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Saturday, 09 June 2018 16:04

Does Persistence Really Pay Off with IVF?

This article By Amy Klein of the Sisterhood points to some serious flaws in a recent study. Consider Ukrainian surrogacy with Delivering Dreams as an option. With our thorough testing, surrogacy rates with donors are 68%.

Her article:
“If you will it, it is no dream,” might have been Theodor Herzl’s catchphrase for the founding of the State of Israel but it is a wholly American sentiment: “Energy and persistence conquer all things,” Benjamin Franklin said.

That’s why it comes as no surprise that The New York Times published an article “With In Vitro Fertilization, Persistence Pays Off, Study Suggests,” whose takeaway was that two-thirds of women undergoing I.V.F. will succeed by the sixth attempt (especially for those under 40).

But the study it was based on, “Live-Birth Rate Associated With Repeat In Vitro Fertilization Treatment Cycles” in the Journal of the American Medical Association (Dec 22/29, 2015) is seriously flawed, says Reproductive Immunologist, Jeffrey Braverman (who is also my doctor).
“Large numbers of patients in this study quit the IVF treatments — 34% quit after the first cycle and 90% of the study patients quit after the third cycle —s o researchers had to estimate live birth calculations, and assume that most of the couples who stopped treatment would have the same chance at having a baby as those who continued,” said the New York doctor, who specializes in immune related causes of recurrent pregnancy loss.

In reality, had the Times focused on the conservative estimates in the study they would have seen there was no real improvement in IVF outcomes after the third cycle (and only an additional 2% chance for a live birth in the fourth cycle, flat-lining at 46% in cycles thereafter.)
In other words, when it comes to IVF, blind persistence does not pay off.

“‘Pays off’ that’s a nice play on words, isn’t it? IVF persistence pays off for whom?” writes Pamela Tsigdinos, in her blog Silent Sorority, which offers a safe place for women embarking on a new life after infertility. “Fertility clinic owners and the pharmaceutical reps selling IVF cycles, that’s for darned sure.”
After four cycles (and by cycles they mean one egg retrieval and all the embryo transplants that may come after, which could take a long time) “patients should indeed begin to consider looking into other options and not, as the article suggests, keep trying,” says Braverman. “This will simply lead to patients being drained physically, emotionally with a substantial sacrifice of their financial resources.”

I was one of those persistent patients – probably one who should have never gone to IVF in the first place, as I’d had two natural pregnancies that miscarried, one of which tested normal, meaning it was not an age issue but something wrong with my body. But I was pressed into I.V.F. and endless cycles, and after two more years and two more miscarriages and being drained of god knows how much money and emotional resources, I finally found Dr. Braverman, who diagnosed me with immune issues.
That’s another major flaw of the study says Braverman – failure to separate high-risk high-risk patients (with immune issues, endometriosis, PCOS, thyroid disease, inflammation, failed normal embryo transfer, miscarriage of normal embryos) who would likely never get pregnant without treatment.

After three years, four miscarriage, eight rounds of IVF and ten doctors, I finally got treatment and now I have a lovely five-month old daughter.
But many women are not so lucky. And so I hope they will disregard the Times article – and the flawed study upon which it’s based – and after repeated IVF failures, seek out the treatment they really need.

Learn more about international surrogacy

Delivering Dreams helps couples throughout the US struggling with infertility have children. Located in NJ and Kyiv, Ukraine, our amazing medical facilities and professionals, surrogates and donors are in Ukraine, because Ukrainian law protects the rights of parents and their children from inception at affordable costs and high success rates.

Unique to Delivering Dreams, we offer guaranteed not to exceed, all-inclusive pricing and contracts under US law to provide prospective parents legal and financial security.

1 in 6 couples are struggling with infertility. You are not alone. We want to be your path to parenthood.

Would you like to learn more? Please contact us to share your challenges, ask questions and discuss solutions. This email address is being protected from spambots. You need JavaScript enabled to view it., 1.908.386.3864.

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I am very pleased to meet such beautiful and kind people Hello everyone, I'm Myroslava and I'm going through my SM program at the Delivering Dreams agency. I want to express a big thank you to the girls who cooperate with me, who worry about my condition, who are always in touch, and who always support me - Omelchuk Lyubov and Anna Levchenko. I've already been to a program and therefore I have something to compare it with, this agency and the staff are at the highest level. And also the doct...
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Myroslava
Hallo Oksana,  vielen Dank für Deine ausführliche Erklärung. Wir haben alles gut verstanden. Das zeichnet due Arbeit von Euch und Eurem Ärzteteam aus. So kann man gut vertrauen. Hello Oksana, Thank you very much for your detailed explanation. We understood everything well. This is what distinguishes the work of you and your medical team. This is a good way to trust.
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Thank you very much Dear Oksana, Thank you very much for the great news. We still can't believe it and are totally speechless. The work you do under these difficult conditions cannot be put into words. Thank you very much for that. Liebe Oksana, vielen Dank für die super schöne Neuigkeit. Wir können es noch gar nicht glauben und sind total sprachlos. Was Ihr für eine Arbeit leistet, unter den schweren Bedingungen,  kann man nicht in Worte fassen. Vielen herzlichen Dank dafür.
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Nastya

Under Ukrainian law, surrogacy is a legal affordable option for traditionally married couples to have children using their own embryos, or with either an egg or sperm donor. There must be a medical reason you can’t carry a child. You are also able to participate if you have had 4 unsuccessful IVF attempts.

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Under Ukrainian law, surrogacy is a legal affordable option for traditionally married couples to have children using their own embryos, or with either an egg or sperm donor. There must be a medical reason you can’t carry a child. You are also able to participate if you have had 4 unsuccessful IVF attempts.