What should you expect during your second consultation with an IVF specialist? You should have completed all your basic fertility testing. This will include a baseline transvaginal scan (TVS) to assess ovarian reserve and a semen analysis to assess the male partner's sperm count, motility, and morphology. Depending on your age, additional tests such as AMH, tubal patency, and hormonal profiling may be required. So, with second advice, fertility experts will know four things: • Is your ovarian reserve (the number of eggs in your ovaries) adequate? • Are sperm parameters (sperm count, motility, and morphology) normal? • Are the fallopian tubes open? • Is the uterus structurally normal? (Control our polyps, adenomyosis, fibroids, and so on.) The answers to the four questions above, as well as your age, will determine the course of your future fertility treatment. In reality, there are only a few treatment options available, ranging from the least invasive timed intercourse to the most invasive IVF. The least invasive treatment options are often the ones that require the most time and patience. While the most invasive options provide the quickest results. So, you'd know your treatment options through the IVF & Fertility Online Consultation with the IVF specialist. The treatment options will be explained to you, along with the success rate, the time required, the number of clinic visits required, and the approximate cost of treatment. Couples usually take a few days to process this information before deciding what to do. Treatment options to consider before beginning IVF? It all depends on what your reports indicate. If the test results show adequate ovarian reserve, open fallopian tubes, and optimal sperm count and motility, some treatment options such as IUI (Intra Uterine Insemination) can be considered. IUI treatment, when performed correctly by a trained fertility specialist, produces positive results. IUI success rates can range from 12-15%. Couples should be patient, IUI may not be successful in just one cycle. Please see our blog for more information on IUI success rates. Causes of IUI Failure and Chances of Successful Pregnancy After Failed IUI With so much information available on the Internet and other media, patients don't want to waste time trying less invasive options and instead ask their doctor if they should try IVF. To clarify, the patient's treatment options are not imposed. The options are discussed with the patient and the couple decides which treatment option to use based on factors such as age, duration of infertility, success rate, cost of the procedure, and time required to complete the treatment. When is the best time to start IVF treatment? If your fertility specialist suggests and recommends IVF, the sooner you complete it. There is a significant difference in IVF success rate at age 30 versus age 37. This 7-year difference in oocyte age makes a significant difference. When oocyte age is lesser, the quality of embryos and their genetic competency improve significantly. Embryo freezing (cryopreservation in medical terms) is a proven science that allows 100% embryo survival. Nowadays, it is best to consider oocyte or egg freezing at an early age in young females who are professionally driven and want to postpone childbearing for professional reasons. Couples should be aware that it is preferable to freeze embryos/oocytes as early as possible. It could be the best decision they've ever made for their baby. Do you have any advice for patients preparing for an IVF cycle? IVF requires a much more holistic approach; it is not only necessary to prepare your body for the treatment, but it is also necessary to prepare your mind. One should keep their expectations realistic, plan to invest sufficient time in the procedure, be prepared to endure some discomfort, and plan the financial aspect so that they do not experience stress while undergoing the IVF cycle.
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