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Dr.
M.D.KINI. MB.,FRCOG (UK) said on 01 June 2009
"I think you must get a trouble shooting team like we can offer to come and look at your patient group, stimulation protocols, monitoring, day of hCG, hormone levels, laboratory culture and maintainance conditions carefully. Pleasecontact us at : miracleivf@gmail.com
Our centre is in Chennai."
Reply
Simon Aiken said on 27 May 2009
"Not that I think this discussion can accomplish much; but how many failed cycles are we talking about and has your clinic had success in the past?
If you've been having positive pregnancy tests but no fetal hearts?
Fert rates of "up to" 80% arn't particularly high, in fact I'd suggest that's about average for ICSI with ejaculated sperm, and IVF. Good embryo quality I feel used to be based on the numbers of 8, 9, 10 cells on D3, and now on the numbers of good blastocysts on D5.
When looking at culutre conditions that might have changed, look for changes in batch dates from suppliers for media AND plasticware that might have made a difference."
Reply
Good results
Dr.Pratiksha joshi said on 24 May 2009
"To get good result in IVF is multifactorial.Quality and grade of embryos that you have transfered in the patients ,patient's endomatrium thickness (triple line) and its vascularity,ET technique,post ET patient supportive medicine,your lab quality control,Patient's age and hormonal level,in ehich stage you transfer your embryo ,two cell,four cell,eight cell or blastocyst.your embryo loading technique,Type of ET catheter"
Reply
culture conditions are vital
alok teotia said on 21 May 2009
"culture conditions are to be scrutinized to reach to a conclusion. what was the past performance of your setup"
Reply
implantation
sameer pahlajani said on 20 May 2009
"if the culture conditons were not good, how can we get high fertilization rates[upto 80%]
we use only warm water to clean the lab walls ,floor and roof... and alcohol for the platform
how to check for the cuture conditions for the lab
what factors affect implantation..."
Reply
Not much to go on, but I'll give it a crack
Simon Aiken said on 20 May 2009
"No implantation occured. Possible reasons are: - despite being "good" embryos they did not continue to develop/hatch as expected. - while endometrial thickness was as expected, the embryos did not bury inside. - while the clinican reported a good insertion of the cath, and no embryos were seen in the dish/tubes afterwards, the insertion was not correct. If the clinican you're using has had pregnancies in the past and you continue to get no positive results, I'd start looking at your culture conditions - despite having nice embryos."
Reply