Failed IVF

If you have repeatedly failed IVF despite of having good quality embryos, you may be a good candidate for the latest IVF treatment called endometrial biopsy scratching or endometrial biopsy.

Endometrial Biopsy Scratching, Uterine biopsy, endometrial scratching IVFEndometrial Biopsy is a gentle endometrial injury caused by scratching patient’s uterine lining prior to embryo transfer. New research shows that local injury to the lining of the uterus can actually make the uterus more receptive to an implanting embryo and thus will increase one’s chances of pregnancy. How endometrial scratching works is not entirely understood. Scientists involved in studies believe that there may be two causes of increased implantation rates: white blood cells and gene switching.

The endometrial biopsy is a relatively simple procedure that can be performed either by our IVF clinics or by your local Ob/Gyn familiar with this procedure. The procedure is commonly referred to as a four quadrant uterine biopsy. MedVacation fertility doctors have been using endometrial biopsy scratching for some time now and it has proven to be successful for several of our patients. Although endometrial biopsy scratching is clinically effective, the timing of the procedures and its frequency are still being debated by fertility specialists. Fertility doctors agree that the scratch biopsy needs to be done once or twice before embryo transfer.

MedVacation fertility clinics offer this “new” treatment. This is also a testament to the quality of our fertility doctors. Contact us today for your free consultation and find out whether you may be a good candidate for endometrial scratching procedure.

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Failed IVF and How to Increase Your Chances of Success the Next Time

It is not uncommon for IVF patients to have an unsuccessful cycle, sometimes even several, before they finally get pregnant. It is certainly disappointing to have a failed IVF cycle. However, there are some options and tests available that may improve your chances of having a successful IVF. To name a few…. Comprehensive Chromosome Screening, DNA fragmentation for males, chromosome testing for males, immune testing for female patients.

Although fertility doctors and scientists made a big leap in understanding the reproductive health, IVF process remains intricately complex. If your first IVF cycle wasn’t successful, we want you to know that you are not the only one. We wanted to share some statistics pertaining to success rates in IVF.

CDC’s website is a great source of statistics about IVF treatments in the U.S., if you need additional details.

Before we go any further, we would like to mention that MedVacation’s IVF clinics had several 56 year old patients whose IVF treatments were successful. We recently saw an article that talked about a 66 year old Ukrainian woman giving birth to a healthy baby boy. We are certainly not advocating child bearing at 66. Neverthless, you probably still have a few more years to try IVF a few more times.

First of all, the biggest factor in IVF treatments is the age of the female patient. Typically, once the woman turns 40-41, many doctors will recommend she uses an egg donor. There are three tests, ovarian reserve tests, that fertility doctors can perform to determine one’s ovarian reserve and the need for egg donor.

Misconceptions about the causes of infertility are still quite common in our society. Often people automatically assume that the woman is the cause of infertility. Approximately one third of all infertility cases can be attributed to the male factor. If your first IVF was unsuccessful, we would recommend that your IVF doctor do a few tests on your husband as well, if the they have not done so already. Your IVF doctor should order Chromosome Testing for your spouse. In addition, they should also do DNA fragmentation test on his sperm.

There is another great IVF test that has recently became available to hopeful parents. It is called Comprehensive Chromosome Screening or CCS. This ground-breaking IVF technique is utmost accurate method for the analysis of all 24 types of chromosome. More and more, IVF specialists recommend this type of screening for patients who have had multiple failed IVF cycles or numerous miscarriages. We recommend you and your current IVF doctors look into this type of testing.

Where to Buy Lupron

There appears to be a nationwide shortage of Lupron. Several of our patients have recently told us that their local pharmacies were out of stock with Lupron. Wal-Mart Online Specialty Pharmacy in Florida has Lupron in stock, if you haven’t found a local pharmacy that has it. Additional details are on our website.

Some of our former patients have also purchased Lupron from an online pharmacy overseas. We’ll be happy to provide you with details. Please note, it typically takes up to two weeks for the shipment to clear U.S. customs and to arrive at your address in the U.S.

IVF Cost and Fertility Treatments Abroad

From start to finish, a typical IVF protocol would require a 17-day stay abroad. Although MedVacation fertility doctors would prefer our clients to stay in their clinics for the entire IVF cycle, most patients are able to reduce the number of days spent abroad by way of starting ovulation stimulation with a local OBGYN doctor. With egg donor cycles, the length of stay abroad is even shorter, since our embryologist will need the sperm on the twelfth day of the cycle. With IVF cycles using own eggs, you can spend the first seven days at home. During that time, our doctors will work very closely with yours to get everything ready for the next step.

ivf-cost-with-fertility-doctors-abroadUntil recently, embryos were cultured for three days and then transferred to the uterus and/or cryogenically frozen for later use. Our IVF clinics now have the ability to grow the embryos for five or six days until they reach the blastocyst stage. Blastocysts have a greater chance of implantation. Blastocysts transfer is often preferred by our clients, because it allows our IVF doctors to transfer fewer embryos and lower the risk of multiple births. In addition, blastocysts transfers give couples significantly higher chances for pregnancy.

You may return home 2-3 days after the embryo transfer. Our work does not end here though. Before you leave our clinic, you will be instructed to purchase injectables, estrogen tablets and suppository medicine to support the first 12 weeks of your pregnancy. Post-transfer IVF medications from our clinics’ pharmacies cost half as much as they do in the U.S. Upon your return to your home town, you will schedule a number of appointments with either a perinatologist or an Ob doctor. Our fertility doctors will continue monitoring you and work very closely with your local doctor during these 12 weeks. They are also available for a free consultation any time after that.

If you choose to the option of being monitored by a local OBGYN for the first seven days of your IVF treatments, our low cost IVF packages start around $8,199 and include airfare for two and hotel stay.

Straight Talk on Fertility Tourism and IVF Treatments Abroad

The founder of MedVacation Taras Kuzin took part in a radio show whose topic was fertility tourism. The host, Dawn Davenport, and the guests on this show provided some great information about IVF with fertility clinics abroad and egg donations overseas. Visit MedVacation’s website to listen to recording of this episode.

Understanding Conception and IVF Treatments

What happens during IVF treatments and how does the in vitro fertilization process work? Human conception is a relatively simple and yet immensely complex process. Think about your IVF cycle as natural conception process aided by our fertility specialists. It may also be helpful to understand the process of natural conception.

The natural conception process begins on the first day of your menstrual cycle. In IVF, we also call this day Cycle Day 1. During the next 12 to 14 days occurs what fertility specialists refer to as follicular phase, the event that results in the ovulation of a mature egg. It’s called “follicular phase,” because the eggs develop in a fluid-filled sacs called the follicles. On Cycle Day 1, your body starts developing follicles. Women of reproductive age begin to develop many eggs during each monthly cycle. Naturally, however, usually just one of the eggs will reach maturity while the rest undergo a process of degeneration, and are absorbed by the body forever. When that one egg is mature, it is released from the ovary. The egg will be capable of being fertilized for only the next 12 to 24 hours. If not fertilized within that time, it is simply reabsorbed by the body. You may be wondering how IVF patients develop more than 20 eggs during a single IVF cycle. With IVF medications, our fertility doctors help your body to develop more than one egg during the first 10 days of the cycle.

Fertility Treatments AbroadOn day 14 of the typical 28-day cycle, woman’s egg is mature and ovulation occurs. As the egg begins it descend through the fallopian tubes, it meets with sperm and gets fertilized. Ovulation triggers many other changes in the body. For example, as a result of changes in the levels of hormones, the cervical mucus becomes penetrable. At the same time, the lining of the uterus is getting ready to accept an ebryo implantation. In contract to the natural process, our IVF doctors will retrieve the mature eggs on Cycle Day 12. It is important to note that it may take up to 17 days to retrieve your eggs, if your ovaries do not respond well to stimulation meds. Normally IVF medications are taken for 10 days. However, if patient’s ovaries don’t respond well, the patient may be instructed to take medication up to five days longer.

Understanding In Vitro TreatmentsTypically, our IVF clinics perform egg retrieval on Cycle Day 12. The very same day, the eggs are fertilized with sperm either by conventional insemination or by ICSI. The eggs will be checked the following day to document fertilization and again the next day to evaluate the early cell division. Until recently, embryos were cultured for three days and then transferred to the uterus or cryogenically frozen for later use. Our IVF clinics now have the ability to grow the embryos for five until they reach the blastocyst stage. Blastocysts have a greater chance of implantation. This, in turn, allows our IVF doctors to transfer fewer embryos and lower the risk of multiple births while increasing the chance of pregnancy.

The final step in the IVF cycle is the embryo transfer. As it is the case with the natural fertilization, not all embryos will grow in the laboratory dish. The embryo(s) that continue to divide and grow is transferred into patient’s uterus about the time it would arrive there in a natural conception. Unused embryos can be cryopreserved for later use.

Visit our website to learn what you will do each step of the way, as you go through your IVF treatments.

Ovarian Reserve & Using Your Own Eggs

If you are over 40 and considering IVF treatments, there may be a chance our reproductive endocrinologist (RE) will recommend you use an egg donor with your IVF cycle. To determine whether you need a donor egg, our RE will order a few tests, to measure your so called ovarian reserve. These tests are Antral Follicle Count (ultrasound test), Day 3 FSH test, and AMH level test. Although these tests are not perfect, they will tell a great deal whether you have eggs and shed some light on whether your eggs are in good condition and can be used with your IVF treatments.