QuestionQUESTION: respected sir ramirez
im worried alot.plz help me coz the doctors here are not good.
PROBLEM
my husband has a low count.we undergo 2 ICSI cycles .both failed.reason was simple..i
IMPLANTATION FAILURE.they didn't take any blood tests during cycle.didn't give me any type of medicines.just follow the procedure blindly.
i have history of OLIGOMENOREA.one doc told me PCOS.the other two said im not a PCOS patient.however i used METFORMIN a month before the treatment.
14 and 11 eggs were found in both cycles with 3 and 2 embryos transferred respectively.in both the cycles responce was slow.my eggs were retreived on 19th day,i started to bleed on 30th day.
QUESTION
my doc suggests another cycle next month.
what should i do now.do u recommend some tests.or any IMPLANTATION IMPROVEMENT drugs.am i suffering from luteal phase defect.
INFORMATION
im 23 n my hubby 36.its been 3 yrs of marriage.
waiting 4 ur reply,PLZ GUIDE ME.
WARMLY BISMA
ANSWER: Hello Bisma from Pakistan,
My first suggestion is to change clinics. IVF clinics are very rigorous and standardized in that a strict protocol is followed, including medications to help with implantation. If you are not being given medications to help with this, then your clinic is not following the usual protocols.
Secondly, if there is a sperm problem and ICSI is required, IVF is the only treatment option or the only way that ICSI can be done. In that case, you need to continue trying with IVF. But again, you need to see the right clinic for success to occur. For example, in my area of Northern California, when comparing pregnancy rates in under 35 year old women, the average rate is 47.4% per cycle, but there is a clinic that only gets 27.5% per cycle. Would you want to go to a clinic that has a pregnancy rate less than the average? It is possible that you are going to such a clinic. So you need to find a clinic that has high pregnancy rates for your age group.
Good Luck,
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf
---------- FOLLOW-UP ----------
QUESTION: respected sir
can i use the drugs which u have recommended for implantation failures like aspirin heparin medrol progesteron injections.the clinics here have success rate of only 25-30%.plz suggest something 4 me.
warmly
bisma
AnswerHello again,
You certainly can use the low dose aspirin, but I would not recommend using the heparin, medrol or progesterone without being under the care of a doctor prescribing them.
As mentioned previously, I think you need to change IVF clinics. Other than that, I don't have any other suggestions I can make at this time.
Good Luck,
Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
Monterey, California, U.S.A.
for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf
