Elias Tsakos, FRCOG
Medical Director , Embryoclinic
Category:
Advanced Maternal Age, Success Stories
We’re fairly optimistic for this age group. In the age group of 38 to 42, the success is roughly 25% in terms of pregnancy, and we would like to offer our patients that opportunity.
First, we should do no harm, and we should ensure that our treatment is safe before it is successful. I do insist on screening tests, I’m well aware that screening criteria differ from country to country, but I do insist that we don’t cut coordinates in safety, so the advanced maternal age, we need to ensure that it’s safe before they embark on IVF. Proper health screening, also general screening for standard conditions like thyroid disease, heart disease, lung disease, etc., should be evaluated.Egg donation negates the adverse effect of genetic inadequacy associated with advanced maternal age, however, it’s not always successful, it’s not always safe to perform, and we need to be very careful in the pre-IVF phase, which is very significant, even more significant for the advanced maternal age patients. We need to ensure single embryo transfers for those patients, although we are under a lot of pressure to perform double embryo transfers in the egg donation cycles to maximize success, and so forth. There’s a lot of understanding, a lot of counselling, and a lot of discussions to build the trusted relationship that is of paramount importance before we move on.
I don’t think scientifically there’s an age limit, however, we need to obey our guidelines and the legal scenarios, and we need to ensure that all our patients are screened adequately, and we stick to this age limit. Finally, I think we should not forget that apart from the effect on the oocyte quality associated with advanced maternal age, the uterus quality, the quality of the implantation environment is altered with advanced maternal age. The chance of developing fibroids, polyps or even cancer in the uterus is increased with maternal age, and we should be very much aware of that.’
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Contact details: The European Fertility Society C.I.C., 2 Lambseth Street, Eye, England, IP23 7AGAnalytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc.
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