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What Is The Main Determinant For Successful IVF Pregnancy?

Posted on Sat, 8 Nov 2014

Question: Hello. What in your opinion is thd main determinant for successful ivf pregnancy/live birth in women over40: is it age, fsh, amh, lh or any other factors?
Thank you.

Answered by Dr. Soumya (1 hour later)

Brief Answer:
Age and Ovarian reserve

Detailed Answer:
Hi

Welcome to healthcare magic.

Main determinant for success in IVF is age. Age determines quality and quantity of eggs in a lady especially 40 yrs and above.

FSH and AMH are just guide to ovarian reserve.

I hope your doubt is cleared.

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Soumya (9 hours later)

Thank you doctor.
I am attaching my GYN ultrasound results so that you could please give me your opinion on how the fybromyomas found may affect implantation or a possible pregnancy.
Best regards.

Answered by Dr. Soumya (16 minutes later)

Brief Answer:
Myomectomy

Detailed Answer:
Hi,

Fibroids seen on picture are not clear and difficult to comment.

If the fibroid size is large or encroaching on cavity, it is better to operate and get them removed. These fibroids if are on endometrium, they affect implantation as well as pregnancy.

The surgery is called myomectomy. It can be done by laparoscopy. If you are not willing for myomectomy get hysteroscopy done to diagnose if fibroids are affecting endometrial cavity.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Soumya (44 minutes later)

The myomas are described as fundal 33.7X31mm; interstitial anterior 27.2x27.2mm, and interstitial posterior 31.1x31.2mm.
The report attached to the ultrasound states: "Multiple uteri fybromyoma. Uterus of larger volume than the norm, because of the presence of several fybrous nodules (photos attached)."
Uterus L-9.38cm, W-6.72cm, H-5.93cm, Volume-195.7cm3, Endo.Thickness-6.74cm.
From the term "interstitial" these do not appear to be encroaching on cavity or endometrium. Is that correct?
Tnak you.

Answered by Dr. Soumya (24 minutes later)

Brief Answer:
Hysteroscopy

Detailed Answer:
Hi,

From reports it does not seem to be encroaching the cavity. Especially interstitial.

But fibroids are large and multiple. Hence it is better to undergo hysteroscopy for assessment of uterine cavity before proceeding to IVF

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Soumya (5 hours later)

Hi,

Are there any natural treatments and/or diet for shrinking the fibroids, that you would recommend?

Many thanks.

Answered by Dr. Soumya (11 hours later)

Brief Answer:
No

Detailed Answer:
Hi,

I understand your need for natural remedies.

But unfortunately there are no natural treatment options to shrink them. Hence cannot recommend any.

Above answer was peer-reviewed by : Dr. Prasad