Friday, December 06, 2019

IVF video - How to Stop Feeling Miserable - Coping with Infertility !

The known and the unknown in IVF

One of the reasons IVF outcomes are so unpredictable and uncertain is because it's a complex biological system, and there are lots of factors which determine success.
It's useful to think of these in terms of known factors ; and unknown factors .
For example, we know that the quality of the embryo ; and the endometrial thickness and texture will influence the chances of embryo implantation.
However, we also know that not every perfect embryo transferred into a perfect endometrium will implant, which clearly means there are lots of other factors which determine success, which we don't know enough about !
These include: genetic factors; epigenetic factors; and immunological factors , all of which still need to be studied and analysed.
At present, we include these under the rubric of "luck" and "fate" - which aren't very accurate or helpful terms !
This is why research and development is so important, and advances in reproductive science will ensure that the number of known factors will increase , while the unknown factors will progressively decrease.
However, it's still not possible for us to be able to measure or improve all the unknown factors, which is why we still can't predict which IVF cycle is going to be successful , and which one isn't.
We try to use all the technological tools available at our disposal, but our answers are not perfect and we need to live with this !

What to find an IVF clinic which respects your time and intelligence ?

Wednesday, December 04, 2019

How IVF patients can use Dr Google intelligently !

A lot of husbands get worried because their wives spend so much time on Google.
After all, being infertile can be stressful and infertile women are hungry for information , which Dr. Google provides in abundance !
This is especially true when you're going for an IVF cycle, but a lot of family members don't like women obsessing over IVF websites.
For one, they are worried that they will start thinking of themselves as being half doctors - after all, isn't half knowledge dangerous ? Yes, it is , but this doesn't mean ignorance is bliss either.
Their bigger worry is that they will start worrying needlessly, especially because so much of the information available online is unreliable. All this worrying can't possibly be good for them , because it increases their stress levels !
Yes, they have a valid point, and simply want to protect them from anxiety.
However, we need to take a supporting attitude, rather than being judgmental  ! The good thing about Dr. Google is it teaches you what you don't need to worry about , if you are a smart user.
It helps you understand what's in your control - and equally , what's not in your control, so you stop obsessing pointlessly over stuff you can't do anything about. Knowledge is power when used well !
This means there's no need to stop using Google, but it's important to learn how to use Google intelligently. The good news is that Google can teach you how to do this as well, by helping you to identify which websites are reliable, updated and accurate !

What to find an IVF clinic which respects your time and intelligence ?
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Tuesday, December 03, 2019

IVF Video - How IVF Doctors lie to patients !

IVF video - We need to Stop Medicalising IVF Treatment

Why single embryo transfers are a better option

Many IVF patients want us to put as many embryos back as possible , because they want to get pregnant as quickly as possible, and they know that the more the embryos they transfer, the better their chances of conceiving. This is why some clinics will routinely put back three or four embryos at a time.

I actually think this is irresponsible , because it increases the risk of a multiple pregnancy. Some of these patients end up with premature labors, which means their babies spend months languishing in a NICU, and maybe handicapped because of the prematurity. Even worse, the doctor does a selective fetal reduction to "treat" a high order multiple pregnancy, and this causes the patient to miscarry and lose all her babies . You can imagine the amount of heartburn this causes !  This is why a single-embryo transfer is much safer.

Interestingly, the pregnancy rate is also better with a single-embryo transfer, which means you can have your cake and eat it too ! Please remember that you can't compare apples and oranges , and you need to compare a double embryo transfer with the cumulative pregnancy rate of two sequential single embryo transfers.

Let me explain. Suppose you have two embryos, and suppose the chance of each embryo implanting is 30%. Now suppose you put both the embryos at one time, then yes, the chance in that cycle will increase to, let's say, 45%.  However, if you don't get pregnant, you will have no spare embryos left, and will need to start a fresh cycle all over again. However, if you did only a SET, you can still transfer the single embryo. The pregnancy rate with this will remain 30%, which means your cumulative pregnancy rate is 30  + 30, which is 60%, which is higher than transferring 2 embryos at a time !

Of course, this applies only to good IVF clinics, which transfer only top quality blastocysts, and have a robust embryo vitrification program.

What to find an IVF clinic which respects your time and intelligence ?

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