19.04.2015

Fertility centers for women over 40

Our IVF with donor eggs packages start at $10,799 and include donor testing, donor compensation, all medical fees, airfare for two and hotel accommodations. Call us today for a free consultation with a fertility doctor and our affordable IVF with donor egg package details or click below to get started. Many people who search for IVF clinics abroad are over 40 and they want to find the best IVF clinic which specialises in this age group.  Women who are over 40 are not usually entitled to NHS treatment and have to rely on self-funding. IVF clinics abroad in countries such as Greece, Spain, the Czech Republic and Cyprus for example offer much lower prices for fertility treatment.  But what should you look for in a clinic if you are over 40.
This technique involves removing a few cells of the developing embryo and these are screened for genetic abnormalities.
I hope that this has provided a mini-checklist to help narrow down your choice of IVF clinic if you are over 40. Despite a trouble-free pregnancy, I could sense a feeling of caution whenever I went for a scan or a check-up, as if my pregnancy were a freak accident that was bound to end in tears. To get feedback from patients who have undergone treatment at our Center, click here to go to the Patient Comments page. We are willing to take on the most difficult cases with lower prognosis, so long as we feel there is a chance for pregnancy. Of course, one option for such women is donor eggs, but many women would prefer getting pregnant with their own eggs. The success of this approach depends not only on a novel endocrine stimulation protocol, but also upon a flawless method of embryo freezing such as our vitrification system, and the highest level laboratory air purification system to give the eggs from older women the best possible environment in which to develop.
A 43 year old woman who married relatively late in life was told by numerous doctors and infertility clinics that she could only get pregnant if she used donor eggs, and some also recommended donor sperm because of the husband’s age (which was silly). Another example: A 43 year old woman married, at age 38, to a 34 year old man, already had conceived naturally and delivered a healthy son four years earlier.
When they came to us, we initiated several relatively inexpensive cycles of mini-IVF, and retrieved 3 eggs in one cycle, and one egg in each of two more cycles, resulting in a total of three blastocysts which were frozen by vitrification and stored for later transfer. A great example of the superiority of mini-IVF for older women is a 43 year old who had gone through 5 previous conventional high dose stimulation IVF cycles since she was 40 years old. A very determined 45 year old woman underwent four cycles of mini-IVF stimulation for IVF resulting on a total of 14 frozen stored embryos, because she knew how low her chance was for pregnancy per embryo with her own 45 year old eggs. Suzanne Gastineau got pregnant with her first baby so easily, it never occurred to her that a few years later, she would be trying to conceive her second for a year-and-a-half with no results. A dramatic example of mini-IVF for women over 40 is a typical case of what we call secondary infertility, where the couple was able to conceive and deliver a healthy baby when they were younger, but now find themselves infertile in their attempt to have another child a few years later. For example, a physician patient with a zero sperm count because of pituitary deficiency (a rare condition in males), had his sperm count return with the proper hormone treatment, but because the count was still low, they needed ICSI-IVF. A 45 year old single woman had to go through 4 cycles of mini-IVF with embryo banking, and was thereby able to store up 6 good quality embryos derived from her own eggs. In fact the remarkable successes with some of these older women resulting from the mini-IVF protocol are causing us to be cautious about how many embryos we transfer at one time even when older eggs are involved. I wanted to write and thank you for making Mother’s Day 2010 one of the best days of my life. We cannot thank you enough for your willingness to extend your expertise to successfully treat the infertility issues which older couples face. There are several reasons for the remarkable success in our cases of older women using this approach. We can sometimes even achieve pregnancies in women 46 years of age and older with this approach (although donor eggs is a much more sure technique for achieving a successful result for such cases). A striking example of how mini-IVF with back-to-back cycles to store up vitrified embryos can allow older women to get pregnant and have babies with their own eggs is a couple from the north central area of the U.S. Another beautiful example is a 47 year old woman who went so far as to store up 14 embryos with mini-IVF.


Of course we always suggest donor eggs to older women as a much surer way of having a baby, and we are strong advocates for accepting donor eggs once a woman has run out of her own eggs. This principle can also apply to younger women who have very few remaining eggs who are suffering from premature ovarian failure. We recently took care of such a case, a young woman I had known since she was a little girl, who had undergone multiple surgeries at various clinics for other health problems, but the result of her cure was just one remaining ovary with hardly any eggs left. There are many more such examples where persistence and mini-IVF can be successful with older couples or women with very few eggs.
If a woman absolutely cannot get pregnant with her own eggs, then donor eggs is her only remaining option. For women over 40 who are at risk of their embryo developing Downs syndrome or other genetic abnormalities, this technique can tell which embryos are free of the abnormality.
Women over 35 years are at higher risk of developing diabetes and high blood pressure during pregnancy and so it is very important that the pregnancy is monitored closely.
Women over 38 years of age often have very few eggs, respond poorly to conventional ovarian stimulation, and because of lower pregnancy rates, are often just cancelled by IVF clinics for fear that such cases will lower their reportable statistics. So they were recommended to use donor eggs for her next (fourth) cycle, but they were just not ready for this option. For them the news is even harsher when an IVF clinic tells them they will need to use donor eggs. All three of these cycles cost less than they had spent for just one standard cancelled cycle elsewhere. However, by the time they saw us, the wife was already 40 years old, and she only had a few eggs retrievable and would have been cancelled at most centers and just told to use donor eggs, which they were opposed to.
Now at age 43, with such a low ovarian reserve, three years later, they wanted to try for another child.
We are enthusiasts for this, and we have literally no “waiting list” problems for donor eggs.
One 44 year old woman who was turned down by many IVF centers unless she agreed to use donor eggs, underwent two mini-IVF cycles at our center in which we were able to retrieve 4 eggs each time, resulting remarkably in 4 embryos each time, which were frozen by vitrification and stored for eventual transfer. We celebrated with our amazing two-month-old twin baby girls and we wanted to extend our sincerest gratitude for helping us realize our dream to become parents.
Firstly, it is hard to overstate how crucial is the purity of air quality in the lab as well as in the operating room.
She already now has two babies (with her own eggs) and still has four more frozen embryos with which she can try for a third baby despite now being almost 50 years old.
But with this mini-IVF approach of storing up vitrified embryos month by month in older women, we have a remarkable pregnancy rate even in women over 42 years of age of over 50%, and this year thus far 67%.
Most IVF centers will turn these women down if they do not agree to donor eggs, or else string them along with tests and meager treatments that are doomed to fail, until they finally agree to donor eggs.
Louis, is just the right approach for older women or women with low ovarian reserve who still want to use their own rather than donor eggs. We placed her on a program of mini-IVF back to back cycles to store up embryos by vitrification over the next year. These cases of women over 46 getting pregnant with their own eggs are unusual, but it is nonetheless quite possible if donor eggs are not an option for them. The misery this brave and beautiful young woman had to go through, being told by everyone that she could never have her own children, and her determination not to be swayed by the naysayers was truly inspirational. Nonetheless, some women simply will not have any viable eggs of her own, and then donor eggs becomes the only remaining option. We have been offering donor egg IVF for over 24 years, and therefore have had a chance to follow these children and their parents for a almost a quarter century. For women over 40 who may have embryos which may have the potential to have genetic abnormalities than a younger woman, embryo monitoring can help the embryologist select the best embryos for transfer.


It takes advantage of your own natural FSH elevation with an ingeniously simple protocol that strives for smaller numbers of better quality eggs. She still has 6 more frozen embryos remaining, and so it is possible she could even have a second child in a few years, before she is 50, to be a sibling for this miracle baby she had from mini-IVF with her own eggs at age 46. Their local IVF center laughed at them; but because they were physicians, they knew not to give up hope.
It is just that most people would prefer their own DNA, and for that goal, properly administered mini-IVF with embryo banking is the best alternative for the older woman or for even for the younger woman who suffers from low ovarian reserve.
I told them we could easily restore his fertility with a vasectomy reversal or just retrieve his sperm microsurgically, but the problem was her age. So if a clinic reports a high pregnancy rate for women over 40’s using their own eggs then it is prudent to query this data.
Both were physicians, only 34 years old, and had been told by several IVF centers they had visited that she had only a few follicles left, was about to go into early premature menopause, and was not a candidate for IVF with her own eggs.
So this time, again with mini-IVF, we actually got 6 eggs and 5 good quality embryos, giving them two more children, even at age 43, when every other center would automatically turn them down because the results are normally so poor with conventional IVF in women over 40.
This case exemplifies dramatically that if you can get good quality embryos using mini-IVF from your own eggs, even for patients in their mid-forties, pregnancy is still possible without the need necessarily of donor eggs. After saving up several more embryos, with another cycle of mini-IVF, and another TESE for him, they now had 5 good quality embryos frozen using our advanced vitrification technique. We finally figured out these doctors were trying to waste enough time to force us into using donor eggs, rather than pursue a plan that would help us try to have our OWN children. Secondly, the very clever Japanese approach to minimal stimulation allows us to retrieve just as many (or few) eggs from older women as more expensive massive dosing conventional stimulation protocols, but better quality eggs and at a lower cost.
I had been so brainwashed into believing that I was too old for motherhood that I had not used contraception. We realized that using donor eggs is a viable option for some couples but had told each doctor from the beginning that was not what we wanted. However, for psychological reasons, we feel it is best for both the donor and recipient to remain anonymous to each other, although an occasional couple will prefer a known donor.
Mammograms are over in a few minutes and a degree of discomfort for a short time is nothing if it will save your life. When she didn’t conceive, she was given the fertility drug Clomid and, a year later, had IVF.
In either event, if you are forced by complete lack of any fertile eggs of your own, to use donor eggs instead, in the end you can feel quite comfortable that you can still have a very happy and fulfilling family. By the time Nicole was 42, she had been through IVF six times and describes herself as ‘emotionally and financially exhausted’.  Then she read about CARE Fertility in Nottingham, offering fertility treatment for women over 40. Fortunately, and as expected, her triplet pregnancy spontaneously reduced to twins, and she delivered healthy term twins, with her own eggs.
So couples who have to take their second choice, donor eggs, because they have run out of their own eggs, should not be forlorn. In fact Nicole was diagnosed with a condition where the body’s immune system goes into overdrive, producing killer cells which enter the placenta and attack the embryo. She was treated for the condition, and went on to have a healthy daughter at the age of 44.



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