it that uterus is arcuate and implantation not possible?
Is surrogacy suggested?


The poor patient is very confused - and her doctor is adding to her confusion, by not sharing information with her.

This was my advice.

Any clinic which does not provide embryo photos is a poor quality clinic.
PCOD patients have lots of eggs, so there's no need to use donor eggs.
An arcuate uterus is a normal anatomical variant, of no clinical importance.
Rather than think about changing your uterus or your eggs, you would be much better off changing your IVF doctor ! 

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