Q: Should I take alternative medicines (vitamins etc) to improve my chances of a pregnancy?
A: Possibly, but since most people are not malnourished in Australia, they may be of no benefit if you lead a healthy lifestyle. If you do take them they will certainly not do you any harm. All women wishing to become pregnant should supplement their folate levels and we recommend Elevit and Menevit.
Q: Why can’t my husband have blood taken after he has collected a semen sample?
A: Because the act of producing the sample will change some of the hormone levels giving us a false diagnosis.
Q: Why should I attempt to reduce/stop smoking?
A: Because smoking significantly effects your ability to become pregnant and if you do become pregnant, smoking significantly effects the development and potential health of your baby. A 30 yr old woman who smokes will have an ovary that reacts like a non-smoking woman aged 40! Smoking also effects sperm.
Q: Why do I need to be contactable/available during my monitoring?
A: Because your doctor may alter your drug regimen (either to help improve the stimulation or reduce your risk of ovarian hyperstimulation) and because the nurse may need to tell you it is time to act (ie have coitus, organise for your husband to attend with you for IUI the next day or to tell you the time to take your trigger injection for ART).
Your “contract” with NGF says we will do certain things for you and you will do certain things for us. Obviously this is all about Next Generation Fertility giving you the best service it believes will help you achieve your goals.
Q: Why can’t I choose when to come to NGF for my blood sample?
A: To a limited degree you can but in order for the nurses and doctors to make a timely decision on your continued treatment the results of your blood test needs to be available shortly after lunch. To allow this to happen we do need to see you before about 10am.
Q: Why can’t I return unused drugs and get a refund?
A: As with any drugs you buy from a pharmacy you cannot take them back to “re-sell” to another person. Next Generation Fertility maintains strict storage conditions on the drugs it gives patients (thus ensuring efficacy) and can always validate this. Would you like drugs given to you where the storage conditions etc have been uncontrolled and thus the action of the drug be less than adequate for you?
Q: Why do NGF’s staff keep asking me to repeat instructions they have given me?
A: Not only is this good medical practice and part of Next Generation Fertility’s accreditation requirements, it reduces the risk that wrong instructions are given or received. Would you want us to be slack in this regard?
Q: Are lots of eggs a good thing?
A: The usual number of oocytes collected is about 10 but this number will depend on many factors including your age, the success of ovarian stimulation by FSH and how many follicles are available for draining. When more than 15 oocytes are collected your managing doctor will usually suggest the laboratory cryopreserves (freezes) all embryos to reduce the risk of hyperstimulation syndrome. The collection of large numbers of oocytes is usually associated with reduced fertilisation and embryo formation relatively but the final outcome is often not dissimilar to patients where less occytes are collected.
Q: Is there a higher miscarriage rate for ART patients?
A: The miscarriage rate is about the same for ART as the general population. Many times older females undergo ART and their miscarriage rates are naturally higher. Since pregnancy testing is done two weeks after embryo transfer, we often know about spontaneous miscarriages in the very early stages of pregnancy. These miscarriages would probably go unnoticed in the general population.