Coordination with Oncology — Calendars and Clearances
Key Takeaways Fertility preservation must be synchronized with oncology treatment calendars, often within days. “Clearance” involves medical, logistical, and safety checks before ovarian stimulation, sperm banking, or tissue retrieval. Oncology–fertility coordination works best when teams communicate in real-time, not through slow referrals. Emergency pathways allow egg/sperm/tissue preservation without delaying chemo. Patients benefit from clear timelines: […]
Prednisone, Heparin, and Aspirin — Where They Fit
Key Takeaways Prednisone, Heparin, and Aspirin are supportive—not primary—treatments in IVF or surrogacy journeys. They are not universal medications; they work only when the medical need is clearly present. These drugs help in specific situations such as autoimmune activation, clotting disorders, implantation challenges, or recurrent pregnancy loss. Over-prescription can lead to complications, so individualized clinical […]
GnRH Agonists and Antagonists — Roles in Management
Key Takeaways GnRH agonists and antagonists regulate reproductive hormones, especially LH and FSH, crucial for controlled IVF stimulation. Agonists initially stimulate, then suppress hormone release; antagonists suppress immediately. Antagonists are preferred for short, flexible IVF cycles with reduced OHSS risk. Agonists are helpful for endometriosis, adenomyosis, fibroids, and long suppression protocols. Both agents are safe […]
Fresh vs FET — Matching to Uterine Health
Key Takeaways Fresh and frozen embryo transfers work equally well—but only when matched correctly to uterine health and hormonal conditions. Fresh transfer is ideal when estrogen levels are balanced and the lining is naturally receptive. FET is preferred when high estrogen, ovarian hyperstimulation, thin lining, or inflammatory uterine conditions are present. FET allows more control, […]
Pediatric and Adolescent Oncofertility — Special Considerations
Key Takeaways Children and teens can experience permanent infertility from chemotherapy, radiation, and surgery—often at higher rates than adults. Fertility preservation requires age-specific, development-appropriate strategies. Options vary dramatically depending on pubertal stage, cancer type, and treatment urgency. Procedures like ovarian tissue cryopreservation and testicular tissue freezing are essential for pre-pubertal patients. Ethical considerations—such as consent, […]
GnRH Agonists for Ovarian Protection — Evidence Snapshot
Key Takeaways GnRH agonists can reduce—but not eliminate—the risk of chemotherapy-induced ovarian failure. Best used as an adjunct, not a replacement, for egg or embryo freezing. Works by temporarily “resting” the ovaries during chemotherapy. Evidence is strongest for hormone-receptor–negative breast cancer and select regimens. Timing matters: injections must begin before chemotherapy starts. Useful when freezing […]
Interventional Radiology — UAE vs Future Fertility
Key Takeaways UAE offers a minimally invasive treatment for fibroids but may compromise future fertility in certain patients. Myomectomy often remains the gold standard for women planning pregnancy. Interventional radiology innovations are reducing risks, but careful patient selection is essential. In some cases, UAE can preserve fertility when surgery is not an option. Consultation with […]
International Parents — Banking and Currency Considerations
This is the financial side of cross-border fertility care. It covers how to move money safely, how to minimize unnecessary fees, how exchange-rate swings affect total costs, and how payment timing influences clinic, agency, legal, and escrow processes.It shows you where this fits in the overall care journey, what it changes in your budget, and […]
Adenomyosis — Medical Options and Timing
Key Takeaways Adenomyosis affects implantation, uterine contractions, and inflammation—making IVF timing and preparation crucial. Medical suppression before FET can significantly improve pregnancy rates. Options include GnRH agonists, LNG-IUD, progestins, anti-inflammatory therapy, or combined protocols. Most women benefit from 2–3 months of suppression before frozen embryo transfer. Imaging (MRI or 3D ultrasound) guides treatment planning and […]
Pre‑Chemo Testing — AMH, AFC, and Baseline Labs
Key Takeaways Chemotherapy can severely damage sperm production—testing and banking must happen before treatment starts. Baseline labs help assess current fertility and determine how many samples are needed. AMH and AFC—although typically used for women—guide overall reproductive planning for couples where both partners need pre-chemo assessment. Men can complete testing + sperm banking within 24–48 […]
