Why Do We Use Fertility Drugs Containing FSH with IVF Rather Than Alone
(text on screen): Fertility Authority. Your Most Trusted Source Ask the Experts Why do we use FSH containing fertility drugs with IVF, rather than alone? Douglas Daly, Grand Rapids Fertility IVF: In an FSH cycle, what we're trying to do is induce ovulation in women who do not normally ovulate; who are anovulatory. If they use the FSH medication alone, they may ovulate four, five, six, seven eggs, and, in fact, part of the monitoring in an FSH cycle is to cancel cycles which are overinduced. Now, if you're ovulating four or five eggs, you have the risk of four or five babies being formed in the cycle.
And, in the United States, the primary cause of triplets, quads, and quints pregnancy is not IVF. It's actually the use of FSH cycles alone. Therefore, if we can substitute a technique that allows us to decrease the number of embryos that are actually in the body, while increasing the likelihood of pregnancy, we not only improve outcome but we decrease cost in the long run. Because the cost of a triplet, quad, or quint pregnancy is related to the aftercare. IVF offers us that opportunity. IVF can be run and gain multiple follicle induction. We can do the egg retrieval. We can generate embryos in the laboratory. And then we can sort through the embryos and pick out two embryos for transfer or one embryo for transfer
and limit our pregnancy to a singleton or twin gestation and freeze the rest of the embryos for comparatively inexpensive second and third chances, thereby decreasing the overall risk to the patient and decreasing the possibility of a multiple gestation. Unfortunately, even while the insurance companies say this approach makes sense, they won't cover it. And therefore the patients are left with the decision of: Do I do the FSH cycle, which may be covered, and run the risk, or do I switch to the IVF procedure, which carries less longterm risk for me, but I'm going to have to pay for myself. I would just encourage the patients to not be penny wise and pound foolish. In the long run, a triplet, quad, or quint pregnancy is going to be a pregnancy that is going to be terribly expensive
not only for the insurance company but for the patient as well. 0:02:23.000,0:02:26.000(text on screen): Fertility Authority. Your Most Trusted Source.