What to do When IVF Fails

 

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One of the hardest decisions to make when IVF fails is whether to try again. Your emotions and finances weigh heavily. If you knew the outcome it would be so much easier to decide. We have two guests to talk about how to decide and what factors to consider: Dr. Mylene Yao, a reproductive endocrinologist, formerly on the faculty at Stanford University where she was a NIH-funded principal investigator looking into IVF prediction models that could personalize success rates for IVF patients. She co-founded Univfy Inc. to translate that research into user-friendly online prediction tests to bring personalized prediction to patients and doctors. We also have Dr. Philip Chenette, medical director at Pacific Fertility Center in San Francisco. Dr. Chenette is among US News and World Reports’ “Top Doctors” and was voted “Top Doctor” in San Francisco. Dr. Chenette is also the president of the Bay Area Reproductive Endocrine Society.

 

+ Highlights of the show (click to expand)

  • How does a failed in vitro fertilization cycle affect odds of success with subsequent IVF cycles?
  • What factors influence your chance of success with IVF?
  • How to decide whether to do a fresh IVF cycle or use frozen embryos for a frozen embryo transfer?
  • How important is a Body Mass Index (BMI) within normal range to IVF success?
  • Can being overweight affect your fertility?
  • How to best predict your chances of a successful pregnancy with each IVF attempt?
  • Does your mother’s or sister’s fertility history affect your chances?
  • What is the most important determinant to whether you will get pregnant with infertility treatment?
  • How many cycles of in vitro fertilization should you do before you move to donor egg, surrogacy, or adoption?
  • What is the likelihood of a successful pregnancy after a miscarriage?
  • What causes most miscarriages?
  • What causes some women’s ovaries to age faster than others?
  • What causes premature ovarian insufficiency or failure?

 

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Image credit: `James Wheele

 

Show re-aired in 2017.