There is little doubt that stress and emotional lability plays a role in the normal physiological/hormonal regulation of the menstrual cycle. After all, Eskimos often stop ovulating and menstruating during long dark winters, young women confronted by a major emotional … Read more
One commonly hears patients undergoing IVF report that they had too many “immature eggs”, and inferring that had more time been allotted to ovarian stimulation and the administration of the “trigger shot been delayed by a day or more, this … Read more
There is little doubt that age is a very important determinant of IVF outcome. This is mainly because a woman’s eggs undergo deterioration in quality as her age advances to and beyond her mid 30’s. Remember, eggs have been in … Read more
The numerical chromosomal configuration of a cell is referred to as its karyotype or ploidy. A cell with an irregular chromosome number is referred to as aneuploid while one with a normal karyotype, as euploid. It is predominantly (but not … Read more
[CASE REPORT]
This is a re-Post for purposes of follow-up (see post-script at the end).
Background: Mary, 30 years of age and married to a fertile male partner, presented to me about four years ago with primary amenorrhea (i.e. … Read more
Because of the emotional, physical, and financial toll exacted by IVF, it is preferable that no one undertake a one‑shot attempt. If a couple can only afford one treatment cycle, IVF is probably not the right course of action. After … Read more
Polycystic ovary syndrome (PCOS) is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide. Women with PCOS may have enlarged ovaries that contain multiple small collections of fluid (subcapsular microcysts) that … Read more
Many infertile patients, are erroneously advised by their physicians to first try IUI several times before resorting to IVF. Additionally many misguided insurance providers often, purely for economic reasons, require that infertile female enrollees who have at least 1 patent … Read more
It is primarily the egg (rather than the sperm) that determines the chromosomal integrity (karyotype) of the embryo, the most important determinant of egg/embryo competency. A “competent” egg is therefore one that has a normal karyotype and has the … Read more
Polycystic ovary syndrome (PCOS) is a common hormonal system disorder among women affecting between 5% and 10% of women of reproductive age worldwide. Women with PCOS may have enlarged ovaries that contain multiple small collections of fluid (subcapsular microcysts) that … Read more
The Number of Embryos/Blastocysts Transferred & PGT: Effect on IVF Outcome:
Cyclical Estrogen Therapy Prior to Embryo Transfer, in Post-Menopausal Women and those with Prolonged Hypothalamic Amenorrhea can Reduce the Chance of Failed IVF and Miscarriage
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