Avoiding Multiple Births

Q&A with the Experts

0

triplet-seatsQ: Is there any reliable way to avoid higher order multiples with an IUI with injectables?

A: According to Dr. Robert Stillman, Medical Director of Shady Grove Fertility Center and Professor of Medicine at Georgetown Medical School, the answer is no. You can of course monitor through ultrasound and cancel a cycle if too many eggs mature, but many women are hesitant to go forward knowing that they may well have to cancel the cycle. IUI with injectable ovulation stimulating drugs are the primary source for higher order multiple births (triplets and up). Dr. Stillman said that the ASRM and SART have not issued guidelines for how to safely do this procedure because they don’t exist. There are too many variables to accurately predict how many eggs will mature the first time. Dr. Stillman recommends being prepared to either cancel the cycle if more than a few eggs are produced, or convert the cycle to an IVF cycle. Of course, this answer does not take into account the very real possibility that the reason a couple is doing IUI with injectables in the first place is that they either can’t afford an IVF cycle or have ethical objections to IVF. In many ways, these couples are between a rock and a hard place. To hear Dr. Stillman’s full response, listen to the Creating a Family show on reducing multiple births.

Image Credit: Homeandgardners

20/10/2009 | by Q&A with the Experts | Categories: Infertility, Infertility Q&A with Experts | 0 Comments



Leave a Reply

Your email address will not be published. Required fields are marked *

Back to Top ↑

Content created by Creating a Family. And remember, there are no guarantees in adoption or infertility treatment. The information provided or referenced on this website should be used only as part of an overall plan to help educate you about the joys and challenges of adopting a child or dealing with infertility. Although the following seems obvious, our attorney insists that we tell you specifically that the information provided on this site may not be appropriate or applicable to you, and despite our best efforts, it may contain errors or important omissions. You should rely only upon the professionals you employ to assist you directly with your individual circumstances. CREATING A FAMILY DOES NOT WARRANT THE INFORMATION OR MATERIALS contained or referenced on this website. CREATING A FAMILY EXPRESSLY DISCLAIMS LIABILITY FOR ERRORS or omissions in this information and materials and PROVIDES NO WARRANTY OF ANY KIND, implied, express or statutory. IN NO EVENT WILL CREATING A FAMILY BE LIABLE FOR ANY DAMAGES, including without limitation direct or indirect, special, incidental, or consequential damages, losses or expenses arising out of or in connection with the use of the information or materials, EVEN IF CREATING A FAMILY OR ITS AGENTS ARE NEGLIGENT AND/OR ARE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.