Reproductive endocrinology and infertility are rapidly evolving fields of medicine which are replete with controversies. As a patient you have to make life-changing decisions despite the absence or scarcity of reliable information. Our goal here is to lay out the facts and issues without a bias and without pretending that we or anyone else has all the answers. We think such an approach is both more honest and fun.
How many embryos should you have transferred? Is more always better? How many children do you want to have? Can you handle twins? Is multi-fetal pregnancy reduction an option for you? Are you taking your future children’s health fully into account when making these decisions?
You have decided to get pregnant with donor eggs. Who are you going to tell? Are children conceived with donor gametes entitled to the knowledge of their origins? Are your parents and relatives ready to accept your decision? Is privacy of your reproductive choice just a slogan? Can you keep it a secret for a lifetime?
What are the pros and cons of blastocyst transfer? Who is the best candidate for day 5-6 versus day 2-3 transfer?
How do embryologists keep eggs, sperm and embryos from each patient separate? How frequent are mix-ups in the lab? How can we guard against them?
You had a tubal ligation but now you want to have children: what are the options? what are the chances of success and costs?