Fertility Friends Support Forum banner
1 - 20 of 42 Posts

·
Premium Member
Joined
·
5,162 Posts
Discussion Starter · #1 ·
First cycle questions

Before going to the appointment you may find it helpful to read our 'rough guide to IVF' and our guide to ICSI. In particular you may find it useful to know what a 'long protocol' (LP) and a 'short protocol' (SP) are.

Please remember that this is only a suggested (and not a definitive) list - it is very long and you may decide you can survive without knowing all the answers! Equally there may be many other questions that you might have beyond those listed here. Remember also that the nurses will know the answers to many of these questions, you may feel more comfortable (and possibly less rushed) asking them. The important thing is that you should feel comfortable that you know everything you feel you need to.

1. Why have we been recommended for ICSI?

2.i. What drugs will I be on?
a) for down regulation (is that an injection? How often will I do it?)
b) for ovarian stimulation (N.B. this is nearly always an injection!)
c) to trigger the release of eggs
2.ii At what times of day will I have to take these drugs?
2.iii Why have you chosen these drugs for me?
2.iv What happens if I don't respond to the drugs/over respond?
(N.B. You may want to ask more about the injections at this point e.g. Can you show me how to do it? Can I have a practice? etc.)

3. What happens and when:
a) When do I start my down regulation drugs? (How long will I be on these for?)
b) How long (on average) will I have to wait for my period to start?
c) When will I have a baseline scan/assessment?
d) When will I start stimulating my ovaries?
e) How long after starting stimulation will egg collection be?

4. About the monitoring during stimulation phase of treatment:
a) What monitoring normally takes place during the stimulation phase of the treatment (e.g. blood tests for oestrogen, for progesterone and scans)?
b) How often will I have to come in for monitoring?
c) What will you be looking for (in the monitoring) to decide when egg collection will be?
d) How many eggs will you be expecting at egg collection.

5. About the egg collection:
a) Where do you carry out egg collection?
b) Will I have a general anesthetic or sedation during the procedure?
c) Will my husband be able to come in with me?
d) What pain relief will I need/get after egg collection?
e) How long will I need to be off work following egg collection?

6. About the sperm collection:
a) When will this need to be done?
b) Where do I have to do this?
c) Are there any aids/literature (or should I bring my own?)
d) When should I have my last ejaculation before 'storing it up' for the procedure?

7. Is there anything we can do to improve the quality of the eggs or the sperm? (e.g. lifestyle factors or supplements)

8. About the embryo transfer:
a) how many days after egg collection will this be (on average)?
b) How many cells would you expect them to be by then?
c) i) what are your opinions on single embryo transfer (particularly in relation to our case)?
ii) what would be the risks of a multiple pregnancy (in our particular case)?
iii) How many embryos do you suggest we transfer?
d) How do you grade the embryos?
e) Under what conditions would you freeze any 'spare' embryos?

9. Will I be receiving (or do you recommend) any additional treatment during this cycle of IVF/ICSI (e.g. low dose aspirin, IVIG, heparin etc.)

10. How do you rate our chances of success? (You may wish to be more specific for example asking about egg to embryo ratios)

11. What are the risks (including side-effects) that we need to be aware of?

12. If this treatment doesn't go to plan:
a) When and for what reasons might you abandon the cycle?
b) When would we be able to try again?
c) What support can we expect/access?

13. What do you estimate the costs as being?

14. When do we start?!
A couple of other tips, ask for a phone number you can ring if you suddenly remember something else you wanted to ask and don't forget that if the answers to these questions blow you away (and they did me) it is OK to ask for time to come to terms with it all (we put the treatment on hold for 3 months while we got our head around it!)
Fiannly don't forget that you can get a more 'print ready' version of this page by clicking on the print button at the top of this thread.
This is a copy of the original thread, if I have left out any recommendations anyone made I appologise and if any of you 'veterans' can think of a new and original question a newbie should ask a clinic please add it to the topic by clicking on 'reply'.
Many thanks
Lizi.x
 

·
Registered
Joined
·
275 Posts
very very useful , thanks for that! I will go in with a list and check them off. :)
 

·
Premium Member
Joined
·
1,570 Posts
lizi - this is great, thanks :)

went to my hospitals IVF open evening last night and am wanting to find out as much info as possible before my consultation.
if you can suggest anything else i could read up on, that would be great.

thankx
 

·
Registered
Joined
·
111 Posts
Just had a quick read of this, its so usefull and I will definately be printing it off before my first appointment
 

·
Registered
Joined
·
349 Posts
another q i would deffo ask ...i may have missed it on the list.....is what % of eggs do you expect to fertalise ( male factor issues ) especially as they have bypassed the sperm prob and are SELECTING "good" quality sperm....the average should be 60%...i read this on FF years ago but may have changed since then...please correct me if im wrong....good luck evry0ne xxxxxx
 

·
Registered
Joined
·
390 Posts
just wanted to say thanks for the questions. We had our fist appointment and they were all really helpful it was really good to have an idea of what to ask cos i wasn't sure. My nurse was very impressed and they answered every Question we had.
We are due to start our first cycle in august and feel relaxed knowing we have asked everything we need to know. :)
 

·
Premium Member
Joined
·
5,162 Posts
Discussion Starter · #7 ·
I had a thought, you might want to ask about eSET (elective Single embryo Transfer), what your clinic's thoughts on it are and whether they will recommend it for you.
Lizi.x
 

·
Registered
Joined
·
65 Posts
Very useful. When we went for our first consultation yesterday we felt very rushed and did not feel we could ask the questions we wanted because of time. I will definately start to ask more questions from now on. I have to see an endo specialist in two months but will i see CARU before my treatment starts next year or no!
Leanne
 

·
Registered
Joined
·
2,473 Posts
These questions are brilliant, we have had our first consultation and we are having icsi,  i collect my drugs next week with a view to starting injections end of the month, so i will be sure to ask these questions when i next go, if they have the time at liverpool womens.

Thanks for taking the time to post it, with all thats going on in my head this is incredibliy useful as i'm not thinking straight at all!! ^afro^ xx
 

·
Registered
Joined
·
6 Posts
I wish id found this board before i went for my consultation!  I didnt ask any questions except when can i start and how much will it cost!!!  Fortunately we asked to go in and see the doctor to collect my husbands blood test results so i might be able to ask them then.  Great questions though.
Marth
 

·
Registered
Joined
·
205 Posts
Glad I found this it will be really helpful.  Just waiting to hear back when our appointment is...hopefully very soon.

Emma
 

·
Registered
Joined
·
6,501 Posts
Wow, thanks for taking the time and the effort to post those questions.  I'd have never have thought of the majority of those.

Many thanks - we have our 3rd ivf appointment (but first at Centre for Life) next month - and I presume that we'll be going via the icsi route.

Well done to all you ladies with bundles of joy....
Very best wishes
Sheila
 

·
Registered
Joined
·
1,693 Posts
Those questions were really helpful for our first appointment last night but I added a couple more so I thought I'd share them.

1. Do any of the drugs I'll be taking need to be refridgerated and if so how can transport them if I travel (those weekends away with friends are very important!)

We have frozen sperm from an SSR so:

2. Have you done a test thaw?
3. How many vials do you hope to use per cycle
4. If they don't thaw successfully what's the plan?
5. If we do need another SSR is there a physical limit to how many times DH can have this done?

Finally

7. When can we plan our holiday because we need it!!!

Most of our questions seemed to be about planning trips away but our consultant said at the beginning that carrying on with real life was very important (as was the odd glass of wine in the local to relax!)

Thanks for the list again though

Heather
 

·
Premium Member
Joined
·
5,162 Posts
Discussion Starter · #16 ·
Mrsmts - the general rule is that once egg collection has taken place that's the funding for a single NHS go all gone.
HTH
Lizi.x
 

·
Registered
Joined
·
17 Posts
Hi Lizi
  Find out as much as you can, we did our first icsi in Jan but i have learned so much more about it since then x
 

·
Registered
Joined
·
2,040 Posts
thanks for taking the time to print out this list,
thankyou to all of you that have added on.
We have our 1st app soon and think we'll be going down the icsi route.
This has been really helpful.  :-* :-*

nicola x x x
 

·
Registered
Joined
·
60 Posts
Hi Ladies,

This will be a really great set of questions I will def take with me in Jan for our seminar on 21st Jan 09.

Thanks so much

Suze
 

·
Registered
Joined
·
238 Posts
Hi there

My husband and i have been trying for a baby for 2years now, but with out any luck, so we both did a home fertiliy test, my results were fine, but my husbands said he had to see his doctor, So off to the doctor my husband went.
The doctor sent my husband up to the hospital to leave a semen sample with them for testing.
The results of the semen test from the hospital was that my husband "apparently has NO sperm or VERY LITTLE sperm in his semen". We are both completely gutted. the letter also says my husband needs to go in for a blood test and to repeat the semen test in 2 months.

My husband did his 2nd semen test a few days ago but the waiting for the results is making me sick with worry  :'( :'( :'(

I am so so so so scared we will never have our  baby.

I have been doing some research on the internet and have found out that our doctor will only offer us using a sperm donor first of all, this is not an option for my husband, he doesn't want to use this option at all coz it will mean using someone else's sperm and my husband wants the baby to be his.
So i continued my research and found out if you push your doctor for more we can have a treatment called ICSI where by using a needle they can find sperm in my husbands teste's, take the sperm out then take some of my eggs out and fertilise the egg in a pot which my husbands sperm, then 2 days later put the egg back inside my womb, with a 46% chance of a sucessful pregnancy.
This treatment cost roughly £4,000 to £8,000 so unless we can have this treatment done on the NHS then there is no chance i will ever have the chance to love and hold my own child.
I didn't find any other ways for me and my husband to have a child on the internet.

What i need to know is what are our options for having our baby??
Can we still have our own baby by using the sperm in my husbands teste's?
Is ICSI our only option???
Can we have treatment on the NHS??
How do we go about finding out weather we can get treatment on the NHS???
 
1 - 20 of 42 Posts
Top