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Treatments Questions
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IVF Process
Hi Brian, we are about to embark on IVF. We have a son who is two and since his birth I have had three miscarriages and two ectopic pregnancies, one of which was treated with a right sided salpingectomy and one with methotrexate. We have been trying now for 18 months. I have had scans and have found no reason for infertility. I came to the clinic to see about egg sharing but AMH was 8.2 so we are ...
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Treatment for low sperm count?
We are a couple aged 40 (her) with regular menstrual cycle and 37 (him) with low sperm count as a result of an undescended testicle. Are there treatments we can consider other than IVF/ICSI?
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Four IVF cycles, is there any hope?
Hi Brian, I have had 4 IVF treatments, all embroys have reached blastocyst but none have implanted. Please can you give me any hope?
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Egg Retrieval
I will be starting the IVF procedure after my holiday in July and am a little nervous of the egg retrieval process under only a mild sedation. Is general anaesthetic an alternative option to the mild sedation? Thanks
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IVF with an emryo donor
I am 41 years old and I like to know if I Can do IVF with embryo of a donor? Thanks
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Fetility Treatment Options
Hello, I'm a 33 year old woman and my partner is 28. My blood tests and ultrasound scans are normal. My partner does however have a sperm count <2 million. What are our treatment options? Thanks
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Frozen Embryo replacement
Do I need to pay for both of the below: Replacement of frozen embryos (blood monitoring) - £1060.00 and Replacement of frozen embryos (using kit) - £980.00?
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Inducing Ovulation
I have had many cycles of clomid, the doctors did not scan me to see if I ovulated but I took ovulation test and got positive results for ovulation but I never got pregnant, I know I cant have more clomid but would I be able to have induction of ovulation at your clinic by any other type of medicine I have pcos and ovulate late in the month on my own, and would iui be more successful? Would I stil...
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ICSI treatment
Hi doctor, I would like to know that only once the sperm is transferred into the egg of the female in the whole procedure... If it doesn't go positive, would we have to again do the whole procedure and pay again?
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iui success
Is it true that 'washed' sperm used during iui doesn't survive as long in the female reproductive tract as 'unwashed' sperm during normal conception methods? If so, how is the timing of iui determind when using ovulation predictor kits once a day and no ovarian stimulation/monitoring with scans. Thank you
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OCPD and fertility treatments?
I am a 36 year old mother of a 13 year old. I have OCPD, hence very irregular periods. Clomid doesn't work on me, only some injections which I took in India where they injected me to ovulate and scanned every day to check ovulation. Would you be able to provide the same fertility treatment and how much would it cost please?
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Low AMH and normal FSH?
I'm 30 and have had my AMH tested which was 5.3. Have been trying to conceive for 2 and a half years. My FSH was 6. All other tests were normal. Is there any chance of conceiving naturally/using my own eggs or what other treatment options would you recommend?
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Low AMH?
I have been told I am in the lowest band of fertility with a result of 1.5. Which option of treatment would you recommend as I am 35 and single? Should I expect to need drugs to stimulte ovaries?
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IUI and husband's sperm?
I'm going to have an IUI procedure done next week, the problem my husband has is antibodies in his sperm. Do you think an IUI will be successful? Many thanks
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Trying with PCOS
I have been trying to get pregnant for 2 years now and the only result I have had was a miscarriage. I am 26 and already have a three year old daughter which I conceived with no medication. I have now been taking clomid for 2 months. The first month the clomid made my period on time but this month it is late and no pregnancy. To top it off my husband has started travelling for two weeks every mo...
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Investigation
Can we have fertility investigations at your clinic? We have had bloods and semenanalysis with the GP but would need HSG or HyCoSy next.
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I have undergone IUI 2 times but unsuccessful
I am undergoing treatment for infertility. All parameters are normal only PCOD is reported. Twice I have undergone IUI, this month is third time. Now my doctor is suggesting that this time I should undergo IUI. If it fails then she will do a laproscopy and after that IVF. Should I try more through IUI or what else should I do?
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IVF and ICSI
Hello sir, could you please tell me how long this treatment will take? Thanks
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Cyclogest
Please professor, which route is better for cyclogest absorption post ET?
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Embryo glue?
Hi, I have been researching on the net regarding embryo glue and wanted to know if there are any risk factors. Please can you send me some or point me in the write direction as am aware you can't believe everything on the Internet. Thank you.
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Requirements for ICSI treatment
I know that some places have specific requirements that you must meet in order to qualify for treatment. These can include age, weight, and BMI, what are your requirements?
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How old to have IVF?
If I want IVF and want to pay, can I have it at any age?
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Elective Single Embryo Transfer
I will be almost 37 when we start our first round of IVF and I'm wondering about what would be best in terms of the number of embryos transferred. I understand all the risks associated with multiples but I also need to weigh that up against the cost implications. If we are fortunate enough to get embryos to blastocyst stage could you tell me what the success rate is for both single and double embr...
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Frozen Embryo
Hi. Can you please tell me how the clinic freeze leftover embryos? If you have 3 embryos remaining, are they frozen separately so they can be used for three separate FETs? Thank you
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Infertility investigation
Dear Dr Brian, thank you very much for your help. Could you please explain for me what is AMH OR Anti Mullerian Hormne. Is it possible to have it done under my GP care or only in private clinic? Many Thanks
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Does Buserelin work for everyone?
I'm concerned that the buserelin injections don't work on me. I started the injections on the 8th November, had a period as normal on the 17th first blood test 22nd then it all went down hill from there every time I went back my levels wernt low enough. I had to stop the injections on the 1st December because of the holidays but my concern is if I start them again in the New Year will they work? W...
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Weight limit for treatment?
I was wondering if you have a weight limit or BMI limit to having fertility treatment paying privately or via NHS funding?
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Fertility treatment - gonadotrophin injection with clomid?
I'm 40 years, have two kids, the youngest one is 4 years. I have been trying to get pregnant for the last two years. My tubes are open. My doctor gave me clomophine tablets100mg but there was no response. Then he put me on 150mg which help me to ovulate in two sequence months, then on the third month I failed to ovulate with very low progesterone level. Is it possible for me to have gonadotrophin ...
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CGS - do you provide it?
Is the new treatment CGH available at MFS and is it available to everyone?
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Getting help in Northern Ireland
I am 42 years of age and we have been trying to conceive for more than two years. I live in Northern Ireland. Can you please recommend an IVF private specialist? Thanks, Julie
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Chance of conceiving through IUI?
I am 38 and have had three failed IUI cycles. I ovulate regularly and all my initial pre treatment scans and tests are fine. I have been advised to wait for a laproscopy and then try again with Clomide. The only problem is that in waiting for the laproscopy I will have to miss three cycles. When I look at the odds of conceiving through IUI they are so low that I can't help but feel it's best to ke...
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IUI conception rates
Why are the odds of conceiving - with donor sperm - through IUI so low? It seems surprising when the timing is done to such perfection.
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IVF failed... why?
Hi, I have had IVF on the NHS but it failed. They said everything was fine when we had all investigations done so why do u think my embryo did not take?
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Why does a FSH level of 8.0 mean IUI is not the best form of treatment?
My wife has just undergone an IUI process through the NHS despite having a 2nd day FSH level of 8.0. I use the term despite due to the fact we have been told that we will be removed from the IUI process due to this FSH level and will have to undergo IVF. Why is this the case, and if the FSH level is such that IUI is not successful why did we have to go through the IUI if they knew it wouldn't be s...
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Low AMH (0.5) - Diminished Ovarian Reserves
Hi, I have an FSH of anything from 3.5 to 13 with an AMH of 0.5. I am 31 yrs old and have regular periods (28 day cycle). My husband's sperm is all normal. On my last IVF cycle - Short Antagonish 450iu Menopur (NHS Clinic) I managed to grow 3 follicles and at Egg collection got 2 mature eggs which didnt fertilise due to thick outer egg shell (the sperm did bond though). NHS have said they will d...
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IVF following sterilisation
I am a 32 year female sterilised at age 27. I would dearly like another child would IVF be possible?
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ICSI cycles and early miscarriages
I have had 3 fresh ICSI cycles which have resulted in early miscarriages what could be the problem and how and where can it be investigated?
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One failed ICSI attempt
A family friend who is 38, has had one failed ICSI attempt. her husband has sperm failure. She is asking for help and advice. Thank you
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Support after ET
Having now had 2 fresh ICSI long protocol cycles this year, both ending with no pregnancy, I was wondering about the cyclogest support after ET. On both occassions, I have started bleeding 9 days after embryo transfer. The first cycle was a Day 3 transfer, the second cycle I had 2 blastocyst embryos transferred. I will be starting my third ICSI at MFS in the next few months but I am worried that ...
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IVF Treatment after sterilisation
Hello, I am 37yrs old and was sterilised when I was 23. I have 2 older daughters from a previous relationship but I have been in a loving relationship for the last 3 years with a wonderful man but he is 10 yrs older than me. We would like to have a baby together. Can you please help me on which course of fertility would be best for us?
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Natural FET transfer
I have 2 frozen embryos (1 x8B and 1 x6C grade) which I would like to have transferred, but I'm concerned they don't have a chance due to early spotting in my cycle. The FET would be natural, as I had a reaction to the Buserelin. My cycle is around 26-28 days long, I ovulate on day 15 (blood tests confirm this) so I would potentially have the embryo transferred on day 19, my concern is I usually s...
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IVF following miscarriage
I have had three ICSI treatments on the NHS, the last of which was successful in July. Unfortunately I have just suffered a miscarriage at 6+5. I have heard that treatment soon after the miscarriage can be more successful as the body has been pregnant recently. Is this the case or should I wait for my body to recover?
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Living abroad and seeking treatment in the UK
I am living in Pakistan, how can I consult with the fertility experts at MFS and how can I take appointment for my treatment in the UK?
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Vasectomy Reversal
My husband had a vasectomy 6 years ago. After having 6 children, what are the chances of having it reversed and what are the procedures? I'm 34 and he's 38.
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Transferral of frozen embryos?
I have a beautiful daughter born through donor insemination with 2 more frozen embryos available. I had the treatment down south before I moved to the Lake District. Can frozen embryos be transferred to Manchester Fertility Services so I can have further treatment up here and if so, will the transfer affect the chance of success? Thank you
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Failure of ICSI
I have had the treatment of ICSI three times with no success. Is there a chance of a fourth attempt or was the third treatment my last opportunity?
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IVF Straight After Clomid?
How long would I have to wait after a period of taking clomid before I can start IVF? I have PCOS and my specialist seemed to think I'd need a break so that I wouldn't be at risk of OHSS.
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IUI age group?
I am a single woman working full time and I have been searching for information reguarding the age group for IUI. I found that the maximum age is up to 50 years but I can't seem to find a minimum age for the treatment, does this vary from clinic to clinic? I am 23 at the moment and I am looking into IUI with a sperm donor.
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Natural and medicated frozen embryo transfer
Is there any difference in success rates between a natural and medicated frozen embryo transfer?
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IUI
Hi Brian, i am 40 years old and my partner is 31, I have a daughter who is 23. M partner doesn't have any children. We have been trying to get pregnant for 3 years. My partner has above average sperm. And I have had all the blood tests, smears, swabs, and ultrasounds, and a transvaginal scan. Everything came back excellent. I was told my follicles where very active, I had no blockages or lesions. ...
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Chances of conceiving again through ICSI
Hi I have had a successful ICSI pregnancy where I got lucky the third time and there is no problem with me just my husband who has a very low sperm count. I wanted to know what my chances were of conceiving through ICSI again would be. We're both aged 24.
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NK Cells
What are your thoughts on NK Cell testing do you think it would alter IVF outcome?
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Blastocyst freezing
How successful is blastocyst freezing, can the success rate drop when thawed?
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Family balancing
I have 3 daughters before and 5 c sections. I am looking for boy by PGD.My age 38. I am from pakistan. Do you offer IVF PGD ?
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ICSI vs IVF
I'm confused about ICSI vs IVF. You say "ICSI is used when the fertility problem is a result of sperm disorders. These can include a low sperm count", but then go on to say "ICSI is recommended for patients who have had previously had failed fertilisation with IVF". Is there a reason ICSI is not used as a first treatment? Is there a particular low sperm count threshold where ICSI would be used fir...
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What's best?
My partner had a vasectomy seven years ago, before we got together. I'm 21 and we are desperate to start our family. The treatment I have been looking into is artificial insemination but I'm wondering what the difference is between that and IUI, and what would be ideal for us.
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Best infertility treatment?
What’s the best infertility treatment for us? Will I need IVF?
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What is ICSI?
I know what IVF is, but what is ICSI?
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Treatments
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