Search Results for: immunologic implantation dysfunction

Endometriosis and IVF

 
When women with infertility due to endometriosis seek treatment, they
are often advised to first try ovarian stimulation (ovulation
Induction) with intrauterine insemination (IUI). As with essentially
all reasons for infertility, IVF offers a much higher chance of
success than proceeding with multiple IUI cycles in endometriosis
patients. This is not to suggest that all women with
infertility-related endometriosis should automatically resort to IVF.
Quite to the contrary; in spi…

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Why did IVF fail?

 

Whenever a patient fails to achieve a viable pregnancy following
embryo transfer (ET), the first question asked is “Why?”

Was it simply due to bad luck? How likely is the failure to recur in
future attempts and what can be done differently to avoid it happening
next time?.
It is an indisputable fact that any IVF procedure is at least as
likely to fail as it is to succeed. Thus when it comes to outcome,
luck is an undeniable factor. Notwithstanding, it is incumben…

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Case Report: Can Intralipid/Steroid Therapy be Used Without Undergoing IVF?

_Question posed by by Patient X: _ Can oral steroids (prednisone) and
IL therapy be done without IVF? I have had 2 failed IUI’s 2 years
ago, but I do not like taking ovulation stimulating hormones. I have
endometriosis (not sure of what stage), am not currently working with
an RE, and have been TTC for 6 years. I have a higher than normal for
TTC TSH level (3.5-4), am 34Y/O, totally normal and regular periods
with ovulation almost every month, and husband checks out with good
numbe…

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Case Report: The Diagnosis of “Unexplained” Recurrent IVF-Failure is Sometimes a Cop-out

Ingrid (37y) and Jesse 41y had been trying to conceive for 6 years.
The couple was “thoroughly tested” and had been “labeled” as
having _“unexplained infertility”._ Ingrid had patent fallopian
tubes, a normal (regular) uterine cavity, was experiencing regular and
normal menstrual cycles and her ovulation was found to be normal with
adequate supporting hormonal environment. Jesse had normal sperm
parameters and had in fact initiated a pregnancy in a previous
relationship,…

Case Report: The Diagnosis of “Unexplained” Recurrent IVF-Failure is Sometimes a Cop-out Read More »

Case Report: IVF in a 32y old with Premature-Menopause Following Cancer Chemotherapy.

Malia (33y) and her husband, Paul (41y), presented to me a few months
back. with 3 years of primary infertility (she had never conceived in
the past). Paul had initiated 3 pregnancies in a previous marriage and
by all tested parameters, was fertile. Malia on the other hand, was
menopausal with absent ovulation and menstruation. She had been
diagnosed with and treated for Leukemia 12 years prior and had been in
full remission for the last decade. However, her chemotherapy had
caused progr…

Case Report: IVF in a 32y old with Premature-Menopause Following Cancer Chemotherapy. Read More »

Case Report: “Unexplained” Recurrent IVF failure: Was the Underlying Cause Overlooked?

Mary, a 37y female had never conceived in spite of >6 years of trying.
. She had undergone multiple (failed) cycles of IVF-with
intracytoplasmic sperm injection (ICSI). Her husband, Brian, was
originally diagnosed with oligospermia with a sperm count of 18-20
million/mL and 40% motility. Repeat semen analyses at different labs
showed similar findings. However, several years later when the couple
decided to try much to their surprise, a repeat semen analysis showed
absence of sperm in the…

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SHER FERTILITY-SOLUTIONS (SFS): AN EXCITING NEW CHAPTER IN MY PROFESSIONAL CAREER

SHER-FERTILITY SOLUTIONS (SFS)  Through SFS, I provide online
fertility consultations (via SKYPE and FaceTime) to an ever-growing
number of patients (from >40 countries) with complex Reproductive
Dysfunction (RD) who seek access to my input and services. I now
perform IVF and related procedures on a 3-monthly basis at Los Angeles
IVF Clinic (LAIVF) in Century city, Los Angeles. I no longer perform
hands-on IVF treatments at SIRM-Las…

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A Fresh Look at The Indications for IVF

Today, due to a myriad of factors, IVF is regarded as one of the main
thoroughfares for helping couples achieve the goal of creating a
family. However, no two IVF candidates are exactly alike and there is
no single approach that is applicable to every patient. In the final
analysis, success requires a careful analysis of the variables known
to affect outcome in combination with a very individualized and
customized approach to treatment, judicious and selective…

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Recurrent “Unexplained” IVF Failure with Good Quality Embryos.

BACKGROUND: CJ, a 34-year-old, and her husband RJ, age 35) presented
to me with a six-year history of infertility
[/blog/the-causes-of-infertility/]. Based on semen analysis, RJ, who
had initiated two pregnancies in a prior relationship, was found to be
perfectly fertile. CJ had been married before and in that
relationship, had also experienced two years of infertility. Of
interest is the fact that …

Recurrent “Unexplained” IVF Failure with Good Quality Embryos. Read More »

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