Sue, you have been on stims 8 days? What size were the follies? Do you mean 5 follies all together or five larger with some smaller ones that could catch up?
My ER in Jan. i had 5 follies, 5 mature eggs, all fertilized with ISCI, all made it to blast but since i was not transferring they only froze the 2 that still looked really good on day 6. Which still pisses me off that they didn't freeze all of them. In any case, if your protocol is right and you trigger on time you should least have an egg in every follie. Keep the faith.
Okay Ladies, her is my is your ivf homework. I have not updated the list because this was my long post for today. Sorry, but this is more important.
HRSS/IMSI should be standard in ivf
I know we have all been led to believe that egg quality is what prevents most successful pregnancies. But that is not the case. The selection of good sperm is just as important and is now achievable via HRSS/IMSI. These articles help elucidate why even with ICSI, you can have fertilization failure, failure of embryos to develop properly, implantation failure, chemical pregnancy and more. This probably explains why some women continue to have failed cycles even with CGH normal embryos.
#://
www.nhs.uk/news/2008/07July/Pages/NewIVFtechnique.aspx
#://
www.andrology.org/library/downloads/ica ... er/W3B.pdf
#://
www.timesonline.co.uk/tol/news/uk/scien ... 282460.ece
#://
www.eshre.com/binarydata.aspx?type=doc/TEXT16.pdf
Those articles give stats with ISCI alone vs. HRSS/IMSI and ISCI etc.
The next article is different. My RE and i had been discussing this topic and he sent it to me. By the way, he does not charge extra for this technology as he believes it should and eventually will be standard for all ivf patients. In this study, which is the first study of its kind, the researcher selects good sperm based on "physiological status" or morphological characteristics. To do this they need high power microscopes. The microscopes are much stronger than those used by embryologists to select sperm for ISCI. Further testing of the selected sperm showed them to have significantly reduced mitochondrial dysfunction, chromatin problems and aneuploidy. Believe it or not, they could select against sperm anueploidy 100% of the time. The results of this research help to explain the findings in the previous articles.
I can not figure out how to link to the article. It was sent to me as an attachment and i don't how to get it to you. The article is "High-Power Microscopy for Selecting Spermatozoa for ICSI by Physiological Status" By Dr. Carlo Foresta. Vol 17. No. 5 2008 610-616 Reproductive Biomedicine Online:
www.rbmonline.com/article/3404 on web 29 Aug. 2008. Maybe somebody can figure out how to link it or copy and paste it here.
My RE also said Bartoov, Berkovitz and Vanderzwalmen have written some of the best material on this subject. I have not had time to look for them yet. My guess is they are probably in scientific journals that most of us can't access but REs should have access.
I hope you all read the articles and urge your REs to do the same. It will take pressure from ivf patients to make this standard practice.