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30Jul, 2017

Recurrent IVF failure

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More evidence is emerging that transferring frozen embryos rather than fresh embryos can result in higher chances of success with IVF or ICSI treatment. This strategy is sometimes referred to as the “freeze all” or “deferred embryo transfer” approach. The groups of patients are most likely to benefit from this approach: Patients who have had repeated IVF or recurrent implantation failure Patients with polycystic ovary syndrome (PCOS) Patients where an agonist trigger is used Patients where blastocysts develop more slowly Patients in whom progesterone levels rise in advance of ovulation […]
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29Nov, 2016

Add on treatments for fertility and IVF

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A research study published  in the BMJ and also the subject of a recent BBC Panorama programme claims that some of the add-on treatments offered to Fertility patients are of no benefit, can be harmful and expensive. We would agree with these assertions to an extent, as well as support the fact that much more research needs to be done to elucidate the benefits of many add-on treatments offered to patients with Fertility problems. In day-to-day practice however, both patients and healthcare professionals want to do their best to enhance […]
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31Oct, 2016

Fertility, more than just my career

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Its little wonder I ended up as a fertility doctor, when I look back I suppose it was an obvious choice. I decided on a career as a doctor very early. Probably aged 5 whilst trying to intubate my sister with a snorkel on holiday! At medical school I was interested in women’s health from the start and particularly, the amazing anatomical and physical changes that occur in pregnancy. As a postgraduate I chose to train in the field of Obstetrics and Gynaecology. Coupled with my professional interest, I have […]
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5Sep, 2015

Understanding some of the basic tests for fertility problems

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  Ovulation problems: The term ovulation implies release of an egg from the egg sac (follicle) of the ovary. This usually occurs mid-cycle i.e. day 14 of a 28 day cycle, but the day of ovulation can vary from month to month. Generally, women who have regular periods are ovulating, however, this becomes more dysfunctional and irregular as a woman gets older. Eggs are released when they are mature and this is dependent on the size of the follicle, which grows from a few millimeters at the start of a […]
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27Aug, 2015

When should one seek help for fertility problems?

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This would vary depending on individual circumstances. Generally if a couple have been trying to conceive for more than a year it is likely that there is a problem contributing to their difficulties, nevertheless 50% of couples who haven’t conceived after one year will conceive if they wait another year. It is for this reason, that the UK’s National Institute for clinical excellence (NICE) recommends waiting 2 years before undergoing treatment for fertility problems. The problem with this approach, is that for older women, particularly those women 40 years of […]
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27Aug, 2015

How common are fertility problems?

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About 1 in 6 couples will seek help for fertility problems (Hull 1985), however it is also known that 1 in 4 couples will experience problems getting pregnant making infertility the most common gynaecological symptom in women of child bearing age. Fertility is a matter of chance and compared to most other mammals, the human is quite inefficient and not that fertile. Humans on average have a 1 in 5 (20%) chance of conceiving each “cycle” (Evers 2002) compared to rabbits that have >90% chance! Most couples who seek help […]
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16Aug, 2015

How does pregnancy occur?

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There are three main ingredients required for pregnancy to occur. These are   1)  sperm, 2)  eggs and 3) the Fallopian tubes with uterus. When there is a problem with the production and or function of these, difficulties with conceiving can occur. Conception or pregnancy occurs when the sperm fertilizes the egg i.e. The sperm enters the egg and fuses with it to form an embryo in the Fallopian tube. This embryo travels down the tube to implant in the womb, finally growing into a baby. Whilst it takes only one […]
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