Though in vitro fertilization (IVF) is one of the most successful treatments for couples with infertility, standard IVF doesn’t always work. When that happens, Richard Schmidt, MD, FACOG, and Meera Shah, MD, FACOG, at NOVA IVF implement aggressive IVF protocols, using different combinations of fertility medications that are often successful when standard IVF fails. If you have questions about IVF or aggressive IVF protocols, call the office in Mountain View, California, or book an appointment online.
Your doctor at NOVA IVF may recommend an aggressive IVF protocol after several courses of IVF have failed or when you have a low number of eggs, a condition called a low ovarian reserve. When deciding about the protocol that’s best for you, your doctor evaluates how you responded to previous IVF cycles. Then they perform a variety of diagnostic procedures, including:
In many cases, answers are found using blood tests. However, an endometrial receptivity assay tests genetic issues using a small tissue sample from your uterus. Additionally, your provider performs one type of ovarian reserve test using transvaginal ultrasound to count the number of egg-containing follicles in your ovaries.
The team at NOVA IVF uses different types of medications at varying stages in your IVF cycle to trigger the production of extra eggs. In a standard IVF cycle, all women take hormones to stimulate their ovaries to produce multiple follicles. When the follicles reach a certain size, you take another hormonal medication to force the follicles to mature. Then the mature eggs are removed and fertilized in the lab.
While that IVF procedure sounds straightforward, it’s not a one-size-fits-all process. If you already have a low ovarian reserve or you go through several IVF cycles without becoming pregnant, your doctor at NOVA IVF may decide to pursue a more aggressive IVF protocol.
Aggressive IVF protocols use different combinations of fertility medications. Your doctor adjusts the type of medication you receive and the dose you take in order to push your ovaries to produce more follicles and mature eggs.
Sometimes, despite everyone’s best efforts and implementing an aggressive IVF protocol, IVF still doesn’t work. There are many possible reasons why it may be time to stop trying IVF, but if that day comes, you don’t have to give up. With the support of your NOVA IVF team, you can explore other options, such as a surrogate or donor eggs or sperm.
You receive comprehensive and compassionate care at NOVA IVF, including an aggressive IVF protocol when needed. To schedule an appointment, call the office or use the online booking feature.