Recommended fertility doctors

L

Liquorice

Registered User
Hi, I have been seeing Dr Lo for some time. He was recommended to me by a friend who had had success with him. Apparently he has a very good reputation but I am starting to get a little concerned. The doctor sees so many people that he never seems to remember the particular details of my situation, my appointments are rushed and I'm never convinced that the options/alternatives/necessary actions are properly considered for my individual case. Also recently I've had a couple of setbacks which are partly due to lack of attention I think.

Is this normal for fertility clinics? I know these doctors are very busy... Or should I be looking elsewhere?

Any advice much appreciated.
 
I would be concerned too. It's such high stakes and an emotional time (I know, I've been there). I would change doctors if you feel that way. I have to say that I find all the doctors here book themselves up with a lot of patients and typically only schedule 15 mins per patient.
I highly recommend Dr Philip Ho who I have seen for the past two years. He is not always the most charming, but he is extremely professional and we have found his advice spot on. He definitely always knows exactly what is going on. His nurses, especially Kelly, are fantastic too.
 
I'd be concerned too. I had a similar experience with my doctor - he never seemed to know my case facts and was refreshing himself while I was sitting in his room. I did not conceive with him tho, by god's grace, i did subsequently.
 
I'd recommend Dr Patrick Chan. We were referred to him by Sally Ferguson, who isn't really interested in fertility issues. He's pretty busy, but always had time to explain things to us, and never seemed rushed. He made me feel like he was genuinely concerned with our progress. When we finally did fall pregnant, his ante natal care was excellent.
 
Thank you all.

I'll see how this run goes and then probably have a look at other doctors recommended afterwards. This quest becomes all consuming doesn't it!
 
I was with Dr Ho as well. It never bothered me that he wasn't the chattiest person at all times, I just needed to know he knew what he was doing, and I think he does. For my iui's he always asked if I was hurting throughout the procedure, and would give me a reassuring pat on the arm when he saw I got teary afterwards (it wasn't particularly comfortable on that occasion due to the position of my cervix). I like him a lot.
 
Dr. Tang Oi Shan

Hello, I'm new on this forum and I need some help. I will start IVF with Dr. Tang Oi Shan (Dept. of Women's Health and Obstetrics, HK Hospital and Sanatorium). Does anyone know her or have some notice about it? Thank you in advance.
 
Hi Adrianna
I've never heard of Dr Tang, but I do know that the Lab at HK San is excellent, and their embryologists are fantastic. And in IVF, the lab is crucial, especially if you are doing ICSI.
When do you begin?
GOOD LUCK
 
Thank you "dimsum mum". If everything goes well and the menstruation is on time I will start the pre-conception treatment at the beginning of March.
 
It's me again. Like I said I prepare to start my pre-conception treatment at the beginning of March. My doctor said that she will transfer me three embryos. I've read all the opinions and experiences on this forum but I've never seen this number, only two or one. Why three in my case? Another thing: the doctor try to make me produce 10 eggs and I wonder if it is not a little too much, especially that in Europe for the women's sake and preserve of their health the protocol establish the limit on 4-6 eggs. I am 39 years old, by the way.
 
Hi again Adrianna

I am wondering if your doctor is interested in transferring three because she is concerned about embryo quality?

At 39, your fertility (and mine) has begun to deteriorate. quite rapidly. egg quality is an issue. lining is an issue. endometriosis may have set in. your lining isn't as good, bla bla bla. if you look at transfer rates in the united states, where clients pay for IVF themselves, three is not an unusual number to transfer for 39 year old women.

in europe, where i believe ivf is funded, 1-2 transferred tends to be what the state allows.

She is interested in harvesting 10 eggs because she wants to transfer three. If you harvest 10, let's say eight fertilize, and by day three, at least a couple have arrested, which means you are left with six embryos. The embryologist would grade them, and then the three best would be returned.

If you were only transferring two embryos, your re would probably want to harvest a lower number of eggs.

hope this makes sense. let me know if you have questions and good luck this march!
 
Thank you (as always) dimsum mum. It makes sense. It's so good to have some opinion and, especially,to feel so free to ask for it. Thank you, I really hope this March to be a ...special one! I try to keep myself busy all the time but vey often I start to think, to dream, to worry etc etc. I don't feel very comfortable to talk about these things with many people, it' s such a personal matter! Anyway I will keep you informed. I just wait my period and ...go!
 
Hi Adrianna, I am undergoing my first IVF and my doctor took ten eggs as well. Mine were slow developing regardless of administering the highest dosage of hormones - the egg collection and embryo transfer was about a week later than estimated - also the eggs on one side of my ovary were better developed than the other. Out of ten collected only six were fertilised. Two were transferred but only one of them was of very good quality. That doesn't say much for the quality of all the others I guess as they will have picked the best two. So maybe your doctor wants you to produce 10 eggs in order to increase the chances of good quality eggs - as well as that being the reason for transferring 3 embryos, instead of 1 or 2, as dimsum mum suggests. On that point, I was reading about regulations regarding embryo transfer in different countries and read that Belgium is going to legislate that maximum embryo transfer is 1 for women under 36 and 2 for women over 36 - supporting an age-related argument for numbers transferred.
 
Adrianna
You didn't say whether your doc would be performing a 2, 3 or 5 day embryo transfer as that makes a difference to the number transferred too. Last year I had 10 eggs retrieved, all 10 fertilised and all 10 embryos in good condition on day 3, but by day 5 there were only 6 embryos remaining. I had 3 transferred on day 3 when I was 39, resulting in a singleton. But last year I only transferred 2 embryos on a day 5 transfer, resulting in a singleton, but the doctor would have let me transfer 3 as I was 42 at the time. For self-funded IVFs in the USA, many women of my age would have transferred 4 or more embryos. I didn't want to risk having triplets or more, so I only transferred 2 on the day 5 transfer, but my doctor would have allowed me to transfer up to 3 given my age.
 
As a matter of fact I didn't quite understand if will be 2,3 or 5 day embryo transfer. It risulted (after the appointment to IVF Center) that will be 2nd or 3rd transfer but this told by a nurse, I think as a general theory. So, I will ask the doctor next time I see her (when we'll start the treatment)
 
Hi to everybody! I wish to all my forum friends a wonderful Tiger Year! Happy Chinese New Year! I start the countdown, one more week and ....I'll begin the hormone injections. Let's hope for the best.
 
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