Review the stages of the earlier IVF cycle
Unsuccessful IVF can involve different findings: a low response to stimulation, a low egg maturity rate, fertilization difficulties, limited blastocyst development, abnormal embryo testing results or an unsuccessful transfer.
The clinical and laboratory teams review the records together. Semen findings and reproductive history are also considered as part of the wider fertility assessment. An earlier result should be considered in its treatment context rather than assumed to explain every later cycle.
Male fertility assessment and semen findings
Records that help the review
- Stimulation protocol, medication doses and ultrasound and hormone monitoring.
- Trigger injection and egg retrieval records.
- Numbers of eggs retrieved and mature eggs, with the fertilization method and results.
- Embryology reports describing development, blastocyst grading and any biopsy or genetic testing.
- Transfer records, endometrial preparation and subsequent pregnancy or follow-up results.
Share the records before a telephone or video consultation so that the physician can review the proposed treatment and visit arrangements.
An individual clinical plan
The team reviews earlier stimulation, follicle growth and egg maturity when considering a new cycle. The plan is selected according to ovarian function, earlier response and ongoing monitoring.
For patients with low egg maturity or a maturation disorder, IVM may be discussed. The laboratory selects handling according to the development of the retrieved eggs.
Review the genetic question
PGT-A, PGT-M and PGT-SR address different questions. Earlier embryo results, parental chromosome reports and relevant family history help the team discuss which approach, if any, fits the medical assessment.
Read individual case accounts
These accounts describe particular treatment histories and reported outcomes. A successful result in one patient does not establish what another patient will achieve.