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Top 10 Questions to ask your Reproductive Endocrinologist when you’re offered IVF

5/24/2018

39 Comments

 
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IVF is a big step, physically and financially, and you likely have questions before you commit but you just don’t know what to ask. Of course, how do you know what you don’t know?! The purpose of this blog is to inform you about the IVF process and provide you with some preliminary questions to ask your Reproductive Endocrinologist (RE). It’s important that you feel empowered and in-control when it comes to the decision of IVF. Don’t be afraid to ask questions and advocate for yourself, you always deserve to be in the know!   


What testing has been completed that makes IVF a necessary procedure for me?
IVF is not typically the first option when it comes to Assisted Reproductive Technology (ART). You may have already gone through several unsuccessful IUIs, or you/your partner may have a specific circumstance that requires IVF. When it comes to female blood work, a low AMH level and/or high FSH level is an indicator of low ovarian reserve and IVF may improve you ovarian response. For men, if there is hypospermatogenesis, IVF with ICSI (injecting the sperm directly into the egg cytoplasm) may be the best option for you. Do make sure your RE walks you through the evidence that supports the need for IVF in your particular case.


What does IVF involve?
Ask your RE to go over the procedure with you, including how the medications are administered, the function of each medication (I get asked this one the most!), and how many appointments you will need. You or someone you know will need to be comfortable with the injections! You may also need to adjust your work schedule for the frequent cycle monitoring appointments. The egg retrieval procedure is indeed minor surgery so you should be advised as to how to prepare beforehand.


How much does IVF cost? Do you have funding available?
This one I’m sure is the most obvious question to ask, IVF is expensive! The funding gets confusing though. In Ontario, one IVF treatment cycle per female patient is funded. However, you are at the liberty of the waitlist at your fertility clinic. Depending on the fertility clinic, you may wait from 6 months to 2 years for your funding. The funding is based on a first come, first serve basis. In order to be eligible you (the woman) must be under the age of 43. The funding does not cover the medications, but it does cover the cost of ALL of your embryo transfers. For example: if you produce 3 viable embryos from your IVF cycle, each embryo will be transferred one at a time; each of these transfers is covered by the funding.


What are the risks and side effects?
You’ll want to ask about the side effects of the specific medications you are taking as well as the risk of ovarian hyperstimulation syndrome (OHSS) and egg retrieval. Long-term side effects are largely unknown (from my understanding), but you’ll want to know what to expect while taking the medications so you don’t have to resort to “Dr. Google” along the way.


What is the success rate of IVF?
The success is going to depend on your unique case, as well as your partner’s/donor’s, and both of your ages. The greater the number of high quality embryos produced, the greater your chances for a healthy live birth. The CDC has an amazing tool, based on their compiled data, to calculate your potential success rate. For example, the chance of live birth per embryo transfer between ages 38-40 is 27%. The chance of live birth per egg retrieval procedure between ages 38-40 is 19%.
 
Based on my lab work how many embryos do you think will be produced?
This is important for developing realistic expectations for the IVF process. Your RE should be able to predict this for you. To give you a real world example of a female age < 35 using stimulating medications: 10 follicles were retrieved, of these 10 follicles only 7 were mature and viable, of the 7 follicles 5 were fertilized, of these 5 embryos only 3 survived until day 5. That’s a total of 3, day 5 embryos to be transferred.


Do you advise day 3 or day 5 embryo transfer?
A 5-day-old embryo has more cells than a 3-day-old embryo; it is referred to as a blastocyst.  Blastocysts are commonly higher quality embryos than embryos in the cleavage stage (day 3). They’ve survived an extra 2 days on their own! It is worth discussing which practice your RE uses.


Will the embryo transfer be fresh or frozen?
Frozen embryo transfers are now more common practice, as it gives your body a chance to rest before the transfer. This means you’ll wait until your next cycle to transfer the embryo, rather than right after egg retrieval. The research on live birth rates when comparing fresh and frozen embryos seems to show similar outcomes.


Do you offer PGS (pre-implantation genetic screening)?
This screening is completed on frozen (and then thawed) day 5 embryos. It is a test to determine whether embryos have an abnormal number of chromosomes. It can be used to prevent miscarriage or lack of embryo implantation. If an embryo has an abnormal number of chromosomes it will not be transferred. Not all clinics offer this technology, and it is an additional cost. 


Do you welcome the support of acupuncture and naturopathic medicine during IVF?
Finally, the most important question of all!  Choose an RE who supports a multidisciplinary approach to fertility. It can take a village to make a healthy baby and you deserve access to all tools in that village. Acupuncture and naturopathic medicine have been highly researched for fertility support. We can also help you navigate the IVF process and answer questions your RE may not have the time to answer. You should feel supported every step of the way.

Have more questions? Meet with us!
​We offer a free 30 minute consultation to all new patients. Come in and meet with one of our Naturopathic Doctors to discuss your options for natural, supportive treatments, to help you make the most of your IVF cycle. Click the button below to book with us today!
​
BOOK YOUR FREE CONSULTATION
Written by Dr Caleigh Sumner ND

References
​

Hatırnaz Ş, Kanat Pektaş M. Day 3 embryo transfer versus day 5 blastocyst transfers: A prospective randomized controlled trial. Turkish Journal of Obstetrics and Gynecology. 2017;14(2):82-88. doi:10.4274/tjod.99076.

Aflatoonian A, Karimzadeh Maybodi MA, Aflatoonian N, et al. Perinatal outcome in fresh versus frozen embryo transfer in ART cycles. International Journal of Reproductive Biomedicine. 2016;14(3):167-172.


Wong, K. M., van Wely, M., Van der Veen, F., Repping, S., & Mastenbroek, S. (2017). Fresh versus frozen embryo transfers for assisted reproduction. The Cochrane Library.

Mastenbroek, S., Twisk, M., van der Veen, F., & Repping, S. (2011). Preimplantation genetic screening: a systematic review and meta-analysis of RCTs. Human reproduction update, 17(4), 454-466.
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richard link
9/25/2024 02:39:45 am

I lost all of my savings investing in cryptocurrencies, which completely shocked me. I never thought it would turn out to be a fraud and that I would lose everything. Before I realized I had been duped, it had been going on for weeks. Fortunately for me, I came across a post on a bulletin about PRO RECOVERY WIZARD SAM BANK MAN CYBER SECURITY SERVICES. just when all hope had vanished and I was about to go bankrupt. The speed with which they located the fraudsters and retrieved my cryptocurrency funds astounded me. They provided excellent service, and I heartily thank them for it. I suggest anyone who wants to immediately recover monies to contact them. You should reach out to them by using ..
[email protected].

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Nancy Marciano
9/26/2024 07:26:27 am

Hello people, my name is Nancy from Atlanta. Here is my sad story on crypto fraud. In late 2019, I learned about the potential rise in crypto prices. The outbreak of the pandemic brought this about. There was a lot of country panic and any crypto investor knew that this could result in a higher use of smart money and cryptocurrency. Hence potential spiking of price. And so I had to invest my money into related investments quickly. In my quest, I came across agent Antony Dremiges, who was under the company called Xchief.com for crypto investment. I made my deposit of 2 Bitcoins which equals $129,818. Everything is going on great as everyone who has been scammed has probably experienced. Until it was not. I got blocked from my account as they denied my access. I sought help relentlessly. Tried a few hackers to no avail but finally and thankfully landed on one DECODE HACKERS. They were perfect at what they did. Returning what belonged to me was just touching. I’m sharing my review in case someone out there has gotten impatient. Get help. Email: decodehackers(AT)gmail(DOT)com or Telegram: (PLUS)1 (917) 384‑3379

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Fidgi Simo
10/1/2024 02:01:04 pm

Thank you so much The Exner Hacker for granting me access to my cryptocurrency wallet. If you are experiencing a similar issue or crypto scam, don’t hesitate to ask for their help. When Mr Ferdinand, my mentor, mentioned THE EXNER HACKER to me, I got paranoid, and quite scarred, as usual. You can’t blame me because, after a long search for reliable hackers without success, you are bound to cave in and just believe there exists no good hacker. I had lost access to my BTC after forgetting my seed. I contacted them at email: TheexnerhackerATprotonmailDOTcom as well as their Telegram: (PLUS)1 (917) 384‑3379. In a matter of 5 minutes, they got back to me and the retrieval process immediately commenced. In a matter of 3 hours, he had cracked the wallet and I had attained full access to my wallet. Of course, I needed to give them my goodwill token out of gratitude. Thank you sir/madam for what you are continually offering to the world. email: TheexnerhackerATprotonmailDOTcom

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LASZLO FONTA link
10/2/2024 07:45:01 am

Hello everyone i’m LASZLO FONTA by name i was duped of my hard earned money by some heartless scammers, they really messed my life up, by making me develop interest to invest on their company hoping to make more interest in return. I deposited 10.7850 euros in June 2022, which was later
turned to 98,908.00 euros including my pay out bonus, there was an impressive improvement in few days, 2 months later there was a fire outbreak in my house and i lost everything and needed money to pay my insurance access, Suddenly I was sent from Pillar to post, i tried reaching out to the company which i had invested my bitcoin with to collect the money i invested to pay off my debts, all to my suprise they cut the live chats
and got harassed from 1 to the other, until they told me I will forever be poor, then i realized that i was being scammed. I just wanted my money back! I was advised
by a friend to seek for help from a recovery management to assist me recover my invested funds, God so kind i was able to reach out to a recovery guru whom i never trusted at first untill we started to work together and found out there was hope in him. I was able to recover my funds with the help of Mr George Wizard, he’s indeed an expert on crypto/forex and bitcoin
recovery, I feel obligated to recommend him and his team, their recovery strategies, and for working relentlessly to help recover my funds. feel free to reach out to
him via his email or what’sapp +1 (908) 768-4663, and will guide you on how to recover your invested capital, i advise everyone to be
careful with this heartless stealing people.
georgewizardrecoveryhome AT gmail DOT com

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Jacob Claasen
10/30/2024 03:43:35 pm

Not everyone has heard of Wizard James Recovery, I'm sure. I'm delighted that my internet study led me to this wonderful RECOVERY SPECIALIST. I was contacted by a scammer on Discord who attempted to trick me into joining a binary options investment scheme, which I was hesitant to do. After exchanging contact information, the scammer obtained my email address and took all of my coins, which were worth roughly $71,000. I was devastated because I thought I was cautious enough, but you can never be too careful with these rippers. I immediately took action after conducting some independent research and reading glowing testimonials about Wizard James, a superb and incredibly efficient recovery agent; his contact information is (wizardjamesrecovery@ usa .com/Whatsapp: + 44 (7418) 367 204). After I contacted James, I gave him the bare minimum of details and specifications, and he immediately got to work recovering what I had lost in a week of hacking and investigation services. I am ecstatic about this wonderful favour, and I vowed to spread the word about this wonderful man named James. If you want to recover any digital currency that you have lost to cryptocurrency scammers, make sure to get in touch with Wizard James using the information above.

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moupay martins
11/3/2024 09:37:55 am

i was heartbroken because I had a very small manhood , not nice to satisfy a woman, I had so many relationships cut off because of my situation, I have used so many products which i found online but none could offer me the help I searched for. I saw some comments about this specialist called Dr Moses Buba and decided to email him at [email protected] so I decided to give his herbal product a try. i emailed him and he got back to me, he gave me some comforting words with his herbal pills for manhood Enlargement, Within 14days of it, i began to feel the enlargement of my manhood , " and now it just 2 weeks of using his products my manhood is about 9 inches longer and i am so happy, contact DR Moses Buba now via email [email protected] or his WhatsApp number +2349060529305 . contact him through his Facebook page : https://www.facebook.com/profile.php?id=61559577240930 may God reward you for your good work . For more info i can help to explain the medication +44 7375301397

HE ALSO RENDERED THE FOLLOWING ........1. BRING YOUR EX BACK........... 2. LOTTERY SPELL......... 3. PREGNANCY SPELL ..........4. WEAK ERECTION ............5. POOR EJACULATION..........q

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Barta Adrens
11/16/2024 08:59:51 am

I was grieved when my spouse, a U.S. citizen, died of a heart attack brought on by a fraudster. I was lucky to have the Recovery Nerd Agency help me get my Bitcoin back. They assisted me in recovering money for my kids and myself. I continue to be grieved by my husband's death from fraud, and I urge everyone to stand together against scammers. Contact Recovery Nerd Agency: Your Support in Recovering Lost Bitcoin to become a part of our movement.
Contact email: recoverynerd@ mail.com
WhatsApp: +61 488 893 280

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Clara Wolf
11/21/2024 07:47:49 am

The team finally gave me the news I had been expecting for after three restless nights of concern and anxiety. As soon as I received the email, I checked my wallet balance and saw that $423,123 USDT was there. That day was the most alive I've ever felt, as if RECOVERY NERD had given me a second lifeline. When I reflect on everything, I see that if I had followed my instincts, I could have avoided all of this. I wish I had heeded the advice to trust my instincts. I became interested in this binary options strategy last year since it offered low risk and consistent yet steady earnings. Something didn't feel quite right; It felt a little strange, and I secretly questioned the opportunity, but since I mentioned "opportunity," I chose to give it a try in the hopes that I would be persuaded. At the time, I had just received a small inheritance, which I felt should be put to good use. We began very modestly, which convinced me. Despite the modest profits, the business was stable as promised. I increased my investment to boost my returns because I thought I was in good hands. Everything changed when I decided it was time to withdraw money I had saved for a dream project because my balance had climbed dramatically four and a half months later. To my biggest surprise, it turned into one excuse after another, and when they had me paying endless fees at the withdrawal stage, I finally understood it was all a well-planned fraud. However, the harm was already done; I had fallen victim to an online fraud, and there didn't seem to be much I could do about it. I felt powerless until a very close friend recommended that I seek assistance from RECOVERY NERD. I am grateful to him for this recommendation, as it was the catalyst for everything to happen. I also want to express my sincere gratitude to the team; you guys are really appreciated. Don't give up on getting justice if you're in that dark place; Contact information is provided at [email protected].

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Joy Williams link
11/21/2024 10:10:48 am

I am willing to share my experience and enlighten people on how I recovered my money with the help of a professional group. They provide recovery services in binary options, forex, cryptocurrencies, Though times are hard and the market international financial, will not too favourable amidst people trying to get back to their normal lives, They recently recovered the sum of $75,000USD for me but thank God for Mr Jeanson James Ancheta wizard in who has also recovered millions of dollars for victims of fraud around the globe helped me make so much money with his quality strategy You contact me on email:([email protected]) or WhatsApp number: +49 (1521) 9265132 for more details.

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Chao Zhang
11/25/2024 04:59:21 pm

People who are having trouble accessing their digital assets may find that Recovering Cryptocurrency with Experts is a workable alternative. These specialist professionals can help with issues like forgotten private keys or lost passwords because they have extensive knowledge of blockchain technology and cryptocurrency systems. They prioritize security and confidentiality while attempting recovery using cutting-edge methods and resources. Scams and fraudulent businesses do exist, thus it's important to be cautious and confirm the legitimacy of such services. To guarantee a reliable and successful bitcoin recovery experience, it is essential to conduct research on credible specialists, ask for suggestions, and maintain transparency during the recovery procedure. Contact RecoveryNerd Agency today to speak with a specialist, and you'll thank me afterwards. WhatsApp details: +61 488 893 280

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josh mavis
12/22/2024 05:38:31 am

I was really stressed by Erectile dysfunction issues and had consulted Dr Moses Buba. He gave us a thorough consultation and the medicines were equally effective. In a couple of weeks there was big improvement in me and we are very pleased with the progress. We cannot thank Dr Moses Buba enough. Highly recommended. Email [email protected] WhatsApp +2349060529305. you can also reach on his Facebook page ; https://www.facebook.com/profile.php?id=61559577240930 / website page https://bubaherbalmiraclem.wixsite.com/website

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Helen
1/17/2025 01:00:44 pm

This is a serious thing to know when you are searching for a spell caster. I am Helen Spree from Ohio, USA. I only know that this spell caster did the work that I wanted and I am sharing this to tell others whom to contact when in time of need. Your contact with spell casters is to be taken and chosen carefully. Doctor Odunga is a very popular and known spell caster around the world. Many people have given testimonies about this man just the way I am now and it is a thing of Joy to have such a man as Doctor Odunga. I have been suffering from a sickness which has made me unable to get pregnant. My husband had kids from another woman and I had no issue. I have not even gotten pregnant for once because I had to take different herbal medicine trying to get pregnant. I met so many people who wanted to help me but they were all not able to solve my problem until I met DOCTOR ODUNGA. This man is a man worth giving testimonies. He solved my problem in just three days and I conceived after and I am now visibly pregnant. I am the most happiest person on this earth and i will refer you to meet Doctor Odunga at [email protected]

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James Turley
2/5/2025 01:27:27 pm

I was really stressed by Erectile dysfunction issues and had consulted Dr Moses Buba. He gave us a thorough consultation and the medicines were equally effective. In a couple of weeks there was big improvement in me and we are very pleased with the progress. We cannot thank Dr Moses Buba enough. Highly recommended.you can reach him via Email [email protected] WhatsApp +2349060529305. you can also reach on his Facebook page ; https://www.facebook.com/profile.php?id=61559577240930 / website page https://bubaherbalmiraclem.wixsite.com/website

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Mecheal Beck
3/30/2025 10:01:20 am

Late last month, I unintentionally fell for a cryptocurrency fraud. A Facebook imposter convinced me through a phishing scam of how I would make a sizable profit from a legitimate cryptocurrency company, which he claimed enabled traders to invest and make sizable profits. They took advantage of me and made off with $316,000 worth of cryptocurrency. As this was money I had worked so hard to obtain, I was shocked and uncomfortable. After reading favorable articles and internet reviews, I learned that “THE LION CYBER SECURITY COMPANY” is a licensed recovery firm that specializes in all types of hacking and cryptocurrency recovery. I immediately struck up a dialogue with the Experts, and I was able to get my money back. This is a token of appreciation to them, If you are a victim looking for an ethical hacker to help you get your money back, contact THE LION CYBER SECURITY COMPANY through any of the contact information listed below, Email; [email protected] WhatsApp; +1 (929) 660-4485

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Stephanie Sally
6/9/2025 08:44:06 am

Hello everyone, I am from Wembley, Britain. I want to write this testimony to tell others and thank Dr. Odunga for what he has done for me. The first 12 years of my marriage I had 5 miscarriages and I was called all sorts of names by my mother-in-law and this made my marriage life very hectic and a burden of sorrow. I contacted Dr. Odunga for help and I will say that he is a very strong and honest man and he indeed helped me solve my problem. I saw his email in a testimony and I contacted him, little did I know it would be the end of all my problems. After 2 days of contact, I received a fertility herb and he told me to use it. The herb worked and my husband even loved me more and bought me expensive things. One afternoon, I went to a nearby hospital and came back home with the positive result of my pregnancy and after 9 months I gave birth to a baby boy. Ever since I contacted Dr. Odunga, my story has been different. I have 3 children at present and I am very happy in my marriage. Please, contact him at [email protected] OR Whats App him +2348167159012 to help you too

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