Exploring IVF: Your concerns and questions answered

Written by: Dr Anu Chawla
Published:
Edited by: Karolyn Judge

Are you considering IVF, but have so many questions you don’t know where to start? Leading senior fertility specialist Dr Anu Chawla is here to help. She looks at ten of the most popular concerns regarding IVF in this informative article, including costs, success rates and the overall process.

IVF process taking place

How much does IVF cost?

One of the first questions prospective IVF patients ask is about the cost. On average, clinics in the UK advertise a rate between £3,000 – £4,000 per IVF cycle. It can be expensive, and that’s not including medications. It’s important to explore all financial aspects, including insurance coverage, financing options and any hidden fees. Some clinics offer payment plans or packages which include multiple cycles at a discount.

 

 

IVF success rates

Success rates are a significant factor in selecting the right IVF clinic. These rates vary based on:

 

Younger women have higher success rates in general. Statistics specific to your situation can provide you with a realistic expectation of outcomes.

 

 

What are the side effects and risks of IVF?  

The hormonal treatments involved in IVF can cause side effects including:

  • headaches;
  • bloating, and;
  • mood swings.

 

Ovarian hyperstimulation syndrome (OHSS) and multiple pregnancies are also risks. Understanding these and discussing them with your healthcare provider is recommended in order to make informed decisions.

 

 

Process and timeline

The IVF process has four stages:

  • ovarian stimulation;
  • egg retrieval;
  • fertilisation;
  • embryo transfer and a two-week wait for pregnancy confirmation.

 

The process typically spans four to six weeks per cycle. Knowing what to expect at each step can help reduce anxiety and prepare you for future developments.

 

 

Which are the best IVF clinics?

Selecting the right clinic can significantly impact your IVF experience.

 

For example, it would be a good idea to look for clinics with high success rates, positive patient reviews and experienced medical teams.

 

Factors such as location, clinic facilities and care offered should also be considered.

 

 

Fertility medication

Medication plays a vital role in stimulating the ovaries in order to produce multiple eggs. Common drugs include:

  • Clomiphene;
  • Gonadotropins and;
  • GnRH agonists/antagonists.

 

They can have side effects, so it’s important to discuss this with your doctor.

 

 

Recommendations regarding lifestyle and diet

IVF success rates can be influenced by lifestyle choices. Maintaining a healthy weight, eating a balanced diet rich in antioxidants, avoiding alcohol and smoking and managing stress can assist in improving outcomes. It’s also been suggested in some studies that acupuncture and specific supplements may also enhance fertility.

 

 

Emotional and psychological support

The emotional toll of IVF can be huge. Joining support groups, attending counselling sessions and connecting with others going through similar experiences can assist in providing much-needed support. Mental health professionals that specialise in fertility issues can provide coping strategies and emotional guidance.

 

 

IVF using donor eggs/sperm

Using donor eggs or sperm is necessary for some patients. This can increase chances of success, particularly for older women or those with severe infertility issues. Understanding the selection process, legal implications and success rates linked with donor gametes is essential in making informed decisions.

 

 

Issues with male subfertility

Male infertility is connected to approximately 40 to 50 per cent of infertility cases. Treatments such as intracytoplasmic sperm injection (ICSI) can provide help in instances of low sperm count or motility. Evaluating male fertility early on can ensure all aspects of infertility are looked at.  Beginning the IVF journey is a significant step filled with hope and challenges.

 

By seeking reliable information and comprehending these common concerns, you can approach your treatment with greater confidence and clarity. It’s advised that you should always consult with your healthcare provider to tailor information to your specific needs and circumstances.

 

The IVF journey involves costs, learning about success rates, understanding side effects and the overall process. Key considerations include selecting the best clinic, understanding fertility medications and adopting a healthy lifestyle. Emotional support is vital, as are options like donor eggs or sperm. Male fertility issues also play a significant role. By addressing these common concerns, patients can approach IVF with confidence and clarity.

 

 

 

Want to know more about how Dr Chawla can help you regarding IVF? Arrange a consultation with her via her Top Doctors profile.

By Dr Anu Chawla
Fertility specialist

Dr Anu Chawla is a highly-experienced senior fertility specialist, practicing Advanced Reproductive Medicine, in London

Her area of expertise is in Advanced Fertility PracticeRepeated IVF failures, Polycystic Ovarian Syndrome, PCOSEndometriosis (Current Chairperson of Endometriosis Committee of FOGSI), Reproductive Immunology, Egg Freezing, Fibroids, Male Factor Infertility.

Dr Chawla qualified in medicine in Gujarat University in 2007 and then went on to pursue a Master's degree in obstetrics and gynaecology.  She became a member of the Royal College of Obstetricians and Gynaecologists, London, in due course.  

She also obtained a diplomate of the National Board in Obstetrics and Gynaecology. She holds Three Post Graduation Degrees in Obstetrics and Gynaecology, one from UK, two from India, from reputable universities. In addition, she did Advanced Fellowship in Minimal Access Surgery and another Fellowship in Reproductive Medicine.

She trained in Advanced Level 3D Pelvic Ultrasounds with Prof Stuart Campbell, in London.

She went to the United States to do a Reproductive Medicine Observership Programme at National Institutes of Health, Bethesda, Shady Grove Fertility Clinics in Bethesda, Maryland, USA, and in IVF Department at the EVMS Jones Institute in Virginia, USA, Centre of Reproductive Medicine New York, New Hope Fertility Centre New York.  

Dr Chawla has been previously appointed as a clinical lead consultant in Advanced Fertility Department at various leading teams in India, where she also founded the esteemed IVF department at the Fortis Memorial Research Institute at Gurgaon in Delhi Region.

Her high success rate and clinical excellence in Fertility Practice, with global expertise and perspective, brought her an offer to come back to London and join St. Bartholomew’s Hospital and the Queen Mary University, London Hospital as a Senior Fertility Specialist, where she did huge numbers of egg collections, embryo transfers etc.

She worked at Create Fertility, St. Paul’s, London and The Fertility and Gynaecology Academy, London.

Combining clinical expertise in both gynaecological Fertility Enhancing Surgery and Reproductive Medicine, Dr Chawla's patients benefit from her sensitive, comprehensive and continuous care throughout their conception journey. 

Dr Anu Chawla's has been actively contributing to the various gynaecology associations, like Royal College of Obstetrics and Gynaecology, RCOG, London, The International Federation of OBGYN, FIGO, and the Federation of Obstetrics and Gynaecological Societies in India (FOGSI), amongst others.  

Dr Chawla is a regular invited faculty speaker, at various international and academic key fertility and OBGYN conferences around the world. Most recently, she was invited to chair a film festival session on the topic of Sexual and Reproductive Health and Wellbeing at the XXIV FIGO World Congress of Gynecology and Obstetrics. She was additionally actively involved in campaigning to extend the time span of egg freezing for women in the UK, an amendment which has now been successfully enacted in to law. Dr Chawla also regularly conducts charitable medical projects in India, providing low cost reproductive and gynaecological care for those in need.

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