Premature luteinization (“premature LH surge”) occurs when prior to
the planned initiation of the hCG trigger, a progressive rise in LH,
irreversibly compromises follicle and egg development and maturation.
It is not a sporadic isolated event. It comes as a culmination of a
series ovarian events, occurring mostly in susceptible women (i.e.
usually older women and those with diminished ovarian reserve. It is
more likely to occur when the protocol used for o…

The decision on how many embryos to transfer confronts most IVF
physicians and their IVF patients. It is driven by a goal that both
share in common, namely that of optimizing the chance of IVF treatment
resulting in pregnancy. Clearly, the more embryos transferred, the
greater the likelihood of success. However, there is overwhelming
evidence to show that the more embryos transferred to the mother’s
uterus, the greater the risk of a multiple pregnancy re…

The majority of IVF patients intuitively recognize that the more
embryos transferred the greater will be the chance of their getting
pregnant. However in their preoccupation with conceiving as quickly as
possible they often tend to ignore the serious and sometimes
life-endangering risks to both mothers and children associated with of
multiple pregnancies (particularly with triplet pregnancies of
greater) that are far more likely to occur when multiple embr…