₦airaland Forum

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Good one

The real JagaBAN....BUT WHERE IS DINO DINO

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Doerstech:
Good one OP

Thanks

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RIP Bro

IVF treatment journey can be a strange one for many people. Couples with fertility challenges prepares for IVF Treatment through different means. Sometimes your preparation can come through a group you belong to or through a friend or colleagues that have gone through that journey before.

More often than not your preparation can come through searching the web and asking the right questions. In this piece we have tried to highlight some of those questions we find necessary that a fertility patient ask their doctors.it’s good to arm yourself with knowledge so that you may make the best decisions, with your doctor, about your IVF options.

Below is some of the questions you need to ask your fertility doctor.

Read - http://fusionnestng.com/factors-to-consider-when-choosing-a-fertility-clinic

1) What’s your success rate?

Many factors (from treatment drugs, age of client and quality system in place at the fertility clinic) determines IVF success rate which is generally between 40 – 50% all round within the industry.

Some fertility clinic sticks to a particular age bracket to maintain their existing success rate. So you need to find out about their success rate and possible factors contributing to that.


2) VF/Fertility Treatment cost

Cost of IVF Treatment is expansive anywhere in the world, and this is determined by many factors which includes cost of treatment drugs among others.

Since everything about IVF treatment needs to be well thought out and planned with all options weighed accordingly, finding out the cost implications ahead of the time becomes an important factor in making your decision about this journey.

So ask this questions from your planned treatment clinic and also look around for those offering discounts through special treatment activities,



3)What types of treatment exist other than conventional IVF?

Yes other than IVF, intracytoplasmic Sperm Injection ( ICSI ), IUI, Surrogacy, Donor eggs and Embryos, Gamete intrafallopian tube ( GIFT ) and Zygote intrafallopian Transfer ( ZIFT ) etc among others.

So find out what treatment options are available to you and which one is more suitable to your own peculiar fertility needs.


4) If I have a previous myomectomy but the fibroid has grown back, must I have it remove again before my IVF treatment?

You may be advised to attempt an IVF cycle first before going for repeat surgery to have the fibroids removed.
It’s advisable that IVF treatment be commenced soon after uterine fibroids have been removed (myomectomy) that is, after recovery from surgery and menses resumes.


5) Will uterine fibroid affect the outcome of my treatment?
Many women are able to achieve pregnancy with co-existing uterine fibroid but this depends on the size and location of the fibroid’s.

Fibroids that encroach on the uterine cavity (submucous fibroids) interfere more with implantation of the embryo to the uterus leading to reduced chances of achieving pregnancy.

Some fibroids can be large enough to displace the uterine cavity or obscure the ovaries making it difficult for eggs to be retrieved for IVF. In such cases its advised that the fibroids be removed before going for IVF treatment to improve success


6) Can I use my own eggs/sperm?

This depends on tests/Investigation results. If ultrasound scan, hormone profile and semen analysis reflect that your own eggs /sperm can be used, then certainly.

But you don’t have to assume this, that’s why you need to find out and ask the right questions from the fertility specialist on ground.

7) Must/Should I use donor Eggs/Donor Sperm?

In most if not all fertility clinic’s the decision on what should and should not be used during the course of your treatment, is normally determined after a preliminary investigations/assessments/test on couples desiring the fruit of the womb.

if after assessment and investigations have been carried out and its observed that the use of donor gamete (donor eggs or donor sperm) is the option that will improve the chance of achieving pregnancy, the couple will be counseled on the options available.

Then they can make an informed decision and advice you accordingly.

So it’s part of your duty to find out why a certain has been suggested for you and other options available to you in case if you’re uncomfortable with such.


How will ovarian cysts affect my treatment?

There are different types of ovarian cysts and treatment is individualized according to specific clinical findings on Ultrasound scan and physical examination. Treatment options include:

Observation
Serial Ultrasound scan
Surgical intervention-cystectomy AND
Oophorectomy.

Functional Ovarian Cysts for example, are quite common and often do not need treatment and go on their own within about 8-12wks and do not usually affect response to IVF treatment. Your doctor will advise you on what type of ovarian cyst you have and the best option for you.

9) How many embryos will be transferred-?
It’s a normal practice to transfer multiple embryo’s during the cause of fertility treatment in many IVF treatment clinics
This normally depends on the number and quality of embryos available for transfer.

Many clinics may transfer 2 or 3 embryos to increase the chance of at least one embryo implanting in the uterus.
However, most clinics will not transfer more than 4 embryos because of the risks associated with multiple pregnancies.
More recently, Elective Single Embryo transfer, where only one embryo is transferred to the uterus and other embryos are frozen for future use is done.


10) Will endometrial polp interfere with my treatment chances?

Yes. Endometrial polyps are growths that occur in the inner lining of the uterus and can make it difficult for embryo implantation to occur.
These are one of the things that are usually discovered during assessment screening tests in most fertility clinics.

11) I have PCOS, what should I expect in the cause of my treatment

Women with PCOS (polycystic ovarian syndrome) are at risk of developing Ovarian Hyperstimulation syndrome (OHSS) while on IVF treatment. Symptoms of OHSS include rapid weight gain, vomiting, abdominal pain, abdominal swelling, and shortness of breath. Sever OHSS can be life threatening.

To avoid the risk of developing OHSS, a long treatment protocol may be used with IVF drugs tailored towards achieving a favorable IVF outcome.

12) have a low sperm count what options do you have for me
Options for low sperm count include IVF with ICSI (intracytoplasmic sperm injection) or if sever or no sperm at all then donor sperm.

13) Will it be a 2-Day or 5-Day Transfer?
Day 2,3,5 transfer-Ideal day for Embryo transfer varies from woman to woman and cycle to cycle. Growing embryos to Blastocyst stage (Day 5 Embryo) helps to identify embryos with better chances for implantation in the uterus .35-50% of all fertilized eggs will develop to Blastocyst stage.

Some patients however, may have only 1,2 or 3 embryos that develop normally after fertilization. In such cases, there may be no advantage to continuing to blastocyst stage. The human body may be the best place for these embryos to grow and develop after fertilization hence, a Day2 or Day3 transfer may be done. Your IVF clinic will guide you on the best day for embryo transfer for you. Its worth noting that even good quality blastocyst embryos do not always result in successful pregnancy.

For full details of this material and more visit http://fusionnestng.com/ivf-treatment-questions-to-ask-your-doctor or Call/WhatsAPP 08187929978

Nice one OP....comprehensive and detailed.

Village people

Webman007:
Thanks OP will check it out

You're welcome

Webman007:
The main issue for me is COST and the stress of failed treatment......

OP's in this buhari's time how do couples who genuinely needs IVF to carry their own babies deal with cost?

Are they alternative ways to fund the treatment here in Nigeria?

What of the fact that treatment is not even guaranteed...how do they deal with failed treatment and the lure to undergo another cycle of treatment at another cost?

Nice write up though

Couple of banks in Nigeria like Access Bank do have a package on financing fertility treatment

IVF Treatment is never guaranteed and most IVF Centers do explain this part to their clients to better prepare them for the challenge ahead

Nice Pictures

Doerstech:
Good info Op's
@Lalasticlala this may save a life

Thanks

Choosing a fertility clinic for your IVF/ART Treatment is an important decision to make, one not to be made in a hurry and is most times dependent on what your fertility needs are. It can be a somewhat tasking decision when there are a lot of clinics to choose from or claiming one feat to the other.

The 7 factors listed below are factors you need to consider in order to avoid the usual "Did i knows" and possible failures that accompanies most fertility treatment and choose the clinic that best fits your desired fertility needs.

1) Their Professional Team.
This is a very important factor. The whole fertility professional team should be taken into consideration, these includes the Doctors, Fertility Nurses, Embryologists and their customer service team etc.
Do they have a team that is trained in any of these areas of medicine?
• Obstetrics.
• Gynecology
• Reproductive endocrinology
• Infertility.
etc

The specialists should be trained, board legible although not absolutely important but if possible, they should be certified also in the sub-specialty of reproduction and fertility. That will give you a bit of certainty that you are in the hands of professionals that knows the onions of their job.

It’s also important to take out a little time and research individual team members of your intended clinic, so you can be sure of their pedigree which will in turn impact on your confidence to entrust your fertility treatment in their hands.


2) Customer Service.
Following on the heels of the clinic team, is their customer service.
• How do they attend to their clients?
• Any proper follow up during and after treatment be it success or failure?

A lot goes into fertility treatment both before and after that involves lots of emotion and requires a professional touch.You need to be sure from the word go that they are professionals from the very onset both pre and post treatment period.

3) Accessibility.
Is the clinic accessible? both in terms of its closeness to you and your ability to access any member of their team that matters to your treatment.

Are you able to reach the people that matters in your treatment via phone, WhatsApp, email and their social media channels?
How quickly do they respond to your questions?

Personally, visiting the clinic gives you more information that is not available online or on paper, and also allows you interact with staff members to have an idea of how they treat their clients.

The nearness of the clinic to you, is very important due to the fragility of your treatment, you don't need a clinic that's too far from your place of abode.

4) What does treatment entail.
Fertility treatment involves the use of different procedures and what is called protocols. So, you need to find out which procedures are available to you in the clinic you are considering and also the range of infertility remedies.

You also need to know the kind of tests that are done there and the kind of drugs been used.

Fertility treatment can involve use of strong hormonal drugs and can also be an emotional period. Consider how far you are willing to go with the procedure.

At the end of the day most of the details above requires you to conduct a meticulous research on your own on all that is involve in the entire IVF treatment process.

This is absolutely necessary, but being at the right clinic with the right mix of professionals can make up for that.


Read More About IVF and IVF Treatment Processes Here - http://fusionnestng.com/invitro-ferilizationivf


5) What is the Cost.
IVF treatment can be quite expansive and treatment might be done more than once before success is recorded.
So, Knowing the cost of treatment ahead of time is important so you put the whole picture together and weigh your option.


6) What is their success rate?
IVF treatment success rate is an important factor in choosing the right fertility clinic for your fertility needs, but this is a difficult factor as most clinic will inflate their success rate just as so to look successful.

Other clinics do also decline clients of a certain age so as to maintain the success rate they have based on a particular age group they accept for treatment.

We all known that IVF is not 100% it ranges between 40-60% and its dependent on many factors. But still every good Fertility clinic needs a semblance of result which shows there's one or two things that particular center is doing right.

So, It is important you do your own independent investigation as to ascertain the success rate of the clinic you intend to undergo your fertility treatment, and also try to know the underlining factors that drives the success rate.

7) Other Factors:
Are there age limit considerations at the clinic? some clinic doesn’t accept a certain age bracket so as to maintain their success percentage.

In conclusion, these are but few factors you need to consider in your search for a Fertility clinic.
it’s very important you do your homework properly before registering to undertake a Fertility treatment at any center as the long can be tidious,long and involves your whole being.

For full details of this post and more please visit: http://fusionnestng.com/factors-to-consider-when-choosing-a-fertility-clinic
or cal/WhatsAPP: +234 818 792 9978

rip sir