Earlier this year we began looking into the diagnoses behind fertility issues, starting with ovulatory dysfunction. In this post, we’ll be digging into the most common diagnosis, “diminished ovarian reserve”, affecting 31% of cases in the CDC’s report, which is based on ~260k IVF cycles performed in the US. Diminished ovarian reserve does not only affect IVF treatment but any kind of fertility (preservation) treatment, making it particularly relevant for the Ovally community.
In our previous post about PCOS, we talked about its common symptoms and diagnostic criteria. One of those symptoms are infrequent or missing periods and irregular or missing ovulation, which interfere with the ability to conceive. According to the CDC, 16% of diagnoses in patients with fertility challenges are due to issues with ovulation. Below we’ve summarized the literature on PCOS and fertility treatments to give you an overview of how issues with ovulation can be overcome most effectively.
The question of drinking before and during fertility treatment tends to bring out strong opinions. It also comes up a lot with our Ovally customers: “Can I have at least a little Spanish wine during treatment?”. For the purpose of this post, we are going to focus on alcohol consumption before and during fertility treatment until conception only, and leave out any research on pregnancy and alcohol. As usual, check with your doctor on their guidance regarding alcohol intake during any fertility treatment. We’re summarizing the findings of high-quality research studies for you, but your doctor may have access to relevant, yet to be published findings.
We’re surrounded by positive messages about exercising, yet there are surprisingly few quality studies that have looked at a potential link between exercise and fertility. We know that female athletes often have irregularities with their cycles, and that high levels of exercise seem to be associated with longer menstrual cycles. Research on fertility patients has been inconclusive – one study showed that moderate exercise was correlated with a lower likelihood of having a baby, another showed the opposite.
Doctors perform a series of tests and ask a number of questions as you prepare for and undergo the stimulation phase of egg/embryo freezing or IVF. These tests and questions help determine whether you’re a good candidate for the procedure, whether you’re able to proceed or have any risks, and what your outcomes may be. To make the process a bit more transparent, we’ve included some of these questions below (note that they’re neither comprehensive nor prescriptive). Keep in mind that every doctor will have their own protocols, and we recommend asking them about their process:
It’s always heartbreaking when an egg freezing or IVF cycle does not work, or the outcome isn’t as good as you’d hoped. Even though Ovally patients complete a battery of pre-treatment tests to make sure to the extent possible that they’re a good candidate for the procedure, these tests still cannot rule out some risks that a cycle might be unsuccessful or less successful, with either no or few mature eggs retrieved. Below are some examples of such situations that we’ve observed, backed up by scientific literature. These examples are not comprehensive, and we advise you to always ask your doctor for what risks might exist in your specific case.