Second opinion after failed cycles - questions to ask

[Greenfig123]

After three failed cycles (one failed transfer, one pgta abnormal embryo), I’ve booked a consultation at a different clinic to see if a new perspective might help with any tweaks to my future cycles. While I’m generally satisfied with my current clinic, I’m not sure they are tailoring protocols as much as I would like. Thus, I’m looking for advice to take to my current clinic.

Wondering what specific questions (if any) I should be asking, if anyone can help?

Some background: About to start the first of three new cycles with pgta testing. 43, low AMH of 0.8. I know my chances are not the best, but I’m determined to optimise my chances with my own eggs.

So some things I’m going to ask about:

- Any alternative drug options and dosages.

- Mild ivf, perhaps if these cycles don’t work - experimental approaches/add-ons (as long as reasonably affordable and safe)

- analysis of blood test results including pre-ivf blood tests

- extra supplements and nutrition

If (hopefully when!) I find a euploid

-biome tests

- immune tests

- the various tests to check if tubes clear/biopsy

- mock transfer

- EMMA/ALICE/ERA

I’ve chosen a doctor who is known for being thorough and proactive, so hopefully I won’t need to ask heaps of my own questions. But also want to get my money’s worth from the consultation. Any tips would be most welcome!

[JA-fnuk Partner Nurse Fertility Network UK]

Just wanted to wish you good luck for the future This can be a very stressful time and I hope you have taken advantage of the counselling appointments you should be offered while on treatment For more information about treatment add-ons please take a look at at hfea.gov.uk - this will aid you to make a more informed choice re tests

Thinking of you

Janet-Partner