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Recommended fertility doctors

  1. #9
    lesliefu is offline Registered User
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    Dec 2008
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    Dr Lucy Lord is a fertility expert...not the best beside manners but very good at what she does.

  2. #10
    Adrianna is offline Registered User
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    Feb 2010
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    Thank you "dimsum mum". If everything goes well and the menstruation is on time I will start the pre-conception treatment at the beginning of March.

  3. #11
    Adrianna is offline Registered User
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    It's me again. Like I said I prepare to start my pre-conception treatment at the beginning of March. My doctor said that she will transfer me three embryos. I've read all the opinions and experiences on this forum but I've never seen this number, only two or one. Why three in my case? Another thing: the doctor try to make me produce 10 eggs and I wonder if it is not a little too much, especially that in Europe for the women's sake and preserve of their health the protocol establish the limit on 4-6 eggs. I am 39 years old, by the way.

  4. #12
    dimsum mum is offline Registered User
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    Jun 2008
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    Pokfulam Hong Kong
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    Hi again Adrianna

    I am wondering if your doctor is interested in transferring three because she is concerned about embryo quality?

    At 39, your fertility (and mine) has begun to deteriorate. quite rapidly. egg quality is an issue. lining is an issue. endometriosis may have set in. your lining isn't as good, bla bla bla. if you look at transfer rates in the united states, where clients pay for IVF themselves, three is not an unusual number to transfer for 39 year old women.

    in europe, where i believe ivf is funded, 1-2 transferred tends to be what the state allows.

    She is interested in harvesting 10 eggs because she wants to transfer three. If you harvest 10, let's say eight fertilize, and by day three, at least a couple have arrested, which means you are left with six embryos. The embryologist would grade them, and then the three best would be returned.

    If you were only transferring two embryos, your re would probably want to harvest a lower number of eggs.

    hope this makes sense. let me know if you have questions and good luck this march!

  5. #13
    Adrianna is offline Registered User
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    Feb 2010
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    Thank you (as always) dimsum mum. It makes sense. It's so good to have some opinion and, especially,to feel so free to ask for it. Thank you, I really hope this March to be a ...special one! I try to keep myself busy all the time but vey often I start to think, to dream, to worry etc etc. I don't feel very comfortable to talk about these things with many people, it' s such a personal matter! Anyway I will keep you informed. I just wait my period and ...go!

  6. #14
    Liquorice is offline Registered User
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    Jan 2010
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    Hi Adrianna, I am undergoing my first IVF and my doctor took ten eggs as well. Mine were slow developing regardless of administering the highest dosage of hormones - the egg collection and embryo transfer was about a week later than estimated - also the eggs on one side of my ovary were better developed than the other. Out of ten collected only six were fertilised. Two were transferred but only one of them was of very good quality. That doesn't say much for the quality of all the others I guess as they will have picked the best two. So maybe your doctor wants you to produce 10 eggs in order to increase the chances of good quality eggs - as well as that being the reason for transferring 3 embryos, instead of 1 or 2, as dimsum mum suggests. On that point, I was reading about regulations regarding embryo transfer in different countries and read that Belgium is going to legislate that maximum embryo transfer is 1 for women under 36 and 2 for women over 36 - supporting an age-related argument for numbers transferred.

  7. #15
    iolana is offline Registered User
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    Adrianna
    You didn't say whether your doc would be performing a 2, 3 or 5 day embryo transfer as that makes a difference to the number transferred too. Last year I had 10 eggs retrieved, all 10 fertilised and all 10 embryos in good condition on day 3, but by day 5 there were only 6 embryos remaining. I had 3 transferred on day 3 when I was 39, resulting in a singleton. But last year I only transferred 2 embryos on a day 5 transfer, resulting in a singleton, but the doctor would have let me transfer 3 as I was 42 at the time. For self-funded IVFs in the USA, many women of my age would have transferred 4 or more embryos. I didn't want to risk having triplets or more, so I only transferred 2 on the day 5 transfer, but my doctor would have allowed me to transfer up to 3 given my age.

  8. #16
    Adrianna is offline Registered User
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    Feb 2010
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    Guangzhou
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    As a matter of fact I didn't quite understand if will be 2,3 or 5 day embryo transfer. It risulted (after the appointment to IVF Center) that will be 2nd or 3rd transfer but this told by a nurse, I think as a general theory. So, I will ask the doctor next time I see her (when we'll start the treatment)

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