IVF

what if?

My parents made me suspicious of insurance. They weren’t necessarily optimistic people, but they just felt they could handle bad outcomes themselves and didn’t trust that insurance help with be forth coming in the event of a disaster. They were mistrustful of those who were selling something for the “what if” scenarios of life. I think they understood numbers and felt that if the chance of a house fire was 1/10,000 then it was unlikely to happen to them so don’t get fire insurance. So far, so good.

 

donor egg moms

"Will I love the child?" "Will I be able to bond with them?"  I get asked this a lot by women considering using an egg donor.  These questions are heart-breaking.  I often get a lump in my throat when I'm asked these questions because I know the place they are coming from.  The woman asking is almost always broken; broken by the long and painful process of infertility. By the time a woman is considering egg donation she has usually tried for years to conceive with their own eggs and it has not worked.

bleeding is scary

There are few things as terrifying as bleeding in pregnancy.  Even a spot, or a pink tinge on the paper after you wipe, will make most women panic. I've been there - several times.  It's scary as hell as you don't know: is this the start of a miscarriage? will it stop? what can I do to make it stop? is the baby ok? what am I supposed to do?  

tidbits

I'm on vacation. When I walked out of the clinic on Tuesday many people commented "don't think about this place,"  "relax - we'll take care of your patients,"  "don't do work while you are away."  I never heed that advice.  When I am on vacation I find it is the perfect time to relax and flip through research journals, catch up on emails and think about work, a lot.  It's this break from the day-to-day concentration each patient sitting in front of you needs to getting to think bigger picture about practice, the future and how we can do better.

Tank safety

There is not a day that goes by when I don’t think about the security and safety of the embryos, sperm and eggs we have frozen in our cryopreservation or cryo tanks. I am on vacation this week and was out for a run and our tanks were on my mind. Our lab director would say an hour doesn’t go by when he doesn’t think about our tanks.

 

twins

Nearly every patient I meet wants twins.  Of course, they want twins!  The idea of having two children at once when they have longed for children for years, makes perfect sense.  Many people want a sibling for the children, so instant siblings seems very efficient.

IVF treatment protocol and quality of life

There are 3 main IVF protocols we use regularly: antagonist, agonist, MD Agonist Flare.  Sure, there are plenty of variations on these protocols, but essentially all protocols come from these 3, even minimal stimulation IVF, natural cycle IVF and others.    Study after study has shown that there is little difference between pregnancy outcomes with the different protocols.  What does seem to matter is what dose your physician picks for you, the timing of the different medications used during the protocol and the "extra" medications that are used based on the patients