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The most frustrating moment
in infertility today is IVF failure - and in most of the cases due
to implantation
failure. This refers to infertile patients who have undergone many
IVF cycles and produced beautiful embryos - but the embryos have
consistently failed to implant for unexplained reasons.
But that should not stop you for
further treatment of IVF. In India our pregnancy rates in
patients who have failed IVF cycles elsewhere is very high, because
we can transfer more embryos in difficult patients ( unlike clinics
in UK and Australia, where the number of embryos which can be
transferred is limited by law).
The other common reason for a
failed IVF cycle is a poor ovarian response, which means patients
get few eggs and few embryos. For this option is aggressive
super ovulation, high doses of HMG, in order to grow more
eggs, to have more embryos to transfer.
Patient who often do poorly in
other IVF clinics are those who have PCOD. Because many doctors are
so worried about the danger of OHSS ( ovarian hyperstimulation) in
these patients, they often end up superovulating these patients
badly, and retrieve few poor quality eggs, compromising the
pregnancy rate. We prevent OHSS by carefully aspirating each and
every follicle at the time of egg retrieval , and flushing it
repeatedly with a double-lumen needle, until it collapses
completely. By removing the follicular cells which are responsible
for producing VEGF and causing OHSS, we have been able to prevent
OHSS in PCOD patients very successfully in our clinic by using this
novel technique.
Other options could be:
>>Perform an embryo biopsy
>>immune therapy
So gather courage !
Speak to your doctor!!
Repeat IVF or ask for alternatives !!!
Remember failure should not prevent
you from life time happiness!!!!
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