Today's subfertile and infertile patients have many assisted reproductive technology options, including in vitro fertilization (IVF). But IVF is not a one-size-fits-all solution. Read our collection of frequently asked questions about assisted reproductive technology options, and learn how to talk to your patients about treatments and potential outcomes.
- What are the benefits of ultrasound-guided oocyte retrieval? Transvaginal ultrasound makes oocyte retrieval fast, minimally invasive and straightforward, allowing doctors to use a wide variety of pain relief methods for patients. Newer 3D ultrasound imaging allows more oocytes to be retrieved overall when compared with 2D ultrasound and allows more to be fertilized on the first day, which is especially important to patients.
- How can 3D and 4D ultrasound help reduce ectopic pregnancy risk? The use of assisted reproductive technology — especially IVF — can be a risk factor for ectopic pregnancy. However, 3D and 4D ultrasound capture images from the coronal plane, giving physicians a more complete view during embryo transfers and locating successful implantations. But even with better visualization techniques, the possibility of embryo migration still exists. Be transparent with patients about this rare but possible complication.
- What are the basics of helping patients conceive after delaying parenthood? Encourage patients to take a long-term family planning approach when it comes to assisted reproductive technology, rather than focusing on having a baby as soon as possible. Educate OB/GYNs, PCPs and potential patients about fertility wellness checkups to get patients evaluated sooner. After all, even changes over just a few months might impact the treatment options.
- What should patients know about IVF and age? Age-related fertility decline is poorly understood by many prospective parents, so education is key. Be realistic about the odds of IVF success at every age and the potential complications of pregnancy.
- Who are the best candidates for natural cycle IVF? Reproductive endocrinologists could recommend a natural cycle protocol to patients in a variety of situations, including those who are at risk for an exaggerated response to ovarian stimulation medication or patients of advanced reproductive age. Consider the patient's prognosis and aim to balance it with their personal preferences. Be candid, and provide them with as much information as possible to help them make an informed decision about their treatment.
When patients ask about their assisted reproductive technology options, it's important to be honest yet empathetic about their prognosis. To keep learning about infertility, IVF and ultrasound, explore more on reproductive medicine.
