If all else fails, however, Dr Szlarb recommends egg donation. Patients undergoing egg donation treatments bypass the most common causes of failure of regular IVF treatments. Egg donors are y young and the existing mandatory regulations means they have to be heavy screened for any health issues which could negatively impact the recipient or the child. Success rates for egg donation treatments are higher across the board for most patients and they are not affected by the recipient’s age.
First things first: embryos. Fresh cycle, five-day blastocysts. Of course, we have programmes with three-day embryos, but we do not recommend them, because the success rates with these embryos are lower. We have to focus on the blastocysts – if you belong to the group of recurrent implantation failure patients, which means three transfers without pregnancy, then we need to focus on the uterus lining receptivity, and a biopsy could also be done for immunology, so NK cells and Th1 and Th2 ratio, which can help us decide what sort of immunological protocol you need.
Usually, patients with complicated stories are not coming for their first appointment to see what the doctors look like, but you are usually coming to us under a mock cycle so we can do a uterus lining biopsy, and then we define what kind of medication plan you need, and depending on the result, how many days of progesterone you need, and depending on the immunological results, what kind of immunological protocol we should put you on.