Who needs DS or Embryo Pooling?
Patients need to understand that very few patient need double stimulation or embryo pooling. Below mentioned patients may need but not necessarily
- Poor ovarian reserve ( AMH < 1.2 , day-2 egg count < 7)
- Advanced maternal age and poor reserve ( Age > 35, AMH < 1.2 )
- Poor responder (Previous IVF cycle had less number of eggs)
Who Does NOT need DS or Embryo Pooling?
Again, we want to emphasize that patient should understand the proper reason if clinician advise double stimulation or embryo pooling, are they really falling in the category of poor ovarian reserve or poor responder. We can not neglect the side effects of double stimulation on woman’s body so whenever this is done , it should be justified and indicated. Below mentioned patients does not usually need DS or embryo pooling-
- Normal ovarian reserve ( AMH > 1.2 , day-2 egg count > 7 )
- Young age with normal ovarian reserve
- PCOS
- If one IVF stimulation gives bad quality egg or bad quality embryos. ( Indeed your clinician should analyse the situation deeply and find out the reason for bad quality egg)