As some of you know I have my first main appointment with my IVF doctor next week - I have already had 3 unsuccessful IUIs with him so know him and trust him. However I know that its best to write down all questions so you dont forget to ask things. I have some already prepared but if anyone has a list of what I should remember to ask about "do's" and "dont's" plus how the procedure works, his success rate etc - do they ever really give you a true success rate ? Any info. about questions to ask to add to my list would be really appreciates. Thanks
IVF Switzerland aged 37 trying nearly 3 years.
Questions to remember to ask your IVF doctor
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IVFSwitzerland
- Member
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- Joined: Mon Jun 05, 2006 1:11 pm
- Location: Switzerland
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cowgirlclass
- Regular
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- Joined: Wed Aug 16, 2006 1:34 pm
I don't have an answers for you but I am looking forward to seeing some of the responses. I too am 37 and getting ready to undergo IVF hopefully next month if I start before the 26th. From what I can tell, most commonly quoted success rates are worthless. Clinics can improve their rates simply by turning away patients with high FSH or other indicators of poor prognosis. Or they can steer these patients directly into donor cycles. Either way, it artificially inflates their autologous fresh cycle rates by removing the lowest part of the distribution.
The rates to ask for are the donor cycle and FET cycle rates. These reflect core competencies and are hard to inflate artificially. In 2004, the average in the USA was 50% birth rate for donor cycles and 30% birth rate for FET cycles (patients <35yrs). Note: If they give you pregnancy rates, remember that about 1/3 of pregnancies are lost before birth, so you can roughly convert to birth rates by taking off 1/3.
Even if you don't plan on going through donor or FET, pay close attention to those rates.
If you are a high responder (more than about 20 follicles or so), you might ask them what procedures they have for avoiding OHSS. A couple of posters here are complaining of current symptoms, and a few have mentioned hospitalization in their past cycles. You don't want this.
The rates to ask for are the donor cycle and FET cycle rates. These reflect core competencies and are hard to inflate artificially. In 2004, the average in the USA was 50% birth rate for donor cycles and 30% birth rate for FET cycles (patients <35yrs). Note: If they give you pregnancy rates, remember that about 1/3 of pregnancies are lost before birth, so you can roughly convert to birth rates by taking off 1/3.
Even if you don't plan on going through donor or FET, pay close attention to those rates.
If you are a high responder (more than about 20 follicles or so), you might ask them what procedures they have for avoiding OHSS. A couple of posters here are complaining of current symptoms, and a few have mentioned hospitalization in their past cycles. You don't want this.