The question
Dear Dr Sher,
I have listened with interest to your interviews on The Egg Whisperer and I hope you won’t mind my reaching out.
I am a 46 year old woman from London, UK. I began IVF treatment with my partner last autumn (I was 45) having tried unsuccessfully to conceive naturally for two years. Aged 42 my family doctor advised me to take some vitamins and try a couple of times a week, which I now realise was probably not the best advice...
We began fertility tests when I was 44.
I had AFC 5 and AMH of 2pmol/L consistent with my age, but have regular menstrual cycle and am fit and well.
To get to the point, my first IVF cycle resulted in 6 eggs collected and a Day 5 blastocyst which was genetically tested, and came back complex abnormal. (+2, +8, -13, -14, +16, del(18)(q11.1-qter)
We now have to make the very difficult decision to discard this embryo. Our following two cycles did not result in an embryo and we have now ended treatment due to financial constraints.
Your expertise in the genetic testing field has really resonated with me through the podcasts, and I would just like to know your thoughts on whether discarding this embryo really is the only option, I can send more details or the test results should this be relevant.
I am under no illusion and understand completely that at my age, a complex abnormal embryo is very unlikely to implant, let alone result in successful pregnancy. The clinic will not allow me to use it in any case. However, I have read some conflicting information online and so if you have the time, or indeed incase it can help other women of my age, it would be really good to know some statistics or be referred to some studies so I can put my mind at rest if we have reached the end of this journey.
Many thanks for reading and all best wishes,
Belle
Answer from Dr. Geoffrey Sher
There is no point in holding on to a "complex aneuploid embryo". You should discard it , in my opinion.
There can be a very rapid decline in AFC at your age . This is because of inevitable decline in ovarian reserve and in egg quality. If you wish, you could call my assistant Patti Converse at 702-533-2691 and set up an online consultation with me to discuss
Geoff Sher
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Herewith are online links to 2 E-books recently co-authored with my partner at SFS-NY (Drew Tortoriello MD)....... for your reading pleasure:
- From In Vitro Fertilization to Family: A Journey with Sher Fertility Solutions (SFS) ; http://sherfertilitysolutions.com/sher-fertility-solutions-ebook.pdf
- Recurrent Pregnancy Loss and Unexplained IVF Failure: The Immunologic Link ;https://drive.google.com/file/d/1iYKz-EkAjMqwMa1ZcufIloRdxnAfDH8L/view
I invite you to visit my very recently launched “Podcast”, “HAVE A BABY” on RUMBLE; https://rumble.com/c/c-3304480
If you are interested in having an online consultation with me, please contact my assistant, Patti Converse at 702-533-2691 or email her at concierge@sherivf.com\
General information only, not medical advice for your own situation. For that, book a consultation.