I would like to address the confusion I’m hearing from patients regarding the differences between our Mini-IV™ technique and the various versions of ‘lower stimulation’ IVF that are currently on the market. Patient should be aware that the majority of these newly branded treatments are NOT a minimal stimulation technique because they still rely heavily on injectables. Rather, they are a discount on conventional IVF for ideal candidates.
As many centers lower the cost of conventional IVF cycles in light of the economic downturn, it’s crucial that patients fully understand the kind of treatment they are consenting to. Many other versions of minimal stimulation IVF are based solely on cutting costs. Our Mini-IV™ protocol is a wholly distinct technique based on a philosophy of quality over quantity. Women produce only a few good eggs each month, no matter how many eggs are created through high doeses of medication. We have been focusing in Mini-IVF™ since 2004, and it has always been fairly priced.
Since mild stimulation is used to recruit fewer, but competent eggs, and a more natural nasal spray trigger is used for ovulation induction in Mini-IVF™, patients do not require heavy sedation for egg retrieval, have minimal ovarian swelling and are able to cycle continuously. Patients do not need to wait for the lingering effects of the conventional HCG injection to leave the body. Conventional IVF uses a greater amount of medication and injections to produce a greater quantity of eggs, but the excess eggs are often genetically incompetent.
Mini-IVF™ reduces potential health risks associated with prolonged use of high-dose IVF drugs including ovarian and endometrial cancer and multiple births that can cause dangerous complications for the mother and child. Instead, Mini-IVF™ stimulates ovaries with oral medication and a small amount of injectable medication to produce high quality eggs capable of creating a healthy baby.
Last, there currently is no comparative study of Mini-IVF™ to conventional IVF (or any iteration of conventional IVF) including comparisons of their success rates, medications used, etc. However, New Hope is currently enrolling for a large clinical trial to compare the two techniques.
For more information and to enroll, please visit: www.ivfclinicaltrial.com/
Hi Dr. Zhang,
I'm a patient of yours and just had my fresh transfer from mini-ivf last week. You have me on oral estrace and a progesterone suppository. I feel the only way to get a solid answer on my questions is to try and contact you directly.
QUESTION:
1) I am concerned about taking drugs for so long (1st trimester if I'm pregnant). These drugs are not supposed be taken "if" pregnant (according to the pamphlets that came with them). I realize my body isn't naturally producing these to the level needed to support pregnancy and that's why I'm on them. But, shouldn't we be testing my blood every few days to indeed test those levels and see if the drugs are needed or are they needed in those doses? Might they need to be altered?
2) I'm suddenly discharging a LOT of clumpy dry white stuff. I suspect it's the progesterone cream. Why is it suddenly doing this? Is this an indication that it's not working or I'm not using it correctly? After my procedure last week, the nurse told me to take the oral pill and vaginal suppository at dinner time if I wanted. When I called the clinic today to inquire about the discharge, the nurse told me I should be doing this stuff in the morning so I'm walking around during the day, helping it get absorbed. NOW I'M CONCERNED that I wasn't directed properly and might have jeopardized my fresh transfer.
Thanks,
Your patient
Posted by: Your Patient | July 02, 2009 at 01:05 PM
Please contact our clinic directly to discuss these issues.
Posted by: Dr. Zhang | July 02, 2009 at 01:40 PM
Hello Dr. Zhang,
My wife is about to turn 40 this month. She was diagnosed as pre-menopausal and with a diminished ovarian reserve. We have not undergone any IVF cycles at our current fertility clinic because we were rejected at the clomid challenge test phase. Her day 3 FSH before the clomid challenge was 33 and subsequently jumped to 49 after the clomid treatment. This information alone was enough to prompt our doctor to suggest that we move straight to a donor egg program. His opinion is that her eggs are of very poor quality and that we only have a 5% to 10% chance of success using her eggs in IVF. We are of course looking for other opinions. Having read some of your materials on newhopefertility.com, it seems that you believe that high FSH levels do not necessarily mean poor oocyte quality.
Given this information, would you recommend that we contact you to discuss a Mini-IVF treatment or do you think that this treatment might not be right for us (given that you use clomid in the first place)?
Best Regards
Posted by: GPS | July 14, 2009 at 12:32 AM
Can I do several Mini-IVF cycles to bank the embryos, and then do one time PGD (sex selection) for all of the banked embryos? Or is it better to do "Sperm Sex Selection"?
"Sperm Gender Selection
Over the last decade, the dominant technique used to determine gender prior to conception has always been preimplantation genetic diagnosis, or PGD. The newest alternative, sperm gender selection, is a technique designed to separate and sort X (female) or Y (male) chromosomal sperm. This sorted sperm can then be fertilized with an egg via intrauterine insemination (IUI) or in vitro fertilization to produce a child of the desired gender. "
Posted by: Jane | October 23, 2009 at 03:06 PM