Reply to Understanding Fertility Stats for the 40+ age bracket

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[quote=Anonymous][quote=Anonymous][quote=Anonymous]Stats can be manipulated- mainly by cancelled cycles or not taking on “harder” patients. The most important thing is how they decide protocols and if they are willing to zig/zag/try new things (like mini stim or estrogen priming) for women over 40.  Many will not and take your money over and over again and shrug when you fail.

Secondly is lab quality. I am now convinced after many many years of cycling and days away from having my second DD that the lab is essential. If you arent making blasts it could be lab quality - i was always told nope it was a me problem.

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OP here. What do you look for when evaluating lab quality? Is it a lab with its own donor program, and good stats related to it (like some posters on DCUM say)? To me though, it seems like donors are usually young and have a good diagnostic profile, so the stats would be better by default if you have an extensive donor program.

So should we look at successful transfer rates? In this case, I would want to know how many cancelled cycles they have.

How else would you evaluate for a good lab?

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PP here - honestly you need to search fb groups and message boards like this. Also really press for protocol answers - i have only had success when I went to places that would work outside the box. I’ve been DOR since the age of 34 (i’m now 42 and 38 weeks along w #2) and i started at a clinic that was a literal factory. I was a tough case even at 34 and they wasted 2 cycles and used all my insurance allotment at the time. I have a weird issue where my body LOVES so ovulate thru suppression (even on an antagonist cycle) and the bigger places would not listen. We moved to NYC after a job transfer and luckily had DD with Sher Fertility there after they agreed to give me double doses of centroide - it worked. Due to covid with #2 we lost a few years and went again to another bigger factory that was fully up and running and same thing again - ovulated thru stims twice / got the the run around about how they don’t believe thats a thing (um well it is for me). Went to Gen Next as a last ditch, they were open to mini stim and had me monitored twice a day the last few days and low and behold they caught a surge 24 hours before i was supposed to trigger. They had me in for an emergency retrieval the next day and got 5 of 7 follicles (they all would have been long gone) and here i am 38 weeks. It is trial and error but you must be someplace that will listen and try things out. Just my 2 cents. [/quote]

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