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CHOOSING THE RIGHT IVF TREATMENT Choosing the right treatment can be very difficult unless a thorough infertility investigation has been carried out to identify your unique fertility needs and requirements. Choosing an IVF clinic abroad can also be overwhelming. Each patient is different from the other, therefore, a single prescription will not fit everyone. For this end, the following strategy will be useful when planning your treatment: -Younger patients with no prior testing or infertility treatment history should start with the initial testing process described in “Infertility Testing”section below. Based on these test results, and the patients age, a less invasive treatment option such as IUI may be chosen as opposed to the more invasive IVF/ICSI procedure. However, older patients (aged above 35) are not recommended to lose more time with simple treatments as fertility tends to decline fairly rapidly after such age brackets. -Patients with a history of treatment failures will be subjected to further infertility investigation, as outlined in our “infertility testing” section. Should these test results indicate that the patients’ own eggs and sperm might be viable for treatment, then IVF/ICSI treatment will be recommended using own eggs and sperm. The protocol of treatment and the precise dose of medication to be administered will depend on your age, your unique hormone levels and previous treatment history. If there is any reason to suspect a genetic cause for prolonged periods of infertility and possibly repeated IVF failures, after the necessary testing has been performed, the couple might be advised to have PGD (Pre-implantation Genetic Diagnosis) testing on their embryos in order to separate the genetically healthy embryos from the genetically abnormal ones prior to the embryo transfer procedure. Should there be a serious defect with the eggs or the sperm that cannot be easily isolated via PGD testing, then using donor eggs or donor sperm may be the most appropriate course of action. IVF with Egg Donation is also recommended for couples with a female factor infertility where the female patient’s eggs do not allow for fertilization or pregnancy to occur for any reason. This can be due to premature ovarian failure and menopause. IVF using donor sperm is recommended for couples with male factor infertility where the male partner’s sperm is unable to fertilize the female partner’s eggs due to count, motility or morphology issues or this treatment can be chosen for any genetic condition that the male partner is at risk of transferring to his offspring. Before opting form sperm donation, alternative avenues such as “surgical sperm extraction” should be explored. Please keep in mind that these are only meant for guidance and we do not, in any way, aim to diagnose or recommend treatments on this website. For more accurate recommendations and guidance, we will need to review your test results as well as your history of infertility along with any details that might be relevant so that we can offer you customized recommendations.