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Dr Neelu Koura

Dr Neelu Thapar Koura M.S.(Obstetrics & Gynae) Laproendoscopic Surgeon Infertility Specialist

IVF

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For Whom :- For patients with following reasons-
  •  More than 5 Yrs. Of infertility
  •  Failed IUI’s
  •  Blocked Tubes
  •  Endometriosis
  •  PCOD-not conceived after 4-6 cycles of OI+IVI
  •  Advanced maternal age/ Menopause
  •  Suboptimal semen parameters.
Failed IVF/ICSI Cycles :-

Success consists of going from failure to failure without loss of enthusiasm.

–    Winston Churchill

 Like all achievements in life are built on failures, please be prepared to accept that the pregnancy success rate with IVF/ICSI are 40-50% per cycle and net live birth rate is 37% per cycle. This means 63% of treatments would fail. Common Causes of failure are:-
  • Suboptimal Sperm Quality
  • Suboptimal Eggs Quality
  • Thin Lining
  • Hormonal imbalance created by the injections given to produce good eggs, which might put the uterus out of phase for receiving Embryos.
Chances of conception are 37% per cycle. This implies that even if all goes well failure might be unexplained and implies the necessity of more cycles.
Measures suggested for failed IVF’s :-
  • Repeat cycle with change of dosage or protocol
  • Embryo freezing
  • Higher dose of injection to get more eggs and Embryos
  • Use of Endometrial scratching
  • Use of donor eggs
  • Use of donor sperm
  • Use of donor embryos

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