In this webinar, Ofra Balaban Kasztelanski, Founder and the Chair of CHEN – Patient Fertility Association has been discussing the importance of communication between your fertility doctor with your other professional doctors and how your treatment should be managed.
I would advise you to change your doctor because a doctor that doesn’t want to be with you on your journey is not the doctor you need. Sometimes, people said okay, but he’s very professional, but you need to realize that a good doctor is a doctor that gives you the answers you need, and this is important for your journey. If he doesn’t want to speak and you don’t want to change him, it’s a difficult situation, but as he always says he’s busy, perhaps convince your gynecologist to call him. They need to speak because it’s crucial for you, I don’t know about your condition, but in my opinion, a good doctor is a doctor that answers your questions, cooperates with the other doctor especially, with such a sensitive situation.
At 37, the egg quality starts declining because we know that the average decline of women’s fertility is 27, but after 35, it’s declining a lot faster. I’m not a doctor, so keep in mind that you have to consult your doctor, but you need to ask your doctor what to do and what will be the right way because low ovarian reserve means that in a year or two, you will not be able to produce good eggs. Maybe the best thing to do is to get as many eggs as you can now and freeze them. Egg freezing, as we know, is a very efficient way of preserving your fertility for the upcoming years, but it’s a medical question, and so, I would advise you to check it with your doctor.
I don’t know what will be the likelihood of live birth, but the embryo transfer can be about 10 to 15%, however, I am not sure about it. To have a successful IVF treatment, you need good eggs, good sperm, and a good womb with the ability to conceive. Again, you must ask your doctor about it. In Israel, we recommend implementing only one embryo at a time and freeze the other embryos for the next time. It’s also a medical decision, and I don’t want you to be disappointed, but I really want you to ask your doctor because it might be that you have very good embryos and if they have eight cells 3-day, they are probably very good embryos, and I wish you all the success.
An embryo with 8 cells means that the embryo has divided well, we don’t know anything about genetics, though. If we want to be sure, you can ask the doctors to take one cell out of the embryo and then to do a genetic test, then you will have the information about the genetics, and you’ll know if they are of good quality. The problem with eggs is that we are born with a certain number of eggs, so if I’m 60, my eggs are 60, as long as we are getting older, our oocytes are getting older too. The problem is that if oocytes are getting older, it means there are mistakes in the genes or chromosomal abnormalities. So have an open discussion with your doctor to get all the details and what your best options are.
Endometriosis is a very difficult disease, it means that the fluid from the womb that usually goes out with our monthly period is not completely out, and if it’s not completely out, it means it remains either in the womb or outside of the womb and makes some kind of problems, and it’s damaging the wall of the womb and of course blocking the tubes. I don’t know your age but what I think you need to do is to ask your doctor the treats you about the endometriosis situation, this is the first thing. The second thing is as your hormone levels are not checked, it’s a bit of a problem because endometriosis is something that reacts to hormones.
Actually, if we want to put it that way, the treatment against endometriosis is taking birth control pills, so it’s hormone-dependent, it’s a very delicate situation. It’s a must that the doctor that deals with your endometriosis will speak with the doctor that you are doing IVF with. Regarding high blood pressure, it’s something that has to be dealt with before IVF treatment, so if you have time, first of all, balance your high blood pressure and then balance your endometriosis and then go for IVF treatment. I’ve talked about the link between the patient and the doctor, so you should ask each one of the doctors.
You should ask the questions, get from them the answers and send the answer to the other doctor, all the doctor must consult, but if they don’t, you have to circulate all the answers and get to a conclusion. Otherwise, you have to wait and see that high blood pressure is balanced, and of course, endometriosis is in a good condition.
It’s good that you’re eating healthily, first of all, balance your weight. Again, this is a medical question, and you need to ask your doctor about it. You should not do anything about changing your cycle, it’s the doctor to think about what can be the problem and if anything should be changed.
Sometimes, choosing a clinic is a personal choice. Sometimes, it’s better to ask your doctor who is recommending some centers because every doctor has some connections with somebody. I have a feeling that if he sent you to a clinic, he probably may be in touch with them and connect with them during the treatments, so maybe you can ask your doctor which clinic he recommends. As you already had 2 failed attempts, now you do know the feeling and how it is when a doctor is not speaking to you, so you know what you are looking for, you need a doctor that will treat you and communicate, you need a clinic that has a good rate. In every country, you can check on the ministry of health sites, they have some lists of clinics, so it might be a good way to look for a new clinic if it’s in a country that has such things. Try to look for more information than usual, now you have a little bit of experience, so try to listen and ask the questions.