Is change of clinic after 1st IVF try advisable?

[Fellena]

Hi, everyone. I've done my 1st IVF/ICSI cycle and the blood test on day 27 was positive. both my husband and I were so happy since it would be our first baby after we got married for 10 years.

But I had a miscarriage at week 5. It made my heart broken. Everything went on so smoothly, the egg collection, the transfer (I had 3 embroy transferred and they were all good-grade). I don't know what went wrong.

I'm now waiting to do the next cycle.

But recently, i happened to know my clinic, which was recommendated by a friend, has one of the lowest sucess rate in town.

I'm thinking of changing to another clinic. But wondering whether it's a good idea, since there may be some experience accumulated from the first cycle.

If I do change the clinic, will my next doctor be able to get my file on the 1st cycle from my previous doctor?

[DebraP]

Hi, so sorry to hear you m/cd, it is heartbreaking I know.

Why not call the other clinic and ask what the policy is? if they say 'no' because the other clinic keep their records, then maybe that will affect your decision? What town are you in? there may be someone on here with knowledge of the area/clinic.

I can see the temptation to change but if all went well and it sounds as if the clinic did all they could, perhaps wait until after the follow-up. Most follow-ups don't add much though, the reason for m/cs or a -ve result is very rarely known.

Good luck
Debra.

[Fellena]

Thanks Debra.

I'm living in Singapore. I know it sounds a bit too impatient to say "change" only after 1st try - after all, most of people don't make it in their first cycle.

But the difference in the success rate is huge: 16% (that of my current clinic) vs. 25-28%. I have to wonder whether there is something consistently missed out by them.

It's a really tough decision. On one hand, my current doctor is having a better understanding of my case and the nurses are very warm and helpful. But on the other hand, I just want to give myself and my future baby a better chance.

Debra, what would you do if you were me?

Glad to find this forum and people like you so we know we are not alone.

Good luck in your next try.

Helen

[dancola]

It’s very tempting to change clinics when you fail. Like you, I had an early m/c on my first ICSI cycle. However, I was happy to stay with the clinic. My reasoning was that the cycle itself worked great, they got my meds perfect and I produced decent eggs that made good quality blastos, so I saw no reason to change. After the 2nd and now the 3rd –ve cycle the situation is more difficult. In their favour, the clinic tested me for killer cells (+ve) and put me on steroids. I again had great quality blastocysts, so in terms of producing egg quality and quantity I cannot fault my clinic. They don’t overstimulate me, they get my meds just right and help me and DH produce good quality blastos. I also really like their manner and the way they treat you. I’ve decided to give them one last try, for my upcoming FET. If we fail again, then I’ll have to move elsewhere (most likely the ARGC). Half of me thinks that IF the clinic had tested my hormone levels, killer cells etc earlier then I might not have had to go through 3 cycles. That said, it’s really only clinics like the ARGC that do all these tests straight off.

In your case, I’d most likely stay with your clinic. The cycle worked and you became pregnant. Many women have a m/c and then go on to have a +ve successfully.