Posts Tagged ‘IVF – in vitro fertilisation’

Is it true that the second IVF is supposed to be more likely to be successful than the first, and if so, why?

Monday, May 4th, 2009

Statistically the likelihood of a good outcome during the 2nd or 3rd attempt is higher. This is due to the fact that so much information, that were previously not known, is now available and can be used to optimize and tweak the next attempt.

- Answers kindly provided by Dr. Stephan Volschenk -

If I have an AMH of 0.6 and FSH of 5.5, stage 3 endo removed in AUgust last year and 30 years old, would IVF be my only option? We’ve been doing IUI with donor sperm (due to DH having azoospermia)but we have been unlucky 8 times

Monday, May 4th, 2009

With an AMH of 0.6, a history of stage 3 endometriosis and failed inseminations with good quality donor sperm, IVF is without a doubt the next step sooner rather than later.

- Answers kindly provided by Dr. Stephan Volschenk -

Please recommend supplementation for women in general preparing for IVF.

Friday, December 12th, 2008

Refer to answer to question 2.

- Week 27 answers kindly provided by Dr. Stephan Volschenk -

I exercise with the assistance of a trainer 3 x weekly. At which point should I stop training before/during an IVF? And should I stop altogether or only decrease intensity? Obviously the outcome of the IVF takes priority over maintaining fitness. Does exercise have any benefit during the run-up/stimulation phase of an IVF or is it safer to stop completely at the beginning of a cycle?

Thursday, September 18th, 2008

If you are fit and train regularly there is no reason to stop either before, during or after an IVF/ICSI attempt. A healthy body will ultimately house a healthy pregnancy. The issue is the amount of trainings – remember, anything in excess is detrimental.

- Week 21 answers kindly provided by Dr. Stephan Volschenk -


A new study dated july 2008 has apparently proven that acupuncture does not boost IVF success rates. Is this true?

Wednesday, September 3rd, 2008

I think the jury is out on this issue: Acupuncture is beneficial in IVF/ICSI cycles in so far as having the acupuncture on the day before and the day of  and possibly the day after embryo transfer. For the rest of the time there are no studies to support that it is either beneficial or detrimental to the whole process of ART.

- Week 20 answers kindly provided by Dr. Stephan Volschenk -

You have indicated before that the preferred waiting period between IVF cycles is 60-90 days. What are the likely risks when failing to allow the appropriate waiting period in between IVFs? How does this affect outcome? Less eggs retrieved? Poor stimulation response? Poorer egg quality?

Monday, August 18th, 2008

There are no risks in not waiting the desired time interval. It is all about physiology and common sense. It takes the ovary about 70-80 days to recruit a new cohort of primary follicles and it takes the body 6 weeks to return to normal.

- Week 19 answers kindly provided by Dr. Stephan Volschenk -

If my follices did not grow more than 11,3 on day 9 after using 20ml 0f lucrin for 5 days and 5ml of lucrin for 9days as well as 225 gonal f for 9 days. what is my changes that IVF will actually work for me. Only six eggs developed?

Monday, August 18th, 2008

It all depends on how long the follicles took to get to a mean diameter of 17-18mm. If they reached 17-18mm diameter within 11-12 days, the chance that the cycle might work is always there and the percentage success will depend on your age. However, if they drag their heels and do not progress as planned by enlarging by at least 2mm every 24 hours, then the chances of the cycle working is pretty slim regardless of age. One then has to determine why this has happened, rectify the cause and try again, possibly with a different protocol.

- Week 19 answers kindly provided by Dr. Stephan Volschenk -

How soon after a chemical pregnancy detected at 4 weeks, and failing two days later, can one attempt another IVF cycle, and ideally, how soon after a failed IVF cycle can one attempt another one?

Monday, July 21st, 2008

The ideal time is 60 – 90 days.

- Week 18 answers kindly provided by Dr. Stephan Volschenk -

What is the chance of successful IUI if total count on Full SA was 10 Mil and 4% morphology and 55 % motility? Is it worth pursuing or should we move onto IVF immediately?

Monday, July 21st, 2008

Total count on full SA being 10 mil/ml is on the low side. One would therefore be inclined to move onto IVF/ICSI sooner rather than later.

- Week 18 answers kindly provided by Dr. Stephan Volschenk -

For PCOS individuals in specific, might there not be benefit in recruiting follicles again as soon as possible after the previous IVF. Seeing that a “fresher” cohort of antral follicles are recruited as opposed to follicles that have been exposed for a longer period (say a 3 month down regulated waiting period between IVF cycles) to a hostile ovarian environment. Or would the antrals be depleted from the previous cycle? Not sure how the supply/recruitment of antrals work? Will there always be more to recruit at any one time, or can they be depleted (excluding obviously cases of ovarian failure)?

Saturday, June 28th, 2008

Unfortunately it is not that simple, even for a PCO. The difference between a PCO ovary and a non PCO ovary is the fact that the PCO ovary has many many more pre antral follicles than a non PCO ovary. When you stimulate the PCO ovary, you recruit most of that follicles, if not all, in some way or another – hence the risk of OHSS. At the end of the attempt the ovary has to go essentially through the same process as the non PCO ovary. Therefore it ends up being the same for both PCO and non PCO.

- Week 17 answers kindly provided by Dr. Stephan Volschenk -


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