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A large percentage of our practice is devoted to helping women who have a decreased egg reserve or high FSH level. Many of these people have been told by other centers that their eggs are no longer good and they need to pursue the donor egg option. However, even though it jeopardizes our pregnancy rates we care more about the individual than we do about our overall rates and are very willing to accept these patients into our program. Additionally, we have data to show that we have a reasonably good pregnancy rate in these high FSH individuals. At the Cooper Institute we have even gone so far as achieving pregnancies in women who were told they were actually in overt menopause. We have been able to do certain hormonal manipulations that can restore the sensitivity of the few remaining follicles that are left and are able to get eggs and even pregnancies. We have worked both with and without IVF in that setting. We are not determined at the outset that women with high FSH must have IVF. Of course, if it is determined that there is a reason to do IVF, we are willing to go ahead and do so, but we explore every treatment option and work with our patients to try and make them ovulate. Obviously if a person fails to achieve a pregnancy we always have our donor egg program, the largest in the country, as a backup. We have great success with our donor egg program and we do try to keep our prices reasonable so people can afford these types of procedures. We have a large number of articles dedicated to our work with women with high FSH and they are available through the "Published Articles" section of this site. |
