IVF Questions

I promised On Fecund Thought that I would share our list of questions with her, so here they are! It’s proving to be quite a long list already and our appointment isn’t until 10 September.

  • How many fresh and/or frozen cycles will be funded by the NHS? How much do you charge for private IVF and FET?
  • Why do you think IUI hasn’t worked for me? What percentage of apparently fertile women using donor sperm will end up needing IVF?
  • Should we be concerned about the miscarriages, or are they just ‘one of those things’? Does the fact that I have been pregnant still increase my chances?
  • Is there an increased risk of miscarriage with IVF? I’m aware that IVF pregnancies are more likely to miscarry than natural ones, but I believe this is thought to be because infertile women are more likely to have miscarriages rather than because of the IVF itself – is that correct? Is there any chance that selecting the healthiest embryos will actually reduce my risk of an early miscarriage?
  • What do you think our chances of success are, and what can we do to maximise these? What is the likelihood of no viable pregnancy after several IVF cycles?
  • I’m concerned about my cervix making embryo transfer difficult and reducing our chances. How do you plan to address this? Do you do a mock transfer? Should I be concerned about my tilted uterus for any other reason?
  • What’s my AMH and antral follicle count? (I remember being told my AMH was fine, but I’m starting to worry about my age…)
  • Do I need any further investigations? If not, how soon can we start?
  • Is it safe for me to take a prenatal vitamin, magnesium and omega 3s? Are there any supplements you would or wouldn’t recommend?
  • Do you use the long protocol or the short protocol? I’m concerned about down-regulation – since I have a history of depression, would the short protocol be better?
  • How often would I need to come in for scans?
  • Do you use sedation or GA for egg collection, and can OH be in theatre with me?
  • Do you intend to use standard IVF or ICSI, or does it depend on the quality of the sperm once defrosted?
  • At what stage of development do you transfer the embryos, and do we get a choice in how many are transferred?
  • Is it OK for me to use the progesterone pessaries PR?
  • If a cycle is unsuccessful, how long are we likely to have to wait for a review appointment, and how long before we can try again?
  • If a cycle is cancelled, does it still ‘count’ as an NHS cycle? If a privately funded cycle is cancelled, what are the charges?
  • What are the contact details for your counselling service?
  • How much would it cost to store any remaining embryos for a sibling? Would it be feasible to use these embryos in OH?
  • Is it possible to donate any spare embryos to another couple?

I feel rather sorry for whichever doctor will be on the receiving end of these!

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5 thoughts on “IVF Questions

  1. I think those are (more or less) the questions they get all the time, which means that they hopefully will have reassuring answers for you on most of them! I said it on OH’s blog, but I’ll say it here again, too, that I’m sorry you’ve ended up at this fork in the road (though there are a lot of good people down this way!). I hope that things happen quickly for you now, and that you get through this process with a healthy, happy baby soon!

  2. That’s a long list of questions, but I would imagine no longer than the list any other couple might have. It’s good to write them all out so that they can do their best to answer them and you’re not left not knowing something that’s important to you. I hope the appointment goes well.

    • Yeah, I think most couples will probably have this many questions, and some of them are likely to get answered before we’ve even asked! There are also some that we could ask a nurse at any time, so I know which ones to prioritise when we see the consultant.

  3. It sounds like you have put a lot of thought into these questions, it is a lot easier to think of the questions you need to ask when you aren’t in the situation where you need to ask them. There will always be people who are there to help you when you need to ask these questions so never be afraid to ask.
    Good luck with your next appointment, I look forward to hearing about how you get on.

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