QuestionQUESTION: Hiii, I'm 27 yrs. old. I am a pcod patient. after several infertility treatments i was unable to concieve. I had gone for IVF in Jan. 2010, it was a soft IVF(as said by my doctor),but it was not a successful attempt. after a long gap, recently i opt for planned ivf. I was totaly confused regarding its success. pls help............
ANSWER: Hello Sandhya Joshi from India,
IVF success rates are very dependent on each individual clinic, and the country where it is performed. I don't know the statistics for India. In the U.S., under the age of 35 years old, pregnancy rates are 50-60% on average. Again, these vary from clinic to clinic. For instance, in my center, the pregnancy rate under 35 is 74% per cycle. The variations in pregnancy rates are because many factors are involved including doctor experience, laboratory quality, stimulation protocol, fertilization rates, quality of embryo development, transfer skill, etc. In PCO patients, we worry about a complication known as Ovarian Hyperstimulation Syndrome (OHSS) which if not properly handled can be fatal. For that reason, the doctor needs to know the steps required to prevent this. The most common protocol in PCO patients at risk for this disorder is a "low slow" or "soft" ovarian stimulation. Since you have had one cycle of IVF before, then we can better tailor an appropriate protocol based on how you performed previously. For example, in one of my PCO patients recently, in her first cycle I applied the low slow protocol because I didn't know how she would respond. I found that her ovaries were not as sensitive as expected so in the second protocol, I increased the amount of medication significantly.
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
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QUESTION: Thanks for ur answer, but now on 9th day after ET, I saw some spots in my urine once a day (yesterday and today). it was light pink and brownish in color. I am really so much worried, my doctor is not available till 23rd oct.. His assist. has increased 2 more tablets(duphaston and ethasyl) and injections (gestone) for two days.
I am really so much worried, pls help.
AnswerHello Again,
I would recommend that you look at my Blog under "Bleeding after Embryo transfer". Hopefully that will reassure you that the spotting you have is very common and does not mean anything, so you shouldn't worry.
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
