For IVF, what are the considerations to finding the best doctor/clinic for me?

Doctor's Answers 1

As infertility is a very sensitive topic, your priority should be to choose a gynaecologist which you can really relate to and feel comfortable with as you will need to fully trust that this gynaecologist will be supporting you during the whole IVF process and will have your best interest at heart. For some patients, this trust and relationship may take a few visits to develop while for others they just hit it off straight away.

The experience and reputation of the gynaecologist may play a part in helping women decide just as the staff professionalism and clinic environment are also important. But if the clinic is very busy and the staff and gynaecologist always seem very rushed and are not able to answer all your questions and concerns satisfactorily, then this maybe is not be the gynaecologist for you.

Patients who go through IVF tend to have a bit of anxiety and apprehension. It is up to the gynaecologist and staff to address these so that you should never feel that you are just another "number" or ordinary patient in the clinic. After all, IVF treatments are individualized and there is no one size fit all.

Pregnancy Success Rate

Another consideration is the pregnancy success rate that the gynaecologist quotes. As a whole, the average success rate is 25% but this varies with the age of the woman.

For example as a guide:

  1. 30-35% < 35 yrs old
  2. 25% 35-37 yrs old
  3. 15-20% 38-40 yrs old
  4. 8-10% 40-44 yrs old
  5. and 1% or less > 45 yrs old

Patients should be weary or think twice before choosing fertility clinics or the gynaecologist who seem to quote success rates which are significantly better than the average though. This may not reflect their actual results or they may be selective treating younger "infertile" patients rather than treating all types of infertility patients as a whole.

Finally, IVF is not cheap so patients should be prepared for this. If a couple is not financially able to pay for IVF treatment, there may be other cheaper alternative fertility treatments that the gynaecologist can suggest provided you meet the selection criteria.

Similar Questions

How will I know if implantation has failed during the IVF cycle?

It is not unusual to have some episodes of vaginal spotting when using the progestogen(Crinone) inserts. They can dry the vaginal skin and cause superficial abrasions which bleed when the pessary is inserted. In addition, some centres also use low-dose aspirin as a supplementary drug to enhance blood flow to the endometrium. These have the effect of thinning the blood and cause minor bleeds which seem to be worse then they actually are. The vaginal bleeds are not necessarily a sign of failed implantation.

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Answered By

Dr Paul Tseng

Gynaecologist

Should I unblock my fallopian tube before IVF?

Sorry to hear about your previous history of ectopic pregnancies. This has some relevance since the conditions that lead to an increased risk for ectopic pregnancy are likely to affect both tubes in the pelvis, rather than just one side (since both tubes are connected to the uterus within the pelvis). Some of these conditions include infection, inflammation due to endometriosis, or could be related to surgery. Surgery to correct the blockage has been available for many years. This consists of microsurgery which can be performed through keyhole or laparoscopic surgery.

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