Any patient, no matter the amount of time between embryo freezing and thawing, can expect nearly the same potential for success as they experienced with the fresh IVF cycle that the frozen embryos came from. In some cases, an FET cycle can result in a higher success rate than those of a fresh cycle because of the opportunity to optimize the lining of the uterus before implantation.
You may wonder why we choose to do frozen embryo transfers for Reciprocal IVF cycles. The answer is simple. Sometimes it is difficult for us to synchronize the menstrual cycles of both partners, and this puts additional stress on the procedure. If we transfer fresh embryos when the uterine lining is not optimal, we risk losing those embryos. By freezing the embryos before use, we give ourselves the time to reach optimal uterine conditions for the embryo transfer. Additionally, it is best to confirm that there are viable embryos before putting a person on the medications for the Frozen Embryo Transfer cycle.
Implications counselling is mandatory under Irish law for anyone undergoing treatment using donor gametes. For this reason, we have built the cost of your counselling into our complete package cost. We will refer you to an experienced therapist, who will bill us directly for your session. The reason for implications counselling is to help you to reflect on and understand the proposed form of treatment for you and your partner and any children born as a result of of your treatment.
Women who, for whatever reason, want to defer starting their families until a time when age may become more of a factor in determining success can consider egg freezing. We know that women in Ireland are starting their families at a later age, about 32. This unfortunately means that a higher proportion of women and couples will need assistance. At Thérapie fertility we really want all women to be fertility aware. This means getting checked and learning what YOUR fertility potential is, earlier rather than later. This will allow you to make an informed choice about whether egg freezing may be a suitable avenue for you to take.
Every month a woman recruits a number of follicles and eggs but only one or two grow to maturity and are released. The rest are lost. The purpose of the stimulation medications is to capture eggs that were going to be lost that month anyway. So we can reassure you that by stimulating your ovaries and freezing your eggs we are not compromising your future fertility.
One of the key factors influencing a woman’s reproductive ability is age. As women age the number and quality of their eggs falls (the same is also true of men and their sperm!). By freezing eggs at a younger age, ideally under 34 years old, you preserve those eggs and prevent their natural decline as you get older. You may never end up needing or using your frozen eggs. In fact, when it comes time for you to have children we would recommend using more natural methods first. But many find that having eggs frozen removes some of the pressure that surrounds important life choices and in turn helps to make them more fertility aware. And it gives a potential alternative route to your family in the event that you find yourself struggling to conceive. In short, knowing that you have your eggs frozen may actually assist you in conceiving naturally.
Azoospermia is a condition in which there’s no measurable sperm in a man’s semen. Sometimes the cause of azoospermia is down to genetics. However it can also occur as a result of sexually transmitted infections, blockages along the reproductive tract, hormonal problems, ejaculation problems or issues with testicular structure or function. Sometimes, the causes are treatable and fertility can be restored.
While a sperm analysis is still the most commonly used test when it comes to male infertility, research has shown that the results of sperm analysis do not always comprehensively indicate a man’s fertility potential. As a result, other ways to determine whether or not the sperm is optimal are needed. Successful embryo development requires, among other things, undamaged DNA from both the egg and sperm and it’s therefore important to know if there is damaged DNA within the sperm before continuing with any fertility treatment.
If the investigation shows that your sperm has fragmentation and damage within its DNA, our team will discuss all your options with you. This damage may be correctable through lifestyle and dietary changes and the use of supplements. Additionally, there are fertility treatments that have been shown to be of benefit for men with high DNA fragmentation.
The most common way to collect a sperm sample is for a person to masturbate and ejaculate into a sterile cup. The doctor provides a private room for you to do this. In some cases, a person can collect the semen sample at home. A doctor may recommend that the person ejaculates into a collection cup while at home. When collecting a sample at home, you must remember to keep it at room temperature and bring it to the clinic shortly after collection.
To make sure that the sample is usable, we usually recommend that you abstain from sex or masturbation for several days before the test, avoid alcohol, caffeine, and other stimulants before the sperm analysis and avoid providing a sample when unwell or stressed. We would ask that you inform our team of any medications or herbal remedies you are taking, before giving a sample.
The level of pain experienced during the HyCoSy varies from person to person. During the procedure, you may experience some discomfort and have a cramping sensation like period pain. We advise our patients to take two paracetamol about 30 minutes before your HyCoSy procedure. No anaesthetic is required for this procedure, and it takes about 15 minutes to complete.
The level of pain experienced during the hysteroscopy varies from person to person. During the procedure, you may experience some discomfort and have a cramping sensation like period pain. We advise our patients to take two paracetamol about 30 minutes before the procedure. Sedation is usually not required for this procedure, and it takes about 20 minutes to complete.
IVF is not something which can ever be ‘a sure thing.’ A core part of the consultation process in advance of your treatment is for our team to inform you of what we think your chance of success is based on your history and test results. This will help you make the most informed decision about the process and whether it is right for you. Most women and couples who undergo IVF will succeed but it can sometimes take multiple attempts. However, through our evidence based fertility treatment, we are confident that our team of experts can help to give you the best shot at a successful outcome. You can view our success rates here.
Yes, it is of course possible to transfer multiple embryos. However, in most cases we usually recommend transferring just one or two. The reason for this is to try to avoid a multiple pregnancy. While twin or triplet pregnancies can be very healthy, they do come with increased risks. In order to reduce this risk, we like to try for a healthy singleton pregnancy. If your medical and fertility history indicates, we may advise to transfer more than one embryo.
Absolutely. If you would be more comfortable with a phone call, we can arrnage this. The majority of our communication is via the portal, which is to reduce the amount of ‘phone tag’ that typically occurs when communication is via a phone call. It also helps so that you can have a written record of any important information which you may forget after a phone call.
There are currently six Regional Fertility Hubs.
Treatments that are not covered by this scheme partially include:
The HSE states that “assisted conception will become available in the future to people who need to use donor eggs and sperm when required regulation is in place”.
To be considered for this free scheme, the HSE have outlined the following eligibility criteria:
We cannot allow minors into any of the clinical areas, such as scan rooms or the recovery room and so we advise you to arrange childcare for the duration of your appointments at Thérapie Fertility. If this is not possible, you can bring another adult with you and they can wait with your child in one of our private waiting areas.