The method of tubal ligation is also important. Some ligation techniques are difficult to repair. You should ask yourself how long you can wait for getting pregnant after tubal reversal. You may need at least one year to see if you can get pregnant, and then you may need IVF. If you are already 39 years old, you do not have that much time since it will jeopardize your IVF chance. However, it may be wise to do a reversal and starting an IVF treatment too.
It is also important to plan about the number of children you want after the reversal. If you want to have only one child, then IVF may be a better and even cheaper option. Again if you desire to choose the gender of your next child, then you should consider IVF.
- No follicle response and consequently low estrogen levels after many days of drug usage.
- Risk of ovarian hyperstimulation. This is one of the most serious risks in IVF treatment. Although we have some tools to prevent this, we have to cancel treatment in some special circumstances.
- Sometimes, we do not retrieve any oocytes, although the ovulation induction drugs' response is satisfactory. In some cases, we can get eggs, but none of them are suitable for IVF. Finally, you may not have any good embryos.
For local patients, an initial ultrasound scan and a meeting in our office help us determine the possible reasons for fertility problems.
For most patients, the treatment can start right away because the majority of patients have several tests and treatments before applying to us. It may be possible to start treatment even before seeing the patients in our clinic. We do video conferences and examine the existing data over the internet. This saves time and money for our patients. Making a good plan before treatment is crucial in IVF treatment We can simplify IVF for elected patients to decrease the cost and the stress level of the patients. We offer special programs to do so.
- The quality and survival of the frozen-thawed embryos. In general, we only freeze good quality embryos, so the current survival rate is greater than 90%.
- The age of the woman who produced the eggs. In patients, younger than 37, the chances of pregnancy with frozen-thawed embryos are similar to pregnancy with fresh embryos.
- In patients 37 years or older, pregnancy chances with frozen-thawed embryos decline in conjunction with declining fertility in general but still can be quite useful. As always, it is best to discuss a woman's situation with their physician.
- The status of the uterus in the woman receiving the frozen embryos. A healthy endometrial lining free of any fibroids or polyps provides a favorable environment for embryo implantation.
- Once an embryo survives after freezing and thawing, this embryo was a good one before freezing. It may work as a second step embryo selection, and these healthy embryos may have a better potential. In selected cases, the frozen-thaw embryos may have higher success rates than the fresh ones.
- Frozen-thawed cycles are straightforward. No injectable drugs and no frequent follow-up scans like the ovulation induction cycles. In most cases, patients can come to the clinic for only 2 hours to get the embryo transfer.
At first, some scientists claimed that this was due to the use of fertility medications in 1992. Since then, several studies have shown no association between fertility drugs and ovarian, uterine, or breast cancer.
This link may be due to the fact of infertility. Findings suggest that pregnancy and childbirth, and breastfeeding have some protection against reproductive organ cancers.
This slightly increased risk is also reported for children born after IUI treatments. Therefore, it is very like that this increased risk is due to the infertile couples' intrinsic factors, not in the technique used in IVF or in vitro culturing of embryos.
On the other hand, some research indicates that IVF babies are more successful academically than non-IVF babies. It seems that the answer to that question requires more studies..