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[quote=Anonymous]Another question to ask is if they do Day 2 or Day 3 transfers of embryos, or day 5 transfers only. There is research that suggests more IVF success with embryos that can grow to the blastocyst stage (day 5-6) in the lab, but sometimes you may not retrieve enough embryos to feel comfortable pushing to that length of time. Some embryos will always arrest and fail to grow,that is just the nature of this procedure. Sometimes labs may not be skilled enough at the careful culturing procedures needed to grow embryos for five days. It's hard to know as a customer what's going on.

I have a friend who felt very uncomfortable that her RE's office (which is not local) would not even consider a Day 2-3 transfer in her case, but insisted on growing the few embryos she had for as long as possible, freezing them, and then doing a FET later. I don't believe her doctor was trying to give her poor care. Nevertheless, she wanted to try that cycle with a day 3 transfer, and it was very stressful for her to just be told, flatly, no you cannot.

Other questions: where is retrieval and transfer done? (Same office where you are monitored, or will you have to make arrangements to go to another office on those days?; Do you recommend or offer preimplantation genetic testing on embryos, and how much does that cost? Who will I see on monitoring days -- will it be you or do you rotate patients among other doctors? How can I communicate with you - do you respond to email?; do you recommend (or recommend AGAINST) taking nutritional or herbal supplements during a cycle?; what kind of protocol might you suggest for me based on my case, and how long would that take (it may be too soon for the doctor to know this,  if he hasn't done a workup on you, but if he has, it's a question to ask); do you vitrify embryos or slow-freeze them (hopefully you will have embryos to freeze. Vitrification shows better thaw success than slow freezing.);  at what stage do you freeze -- as one PP mentioned, some labs only freeze Day 5 embryos because they also handle the thawing process better. You may or may not be okay with this.

And of course, what success rate would you predict for me based on my health and my husband's health?

Hope you're seeing these suggestions before your consult. Good luck!

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