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medical consultation about fertility treatment

Fertility treatment consultation

Behnam ยท 2026-06-10 10:01:22 to 2026-06-10 10:13:00

Review: Pending Review

Summary

The consultation addresses a failed frozen embryo transfer in March, the first after a pregnancy loss and the first unsuccessful one. The patient had breakthrough ovulation during an HRT cycle, but the doctor reassures it doesn't affect implantation if progesterone timing is adjusted. The patient asks about suppressing ovulation but is advised it has no advantage. They also discuss a possible arcuate uterus, ruled out by a 3D scan, and embryo quality, with four embryos left and about a 30% success rate per cycle. Genetic testing is not recommended, and a new progesterone check before transfer is introduced. Multiple transfer is advised against.

Facts

  • The recent treatment cycle was in March.
  • It was the first cycle after a pregnancy loss and the first unsuccessful one.
  • Breakthrough ovulation occurred during HRT.
  • The uterine lining looked nice.
  • A 3D scan showed the uterus was normal, not arcuate.
  • The patient has 4 embryos left.
  • Each cycle has a 30% success rate.
  • Progesterone testing was introduced in April.

Tasks

  • Book next treatment cycle when ready
  • Check progesterone level day before transfer

Issues

  • Failed cycle after pregnancy loss
  • Breakthrough ovulation
  • Potential arcuate uterus (ruled out)
  • Concern about embryo quality
  • Emotional impact of previous quick successes