Q: Why is the success rate with ART so low?

A: Studies of human reproduction indicate that, for a couple with proven fertility, the likelyhood of conception is only 20% per month. ART affords couples with infertility problems excellent chances for conception; often much higher than natural rates.

Q: Is there a possibility of multiple births from ART?

A: Yes, anytime more than one embryo is transferred, there is a chance for multiple pregnancies. It appears that the number of twin births is greater than the normal population (1 in 80). Triplets and quadruplets have also been concieved through ART procedures. Although we do not directly offer it, selective reduction is available to couples who concieve multiple gestations.

Q: Is there an increased chance of birth defects if I become pregnant through ART?

A: Maybe. Numerous studies have reported no increased risk of birth defects in children concieved through ART compared to those concieved in the general population. However, other studies suggest that couples with infertility, regardless of treatment used, have a small increase in risk.

Q: Can we still have intercourse while taking the hormone medication?

A: Yes. However it is recommended that the male abstain from ejaculating for 3-5 days preceeding the egg retrieval. This precaution ensures that the semen sample on the day of the egg retrieval contains the maximum number of mobile sperm. You may find that near the time of egg retrieval your ovaries will be markedly enlarged and tender, possibly making intercourse very uncomfortable.

Q: What activity restrictions are recommended during my stimulation?

A: As your ovaries begin to stimulate, they will become enlarged and tender. Limited activity reduceds the risk of ovarian torsion and/or rupturing the follicles on the ovaries. As a general rule, it is advised that you stop any activity which involves bouncing or jaring the pelvis by the time that you are returning for your first ultrasound to monitor your stimulation.

Q: What if I ovulate before the retrieval?

A: On the day of the egg retrieval, a vaginal ultrasound will confirm if the follicles are still intact. If they are, it can be assumed that ovulation has not occurred and oocyte retrieval will be attempted. The medications Lupron, Antagon or Cetrotide also help to assure that ovulation does not occur before the egg retrieval has been performed.

Q: How much activity is recommended after embryo transfer (ET)?

A: Most doctors recommend a fairly sedentary, quiet three days after embryo transfer. Thereafter, most patients resume their normal routines. Stenuous exercises, like running or heavy lifting etc. should be avoided until a pregnancy test has been performed.