Yes, you can. The thing about the success of IVF is that success goes down with age. Usually, it goes down with age because of the woman’s age and the reason it goes down is more to do with the eggs and with the uterus. Assuming that the fibroid surgery was successful and the uterus is structurally and functionally normal, then it comes to the question of what is the likelihood that someone who’s 42 or 43 can actually create a genetically normal embryo. In fact, that’s why I’m a very strong believer in doing the PGS, the genetic testing of embryos because then you know for sure that you have an embryo that’s viable. What we know from experience and statistics is that when you’re 42 or 43 most of your embryos you produce are genetically abnormal, over 90%. Of course, it’s possible that you will generate a genetically normal embryo but you may need to do IVF a number of times and it may never happen.
But again, if you’re going to do IVF and you’re in your 40s, I really think that doing PGS is important, and also growing the embryos through the blastocyst stage because then you know for sure that what you have is really viable. For example, doing a transfer on the second or third day after fertilization is not really enough time to be able to properly evaluate the embryos. Even if the embryo does grow through day 5 and becomes a beautiful blastocyst, there’s still a fairly high probability at 42 or 43, that it will be genetically abnormal. You have to know what you’re getting into when you say I’d like to try with my own eggs. I understand that using an egg donor is s a huge step, is a huge decision, one that you don’t want to take lightly. It may be worthwhile to try but you want to avoid the trend to do another one and another one and another one doing the transfer on day 3 where the embryos look good but it doesn’t work or there’s a miscarriage. Yes, it’s a complex answer but yes it’s possible.