When you should consider undergoing IVF treatment

Hello. Dr. Michael DiMattina, medical director at Dominion Fertility. The question today is when you should consider undergoing IVF treatment.

When should you consider undergoing IVF treatment? 

Everyone knows that IVF is the most powerful, most effective treatment that we have for treating infertility. But when should you consider going through IVF? First of all, it is most important that a thorough infertility evaluation be performed, where the sperm is checked, the tubes are checked, the hormones are evaluated, and a pelvic sonogram is performed. This can all be performed within 3-4 weeks, and then you know why the couple is having difficulty getting pregnant and you can address the treatments appropriately. When to do IVF? Well, patients who have failed simpler, less effective treatments, such as Clomid IUI or letrozole IUI, after three or four of those treatments should be strongly considering undergoing treatment using IVF.

When to do IVF? Well, patients who have failed simpler, less effective treatments, such as Clomid IUI or letrozole IUI, after three or four of those treatments should be strongly considering undergoing treatment using IVF. 

Male factor infertility: 40-50% of the cases that I see with infertility represent male factor infertility. Moderate to severe male factor has to be treated through IVF. The vast majority of those people don’t get pregnant when they don’t use IVF. If the tubes are blocked, almost all those people have to go through IVF in order to achieve pregnancy, as do those with unexplained infertility, where everything seems to be working well. Importantly, patients over the age of 35 should strongly consider IVF because it is such a powerful treatment for infertility. At Dominion Fertility, when we replace one embryo back into an infertile couple and that embryo is genetically normal, our pregnancy rate, implantation rate, for that one embryo is usually 65% or greater. So, IVF is a very powerful treatment for infertility and should be strongly considered. So, heads up, when to consider IVF, consider what I just told you.

Have a great day.

Michael DiMattina, Dominion Fertility

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