Find Your IVF Answers.

2072 questions answered by 137 top IVF experts.

Recent questions from patients asked during live online events

Is there any difference in success rates if we implant adoption embryos (healthy sperm and the egg of a 25-year-old woman with proven fertility) in a woman aged 43 or 40. Does the age of the recipient make a difference in the success rate? If not, what is the success rate in terms of percent HCG and live birth?

First of all, the age of the recipient doesn’t make a difference. You could be 43 or you could be 50. Your likelihood of success is going to depend on the fertility of the donor or the woman that created the embryo. Women’s fertility begins to drop significantly at age 34, which is why donors are preferably between the ages of 21 and 28 and a repeat donor up to the age of 33, before her fertility starts to decline significantly. The success rate is going to be equivalent to the age of the donor so if you happen to be in a country that keeps statistic as to the age of the donor, you can look up the likelihood of success for women in that age group. Typically, it’s very high. Women in this age group are very fertile, and your likelihood of success is really great.

What are the risks to the embryo with genetic testing for sex selection?

They may be a slight risk because of the biopsy procedure. There may be a negative impact on embryo development and also issues during the pregnancy; the risk of miscarriage or a biochemical pregnancy may be increased. But, with day-5 embryo biopsy, trophectoderm biopsy, these risks are very low.

You say that you recommend genetic tests in women that are over 35, but is there an age where DGP or PGS becomes obligatory?

Sometimes we do genetic testing for patients as young as 27 – for example, if they have had three or four failed cycles in their home countries, as a specialist I need to know why those cycles failed. While genetic testing is never truly obligatory, we strongly recommend them in cases such as this, because it’s pointless to attempt a process that has already failed several times – something has to change, and DGP and PGS allow us to give you a different way forward.

Is it good idea to do chromosome/embryo testing like PGS for embryos from donor eggs?

That’s our specialty. We are in favour of PGS testing, but not to egg recipients, unless they have two failed attempts at other centres. Then we have to determine if it is the embryo or the uterus that does not allow implantation. Since in oocyte donation, the chance of having a good euploid embryo is very high and the cost is about EUR 2,000 for embryos to be tested, we do not advise PGS for oocyte donation program unless the patient has had multiple failures. In such a case then we have to find out if the reason lies in the embryo itself or the endometrium. Our own experience is that even with thin endometrium, we can have, for example, twin pregnancy in a patient 4.9 mm of endometrium. It may take a little bit more trials but in the end we can succeed. Nature created the uterus in such a way that it can overcome all the difficulties. It is the oocyte that really matters and very rarely endometrium.

Do you transfer one or two embryos during the embryo adoption treatment? Do you transfer embryos created from donor sperm or donor eggs?

We can transfer either one or two embryos; we select two or three embryos for transfer and the patient can choose whether she receives one or two at once.

How many of these (egg donation IVF procedures) are actual births? For patients over 30 and in general?

We have to differentiate two things. The biochemical pregnancy rate means a positive pregnancy test, and then there is a clinical pregnancy and live birth. If you see the biochemical pregnancy rate, you have to subtract 10-15 %, which is the miscarriage rate, to give you the live birth rate. If I say that we have a biochemical pregnancy rate of 70%, automatically, I say that we have a 60% live birth rate per transfer. That’s why we are interested in having at least three embryos out of the egg donation cycle. The first transfer is always fresh, except if you do PGS, the second and third transfers are frozen. If you have a miscarriage after the first transfer, we do the second one, then we try to improve your endometrium. Then we try to work on your immunology. After two transfers over 70 % of all the patients have children at home. If we do three consecutive transfers, your accumulated pregnancy rate live birth rate at IVF Spain last year was over 80%. After four transfers it is over 90%.

You mentioned that you have donors from Africa and China as well. Do you also provide sperm donation as well?

Yes for both questions. We cooperate with agencies in South Africa, Asia, China, in different parts of the world, because our patients come from all over the world. We need to have those options available. Mostly those donors are called travelling donors. We do not have them available immediately in Ukraine, but by communicating with the agencies we plan the treatment cycles for them and they come for fresh stimulation. They start the stimulation in their home country and then they come for the egg collection, and the patient comes as well. The final step of the IVF treatment takes place in our clinic. We also do sperm donation as well, from Ukrainian and international donors as well.

My NK cells test was done via blood test. Is this okay, or is a biopsy better?

When it comes to NK cells, it’s important to remember that the blood is not going to be the environment in which the embryo’s going to live – that would be the uterus. As such, in order to get a full assessment I would recommend also performing an endometrial biopsy in order to confirm that the alterations found in the blood can also be found in the uterus.

Will you recommend to have 1 or 2 embryos transferred in the first implantation? What are the risks of transferring 2 embryos when you’re over 40?

Blastocyst culture, genetically normal embryos, single embryo transfer – it’s a key answer. The embryo selection is so sensitive that the implantation rate of this kind of embryos is over 70%. As I say, through genetic pre-testing of embryos I erase your age. I bring you to pregnancy rates of somebody who’s twenty-thirty years old. If I transferred two genetically normal embryos at the same time, I’d do a selective double embryo transfer, your twin rate is more than 50%. I would like to avoid that because twin pregnancies are always high-risk pregnancies for you. Your cervix can dilate. You can stay in bed till the end of pregnancy and I have to do the C-section. So these are the reasons why we recommend single embryo transfer. If you’re over 40 and your embryos are not tested genetically, you have to be aware that the euploid rate is 10%. So we can discuss double your transfer but with blastocyst culture, I’d still prefer a single one.

We had a one-time failure to implant, and second-time donor cycle – no implantation. I previously had a big fibroid removed. What investigation would you recommend – age 44?

Well definitely, I recommend hysteroscopy – definitely that because you need to see how the uterine cavity is after the myomectomy after the fibroids have been removed, so that will also help you to know if there is any problem in the uterus, and to solve this problem. If there is nothing in the uterine cavity is completely normal, then you should have done what we call endometrial scratching, and that would increase the chances of you getting pregnant. But again, was this embryo a good quality embryo? Was the sperm good? Were the eggs good, from a young donor? And you had good embryos? If the answer is yes, the embryo was perfect, then a hysteroscopy will definitely help you, and I wish you the best next time.

I think we shouldn’t change our lifestyle too much during the 2week wait (of course, no smoking, no alcohol). It might be too stressful for me! The embryo transfer has happened and I think we should focus on our emotions and well-being. What’s your opinion?

100% and, you know what, sometimes I’ve seen people who think to themselves, ‘I have to do acupuncture or I have to do this or that…’ and it turns out that the 2-week wait ends up being more stressful than any other time of the journey because of all these ‘have-to-dos’. That’s why I emphasize so much to do things that give you a sense of pleasure—whatever you would actually enjoy doing—and don’t do something just because you have to. Indeed, focus on your emotions and on your own well-being. There’s nothing that we’re going to do regarding your lifestyle during the 2-week wait that will specifically make a difference. I would say lifestyle and environmental factors matter more about the quality of the eggs and the sperm. So, it’s all about the three months before egg collection or the three months before sperm collection—that’s how long it takes for the sperm or the egg to actually have better quality or poorer quality. Lifestyle and environmental factors matter more during that period than in the 2-week wait. But, of course, like you said—no smoking, alcohol, extreme exercise, bathtubs or anything like that. Those are things that your doctor will tell you about as well but focus 100% on your well-being.

Does PCOS affect the embryo implantation and is it important to keep up with a low sugar diet after the embryo transfer?

Generally, the implantation rate is not considered lower when glucose metabolism is controlled correctly. However, if a woman having PCOS does not have good glucose metabolism and she is overweight, then yes – we can say there is a decreased implantation rate for her. In such cases, before the embryo transfer, we need to have the pre-treatment for overweight or glucose abnormalities disorders.

Featured #IVFWEBINARS

We have recorded 158 videos so far.

What #IVFWEBINARS attendees say

Diana
#IVFWEBINARS with Jessica Hepburn | The Ultimate Survivors Guide to IVF
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Thanks very much, you're brilliant, love it when people call a spade a spade!!!!! There seems to be so much pussyfooting around the subject, it's just so irritating and a waste of everyone's time !!!!
Dan
#IVFWEBINARS with Dr Laura García de Miguel, Clínica Tambre | My IVF Cycle Failed. What To Do Next?
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Very informative webinar! Many thanks!! It’s been very helpful.
Jo
#IVFWENINARS with Aleksander Więcki, IVF Media | IVF Treatment Abroad. Are European destinations safe enough?
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Very informative Webinar! Thank you for all the great info! I really appreciate you are not trying to sell us anything and just provide information, this is GREAT
Mercy
#IVFWEBINARS with Jessica Hepburn | The Ultimate Survivors Guide to IVF
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Mercy | #IVFWEBINARS with Jessica Hepburn | The Ultimate Survivors Guide to IVF Thank for having this website I am so happy it here to help me
Jane
#IVFWEBINARS with Dr Stavros Natsis, Gennima IVF | When Our Most Challenging Cases Got a Happy End
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Such a fantastic, helpful presentation, thank you!
Lisa
#IVFWEBINARS with Dr Natalia Szlarb, IVF Spain | Miscarriages. How and where to look for solutions
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Thank you very much Dr Natalia for your answer and your presentation.
Jean
#IVFWEBINARS with Dimitris Kavakas, IVFtravel.com | IVF Refund Guarantee or Money Back
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Thanks, very informative!
Angela
#IVFWEBINARS with Dr Hana Visnova, IVF Cube | IVF Success Rates Explained. Comprehensive Guide for IVF Patients
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Thank you so much Dr Hana, very useful!!
Carla
#IVFWEBINARS with Nina Barnsley, Donor Conception Network | Donor conception dilemmas
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Thank you soo much for your answers! it's really helpful full of wisdom advices!
Becky
#IVFWEBINARS with Dr Evangelos Papanikolaou and Petroula Tatsi, Assisting Nature | How to choose the ideal egg donor for your IVF treatment?
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Thank you for very interesting topic!
Susan
#IVFWEBINARS with Andreia Trigo, inFertileLife.com | Mindfulness in IVF | How Can You Help Yourself During IVF Treatment
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Thank YOU! It comforts me knowing that! It is a really positive evening 🙂
Beata
#IVFWEBINARS with Tomas Frgala, Unica Brno Clinic | IVF with Donor Eggs and Guarantees will be explained
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Thank you so much! Lots to think about!
Ella
#IVFWEBINARS with Lisa Schuman, The Centre for Family Building | Strategies for dealing with infertility stress and managing your relationship, family and work
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Thank you for your great tips! I’ll try those things 🙂
Veronika
#IVFWEBINARS with Aleksander Wiecki | How to find ‘the best’ IVF Clinic Abroad. What to ask before you go?
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Thank you very much indeed! Very positive and reassuring.
Eve
#IVFWEBINARS with Aleksander Wiecki | How to find ‘the best’ IVF Clinic Abroad. What to ask before you go?
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Excellent service! Mr. Aleksander is really professional! Appreciate very much! Thanks a lot!
Minni
#IVFWEBINARS with Aleksander Wiecki | How to find ‘the best’ IVF Clinic Abroad. What to ask before you go?
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Thanks a lot again to Sophie for her great moderation and also to Mr Wiecki for answering the questions and his empathie. It was very informative. I really appreciate it!!!

#IVFWEBINARS presenters' opinions

Luciano Nardo, MD MRCOG
Luciano Nardo, MD MRCOG
Clinical Director at Reproductive Health Group - UK
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It is a great platform for patients to gather information from experts whilst treatments remain on hold in most countries worldwide.
Nina Barnsley
Nina Barnsley
Founder & Director of Donor Conception Network - UK
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It was better than I’d expected. I hadn’t done anything like that before and was a little nervous. I’m sure I can learn more and improve but it was a good first try! Questions were great. Really interesting and clear that participants were very engaged.
Dr. Raul Olivares
Dr. Raul Olivares
Medical Director & Owner of Barcelona IVF
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These kind of seminars are a very straight forward way of helping patients, and for sure it is going to be the future of this kind of medicine. It's really interesting for patients due to the quality of the information that they receive, and for doctors because of the amount of patients that you can easily reach with very little effort.
Dr Àlex García-Faura
Dr Àlex García-FauraSicentific Director at Institut Marquès
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MyIVFAnswers is a great initiative that has managed to bring patients and fertility specialists together in times where both high value information and emotional support have become essential. It has proven to be an enriching tool that we hope is here to stay.
Dr. Stavros Natsis
Dr. Stavros Natsis
Fertility Specialist - GENNIMA IVF - Greece
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A new experience that I feel really happy about. I enjoy presenting scientific data in a patient-friendly way and also contacting them directly, for example to answer their questions. Me 2nd webinar felt more comfortable than the first, obviously.
Dr. Maria Arqué
Dr. Maria Arqué
International Medical Director - Fertty International - Spain
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Being a presenter of #IVFWBEINARS is a very good way to spread very important message for all the people that struglle with infertility and who might have some questions. I think that it's great opportunity for people and patients to interact with us (doctors) and have some engagement and address their concersns. So I like to do it, I have to say 🙂
Chrysa Karakosta
Chrysa Karakosta
Lab Director, International Patient Manager Newlife IVF Greece
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I believe that the "Stronger Together" initiative, by the Egg Donation Friends group, is extremely beneficial to people seeking to learn more about their infertility issues by various fertility specialists all over the world. It is a great opportunity for us to also communicate directly with these people and explain how we can assist so together we can reach their goal of having a child. A special thanks to Caroline Kulczycka that made the whole experience so easy for me!
Dr. Juliya Voznesenskaya
Dr. Juliya Voznesenskaya
Head of Reproductive & Prenatal Medicine at European Medical Centre - Russia
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Thank you very much to the organizers for such an amazing opportunity - to hear patients from different countries !! Wonderful, thoughtful questions. It was very interesting to try to answer them as completely as possible. It is also very cool that this is just an information project, not an advertising one, not moving some kind of technology.Thank you for this experience!
Dr. Valentina Denisova
Dr. Valentina Denisova
Fertility Specialist at International Centre for Reproductive Medicine (ICRM) - Russia
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'I think #IVFWEBINARS is a good opportunity for experts to share their experience with patients and probably with some colleagues. And the Stronger Together initiative is especially important for both patients and doctors when we can not contact by our usual way, but anyway we are keeping in touch with our patients trying to find other opportunities. And such projects can be very useful!'
Laura Bicker
Laura Bicker
Acupuncturist & Chinese Medicine Practitioner - UK
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This was a huge step outside my comfort zone, but such an amazing experience. I think the online patient meetings are a fantastic way to support people during such difficult and isolating times. There was a real sense of connection.
Jose Luis Pablo Franco
Jose Luis Pablo Franco
IVF Laboratory Director at Fertility Madrid & ART Vitoria
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It’s always a pleasure to be able to help patients answering their questions. I think they really appreciate this opportunity because they need answers while time flies being isolated. This well-organized initiative called Stronger Together allowed us to do so. Thank you very much for your attention, kindness and good work, in my particular case, thank you Caroline for make it so easy.
Kelly Saynor
Kelly Saynor
Director at The Fertility Pharmacy
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'I think the IVFWebinars are an essential addition to a world so fraught at times with uncertainties...it allows a clear path through your confusing IVF journey before it may have even begun and a steadying hand to navigate all of the possibilities whilst you are going through it, with industry experts on hand. The Stronger Together initiative, at last, unites both experts and IVF communities, providing a safe, informative and positive environment for patients.
Guillermina Alonso
Guillermina Alonso
International Patient Coordinator at URE Centro Gutenberg
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If there is something that characterizes the webinar organized by IVF Media is it’s the professionalism, great team and specially their individualized care of each patient and great support between the clinic and the patients.
Dr. Oksana Babula
Dr. Oksana Babula
Gynecologist-reproductologist of Clinic EGV
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A huge thank you to the organizers for Stronger together initiative! Excellent opportunity to meet with the target group patients and present ourselves. I am sure webinars will be very helpful for the infertile couples to find answers to all their questions and successfully get pregnant when quarantine is over.
Gad Lavy, M.D., F.A.C.O.G
Gad Lavy, M.D., F.A.C.O.G
Medical Director and Founder of New England Fertility
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We can not thank the #Strongertogether team enough for initiating and facilitating such an amazing Webinar series for those seeking fertility answers. From the platform to the organization of attendees, it was an overall smooth and educational experience for both the patient and doctors as well.
 Dr. Fernando Sánchez
Dr. Fernando Sánchez
Clinic Director at Ginemed
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A huge thanks to myIVFanswers for inviting us to participate in the #StrongerTogether initiative they’ve launched. With so many people spending more time at home due to current circumstances we’re seeing that an increasing number of patients have been using their extra time to make plans for the future and the family they want to have. Thanks to the #StrongerTogether initiative, men and women can learn more about several different topics from the comfort and safety of their own homes, and when the time is right they’ll be better informed when it comes to fertility and reproduction treatment. We hope that viewers enjoyed our webinar on "Reproduction for women over the age of 45" on Thursday 23rd April and don’t hesitate to contact us with any questions you may have!
Anastasia Herman
CEO, "Parens-Ukraine" IVF Clinic
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MyIVFanswers is a unique, modern, and emotional platform we are happy to work and grow together with. The team is very professional, intelligent, and what is very exciting we both absolutely share the same valuas and passion to help people to feel secure and comfortable on their path to parenthood! We highly recommend this platform for people who seek answers about their fertility, as well as to professionals who are ready to share the best knowledge and guidelines for intended parents. We sincerely treasure fruitful cooperation, ideas, and passion, which indeed make all of us #StrongerTogather!
Dr. Nadia Caroppo
Dr. Nadia Caroppo
Head of the International Medical Team at Equipo Juana Crespo
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Stronger Together is a very good initiative for physicians and patients in this hard time we are going through, where many couples have had to delay or interrupt their IVF treatments due to COVID-19.  These online talks bring us together and offer a soothing balsam for all those patients who have doubts about their treatments and who will have to eventually face them in the near future.  Giving advice and answering questions is a good way to feel at ease, accompany couples and being present even with virtual calls.  Uncertainty is one of our worst “enemies” and, therefore, being able to clear all doubts regarding any issue is utterly important.
Elena Pardo
Elena Pardo
Head of International Patient Unit
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I loved it! A new experience that I very much enjoyed preparing and presenting, with great support from the organisation all along, thank you! Definitely feel more ready for the next one! It is a great initiative that sets the patient communication standard on a new level. It is essential to stay connected and give support to all the people struggling with an infertility problem, to provide them with top line information from experts around the globe, so that they have tools to choose the best team and treatment option for them.
Dr. Alejandra Aguilar Crespo
Dr. Alejandra Aguilar Crespo
Gynecologist at Equipo Juana Crespo
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I would like to share my feelings regarding the online meetings, I personally think that it is a very positive initiative for both patients and doctors. In fact, answer several doubts makes us more accessible to patients and it makes ourselves closer to them. I felt very comfortable speaking about an interesting topic and then answering some questions. I think it is a good idea to answer questions that many patients have, and they would not ask because of fear or embarrassment. Many times, these meetings serve to finally decide to take the step to carry out a treatment o decide a clinic. In summary, I encourage you to really continue with this initiative.
Claudia Mika
Claudia Mika
Founder & CEO of Temos International Healthcare Accreditation
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Thank you so much for the “certificate of appreciation”! This is much appreciated 😊. My opinion about the initiative: we already discussed it personally and… I am one of the ambassadors! 😊
Dr. Elias Tsakos, FRCOG
Dr. Elias Tsakos, FRCOG
Medical Director at Embryoclinic
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It was a great pleasure to participate in the webinars organized by “ivfanswers” and communicate with patients seeking guidance and advise! The interaction with fertility patients was also revealing issues that are most important to them and help us, fertility medical doctors, form a personalized approach.
Kanelina Bimpa
CEO, Embryoclinic
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The online events as organized by ivfanswers are very satisfying regarding patient education and patient engagement! They totally promote direct communication and in the field of fertility this is valuable regarding valuable time and guidance.
Dr. Anna Galindo Trias
Dr. Anna Galindo Trias
Medical Director at Gravida International Center of Assisted Human Reproduction
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Gravida thanks IVF Answers for the initiative they have offered to all people concerned about their situations and their treatments in this period of Covid-19. This space has been a great help to be able to calm and inform about the repercussion and the possible secondary effects that this will have in our lives. With the great idea of the platform, many people have obtained the necessary information to decide their treatments and have been able to interact with professionals in the sector in a very effective way. So they have made many professionals and clinics known.
Kate Davies, RN, BSc (Hons)
Kate Davies, RN, BSc (Hons)
Founder of "Your Fertility Journey"
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It has been such a pleasure to be involved with MyIVFanswers fabulous initiative. This resource has enabled patients to hear directly from experts, during a time when communicating evidence-based information and providing much need support has been critical. These events have been organised with perfection, and I look forward to being involved in more in the future. Thank you for everything you are doing for the IVF community.
Dr. Vladimiro Silva
Dr. Vladimiro Silva
Embryologist, CEO, Founder & IVF Lab Director at Ferticentro
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This was one of the best ideas ever since it really brings together patients and specialists during these times of uncertainty. The Stronger Together initiative created a sense of union (we’re all in the same boat), patients felt that they’re not forgotten and we’ve all been able to keep their hopes and dreams alive. Now that things are back to normal we can have a look back and understand how important it was to stay in touch - and especially how strong we can get if we stay together! Congratulations for the brilliant organisation!
Sarah Banks
Sarah Banks
Fertility Coach and Mentor
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Thank you for organising the #StrongerTogether initiative and for inviting me to be involved. The sessions have given a lot of comfort, advice and support to patients during this difficult time. The sessions are always really well organised and the presenters instantly put everyone at ease.
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In the world where all the information seems to be just a click away, it is more and more difficult to differentiate between valuable and useless content. This is especially true for IVF patients who are literally bombarded with knowledge that – unfortunately – they are rarely able to verify. Nowadays anyone can share any information online and finding a reliable source of expertise may become a challenge. And as we all know, verified and educational content is what all fertility patients need the most – at every stage of their treatment.

With the above in mind, we have decided to launch a project that would highlight the importance of sharing valuable IVF knowledge and expertise with those who struggle to become parents. IVF Patients’ Supporter is a recognition we give to all the clinics and IVF experts who provide fertility patients with answers to their most crucial questions. Thus, they are making patients’ IVF journey much easier and – at least partially – more predictable.

But how do they do this? The answer is simple: they share their knowledge via webinars and patient meetings at MyIVFanswers.com! The aim of our interactive videos is to assist patients in making well- informed decisions when selecting the right country and clinic for their fertility treatment, as well as to give them the chance to learn more about available treatment options. That’s why we turn to the most renowned specialists in the field of assisted reproductive technologies and we are always very happy when they agree to share their expertise with all of us. Our viewers highly appreciate the insight into all aspects of IVF procedures they gain thanks to our webinars. It is enough to read their enthusiastic comments and shout-outs to understand how much such support means to them!

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